- Hello everyone,
I post frequently on the FBMB and they recommended you all. Oliver is our dear friend, a
16 year old Maine Coon with a delightful personality. He was diagnosed with diabetes in
November 2006; with the help of FBMB we were able to get him off insulin for 13 months.
His BG levels have been creeping up for a few months and we started insulin today again.
His BG levels were 284 this am and we gave him .5 units of PZI.
Apparently one of the reasons for the change in BG levels is that he has HCM (diagnosed
with a ultrasound). We took him in for sudden weight gain and he had 3 cups of fluid
drained. His abdominal fluid is still being analyzed since the vet has't ruled out cancer
With all that, he is doing amazing well. He is eating and drinking and although never an
active cat, he is moving around and purring. He has lost no weight (nor gained any with
Our concern is that we had to go to an internist rather than a feline cardiologist. Our
reasons are financial (we have already paid vet bills over $1000 this week) and
geographical (the nearest cardiologist is 140 miles away round trip). The internist is citing
a new study by Fox (which we have asked for but do not yet have) that suggests cats with
HCM are not helped by the usual medications. He says Oliver's heart is beating well even
with the defect and he wants to stay with the diuretics for now. We asked and he said it
did not consider this hospice care.
Comments? Ideas? Having dealt with the vet and diabetics (she came around to the
hometesting and wet lo carb but she didn't start there), I know you have to research for
yourself and sometimes question. But we know nothing about HCM and seem to find only
general information about it, lumped together with other heart problems. The individual
cases I have seen are usually a young cat that has done well, or an older cat who didn't
- HI Sue,
I did not read your message in detail
and I only have a moment right now, but
I have posted about this Fox study.
Please see messages:
A few problems I have with the study are
that although the cats had "HCM" they
were not, to my knowledge subtyped
into different classes of HCM, for
example obstructive HCM with Systolic
Anterior Motion of the Mitral Valve (SAM).
Also the article compares treatment with
a background dose of lasix combined
with either placebo, an ACE-inhibitor
(enalapril), a beta-blocker (atenolol)
or a calcium channel blocker (dilacor/diltiazem).
Most cats get a combo of lasix + ACE-inhibitor
and either a beta-blocker or a calcium
channel blocker. Furthermore, this study
involved life expectancies and not quality
of life. Furthermore, he still appears
to recommend the older treatments when
one reads his presentations.
A recent presentation of his can be
found here (watch the URL wrap and
any spaces yahoo sticks in!)
Nala with Camille and Cozette in spirit
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