Yeah, I would be concerned about the potassium, too. The fact that it
has gone down is not surprising given his age and the renal failure.
Supplementation is very simple (Leah had some good suggestions); I use
Tumil-K which I get from my vet in pill form. I would definitely talk
to your vet about getting it started.
His kidney values don't really look that bad -- it looks like they
went up initially from the medicine, and then down again, especially
his BUN. For everything that is happening to him it looks like the
CRF is being managed well. The vet seems to be monitoring him
closely. It is anyone's guess how long his kidneys can hang on but
they seem to be OK, and you are definitely doing everything you can to
If his kidneys do worsen, sub-cutaneous IV therapy is an option.
Someone else might know (I don't) if this is contraindicated in CHF.
Enalapril is an ACE-inhibitor; the kidneys can benefit too. My cat
with CRF is on benezepril specifically for her kidneys and doing well.
The higher glucose numbers could be the medicine or just a fluctuation
of the disease. I don't know if diuretics affect diabetes. I can't
tell from your note if he is getting two injections a day (every 12
hours) but if not, he might benefit from having it spread out. If the
high numbers continue, he might need an adjustment in insulin dose to
keep him in balance. Call the vet if they continue to be high.
--- In email@example.com, "vickie" <VickieJunger@...> wrote:
> I'm concerned about him having kidney problems, no w/this new pill.
Also if his meds have keep being up
> how long can his kidneys hang. I'm also concerned that when he was
first Dx in 4/05 his K (potassium)
> was about 4.7. He is 1 point below normal. I understand when the
bdy gets low on K that it will pull it
> from the mussels and that is what also causes the wasting away of
> Strange thing is that his last 3 blood test should his GLC to be
very high. I know that stress can cause the
> # to go up, but I'm told not as high as his. So I tested him
yesterday, and he had great #. In the morning
> 12 hrs after inj he was 146. at 12pm he was 215 and at 7pm 274. So
I don't know what is going on. I even
> open another thing of strips in case what I had went bad. Or this
new pill has caused him to have lower #
> some how. I just don't want him to go hypo on me now, but he eats
through out the day, so I hope he should
> be ok.
> My heart goes out to you and Baby. Those are a lot of illnesses to
manage! His renal values don't look bad.
> I imagine that giving diuretics to a cat with CRF must be done with
> Has your vet advised you about potassium? What complications are
you concerned about regarding supplementation?
> (diabetes and thrombus?) I think the low normal for potassium is
3.8 (maybe?) so it's not horribly out of range.
> I have a CRF cat who takes potassium and is doing very well.
> [Non-text portions of this message have been removed]