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<?xml-stylesheet type="text/xsl" href="https://www.vetsurgeon.org/utility/feedstylesheets/rss.xsl" media="screen"?><rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:slash="http://purl.org/rss/1.0/modules/slash/" xmlns:wfw="http://wellformedweb.org/CommentAPI/"><channel><title>Stress glucose or diabetes?</title><link>https://www.vetsurgeon.org/f/clinical-questions/27601/stress-glucose-or-diabetes</link><description> Hi, all, 
 I&amp;#39;ve just admitted tonight a MN 8 y.o. DSH cat with a blocked bladder. The cat was seen straining for about 12h, but owners waited that long as he&amp;#39;s been seen in the past few months for the same reason, not needing to be unblocked. 
 Routine</description><dc:language>en-US</dc:language><generator>Telligent Community 10</generator><item><title>RE: Stress glucose or diabetes?</title><link>https://www.vetsurgeon.org/thread/204897?ContentTypeID=1</link><pubDate>Wed, 21 Nov 2018 11:39:48 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:a2eba35f-727e-4e73-997c-21f9cf47c21d</guid><dc:creator>Anthony Todd</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Julian Earl&amp;quot;]Life is full of surprises!&amp;nbsp;[/quote]&lt;/p&gt;
&lt;p&gt;Yes, we had a cat that loved to eat lemon slices.&lt;/p&gt;
&lt;p&gt;Mind you they were soaked in gin and tonic.....&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Stress glucose or diabetes?</title><link>https://www.vetsurgeon.org/thread/204872?ContentTypeID=1</link><pubDate>Wed, 21 Nov 2018 00:14:06 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:2aa6e1b7-e8ba-4d45-a44d-015a058fe53e</guid><dc:creator>Silvia Maldonado</dc:creator><description>&lt;p&gt;We still use pilchards (in tomato sauce) for inappetence cats. Sometimes it works &lt;img src="/emoticons/v2/Thumbs_up.png" alt="Thumbs up" /&gt;, sometimes it doesn&amp;#39;t&amp;nbsp;&lt;img src="/emoticons/v2/Crying_smiley.gif" alt="Very sad" /&gt;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Stress glucose or diabetes?</title><link>https://www.vetsurgeon.org/thread/204870?ContentTypeID=1</link><pubDate>Wed, 21 Nov 2018 00:03:07 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:209adff8-4eec-491a-8481-4b847a9fcb58</guid><dc:creator>Evelyn Barbour-Hill</dc:creator><description>&lt;p&gt;Tomato, that&amp;#39;s an old one. 47 years ago we were recommending herrings in tomato sauce to stimulate the appetite.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Stress glucose or diabetes?</title><link>https://www.vetsurgeon.org/thread/204868?ContentTypeID=1</link><pubDate>Tue, 20 Nov 2018 23:54:34 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:815eeb29-dc89-445e-a781-d189a4e33096</guid><dc:creator>Julian Earl</dc:creator><description>&lt;p&gt;Thanks for that clarification Anthony. I know understand why I was wrong. But I am still surprised at how much cats seem to like licking up ketchup or baked beans residue! Life is full of surprises!&amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Stress glucose or diabetes?</title><link>https://www.vetsurgeon.org/thread/204866?ContentTypeID=1</link><pubDate>Tue, 20 Nov 2018 22:39:03 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:bdf31393-2793-4b42-9f04-9d73aa66034c</guid><dc:creator>Nicola Cole</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Silvia Maldonado&amp;quot;]&lt;/p&gt;
&lt;p&gt;BITD?&lt;/p&gt;
&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;&amp;rsquo;Back in the day&amp;rsquo;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Stress glucose or diabetes?</title><link>https://www.vetsurgeon.org/thread/204865?ContentTypeID=1</link><pubDate>Tue, 20 Nov 2018 22:26:14 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:eb8b763e-55c2-4d1f-8dc6-d02a8d49196d</guid><dc:creator>Anthony Todd</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Julian Earl&amp;quot;]all in order to acidify the urine[/quote]&lt;/p&gt;
&lt;p&gt;That was fine, BITD, when we just were dealing with high Mg++ food in cats with kidneys that couldn&amp;#39;t deal with it.&lt;/p&gt;
&lt;p&gt;All we had to do was dissolve the resulting struvite crystals or aggregations and feed low Mg++ food.&lt;/p&gt;
&lt;p&gt;Now, and since dried cereal based food, you have to deal with oxalate which precipitates in acid urine [I believe] and [BTW] diabetes, almost unheard of BITD with cats on their natural diet of largely fat and protein.&lt;/p&gt;
&lt;p&gt;Added to this is the modern trend to base all feline nutrition research around dried food thus blaming all FUS on &amp;quot;stress&amp;quot;.&lt;/p&gt;
