My cat is dying with ketoacidosis. Should I give insulin/fluids or let him pass?

Question

Hi. My name is Tracy. I have a cat named Khouie, 13 yr male. He has had lymph Oma, giant cell type, for one year and three months and now he is dying. He is at home and currently in ketoacidosis, as evidenced by his ketone smelling breath (not the first time for him) currently, he is resting bit uncomfortable and very ill. Should I take his glucose and give him insulin as he is no longer eating and should I give him fluids by syringe which he struggles to avoid? Or should I let him pass? :(. Pet's info: Cat | Burmese | Male | neutered | 12 years and 9 months old | 10 lbs

Dr. Massimo Orioles, DVM, Cert AVP, MRCVS · Accepted Answer

I am sorry to hear Khouie is an severe and concerning clinical situation. This is a very difficult time I understand. I would suggest to avoid giving insulin as that should be given only after measuring blood glucose (giving insulin could cause otherwise hypoglycemia). Ketoacidosis is usually diagnosed when ketones are inside urine (so urine analysis would be ideally needed). Discomfort and lack of appetite would require an immediate check up to evaluate his quality of life and eventually discuss euthanasia with your local veterinarian. Please do not hesitate to contact us again on the forum or by requesting a consultation if you have any more questions or to discuss it any further.

My cat is dying with ketoacidosis. Should I give insulin/fluids or let him pass?

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