Hi Sophia!
Great news that Lisa is in remission.
Dionysia wanted me to ask you, if polyurea/polydipsea symptoms could persist even when the diabetes is in remission.
Lisa still has those symptoms although bg is in the normal range. Could this happen?
As Jeanne commented above, diabetes isn't the only root cause of PU/PD.
One possibility is a kidney/urinary tract issue. With the recent increase in Lisa's creatinine levels, that's the first place I'd look. Also hyperthyroidism may cause PU/PD (and it's a fairly common condition in middle-aged cats). According
to this article other possible causes may include:
● Uterine infection
● Liver disease
● Low protein diets
● Age
Here's another informative article (
eavy.
Looks like blood work may be the next step. BTW, I'd also suggest getting a cystocentesis with culture and sensitivity to check for possible urinary tract infection. It is possible for UTIs to impact kidney function and are therefore they're important to check for and treat if present, doubly so if there's already a question mark over kidney function.
How many pees per day is normal?
Maybe 2-3, but it depends on how much fluid the cat is taking in through drinking and eating wet food.
My civvie, Lúnasa, has CKD. I measure her fluid intake (food and water) and weigh her pee clumps* every day make sure she's not getting dehydrated. I did the same for Saoirse.
I hope some of the above helps Dionysia. Please say hello to her for me.
Mogs
(* I use OKO Plus Cat's Best granular clumping litter. I checked with the manufacturer how much water it absorbs, and from that I get a fairly good estimate of fluids lost when peeing.)
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