&lt;p&gt;Really it&amp;#39;s simple chemistry and/or the physics of chemical solubility.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Stress glucose or diabetes?</title><link>https://www.vetsurgeon.org/thread/204852?ContentTypeID=1</link><pubDate>Tue, 20 Nov 2018 17:15:27 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:fa9de997-9038-43eb-9657-703f1086e230</guid><dc:creator>Martin Atkinson</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Julian Earl&amp;quot;]&lt;/p&gt;
&lt;p&gt;However, I read in the Vet Times a couple of years ago that acidification of urine is no longer advised. So the choice is yours. I see the need for a tomato-trial!&amp;nbsp;&lt;/p&gt;
&lt;p&gt;I was surprised when I discovered how much cats appear to enjoy the taste, being very keen to lick clean any plates that had been used for beans and so on. Vegetarian cats? Who&amp;#39;d have thunk it?&amp;nbsp;&lt;/p&gt;
&lt;p&gt;[/quote]I doubt the amount of tomato a cat could eat as part of a balanced diet would have any significant effect in acidifying the urine. You&amp;#39;re right that the advice is not to do this anyway now as you could precipitate oxalate calculi which are worse than struvite. The approach now like with Royal Canin S/O is to reduce the material components of the calculi to prevent them from forming.&lt;/p&gt;
&lt;p&gt;On a lighter note I&amp;#39;ve many had cats over the years with very bizarre tastes: one had a penchant for super hot curry sauce and would be hypersalivating with tears streaming but he kept coming back. Latest cat, now around 6-7 months, will eat literally anything that is edible, we can&amp;#39;t even chuck stale bread out for the birds.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Stress glucose or diabetes?</title><link>https://www.vetsurgeon.org/thread/204851?ContentTypeID=1</link><pubDate>Tue, 20 Nov 2018 16:23:29 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:880e0b24-a0e4-4572-bb59-20681be47004</guid><dc:creator>Miriam Lodewyks</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Julian Earl&amp;quot;]Vegetarian cats? Who&amp;#39;d have thunk it?&amp;nbsp;[/quote]&lt;/p&gt;
&lt;p&gt;Mine has a penchant for coconut and popcorn... go figure! &lt;img src="/emoticons/v2/Very_happy_smiley.png" alt="Very happy" /&gt;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Stress glucose or diabetes?</title><link>https://www.vetsurgeon.org/thread/204823?ContentTypeID=1</link><pubDate>Tue, 20 Nov 2018 10:16:03 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:71a8abfb-780f-46de-8d7c-c02593a85fff</guid><dc:creator>Julian Earl</dc:creator><description>&lt;p&gt;&amp;quot;What is your diet advice for blocked cat?&amp;quot;&lt;/p&gt;
&lt;p&gt;&lt;/p&gt;
&lt;p&gt;For years I used to recommend tomato juice: the bottled stuff, or puree, or the juice from baked beans etc&amp;nbsp; all in order to acidify the urine. the cats seem to love the flavour, and it is readily available in most homes. It &amp;quot;should&amp;quot;&amp;nbsp; reduce the proliferation of bacteria . However, I read in the Vet Times a couple of years ago that acidification of urine is no longer advised. So the choice is yours. I see the need for a tomato-trial!&amp;nbsp;&lt;/p&gt;
&lt;p&gt;I was surprised when I discovered how much cats appear to enjoy the taste, being very keen to lick clean any plates that had been used for beans and so on. Vegetarian cats? Who&amp;#39;d have thunk it?&amp;nbsp;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Stress glucose or diabetes?</title><link>https://www.vetsurgeon.org/thread/204804?ContentTypeID=1</link><pubDate>Mon, 19 Nov 2018 18:33:37 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:2ec4ba6c-fcc2-4523-8934-0776187227d5</guid><dc:creator>Silvia Maldonado</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Robin Grimmer&amp;quot;]&lt;/p&gt;
&lt;p&gt;[quote user=&amp;quot;Anthony Todd&amp;quot;]&lt;/p&gt;
&lt;p&gt;I can reassure you though, in that, all the blocked bladders I unblocked over many years BITD did very well and none died after urgent but gentle unblocking and nothing else.&lt;/p&gt;
&lt;p&gt;&lt;/p&gt;
&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;What is your diet advice for blocked cats?&lt;/p&gt;
&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;BITD?&amp;nbsp;&lt;/p&gt;
&lt;p&gt;For now the cat is on a hunger strike, but at least he didn&amp;#39;t hate me too much this morning. We&amp;#39;ll see on what mood he is tonight.&lt;/p&gt;
