Update on Jun - Triaditis

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tollandjun

Member Since 2014
Jun doesn't have the Addison's, but quite a bit more was found at his exam & testing. Hepatitis & Triaditis (apparently common in cats with long term IBD/pancreaitis). Poor guy really doesn't have much of a pancreas left.

So now the wait for his medicines to come in (hoping for tomorrow, but most likely Tuesday due to the holiday... argh!). He has been vomiting off/on most of today, which is a concern with his diabetes.

Has anyone had experience with triaditis in a diabetic cat? (I am just trying to research it myself as I've never heard of it before). Does it actually impact their blood sugar levels?

Last month Jun was on a 7 day run of an antibiotic, cerenia, and probiotic for his IBD. Shortly after that he had a sudden drop in his sugar one night and ended up off insulin for 3 days with normal numbers before it started to rise again. Is that common? He'll be starting metronidazole and budesonide as soon as they come in, and I was wondering if anyone had a cat on those and if their sugar stayed on-track or if it dropped drastically or ran high in relation to those medicines.

Thanks.
 
Inflammation may increase glucose ... unless it results in not eating or not absorbing the nutrients. (Not very helpful, I know)

You'll want to support the liver, possibly with Marin or DenMarin (which have extracts of milk thistle, shown to be helpful for the liver).

Although not shown important for pancreatitis in cats, reducing the fat in the diet may help the liver. Adding some plain meat or poultry stage 1 baby food (no other ingredients) will shift the food balance more towards protein and less towards fat, without affecting carbohydrate.

Because of the erratic food intake/vomiting/diarrhea, you may find that a 2nd, shorter acting insulin may be useful if you can't adjust the long acting insulin quickly (Lantus, Levemir) or if it wears off quickly (ProZinc, PZI). With the depot insulins, a short-acting insulin let's you manage higher numbers by giving a tiny dose of the short-acting insulin. With the non-depot insulins, if they wear off too soon, it may be helpful to do a drop or two of a short acting insulin to control the glucose until the next regular shot time.
 
BJM said:
Inflammation may increase glucose ... unless it results in not eating or not absorbing the nutrients. (Not very helpful, I know)

You'll want to support the liver, possibly with Marin or DenMarin (which have extracts of milk thistle, shown to be helpful for the liver).

Although not shown important for pancreatitis in cats, reducing the fat in the diet may help the liver. Adding some plain meat or poultry stage 1 baby food (no other ingredients) will shift the food balance more towards protein and less towards fat, without affecting carbohydrate.

Because of the erratic food intake/vomiting/diarrhea, you may find that a 2nd, shorter acting insulin may be useful if you can't adjust the long acting insulin quickly (Lantus, Levemir) or if it wears off quickly (ProZinc, PZI). With the depot insulins, a short-acting insulin let's you manage higher numbers by giving a tiny dose of the short-acting insulin. With the non-depot insulins, if they wear off too soon, it may be helpful to do a drop or two of a short acting insulin to control the glucose until the next regular shot time.
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Thank you.

His daytime sugar seems to run high of late, so an addition of a fast acting insulin may be a wise idea. Is there one you recommend? He is currently on Levemir. It worked for a long time, but these past few months his sugar is all over the place. Only thing that runs steady is his overnight levels, and at very good numbers too.

I'll certainly have to see if his diet can be adjusted. He has a higher fat diet. When he was on the strict diabetic diet, his IBD started to act up and he lost around 2 pounds.

For the liver support - are those through a vet or a health food store? I've long believe in more natural products to help with things. Heck, he has monthly acupuncture treatments, which have helped so much. He had previous treatment with Chinese herbs, which also helped to stabilize him and keep him going strong all these years.

I'm actually a bit worried about him this evening, he seems more droopy then he has been and the vomiting is a concern. He did just drink a nice amount of water, which was a relief! Now if I can get him to eat a bit.

I appreciate your reply. Somedays I feel so overwhelmed with his collection of health issues and I am so afraid of failing him.
 
As soon as you get set up with a spreadsheet, and move into one of the Lantus/Levemir forums, you can get feedback from more experienced users on dosing Levemir around complex medical problems and the use of a short acting insulin such as R (Humulin or Novolin regular insulin).

The dosing is extremely tiny (drops even) with a supplemental insulin and you need to be prepared for low numbers since you don't know what will happen. The safest way to do this is when you can be home to monitor and there are some experienced folks here coaching you through it.
 
My cat Skooter also has IBD and he is on budesonide. He was switched to that from prednisone after he was diagnosed and he has done GREAT on it.

Feel free to take a look at his spreadsheet....the biggest thing that helped him was the change to wet food.....I do not see the budesonide really effecting his BG too much. When he first started taking it, the fine folks here did say it could cause a small spike within the first few hours after the shot. I now use that to my advantage. He used to get it at night, but I switched it to the same time in the AM as his shot....that way if he is gonna spike from it, it is while I am at work, in case I am not able to come home to test him....

Good luck with the new medications and I hope they make him feel better soon!
 
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