Cat Veterinary

Have Cat Questions? Ask a Cat Vet Online.

Ask a Cat Veterinarian,
Get an Answer ASAP!

I have a question about a cat that passed away today- I'm…

Customer Question
Hi I have a...

Hi I have a question about a cat that passed away today- I'm feeling very guilty and would like to know if I contributed to the cat's death- I am a pet sitter and was in charge of giving the cat insulin injections (Lantis) 1 unit 2x/day- the cat has had diabetes for a couple of years and was also riddled with arthritis- he was older- I'd say about 14 or 15- anyways I wasn't able to give him his regular doses of insulin each day- due to poor weather and a crazy schedule, there were several days where he only got one injection of insulin- I did not notice any symptoms and he was eating wel l and acting normal all week... But then just yesterday he vomited and had diarrhea/peed on the floor...I gave him his insulin in the morning and his owner came back that afternoon- she said he still was t feeling well and wouldn't eat or drink...she gave him insulin last night but not this am because he hadn't eaten...she brought him to the emergency clinic and they said he was severely dehydrated and was in DKA- he had survived DKA before but it required 7 days of hospitalization, and because he was so skinny and riddled with arthritis, she opted to not put him through that again and euthanized him...

Veterinarian's Assistant: I'll do all I can to help. The Expert will know if the cat will be able to digest that. What is the cat's name?

I'm wondering if the missed insulin could have caused his DKA? He was also on new medication for arthritis so maybe that could've changed his insulin requirements?? Please I'd like to hear your insight so that if I did contribute to this cat's DKA and death, I will learn and never miss an insulin dose again- thank you! His name is ***** *****

Veterinarian's Assistant: Is there anything else the Veterinarian should be aware of about Mr.?

His blood sugar was very high and he was very dehydrated when presented to the vet today- also the vet said he was a tough case to treat- they had experimented with several different doses of insulin and changed types of insulin too- he survived DKA about a year and a half ago too

Submitted: 3 months ago.Category: Cat Veterinary
Show More
Show Less
Ask Your Own Cat Veterinary Question
Answered in 3 minutes by:
1/1/2018
Cat Veterinarian: Dr. Gary, Cat Veterinarian replied 3 months ago
Dr. Gary
Dr. Gary, Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 19,981
Experience: DVM, Emergency Veterinarian, BS (Physiology)
Verified

Hello, I'm Dr Gary. I've been practicing veterinary medicine since 2007. I look forward to helping with your questions/ concerns.

Ask Your Own Cat Veterinary Question
Cat Veterinarian: Dr. Gary, Cat Veterinarian replied 3 months ago

I'm sorry for what happened.

One missed insulin dose would not cause him to go into DKA. If there were a handful of missed doses over the course of a week, then that could definitely lead to poor regulation and the development of DKA. The stress of the owners being gone was also likely a contributing factor.

I'm sorry for the loss. These diabetic geriatric cats can be very sensitive to changes in routine.

Let me know if you have any other questions.

Ask Your Own Cat Veterinary Question
Customer reply replied 3 months ago
Okay so I think I did mess him up by missing doses...ugh I feel so horrible. I didn't realize how sensitive they are to the regulation- also could arthritis medication alter the amount of insulin they need? He was on that new medication for only a week or 2
Cat Veterinarian: Dr. Gary, Cat Veterinarian replied 3 months ago

In the course of a week, I would say any more than 3 missed doses would be considered significant.

It depends on the pain med- if it was a steroid then it can increase the insulin needs. If it was an anti-inflammatory or Gabapentin or Buprenorphine, then it shouldn't change the needs. Also, most cats are on 1 unit of Lantus twice daily no matter what.

Ask Your Own Cat Veterinary Question
Customer reply replied 3 months ago
Okay- I wish I remembered the name of the arthritis medication- it starts with an L and it's a liquid oral solution- I'm not sure if it was a steroid or not-
Yes unfortunately over the course of 10 days there were probably 4 days where he only got one dose of insulin- I'm guessing that is what contributed to the DKA then- I have to somehow forgive myself about this- the guilt is killing me- the owner is not blaming me because she said he was in such bad shape already she knew he was already on borrowed time- but I am blaming me big time!
Anyways thank you so much for your insight!
Cat Veterinarian: Dr. Gary, Cat Veterinarian replied 3 months ago

It was probably Loxicam- that's one of the trade names for Meloxicam. It's an anti-inflammatory. It doesn't affect the insulin dose.

