New to FDMB and Diabetes Diagnosis

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JSmy

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Hi there everyone!

I just registered for this Board and am happy to have a community of compassionate and caring individuals to help me through my cats new diabetes diagnosis.

My cat was diagnosed with congestive heart failure/dialiated cardio myopathy just before Christmas and has been on Enalapril, Pimobenden and Lasix since. We had one scare with regards to her lungs starting to fill with fluids so her Lasix was bumped up about 3 weeks ago. She's been well since then. No changes to activity levels or eating/drinking. Unfortunately, I had to place her in the vets care while I was out of town for 6 days. I had been given daily updates that she was doing well but when I brought her home she looked awful. Her fur/coat was thinning and in bad shape, her eyes were different and her walk had a staggering action to it. I kept her home for almost a day thinking that she may just be suffering from being caged and away from home but it was evident that that was not the case. When I took her to the vet her blood suger was around 560 with slight kidney function changes and low potassium levels. They admitted her and started the process of figuring out what was wrong. Diabetes was the diagnosis and her bs was immediately worked on to get her number down. That was this past Fri. Her bs levels have bounced all over the place while the vets office is conducting their curve testing. She was checked every two hours and administered insulin as needed and is now being checked every 4 hrs with insulin only being administered every 12hrs. She is eating and drinking allot (she was not eating when I originally brought her home but was drinking a ton) and looks much better. I am going to the vets today to get more info on what insulin they have been using and what the prognosis is. My questions are.....I've seen some info online that indicates Lasix admin can result in hyperglycemic outcomes. Could this be triggering the diabetes now? Is there a substitute for Lasix that won't cause hyperglycemia? Are there special concerns with these 2 diagnosis's together? Congestive heart failure and diabetes? Also, in the past, we thought she may suffer from some pancreatitis issues or food allergies. She has been on a home cooked raw diet for approx 3-4 months now so her carb intake has been limited already. Prior to the raw diet she was on a higher quality canned food diet that never had a carb count of higher then 15% or so. Aren't there diet issues though also for cats with pancreatitis?

I feel very out of control right now. There is SO much info to take in and disceminate!
 
I clearly dont have answers for your special needs . But this will bump your post to the top.
WELCOME to the best site on the planet!
jeanne
 
I'm really glad you found this community. The people here are super knowledgeable and helpful!

My kitty (while she may have been diabetic for a long time) went suddenly downhill after a cortisone injection. However, now she's on low carb she's on her way to being diet controlled and her diabetes symptoms have vanished.

Do you know what they were feeding her at the vet when you were out of town? I'd bet anything it was dry food, high carb stuff that made any hyperglycemia caused by the Lasix 100x worse than it was on raw food. :(

Sorry I don't know more but I think your instincts are correct. Ask about her diet, and bring her home when you can. Hopefully if she is back on raw food or at least very low carb, she'll get back under control.

Lori
 
Glad you have found FMDB. Sorry your kitty is so sick. There are a lot of complicated issues there, and sorry to say I don't have any answers for you, but I know that there are some folks on here who have some experience with congestive heart failure. If I were you, I would edit your subject to show Diabetes Diagnosis with CHF, and perhaps that would catch the attention of the people with the CHF experience.

We'll all be giving healing thoughts for your extra sweet kitty.

How old is your kitty?
 
What insulin is your cat getting and what dose.... also, is your cat at home now or always at the vet?
Can you please get the info from the vet for their curve, the numbers from their BG tests, and how much insulin they gave at what times.

Can you find out what other tests were done by the vet, the results for the tests, and if the pancreatitis test was done, what was the test result number.

Pancreatitis is very painful and is usually handled with giving fluids and pain meds, usually buprenex.
I don't know how to properly treat her various health issues, so I can't really say how you should proceed.

For the curve testing, you can do all of that testing at home yourself and it will be easier on her. Get a blood glucose meter, test strips and lancets at your pharmacy, and also pick up some KETOSTIX to test her urine for ketones. It sounds like her stay at the vet office did not go well if she was in such bad shape when you returned.

All dry food should be eliminated as it is contributing to her high BG numbers.

Where are you located? Many people in the US get use the Relion meters as they are good and their test strips are quite economical.

Hopefully, you will not need to take her to the vet office for any more stays... I am sure you will be able to get her in better shape while she is comfy in her own home.
 
Hi and welcome!

I'm so sorry your kitty is so sick. This looks like a good link for you: http://www.felinediabetes.com/FDMB/viewtopic.php?f=14&t=1123. It is full of links on info about diabetic kitties with congestive heart failure. I hope some of the info there helps you. Come back here for whatever help you need with the diabetes after reading those links over.

Melanie

Sorry, that's the wrong link. Thats renal failure. Let me get the right one.
 
I didn't forget you last night but did research and typed a long post for you but the board must have been down. It kept telling me it could not take the post now so hold on. I tried to save it to drafts but never did that before. I'm going to try to find it now.

