Elisabeth T.
Member Since 2017
Hi Everyone,
Me and our kitty Puka are new here. I posted first in the intro and I'm kind of doing a copy paste ...sorry... into this forum from a suggestion.
Our dear Puka started losing weight a couple months ago. We thought most likely cause would be hyperthyroidism. Simple enough ..right? But nothing in the in office exam suggested it. The vet eluded to the next likely cause...diabetes...
Her weight on February 11th, 8lbs.
She had surgery late in Oct. 2016 to remove a mass off her toe that turned out to be a benign basal cell tumor. At that time she was 10.7 lbs.
That means she is down 2.7lbs in just 4months?!?!?!
So when the labs come back and her thyroid was beautiful, the vet was right...she has diabetes....and liver damage ... and man I'm concerned about some of these other labs but we'll see if they improve with the treatment we're doing..
Labs:
Urine - via cystocentesis
Urine Glucose: 3+ (1000 mg/dL)
Urine Clarity: Cloudy
Specific Gravity: 1.045
Bilirubin: Negative
Ketones: Negative
Protein: Negative
Blood: 3+
PH: 6.5
All other urine attributes were normal
Blood-
ALP: 110 (12-59 U/L)
ALT: 668 (27-158 U/L)
AST: 319 (16-67 U/L)
Creatine Kinase: 153 (64-440 U/L)
GGT: 2 (0-6 U/L)
Amylase: 807 (623-2239 U/L)
Lipase: 186 (11-242 U/L)
Albumin: 3.7 (2.6-3.9 g/dL)
Total Protein: 8.3 (6.3-8.8 g/dL)
Globulin: 4.6 (3-5.9g/dL)
Total Bilirubin: 0.1 (0.0-0.3 mg/dL)
Bilirubin Conjugated: 0.1 (0.0-0.2mg/dL)
Bilirubin unconjugated: 0.0 (0.0-0.2 mg/dL)
Bun: 32 (16-37 mg/dL)
Creatinine: 0.9 (0.9-2.5mg/dL)
Glucose: 353 (72-175 mg/dL)
Calcium: 9.8 (8.2-11.2mg/dL)
Phosphorus: 3.9 (2.9-6.3 mg/dL)
TCO2 (Bicaebonate): 19 (12-22 mmol/L)
Chloride: 106 (114-126 mmol/L)
Potassium: 5.8 (3.7-5.2 mmol/L)
Sodium: 153 (147-157 mmol/L)
ALB/GLOB Ratio: 0.8 (0.5-1.2)
Bun/Creatinine Ratio: 35.6
NA/K Ratio: 26 (29-42)
Hemolysis Index 4+
Lipemia Index 4+
Anion Gap: 34 (12-25 mmol/L)
SDMA: 4 (0-14 ug/dL)
WBC: 18.6 (3.9-19.0 K/uL)
RBC: 7.6 (7.12-11.46 M/uL)
HGB: 12.2 (10.3-16.2 g/dL)
MCV: 53 (39-56 fL)
MCH: 16.1 (12.6-16.5 pg)
MCHC: 30.0 (28.5-37.8 g/dL)
%Retic: 1.1
Abs0lute Retic: 84 (3-50 K/uL)
Nuculated Red Blood Cells: 9 (0-2 per 100wbc)
Platelets: 382 (155-641 K/uL)
Neutrophils: 11532 (2620-15170/uL)
Slide reviewed microscopically. Neutrophils appear slightly toxic.
Band: 186 (0-300 /uL)
Lymphocyte: 5952 (850-5850/uL)
Monocyte: 186 (40-530/uL)
Eosinophil: 744 (90-2180/uL)
Basophils: 0 (0-100 u/L)
Neutrophils: 62%
Band: 1%
Lymphocyte: 32%
Monocyte: 1%
Eosinophil: 4%
Basophils: 0%
The vet wasn't quite sure what to think with the liver. Maybe fatty liver, maybe overflow of inflammation of the pancreas from the diabetes.. maybe an infection, maybe even worse.. the big C..?!?!
She gave the option for antibiotics, an ultrasound, or even a biopsy with a culture. She said if we did the antibiotics it would ruin chances of a culture down the line though.
We have gone with the antibiotics ...30 days of clavamox (augmentin). It's been 4 days and her digestive track is already a wreck. I need to get her some probiotics if she's to survive 30 days of that!!!!!!
In addition, we got a liver supplement, Denamarin, that has to be given on an empty stomach.
Then there's the insulin. We were prescribed Lantus. 1U every 12 hours with food.
The vet prescribed her the Hills Feline W/D wet. I went ahead and bought a case of 24 cans while I was there...before doing research...so I'm alternating between feeding that and Fancy Feast Classic Liver and Chicken, which is what we were supplementing her with before. Their (her and her 2 siblings) regular food before was Royal Canine Select Protein PD ..dry (her brother has allergies).
Now, my mother is diabetic and currently I'm using her meter (just a CVS Advanced Glucose Meter) and strips to try and torture this poor animal to get the hang of poking her ear for a drop of blood. I was successful once last night...out of an embarrassing number of failed attempts. Poor cat..I felt awful for poking her over and over...
I don't know if my measurement holds much weight but it was 274 2hrs after her insulin injection. I think I need more practice and time to do a proper curve that would have any true meaning.
Any insights, tips, tricks, reassurance would be great. What a whirlwind.