&lt;p&gt;The cat will go back to his practice once he&amp;#39;s discharged. I&amp;#39;m more worried about not stressing him more than necessary than starting on a diet urgently. I normally leave diet decision to their own vets.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Stress glucose or diabetes?</title><link>https://www.vetsurgeon.org/thread/204800?ContentTypeID=1</link><pubDate>Mon, 19 Nov 2018 17:09:54 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:22bdd3be-7fae-4b36-991a-7519fb23723b</guid><dc:creator>Anthony Todd</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Robin Grimmer&amp;quot;]What is your diet advice for blocked cats?[/quote]&lt;/p&gt;
&lt;p&gt;Struvite: low Mg [easy with wet/traditional, historically and biologically&amp;nbsp; usual food, near impossible with dried [ie now &amp;quot;normal&amp;quot;....] food&lt;/p&gt;
&lt;p&gt;Oxalate: low oxalate but near impossible with dried [ie normal] food as above.&lt;/p&gt;
&lt;p&gt;I think if I had a cat with FUS, or the current nmenomic, I&amp;#39;d try and go for&lt;/p&gt;
&lt;p&gt;traditional wet cat food, ie LOW cereal, high protein.low Mg and oxalate,&lt;/p&gt;
&lt;p&gt;and, vitally, but scientifically nonsensical, reduce stress.................&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Stress glucose or diabetes?</title><link>https://www.vetsurgeon.org/thread/204793?ContentTypeID=1</link><pubDate>Mon, 19 Nov 2018 16:39:01 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:75f4f98b-4f86-4149-a330-82073ddcceec</guid><dc:creator>Robin Grimmer</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Anthony Todd&amp;quot;]&lt;/p&gt;
&lt;p&gt;[quote user=&amp;quot;Silvia Maldonado&amp;quot;]What are your thoughts?[/quote]&lt;/p&gt;
&lt;p&gt;Well diet advice and compliance for a start....&lt;/p&gt;
&lt;p&gt;I would expect loads of blood parameters particularly K+ to go haywire with a prolonged blocked bladder.&lt;/p&gt;
&lt;p&gt;I can reassure you though, in that, all the blocked bladders I unblocked over many years BITD did very well and none died after urgent but gentle unblocking and nothing else.&lt;/p&gt;
&lt;p&gt;Hold your breath and mother nature will correct the blood values without your intervention.&lt;/p&gt;
&lt;p&gt;Critical thing is a gentle, atraumatic, catherisation [without an indweller!!] and adamant diet advice!!&lt;/p&gt;
&lt;div style="clear:both;"&gt;&lt;/div&gt;
&lt;p&gt;[/quote]&lt;/p&gt;
&lt;p&gt;What is your diet advice for blocked cats?&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Stress glucose or diabetes?</title><link>https://www.vetsurgeon.org/thread/204792?ContentTypeID=1</link><pubDate>Mon, 19 Nov 2018 16:21:56 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:693685dd-6ea9-4330-a397-1d6c1b7ffb5b</guid><dc:creator>Anthony Todd</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Silvia Maldonado&amp;quot;]What are your thoughts?[/quote]&lt;/p&gt;
&lt;p&gt;Well diet advice and compliance for a start....&lt;/p&gt;
&lt;p&gt;I would expect loads of blood parameters particularly K+ to go haywire with a prolonged blocked bladder.&lt;/p&gt;
&lt;p&gt;I can reassure you though, in that, all the blocked bladders I unblocked over many years BITD did very well and none died after urgent but gentle unblocking and nothing else.&lt;/p&gt;
&lt;p&gt;Hold your breath and mother nature will correct the blood values without your intervention.&lt;/p&gt;
&lt;p&gt;Critical thing is a gentle, atraumatic, catherisation [without an indweller!!] and adamant diet advice!!&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Stress glucose or diabetes?</title><link>https://www.vetsurgeon.org/thread/204777?ContentTypeID=1</link><pubDate>Mon, 19 Nov 2018 14:20:47 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:2255ca96-afe4-43cb-977d-f6c62f21bafc</guid><dc:creator>Martin Atkinson</dc:creator><description>&lt;p&gt;You have answered your own question Silvia but I would not have worried about a BG that high at that stage, it was probably accumulating because it wasn&amp;#39;t being excreted and would have done what you did - retested later. If it was persistent then I would have sent a sample for fructosamine. The trace of glucose in the urine may have been due to bacterial action on the retained urine.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>RE: Stress glucose or diabetes?</title><link>https://www.vetsurgeon.org/thread/204747?ContentTypeID=1</link><pubDate>Mon, 19 Nov 2018 08:25:32 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:0deca068-1cba-4153-862d-bda06a6f2de9</guid><dc:creator>Silvia Maldonado</dc:creator><description>&lt;p&gt;It seems such hyperglycemia is due to stress. BG repeated 5h later and it was 5.3mmol/l. I&amp;#39;ll just keep an eye on him for now :)&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item></channel></rss>