Melanie & Racci

Edit: I stupidly lost it but still have the research page up and am trying to recover it now. It will be a little while to try to recover but in the meantime I know where to find some of it and will pull those links again.
 
Okay. Help is on the way. I have asked Karrie to come over. It seems she has some experience with this. Hopefully she will see the pm soon. In the meantime here are some links for you to look at:
This is a conversation pertaining to this:
http://www.felinediabetes.com/FDMB/viewtopic.php?f=9&t=62526&hilit=congestive+heart

The following 2 are from the Merck vet manual. Keep in mind that not all info is current and there are new meds and treatments.

http://www.merckvetmanual.com/mvm/index.jsp?cfile=htm/bc/11007.htm

http://www.merckvetmanual.com/mvm/index.jsp?cfile=htm/bc/40508.htm

I also understand there is a dog congestive heart failure support group that some cat people use that is good.

Melanie
 
Lasix is a diuretic. I haven't heard about it causing hypoglycemia. There is a potassium sparing diuretic but it does not work as well as lasix. My dog was on both. I will PM squeeky and also the heart guru on your post also. With Lasix you give a high dose until the lungs clear and try and taper back as much as possible. Dog treatments are different than cats. My dog was on benazepril because it was easier on her kidneys as opposed to enapril. I wonder if so many cats are on this because its better for cats. You can get injectible baytril for emergencies also. We always had it on hand for my dog in case she had a crisis and had to be rushed to the ER.

Diabetes and CHF I would think would be completely separate. Possibly a high protein food may be high in phosphorous which is harder on a heart animal. But its low carb. Lets see what the heart expert thinks.

The liver can be under stress though from her heart which can increase blood glucose.

I want to send big hugs to you. I lost Maverick suddenly in April and we think it was undiagnosed heart issues. I didn't know Maine Coons were susceptible. All that research on CHF for my dog and I was oblivious of my cats risk. Are you seeing a cardiologist?
 
Welcome Extra Sweet Squishy Baby and worried MamaBean!

You've sure got your hands full - BIG LOOOONG HUG!

Melanie, thanks for posting a link to one of KT's condo that talks about Scruffy, our CHF kitty. There are some earlier ones when diagnosed back in January.

Fortunately KT only has diabetes but one our other rescued kitties, Scruffy, has CHF. We also have an elderly Shihzu, Lacey, with CHF. They both take enalapril 2.5mg (Scruf-1x, Lacey 2x)and Lasix 12.5mg diuretic (both 2x). Lacey's is a murmur so nothing's going to make it perfect. Neither of them are diabetic, I truly don't think the two really tie together.

I've read that some of the meds cause hypokalemia and hyperkalemia. Hypokalemia may need to be treated with a potassium supplement, it causes muscle weakness among other things. Hyperkalemia - things need adjusted to get rid of this situation as soon as possible as it can affect the heart very quickly. 'Kalemia' merely means 'Potassium' - Hypo/too little and Hyper/too much.

As long as Lacey and Scruffy take their meds, they feel good altho' Lacey tires out much quicker. I missed a day with Scruffy by accident, it showed the next day - he had 'poofies'. I won't forget again.... :oops:

I don't know that any of this is a help but it sure made me feel better when Karrie showed up in my thread (condo) with experience even if it wasn't a cat....she's held my hand thru a lot this last month as I worked to get Scruffy's fluid off.

BIG HUGS! I'm glad you found your way here,
 
Thank you both for answering our cry for help. Unfortunately I know so little about this but it was a good learning experience for me though I hate the reason for it and do hope poor kitty is okay. Any info you can provide is very welcome.

I will certainly look at the link you provided, Karrie and so sorry about your loss of Maverick. I also lost my 16 yr old, Calli, Racci's mom, unexpectedly from cancer in September. It's so hard.

I'm sorry you're also going through this Sqeaky.

Melanie & Racci
 
This is so weird, I answered this post a few days ago but got a PM to look here, and my post isn't here. Did anyone see it? So strange (and frustrating!). Here's the gist:

Hi JSmy, sorry to hear about your kitty.

JSmy said:
My questions are.....I've seen some info online that indicates Lasix admin can result in hyperglycemic outcomes.

There is no substitute for Lasix -- it is the best diuretic for these situations. It will not have caused a BG of 560; if anything, it would cause mild hyperglycemia but even this is uncommon.

Are there special concerns with these 2 diagnosis's together? Congestive heart failure and diabetes?

You just have to be extra vigilant in making sure she stays hydrated and eats well. A cat with uncontrolled diabetes can lose potassium and get dehydrated quickly, and the same is true for a cat on Lasix. If she stops eating, call your vet, don't keep giving Lasix -- you'll need guidance on how to handle her dosing if appetite becomes a problem.

Aren't there diet issues though also for cats with pancreatitis?

In dogs, acute pancreatitis is associated with high fat foods. In cats, this isn't generally true--cats were designed to eat protein and fat, basically. Some cats with pancreatitis seem to prefer to eat a few small meals rather than one or two large meals.

Hope this helps. Please post more questions as you have them.
 
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