Me and our kitty Puka are new here. I posted first in the intro and I'm kind of doing a copy paste ...sorry... into this forum from a suggestion.
Our dear Puka started losing weight a couple months ago. We thought most likely cause would be hyperthyroidism. Simple enough ..right? But nothing in the in office exam suggested it. The vet eluded to the next likely cause...diabetes...
Her weight on February 11th, 8lbs.
She had surgery late in Oct. 2016 to remove a mass off her toe that turned out to be a benign basal cell tumor. At that time she was 10.7 lbs.
That means she is down 2.7lbs in just 4months?!?!?!
So when the labs come back and her thyroid was beautiful, the vet was right...she has diabetes....and liver damage ... and man I'm concerned about some of these other labs but we'll see if they improve with the treatment we're doing..
Labs:
Urine - via cystocentesis
Urine Glucose: 3+ (1000 mg/dL)
Urine Clarity: Cloudy
Specific Gravity: 1.045
Bilirubin: Negative
Ketones: Negative
Protein: Negative
Blood: 3+
PH: 6.5
All other urine attributes were normal
Blood-
ALP: 110 (12-59 U/L)
ALT: 668 (27-158 U/L)
AST: 319 (16-67 U/L)
Creatine Kinase: 153 (64-440 U/L)
GGT: 2 (0-6 U/L)
Amylase: 807 (623-2239 U/L)
Lipase: 186 (11-242 U/L)
Albumin: 3.7 (2.6-3.9 g/dL)
Total Protein: 8.3 (6.3-8.8 g/dL)
Globulin: 4.6 (3-5.9g/dL)
Total Bilirubin: 0.1 (0.0-0.3 mg/dL)
Bilirubin Conjugated: 0.1 (0.0-0.2mg/dL)
Bilirubin unconjugated: 0.0 (0.0-0.2 mg/dL)
Bun: 32 (16-37 mg/dL)
Creatinine: 0.9 (0.9-2.5mg/dL)
Glucose: 353 (72-175 mg/dL)
Calcium: 9.8 (8.2-11.2mg/dL)
Phosphorus: 3.9 (2.9-6.3 mg/dL)
TCO2 (Bicaebonate): 19 (12-22 mmol/L)
Chloride: 106 (114-126 mmol/L)
Potassium: 5.8 (3.7-5.2 mmol/L)
Sodium: 153 (147-157 mmol/L)
ALB/GLOB Ratio: 0.8 (0.5-1.2)
Bun/Creatinine Ratio: 35.6
NA/K Ratio: 26 (29-42)
Hemolysis Index 4+
Lipemia Index 4+
Anion Gap: 34 (12-25 mmol/L)
SDMA: 4 (0-14 ug/dL)
WBC: 18.6 (3.9-19.0 K/uL)
RBC: 7.6 (7.12-11.46 M/uL)
HGB: 12.2 (10.3-16.2 g/dL)
MCV: 53 (39-56 fL)
MCH: 16.1 (12.6-16.5 pg)
MCHC: 30.0 (28.5-37.8 g/dL)
%Retic: 1.1
Abs0lute Retic: 84 (3-50 K/uL)
Nuculated Red Blood Cells: 9 (0-2 per 100wbc)
Platelets: 382 (155-641 K/uL)
Neutrophils: 11532 (2620-15170/uL)
Slide reviewed microscopically. Neutrophils appear slightly toxic.
Band: 186 (0-300 /uL)
Lymphocyte: 5952 (850-5850/uL)
Monocyte: 186 (40-530/uL)
Eosinophil: 744 (90-2180/uL)
Basophils: 0 (0-100 u/L)
Neutrophils: 62%
Band: 1%
Lymphocyte: 32%
Monocyte: 1%
Eosinophil: 4%
Basophils: 0%
The vet wasn't quite sure what to think with the liver. Maybe fatty liver, maybe overflow of inflammation of the pancreas from the diabetes.. maybe an infection, maybe even worse.. the big C..?!?!
She gave the option for antibiotics, an ultrasound, or even a biopsy with a culture. She said if we did the antibiotics it would ruin chances of a culture down the line though.
We have gone with the antibiotics ...30 days of clavamox (augmentin). It's been 4 days and her digestive track is already a wreck. I need to get her some probiotics if she's to survive 30 days of that!!!!!!
In addition, we got a liver supplement, Denamarin, that has to be given on an empty stomach.
Then there's the insulin. We were prescribed Lantus. 1U every 12 hours with food.
The vet prescribed her the Hills Feline W/D wet. I went ahead and bought a case of 24 cans while I was there...before doing research...so I'm alternating between feeding that and Fancy Feast Classic Liver and Chicken, which is what we were supplementing her with before. Their (her and her 2 siblings) regular food before was Royal Canine Select Protein PD ..dry (her brother has allergies).
Now, my mother is diabetic and currently I'm using her meter (just a CVS Advanced Glucose Meter) and strips to try and torture this poor animal to get the hang of poking her ear for a drop of blood. I was successful once last night...out of an embarrassing number of failed attempts. Poor cat..I felt awful for poking her over and over...
I don't know if my measurement holds much weight but it was 274 2hrs after her insulin injection. I think I need more practice and time to do a proper curve that would have any true meaning.
Any insights, tips, tricks, reassurance would be great. What a whirlwind.