Don't beat yourself up over this. It was an accident and it doesn't sound like he had a ton of time left anyways.

Ask Your Own Cat Veterinary Question
Customer reply replied 3 months ago
I think that is what the medication was-
Okay thank you so much for saying that- what's done is done I need to just learn from it...as a vet tech in training I'm guessing this will be the first of many situations where I'll feel guilty if an animal passes away on my watch!
This is tough...thank you so much again for your help!
Cat Veterinarian: Dr. Gary, Cat Veterinarian replied 3 months ago

You're welcome. Take care.

Ask Your Own Cat Veterinary Question
Customer reply replied 3 months ago
Hi!
Are you still there?? So sorry I found out the name of the medication for the arthritis- Atopica- (not an L sorry I was thinking of the Insulin I think) Is that a steroid that could have affected the insulin needs?
Cat Veterinarian: Dr. Gary, Cat Veterinarian replied 3 months ago

Atopica is an immuno-suppressant. It's not typically used for arthritis pain in cats. It's used for auto-immune conditions. It could certainly make secondary infections and then the development of DKA more likely.

Ask Your Own Cat Veterinary Question
Customer reply replied 3 months ago
Okay thank you- so maybe there were multiple factors at play here- it's hard to know for sure but at least the one important lesson is to not miss too many doses of insulin-
Okay thank you again so much!
Have a nice night and a Happy New Year ��
Cat Veterinarian: Dr. Gary, Cat Veterinarian replied 3 months ago

You're welcome.

Happy new year.

Ask Your Own Cat Veterinary Question
Cat Veterinarian: Dr. Gary, Cat Veterinarian replied 3 months ago
Hi,

I'm just following up on our conversation about your pet. How is everything going?

Dr. Gary
Ask Your Own Cat Veterinary Question
Was this answer helpful?
Ask Dr. Gary Your Own Question
Dr. Gary
Dr. Gary
Dr. Gary, Cat Veterinarian
Category: Cat Veterinary
Satisfied Customers: 19,981
19,981 Satisfied Customers
Experience: DVM, Emergency Veterinarian, BS (Physiology)

Dr. Gary is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete!

Bev & GeorgeBoca Raton, FL

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Gary

Dr. Gary

Cat Veterinarian

19,981 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Andy

Dr. Andy

Medical Director

4,753 satisfied customers

UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management

Dr. Bruce

Dr. Bruce

Veterinarian

4,473 satisfied customers

15 years of experience as a small animal veterinarian

Dr. Scott

Dr. Scott

Veterinarian

3,998 satisfied customers

15 years of small animal, equine and pocket pet experience in medicine and surgery.

Rebecca

Rebecca

Cat Veterinarian

3,557 satisfied customers

More than 30 years of companion animal practice.

Dr. Drew

Dr. Drew

Cat Veterinarian

3,072 satisfied customers

Small Animal Medicine and Surgery

Dr. Deb

Dr. Deb

Cat Veterinarian

2,883 satisfied customers

I have been a practicing veterinarian for over 30 years.

