New member - need advice

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Aimee H.

Member Since 2020
Hi,

Our 9 yr old, Delilah has always been a healthy indoor kitty. Last week we noticed she wasn’t eating or drinking much for 3-4 days and then started vomiting bile. We took her to the emergency vet. Her blood glucose was 234 and kidney function was a bit elevated. After subQ fluids, they did a urinalysis and that showed ketones and glucose in her urine. Vet said that she was in DKA and wanted her to stay in the hospital but unfortunately, we didn’t have the money for that so we decided to take her home. The vet said she was a strange case of DKA because her blood sugar wasn’t super high and she was still acting normal. They originally wanted to send us home with insulin but they were afraid she’d be hypoglycemic since she hadn’t eaten in a few days so the decision was made to just bring her home after the subQ fluids, anti nausea meds and an appetite stimulant. They wanted us to try to get her to eat and then reassess in 24-48 hours.

I guess this is a good time to mention that taking her to the vet is absolutely tortuous on her. She gets so stressed out, more than most kitties. The vet actually said that it probably wouldn’t even be good for her health to stay in the hospital over night because of her stress level there.

After not eating or drinking the next day, I stumbled on the catinfo website. We decided to start force feeding her with a syringe (just soaked dry food - Purina beyond - since that’s what we had) so we could at least get some calories and water in her. She took it well and we were able to increase a little more each time with no vomiting. Then we decided to get a glucometer and make our own food using the recipe on the website. We have been able to feed her about 40 cc’s 2x/day for the last 3 days and after multiple attempts, I finally got a BS reading of 132. She is back to acting like her normal self but still refuses to eat on her own. She doesn’t mind being syringe fed at all, doesn’t fight us and eats it all down. I did buy Dr Elsey’s chicken dry food since she she only eats dry food hoping she would start eating on her own but no luck so far. I’m planning on checking her BS again today if I can get it. She is drinking a little bit on her own, not excessively and is urinating appropriately for what she’s drinking. She is acting super hungry but she is extremely picky and will not eat the homemade wet food or the Dr Elseys dry food on her own yet.

I would like to try to avoid taking her back to the vet if at all possible because I feel like she would regress just from the stress of it all. Of course if her BS were to be super high we would take her in.

Are there any suggestions/tip for our situation? We want to try to mange at home with diet if at all possible. I feel like it was reassuring that her BS was 132 at home under less stress than the vet (although I did have to poke her a couple times to get enough blood)
 
What was the basis of diagnosing the DKA? Was it just the presence of ketones, or did they do a more detailed blood chemistry to assess it? Did they check for things like pancreatitis?

DKA is extremely serious, and normally requires 24-7 vet care until the crisis is passed. The symptoms and behavior you're describing really are kind of puzzling-- kitties "in DKA" are usually really, obviously sick.

Getting food into her is fantastic, probably the most important thing you can do for her right now. I have two other initial suggestions (others may chime in with more):

1) if she seems very hungry, but won't eat what you offer, probably the appetite stimulant is working, but the anti-nausea may not be quite cutting it. There are a couple good anti-nausea meds you can use on cats, cerenia and ondansetron are two. Call the vet and ask if you can try for whichever one they didn't use.

2) you can test for ketones at home using urine dipsticks. Cheap, easy, and essential in this situation. You can buy the dipsticks in any human pharmacy, they usually keep them with other diabetic supplies. Tips to catch and test a urine sample

If she had glucose in the urine, as well as ketones, that does point to diabetes, and you will likely have to start insulin soon. Insulin is also critical for keeping ketones down, so if you aren't starting it immediately, it's even more essential to start testing for ketones now.

I'm sure others will have more comments and suggestions. Good luck, and good job catching this problem with your little girl!
 
I would normally ask if the Vet actually looked at her teeth. Being hungry but not eating could mean shes got something going on there. Since shes been to the Vet I guess this has been ruled out.
I agree with Nan's advice.
Delilahs numbers at the Vets could have been caused by stress. 135 Isnt a huge number to overcome.
Hang in for more suggestions. You've found the right place!
Welcome to FDMB! Theres a wealth of information here to help you help Delilah. :bighug:
 
Thanks so much for the suggestions! I will work on checking her ketones and trying to get her something for nausea, even thought she’s not vomiting at all anymore, maybe she’s still nauseous.

I think the basis for the DKA diagnosis was just the elevated blood glucose of 234 and glucose and ketones in her urine. The vet didn’t say any other reason. And I’m also not sure if they tested for pancreatitis either. The 3 blood tests they did were blood gas/iCA/Crea/Hct/electrolyte, chem 6 profile and CBC. This all was foreign language to me until I started doing my own research when we got home. I just wanted to be as informed as possible since sometimes you get little detailed info at the vet.
 
Could you share some of the results from those tests that were done at the vets? We have some people that are pretty good at "interpreting" what they mean.

Simply type everything you have into a post, including the reference ranges for the lab that did the testing.
Or take a couple of REALLY CLEAR pictures with your cell phone and attach them here.

Cats that are nauseous my not be vomiting. They may simply sniff at the food and then walk away.
 
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