Other causes for high lipase??

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Ashley & Myloh

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Hey Everyone,

It's been a loooonng time since I last posted. My 7 year old cat Myloh was dx with diabetes a few years ago, since then, we got him off insulin but later learned he had pancreatitis (which likely caused the diabetes). We've been struggling since July 2009 to quiet the pancreatitis down. His lipase numbers have climbed from 4.8 to now 13!

It's so mysterious though because he is acting totally normal (great appetite, drinking low amounts of water, using the litter box normally, spunky playful mood, no weight loss, no lethargy, etc.). I check his BGs abut once a month and they stay around the low to mid 90s. If we weren't getting regular lipase tests, we would have NO CLUE anything was going on with him. And we've tried so many things- changing litter, low fat foods, prescription foods, blood panels, dental cleaning, ultrasound of pancreas and bile ducts, steroids (prednisone), vitamin B, probiotics. Nothing!

Our new "thing" that we're tying (an "experiment" my vet would say) is a gluten- free diet. Not sure how common it is for cats to be celiac but we're running out of options and I don't know what else could possibly be causing his high lipase values. If Google had a customer rewards program that distributed points for each search you did, I'd have earned a new car or something big by now. My vet has him on steroids and vitamin B and is pushing us to give him Purina OM (canned- because I'm anti dry) but we've tried that before and I'm not impressed with the ingredient list. We're giving the Nature's Variety gluten free raw diet a go but it's high in fat which is no good for pancreatic patients but all the low fat stuff seems to come with loads of gluten.

A) Suggestions on low fat, gluten free cat food?? (Open to home-made recipes if you've got em)
B) Thoughts on what else might cause high lipase values??

Any thoughts anyone?? Pleeaasse???

Sincerely,

The very frustrated Ashley & Myloh
 
According to the Merck Manual, 10th edition.
"Lipase increases ... occasionally in chronic renal dysfunction." (p. 1471)

Also, which lipase test is being done? Is it pancreatic-specific lipase, which is "a good indicator of pancreatitis in cats and dogs"? (p. 1471)
 
Hey- yeah we did the feline specific lipase test (fPL). We've also done blood panels and his BUN and creatinin levels seem to be in the normal range which I think would be higher if there was something going on with his kidneys.
 
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