< Previous | Next >

Related Cat Veterinary Questions
My cat has diabetes controlled by diet. her blood sugar is
my cat has diabetes controlled by diet. her blood sugar is normal. she is eating/drinking and passing normal stool. however, she has been vomiting 4-5 times per day, off and on for the past week. she … read more
Dr. Joey
Dr. Joey
Veterinarian
Post-Doctoral Degree
1,710 satisfied customers
I have a 17 year old cat hat is diabetic. He is supposed to
Hi I have a 17 year old cat hat is diabetic. He is supposed to get 2units of lentos twice a day. … read more
Heath Wilkerson
Heath Wilkerson
ER/ICU & Exotic Animal Veterinarian
Doctor of Veterinary Medicine
342 satisfied customers
She is a diabetic on twice daily insulin. We had the
She is a diabetic on twice daily insulin. We had the fructosamine level measured on Wednesday and it was quite high. On Monday I had had probelam with both am and pm injections so I am not sure how mu… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
My 16-year-old diabetic male (N) had an obstruction today.
My 16-year-old diabetic male (N) had an obstruction today. It was near the tip and my vet was able to clear it and help him completely empty his bladder. (This was about 6 pm) The urine appeared norma… read more
Terri
Terri
Healthcare/behavior specialist
Private
21,923 satisfied customers
I am cat sitting for an 18 year old cat with diabete he
Hi there - I am cat sitting for an 18 year old cat with diabete he recieves 8 units of insulin every 12 hours … read more
Dr Scott Nimmo
Dr Scott Nimmo
342 satisfied customers
After blood work to rule out diabetes and thyroid problems
After blood work to rule out diabetes and thyroid problems my 17 year old cat alternates between constipation and loose stool at times it is bloody Could she possibly have IBS and if so what can be do… read more
Dr. Rachel
Dr. Rachel
Doctor of Veterinary Medicine
676 satisfied customers
My cat is diabetic and has been throwing up once a day in
My cat is diabetic and has been throwing up once a day in the middle of the night. She would still eat normally as well as going to the bathroom. As of Saturday my vet decided to have me split the dos… read more
DocPaul
DocPaul
Doctoral Degree
709 satisfied customers
My dog has Cushing's disease and diabetes he seem to be
My dog has Cushing's disease and diabetes he seem to be managing OK with just insulin daily but yesterday vomited everything he ate and now today won't eat and vomited all he drinks he has lost weight… read more
Dr Mick
Dr Mick
13 years in general practice
Doctor of Veterinary Medicine
7 satisfied customers
My Older Cat is Diabetic and is having 2 units of ProZinc
My Older Cat is Diabetic and is having 2 units of ProZinc Insulin , 2 drops od blood sugar per lb. weight = 9 lbs., and Amlodipine o.5ML by mouth for his eyes. His hind legs have been quit weak but st… read more
Dr. Rachel
Dr. Rachel
Doctor of Veterinary Medicine
676 satisfied customers
My cat has diabetes. He is puking dark. I noticed it
My cat has diabetes. He is puking dark brown. I noticed it yesterday but lately he pukes a lot at least once a day. He is eating, purring and drinking. I have a vet appointment Friday. Should I get th… read more
Rebecca
Rebecca
Cat Veterinarian
Doctoral Degree
3,557 satisfied customers
My cat is diabetic and has a heart murmur he's breathing
my cat is diabetic and has a heart murmur he's breathing fast and hard..we are in the middle of a snow storm what can i do for him at home to slow his breathing? … read more
Dr Z
Dr Z
Small Animal Veterinarian
Doctoral Degree
3,715 satisfied customers
Our 19 year old femal cat is a newly diagnosed diabetic and
Our 19 year old femal cat is a newly diagnosed diabetic and gets insulin twice a day. Has has loose stools for 5 days. She is eating and drinking normally.… read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,465 satisfied customers
5th day of diarrhea. He is an elder with diabetes. Franklin.
5th day of diarrhea. He is an elder with diabetes. … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
10,099 satisfied customers
She was diagnosed with diabetes a couple days ago nd tonight
She was diagnosed with diabetes a couple days ago nd tonight her back legs went numb. She dragging around. No sign of pain alert and drinking and eating. … read more
Dr. Peck
Dr. Peck
Associate Veterinarian
Doctorate Veterinary Medicine
415 satisfied customers
Yesterday he was at the vet and diagnosed with diabetes. I
Yesterday he was at the vet and diagnosed with diabetes. I gave him an insulin shot at 11 PM. … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,465 satisfied customers
My cal was diagnosed with diabetes and has lost about 1/3 of
Hello, My cal was diagnosed with diabetes and has lost about 1/3 of her body weight. She doesn't put a lot of pressure on her legs and is peeing all over the house. If I put her through treatment, wil… read more
Dr. Bruce
Dr. Bruce
Veterinarian
Doctor of Veterinary Medicine
4,473 satisfied customers
Can cats get diabetes? or pancreatitus? Max is 5yrs. He
yes he stopped eating except for the liquid in the cans.… read more
Dr. Rachel
Dr. Rachel
Doctor of Veterinary Medicine
676 satisfied customers
My diabetic cat's foo, My diabetic cat's can food is so
My diabetic cat's can food is so expensive. Are there any vegetables I can mix with it to stretch it out? … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x