New Member: Recently diagnosed diabetic cat not eating

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tiffmaxee said:
The injection was probably cerenia. It doesn’t come as a liquid but it’s a sub-q injection so you could give it. It lasts 24 hours. The only problem is it stings. You might be able to get it compounded. If the bupe was for her and that dose was given it should be fine. How long have you had it? It needs to be stored in a dark place I was told so it might not be full strength but it won’t hurt her. I know because I asked my vet. Pancreatitis is often painful.
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Thank you. You all are giving me hope and comfort. You’re also helping me to make sure the vet does the right thing. It’s a relatively new doctor for me and I’m still not sure how I feel about her. The Bupre is from June, so I imagine it’s still fine. She has lost some significant weight since then, so I want to make sure the dosage is ok. I held off on giving it last night. After I talk to the doctor, I’ll give it to her if the dosage is ok. Hopefully I can get her in today to confirm a pancreatitis diagnosis and get her some anti nausea medication.
 
Even if not pancreatitis you need to find out why she is nauseous and need medication for it. If your vet runs tge in house test it only gives a positive or negative for pancreatitis so if in tge gray area won’t give you an answer. For tgat reason it’s better to ask for the SpecFpl test which gets sent to a lab and gives a score. He high it is doesn’t correlate with how sick they feel but anything over the normal range along with her symptoms lets you know she has it.
 
Slight variation on Elise's suggestion: the Snap fPL is good to ask for because, if positive, it provides immediate evidence to the vet that pain meds are needed. The vet could then send out a sample for the Spec fPL to get a read on the severity of the inflammation. Same goes if the Snap result is in the grey area. However, rather than wait for the result of the Spec test the case could be argued for the vet to treat on an 'as if' basis and prescribe pain meds while waiting for the lab report.


Mogs
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Critter Mom said:
Slight variation on Elise's suggestion: the Snap fPL is good to ask for because, if positive, it provides immediate evidence to the vet that pain meds are needed. The vet could then send out a sample for the Spec fPL to get a read on the severity of the inflammation. Same goes if the Snap result is in the grey area. However, rather than wait for the result of the Spec test the case could be argued for the vet to treat on an 'as if' basis and prescribe pain meds while waiting for the lab report.


Mogs
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Thank you both. I’m waiting to hear from the vet.
 
Hollie said:
I will also ask her for the anti-nausea meds. Did the stuff you had come in a liquid form? This cat is impossible to pill.
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You can definitely get ondansetron in a liquid preparation in the UK so I assume similar should be available in the US. If your vet can't source it, with a written prescription from them you should be able to ask a local pharmacy to order it in for you. Maybe ring around your local pharmacies to see who would be able to help with this so you've got the info to give the vet later?


Mogs
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Hollie said:
Thank you. You all are giving me hope and comfort. You’re also helping me to make sure the vet does the right thing. It’s a relatively new doctor for me and I’m still not sure how I feel about her. The Bupre is from June, so I imagine it’s still fine. She has lost some significant weight since then, so I want to make sure the dosage is ok. I held off on giving it last night. After I talk to the doctor, I’ll give it to her if the dosage is ok. Hopefully I can get her in today to confirm a pancreatitis diagnosis and get her some anti nausea medication.
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If the buprenorphine was pre-loaded into a syringe, it may have evaporated since June. Please double-check before you give it.

Mods, if you'd like to add me to the pancreatitis tag list, I've had 3 cats of my own with it, plus I have autoimmune pancreatitis.
 
Critter Mom said:
You can definitely get ondansetron in a liquid preparation in the UK so I assume similar should be available in the US. If your vet can't source it, with a written prescription from them you should be able to ask a local pharmacy to order it in for you. Maybe ring around your local pharmacies to see who would be able to help with this so you've got the info to give the vet later?


Mogs
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It may be very bitter though
 
Aleluia Grugru & Minnie said:
It may be very bitter though
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Possibly, but if one's administering it with a syringe then the cat doesn't get to choose whether or not to take it (as it might if one was trying to mix it with food to get it down)

Saoirse did OK with it. When I got it for her she was recovering from eye surgery and there was no way to administer any meds in pill form. She took it fairly OK, no drooling. Pretty much reacted in a similar fashion to when I gave her sublingual bupe.

A short period of bitter-tasting meds wins hands-down over no cat.


Mogs
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Hi all,

Wanted to update on Abby- she is currently staying overnight at the hospital. She’s been there all day today and will figure out tomorrow is she needs to stay longer. She was, in fact, diagnosed with pancreatitis. They are giving her medication and fluids and helping to get her more stabilized. As of this morning, she still had terrible diarrhea, but she did actually eat food today. I’m hoping she’s only gone a night, but I’m glad that she is getting the care she needs to come home a little healthier.
Now... mastering how to prick her ear for testing. I tried twice. The first time she bled a lot and it was everywhere but the strip. Then I tried the next day and didn’t get anything. 3rd times the charm?

Thank you all. This has been a wonderful resource and has helped to give me guidance and offer a little reassurance. Hoping that she comes home tomorrow. I miss my girl already.
 
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