Diabetic cat with IBD-like signs

Re: Diabetic cat with IBD-like signs

ruths — Mon, 15 Sep 2014 18:13:24 GMT

Totally agree with pancreatitis as an underlying issue here

Re: Diabetic cat with IBD-like signs

Anthony Todd — Fri, 12 Sep 2014 10:59:00 GMT

[quote user="Martin Atkinson"]Actually all my cats love me, they want a dominant alpha-male.[/quote]

Just an un-peer-reviewed anecdote, totally valueless, although I would agree with it.

Re: Diabetic cat with IBD-like signs

Martin Atkinson — Fri, 12 Sep 2014 09:41:08 GMT

[quote user="Anthony Todd"]Surely that's because of the "stress" from living with you[/quote]Well he did go out one night is a storm and didn't come back. We found him dead, soaking wet, stuck in a bush the next morning. I assumed he'd died of hypothermia brought on by a hypoglycaemic episode as he would try and push himself into a corner when he had one (I confess I wasn't as good at managing diabetic patients back then as I am now). However I guess he could have committed suicide!

Actually all my cats love me, they want a dominant alpha-male.

Re: Diabetic cat with IBD-like signs

Anthony Todd — Fri, 12 Sep 2014 09:26:35 GMT

[quote user="Martin Atkinson"]as he also had urolithiasis.[/quote]

Surely that's because of the "stress" from living with you

Re: Diabetic cat with IBD-like signs

Martin Atkinson — Fri, 12 Sep 2014 09:16:23 GMT

Lets not forget that insulin is produced in the pancreas and unless you've imaged/biopsied the pancreas you can't say whether the DM is caused by destruction of the islets due to chronic pancreatitis. Given the age of onset it is likely that it is in this case part of a chronic triaditis with acute on chronic pancreatitis. I would attempt to manage the DM best you can and control the IBD/pancreatitis with diet and other supportive therapy along with the CKD but give a guarded prognosis.

Been there with one of my own cats it took a lot of juggling diets especially as he also had urolithiasis.

Re: Diabetic cat with IBD-like signs

Linda Filshie — Thu, 11 Sep 2014 22:56:39 GMT

Thanks Kate. Just as an update this cat has indeed slipped back into a diabetic state, post-prandial glucose having climbed to 21mmol/l.

He's back on caninsulin and hopefully going for an ultrasound next week to rule out other GI etc pathology.

Re: Diabetic cat with IBD-like signs

Kate Richardson — Fri, 05 Sep 2014 15:52:05 GMT

Looks to me like he has pancreatitis, may be a chronic one with an acute flare up given the history of DM. Tx with pain analgesics/anti-emetics, diet wise I wouldn't change at this stage as this could tip him back into being diabtic again, so monitor closely for hyperglycaemia developing- home collected urine samples are the best way as rules out any stress from the clinic or sampling. Also monitor for development of EPI in the future.

Re: Diabetic cat with IBD-like signs

Linda Filshie — Fri, 05 Sep 2014 14:04:35 GMT

Heart sounds ok - folate/cobalamin were normal so I would have thought that ruled out SIBO. I haven't tried an exclusion diet because it's been on diabetic food and its fructosamine has started creeping up anyway so I was worried about pushing it into a full out diabetic state (though of course IBD can cauyse insulin resistance anyway - can't win!)

Re: Diabetic cat with IBD-like signs

Hannah Wynne Richards — Fri, 05 Sep 2014 12:18:35 GMT

Not a clin path expert by any means, but glob means inflammation, and high urea with normal creatinine means pre renal. What does it's heart sound like? Could the occasional soft faeces mean bacterial overgrowth 2y to too much glucose being secreted into intestines/known predisposition of diabetics to infections. Have you tried an exclusion diet?

Wynne