Remission question

[LisaWS]

Hello,

Minnow was diagnosed in early Feb 2023 and went into ‘remission’ in late Feb. he was on Lantus. He’s been off insulin since then with measurements between 110-160. I think he was more diet regulated than in remission, nevertheless, my vet recommended to stay off insulin as long as he was below the renal threshold. There was no sugar in his urine at this time.

Minnow has long standing IBS and chronic constipation. He ate a prescription high fibre kibble for years that managed the constipation effectively. It’s 35% carbs. When he was diagnosed with diabetes I switched to low carb wet food. This has, quite unfortunately, aggravated the IBS and he’s been suffering from severe constipation again. I’ve tried everything. Low residue wet food trial, different foods and proteins, adding psyllium, adding copious amounts of water to his food, Miralax and lastly, prescription motility drugs, all to no avail. The only thing that works is the kibble. He had a full work up and an ultrasound identified thickening of the intestines, as expected. He was also unexpectedly diagnosed with stage 2 CKD, although is asymptomatic.

I’ve had no choice but to put him back on the high carb kibble. I have to juggle health issues and the constipation takes priority. As expected, his blood sugar is 288 today. I have to restart insulin immediately, right?

 

[Sienne and Gabby (GA)]

If his BG numbers are that high, I suspect insulin is in order.

Have you ever considered a raw diet? Take a look at this website on Raw Feeding for IBD Cats. Even if you choose to not try a raw diet, the information on meds and supplements is great! They discuss all sorts of common problems that IBD kitties experience and have solid recommendations on what to do. They also have a Facebook group that is very helpful if you have questions. I have a cat with IBD and I feed a mostly raw diet but also use some canned, novel protein based food.

 

[LisaWS]

Thank you!

 

[Chrispooky12]

Hello,

Minnow was diagnosed in early Feb 2023 and went into ‘remission’ in late Feb. he was on Lantus. He’s been off insulin since then with measurements between 110-160. I think he was more diet regulated than in remission, nevertheless, my vet recommended to stay off insulin as long as he was below the renal threshold. There was no sugar in his urine at this time.

Minnow has long standing IBS and chronic constipation. He ate a prescription high fibre kibble for years that managed the constipation effectively. It’s 35% carbs. When he was diagnosed with diabetes I switched to low carb wet food. This has, quite unfortunately, aggravated the IBS and he’s been suffering from severe constipation again. I’ve tried everything. Low residue wet food trial, different foods and proteins, adding psyllium, adding copious amounts of water to his food, Miralax and lastly, prescription motility drugs, all to no avail. The only thing that works is the kibble. He had a full work up and an ultrasound identified thickening of the intestines, as expected. He was also unexpectedly diagnosed with stage 2 CKD, although is asymptomatic.

I’ve had no choice but to put him back on the high carb kibble. I have to juggle health issues and the constipation takes priority. As expected, his blood sugar is 288 today. I have to restart insulin immediately, right?

My boy is so far only diabetic but he also used to struggle with constipation. Once I started giving him slippery elm with bark every other night & Mirilax during the day, then Mirilax in the am & pm the next day, then repeat. He no longer has constipation issues. I mix a fourth of a teaspoon of slippery elm with a tsp to 2tsps of beechnut beef baby food in his bowl than I add a tablespoon or 2 tablespoons of water to it & stir it up & he eats it all up. Don't know if it will help your boy or not but it's worth a try.