We said goodbye to yet another TLC Older Cat this week – this time it was 18-year old Mama on the 4th of July. Her passing took us by surprise – not because we hadn’t anticipated her dying -- but because of how she died.
Mama had been an out-of-control diabetic for the last year, so we’ve been holding our breath as to when she would become ketonic and die. We tried two different insulins with a myriad of different doses to regulate her blood sugar, but regardless of whether we gave her more or less insulin her readings stayed erratic – ranging from 30 to over 600 – with the normal range being 50-130. We even tried giving her Glipizide last December as an alternative to insulin but that quickly sent her to the hospital with elevated liver values and ketones in her urine. Once she stabilized, we brought her home, and began a steady low dose of PZI insulin twice daily. Recognizing the futility of trying to regulate her glucose levels, we simply monitored her weight and appetite to make sure she was feeling okay.
Then a week ago she started having seizure-like events. The first two were very mild involving slight tremors, but the last two were more severe -- where she would get dilated pupils and have trouble standing afterward. Because she was diabetic we thought they related to hypoglycemia but when we’d check her glucose level it ranged from 350-450. Her veterinarian ran some tests and advised us the problem was serious but not diabetes-related.
She must have had a long-standing undiagnosed heart condition that slowly enlarged her heart and weakened its right side so she couldn't effectively pump blood to her brain. Her seizures were actually fainting spells. We stabilized Mama with oxygen and diuretics and she came home for hospice. She did okay for a few days and then had another fainting spell. We took her immediately to the emergency clinic but she didn’t survive the 15-minute car ride and was pronounced dead on arrival.
She must have had a long-standing undiagnosed heart condition that slowly enlarged her heart and weakened its right side so she couldn't effectively pump blood to her brain. Her seizures were actually fainting spells. We stabilized Mama with oxygen and diuretics and she came home for hospice. She did okay for a few days and then had another fainting spell. We took her immediately to the emergency clinic but she didn’t survive the 15-minute car ride and was pronounced dead on arrival.
Mama started life as a family pet but at age 7 was relinquished to an animal control shelter – as often happens families with young kids find themselves over their head and try to simplify their life by eliminating family pets. The shelter transferred her to our Older Cats for Older People program and from 2000-2005 she lived as a service cat at an assisted living residence in Ann Arbor, Michigan. She lived on the Alzheimer’s floor and was loved by everyone -- staff, residents and their families. Then in 2005 she was returned to us when her employee-caregiver resigned from the residence along with several other staff members. She was concerned that no one would take over Mama’s care with the turmoil caused by a major employee exodus. We’ve had Mama ever since. She was a pleasure to be around –certainly one of the most easygoing cats I’ve ever known – and I know she'll be waiting for us on the Rainbow Bridge in a Buddha-like position with a loud, friendly purr. RIP.
She was a lovely cat. I'm sure you'll miss her.
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