Pancreatitis Diagnosis and BG Dropping

[lbeachstace]

Buddy was diagnosed with pancreatitis on Tuesday. (symptoms plus spec test)

His BG continues to come in very low (49 at +3) as we continue to reduce his dosage on our own accelerated schedule.

We started him on selegiline (for dementia) 7 days prior to the pancreatitis symptoms and we feel this may have caused it. We stopped the selegiline on Tuesday and his pancreatitis recovery appears to be remarkable quick (treating with Sub Q, cerenia and gabapentin).

Any thoughts as to what could be going on?

 

[Bron and Sheba (GA)]

Some cats who have Pancreatitis can recover very quickly and other take much longer. Sheba used to get flare ups of pancreatitis and once she had had sub Q fluids, a pain injection and anti nausea meds, she usually recovered quickly.
Pain can make the BG go up so maybe the pain meds are helping with the BGs.

 

[Ale & Bobo & Minnie (GA)]

Did you reduce the dose after the 49? I can’t see it on your spreadsheet.

 

[lbeachstace]

@Ale & Bobo & Minnie (GA) Yes, we had dropped him to 3 units before the meal because we had a feeling he was going to drop.

The issue is with pancreatitis, giving the carbs was not what we wanted but we also were afraid he'd go hypo.

I will test him in 2 hours, as that's sometimes his nadir.

 

[Drashiel]

What are you using for pancreattitis? I tried with Lypex and tests show an improvement.

 

[lbeachstace]

What are you using for pancreattitis? I tried with Lypex and tests show an improvement.

We were given sub-q and told to give him cerenia and gabapentin for the nausea and pain. the first time he had it, he was on antibiotics and sub-qs for way too long - i dont think it was good for him.

outside of his numbers dropping last nite, he is showing improvement.

 

[Hendrick Cuddleclaw]

c'mon Buddy we're all rooting for ya

 

[lbeachstace]

@Hendrick Cuddleclaw - do you see his chart last night? he had me up until around, i think, 3am or so. if he wasn't sick, i'd think he was getting a kick out of doing this to me!

 

[Hendrick Cuddleclaw]

@Hendrick Cuddleclaw - do you see his chart last night? he had me up until around, i think, 3am or so. if he wasn't sick, i'd think he was getting a kick out of doing this to me!

Yes, looks like quite the wild ride!

 

[Drashiel]

We were given sub-q and told to give him cerenia and gabapentin for the nausea and pain. the first time he had it, he was on antibiotics and sub-qs for way too long - i dont think it was good for him.

outside of his numbers dropping last nite, he is showing improvement.

Hope he gets better.
My vet told me that there is no cure for pancreattitis, you only can reduce the effects with cerenia and something similar. According to my vet, it could be caused due pancreatic stress. She recommends me try with Lypex, it is same enzimas that pancreas produce. Lypex unload the pancreas to do those enzimas and helps to reduce inflammation (in theory).
My vet warns me that it was possible that Lypex do nothing but I prefer to try and was a little improve so I continue with. I have no idea about availability on your country, but you can try.

 

[lbeachstace]

@Drashiel thanks. i haven't been on in a while and just saw your reply. Buddy has been up and down overall. His pancreatitis improved but seems to have flared again.

We have so much going on outside of his health, we are doing all we can to keep up with life. I am going to look up Lypex now!

 

[Drashiel]

Hope Lypex helps to your kitty. Treatment is for 2 months. You have to open the pill and drop the content (small balls) in food one or two times at day. Don't give the pill, only the content. My vet focus on this, and don't smash the small balls. I mix the content at night with wet food, for my vet this is OK.

After 2 months, repeat lysine test and see if there is any improvement.

Regards.

 

[Sienne and Gabby (GA)]

My cat was diagnosed with pancreatitis at the time she was diagnosed with diabetes. She had one episode of pancreatitis. It never recurred.

@Drashiel: It is inaccurate to say there is no cure for pancreatitis. There is a difference between acute and chronic pancreatitis. Acute pancreatitis is a response to injury to the pancreas and results in inflammation of the pancreas. Chronic pancreatitis results in chronic changes within the pancreas including a mononuclear infiltrate and fibrosis of the pancreas. As with may inflammatory conditions, acute pancreatitis can be treated. If you've not seen our primer on pancreatitis, it talks about treatment as well as other issues.

Just an FYI. Lypex is typically prescribed for exocrine pancreatic insufficiency (EPI) or malabsorption issues. EPI is not the same as pancreatitis. I would be very surprised if Lypex was effective for treating pancreatitis.