Please help with CRF and Diabetes diet!

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PattiMcG17

Member Since 2016
My kitty, Maddie, has both CRF and diabetes. I'm currently using Vetsulin (which I don't think is helping), and low carb diet to control her BG. BUT, those foods are pretty high in protein, and not to mention not as low in phosphorus as I'd like them to be. I'm feeding her Weruva and Wellness - both wet.

The thing is I don't know if I should be feeding her less protein - her creatinine was 2.2 and BUN was 51. I think this is stage 2.

Does anyone have any suggestions? Thanks so much.

Patti Guarino
 
I don't have any experience with it, but I have heard of a lot of people who use phosphorus binders to help with controlling the phosphorus and still getting the food they need to eat into them. Here is a link at Tanya's Site.
 
Per Cat Info, you can add 1 ounce of lean protein to 5 ounces of cat food, mix, and portion out to improve proportions of protein:fat:carbohydrate.

Per Feline CRF, you can use cooked egg white as a low phosphorus protein source (its the phosphorus you're most concerned about in the 1st and 2nd stages, not the protein level).

Combining those 2 concepts, add 1 ounce of cooked egg white to 5 ounces of cat food, mix well, and portion out to have better protein:fat:carbohydrate ratios and better phosphorus values.
 
Hi PATTIE,
quite a few of the Weruva canned foods are good for both diabetes and CRD. Click on this link and go to the nutritional information. Look for foods that is 10% carbs or less and 200mg to 250 mg/ 100 calories of phosphorus or less.

Also have a look at this link. It is for making home prepared food for a diabetic and CRD cat but has a lot of info about CRD in it and tips you might be interested in.

http://www.felinediabetes.com/FDMB/threads/home-prepared-diet-of-crd-cats.150441/
 
I fed Wellness to my cat with CRD for most of her 3+ years with it. It is old school and unproven information that low protein diets are good for CRD cats. Unless your cat is in final stage renal failure, keeping the protein up to avoid muscle wasting can help combat the disease. Phosphorus is what you want to watch out for. A binder can help, but there are a good number of foods out there that get low enough in phosphorus to be ok. None get as low as the script food, but they are low enough.

Tanya's site that dyana linked is an amazing resource.

2.2 Creatinine and a BUN of 51 are still pretty good numbers. That Creatinine would be within normal limits on my vets equipment and the BUN just slightly elevated. Are you doing fluids? SubQ fluids can help with any dehydration issues and that can bring that BUN back down. It also helps with flushing the kidneys so they don't have to work so hard.
 
I was actually wrong. Her last bloodwork was in December, and her creatinine was actually 1.8 and her BUN was 21. Very happy about that!
 
Yes, we used a binder. We did not put it in her food (she wouldn't eat it), we had it compounded and gave orally twice a day. Taz's phosphorus had got high initially, but mostly remained below 5. She was on a binder, subQ fluids, and calcitriol most of that time.
 
Hi Patti-
My cat Rico (non Diabetic) was dx with crf at 11 years old-he is almost 17 now-
low protein for crf is old school thinking at the very least until the very end stage of the disease. It is the quality of protein that is more important (I wish he would eat raw)
we have been giving sub q fluids sine he was dx 6 years ago and his blood work remains in normal numbers as long as he get this sub q's
he eats canned weruva-fancy feast -wellness-felines pride- NV-different freeze dried that I put in a blender so no puke-
he has not needed a binder and he is not good for pills so I am very grateful-
right now after 6 years he is up to fluids about every 3 days --by starting before it was too bad we slowed it and he feels good (as he is chasing my other guy now)
My cat with FD is also getting sub q fluids as his kidney values went up shortly after diagnosed -they are now almost normal with a small amount of fluids daily--a little more if his numbers are higher.

As for Rico my non diabetic he gets his sub q's every 3 days
adequan 1x a week
and cerenia as he does have nausea most likely from the crf, I use the injectable. Sometimes he gets ornadastrom (spelling?) for nausea if needed.
walgreens now has sub q's a case is 80$ good price-and the lines and needles you can get from KV Vet Supply:cat:
Rico 2016.jpeg

Rico 17 in July--
Dre will be 16 in July (avatar)
 
Critter Mom said:
Ondansetron. :)

(It's one of Saoirse's regular meds.)

Jayla, what was Rico's IRIS stage at time of Dx? Also, what counts as quality protein?



Mogs
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Click to expand...
I dont remember the exact counts but Dr said high enough to start fluids....
Raw (non hormone etc...) being the best--then quality canned...dry being last-
Rico does eat ff and we have been lucky as it has not seemed to interfere-- I wish I had started raw as kitten but Rico was an adult when I rescued him.
He eats a lot of freeze dried which is as close as he gets to raw--he is a little boy especially compared to Dre- but he has maintained at 11-12 pounds for years now. He was about 14 at his highest weight when DX. We started with fluids 1x a week for years and increased over time-now is about every 2-3 days.
 
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