My cat Al is diabetic.
A week ago last Monday I took Al to the vet for a teeth cleaning. After
coming home, Al was lethargic and his appetite steadily diminished to
the point where I couldn't give him his insulin. I took him back to the
vet last Saturday and he was admitted to the hospital where he remains.
The diagnosis is pancreatitis. The doctors did an ultrasound and they
noticed a cyst on his pancreas, but the doctor believes it's benign.
Al has responded well to treatment and is once again eating. But there's
something very strange going on with Al's blood glucose level (bgl). The
vet has him on a dextrose drip. But Al's bgl drops markedly when he's
taken off the drip. The vet said there is the possibility that the cyst
is in fact malignant and actually be a "functional" in the sense that it
causes production of insulin. At this point the vet is somewhat at a
loss to explain this phenomenon.
Tonight or tomorrow Al will start getting prednisone. Apparently it
interferes with cell absorption of glucose and so the expectation is
that Al's bgl will increase. Of course then we're back to using insulin
to manage the diabetes.
At this point my biggest fear is that Al has cancer and that I'll have
to put him down, something for which I'm definitely not ready (is one
every ready?). Al is 13 and still could live for several years. I'd
appreciate some feedback on this one.
Thanks and keep your fingers crossed for my little buddy.
Richard
Karen - 17 Dec 2003 04:47 GMT
> My cat Al is diabetic.
>
[quoted text clipped - 27 lines]
>
> Richard
Fingers crossed. keep us posted.
Karen
zuzu22@webtv.net - 17 Dec 2003 05:44 GMT
<snip>
> The vet has him on a dextrose drip. But
> Al's bgl drops markedly when he's taken
[quoted text clipped - 5 lines]
> somewhat at a loss to explain this
> phenomenon.
There is a condition that happens frequently in ferrets called
insulinoma which is similar in that small tumors occur on the pancreas
and cause it to go into overdrive producing insulin, which puts the
ferret into a hypoglycemic state. This condition is treated with a
prednisone syrup (ferrets are hard to pill.)
> Tonight or tomorrow Al will start
> getting prednisone. Apparently it
[quoted text clipped - 3 lines]
> we're back to using insulin to manage
> the diabetes.
If the tumor is benign and your cats BG isn't going too low, I would be
inclined to leave things as is if it keeps your cat in a non-diabetic
state. It would be wise to use a glucose monitor and check your cats BG
levels at home maybe twice a week in case the tumor grows larger and
causes the pancreas to produce increasing amounts of insulin.
If your cats BG levels are going too low, you should be able to tweak
the dose of prednisone just enough to inhibit insulin production without
bringing your cat back to a diabetic state. This is exactly the course
of action taken when treating insulinoma.
Megan

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Newsman - 17 Dec 2003 06:42 GMT
> <snip>
>
[quoted text clipped - 12 lines]
>
> Megan
Thanks Megan. I'm going to run insulinoma by my vet and see what he
thinks. Thanks.
Richard
Laura R. - 17 Dec 2003 05:44 GMT
circa Wed, 17 Dec 2003 01:55:38 GMT, in rec.pets.cats.health+behav,
Newsman (newsman@verizon.net) said,
> At this point my biggest fear is that Al has cancer and that I'll have
> to put him down, something for which I'm definitely not ready (is one
> every ready?). Al is 13 and still could live for several years. I'd
> appreciate some feedback on this one.
>
> Thanks and keep your fingers crossed for my little buddy.
Cancer is not necessarily a death sentence. Wait and see what it
turns out to be, and if it *is* cancer, talk to a veterinary
oncologist. Where are you located (approximately)?
Laura

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Newsman - 17 Dec 2003 06:43 GMT
> circa Wed, 17 Dec 2003 01:55:38 GMT, in rec.pets.cats.health+behav,
> Newsman (newsman@verizon.net) said,
[quoted text clipped - 11 lines]
>
> Laura
Washington, DC (exactly). I go to Friendship Animal Hospital
(www.friendshiphospital.com) and it's excellent.
Richard
Laura R. - 17 Dec 2003 07:22 GMT
circa Wed, 17 Dec 2003 06:43:08 GMT, in rec.pets.cats.health+behav,
Newsman (newsman@verizon.net) said,
> > Cancer is not necessarily a death sentence. Wait and see what it
> > turns out to be, and if it *is* cancer, talk to a veterinary
[quoted text clipped - 4 lines]
> Washington, DC (exactly). I go to Friendship Animal Hospital
> (www.friendshiphospital.com) and it's excellent.
Excellent; if you're willing, you can go to Philly (West Chester, PA,
actually) and have your cat seen by Dr. K. Ann Jeglum if this does
turn out to be cancer. She's brusque, efficient, and works near-
miracles. She's one of the researchers who developed L-Asparaginase
(Elspar), which is the drug I credit with extending Alex's life by
two years. There's nothing wrong with using your regular vets (my
regular vets did the majority of Alex's actual treatments), but
getting the cat seen by an oncologist is a very good idea (again,
*if* this turns out to be cancer).
Laura

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