Diets for Chronic Renal Failure in cats

Re: Diets for Chronic Renal Failure in cats

Claire Cameron — Mon, 06 Feb 2012 23:34:11 GMT

Hey Carol As Steph has already advised, try Purina NF. Much better palatability than other brands in my experience Hope you're well x

Re: Diets for Chronic Renal Failure in cats

Kelly Bainbridge RVN — Mon, 06 Feb 2012 14:51:51 GMT

If you are still looking think we have one of the old hills ones if that is any good ?

Re: Diets for Chronic Renal Failure in cats

Steph Worsley — Sun, 05 Feb 2012 09:40:40 GMT

[quote user="Steph Smith"]

[quote user="Steph Worsley"]unless phosphorus is increased there is actually no need for a phosphate binder, usually diet will be enough to control phos levels until stage III or IV[/quote]

Hi Steph, thanks for your reply. In response....

Not wanting to step on toes ofcourse. Yes, I agree that in the early stages of CRF, serum phos levels are maintained with in normal range (by the body producing increased PTH =>phos excreted in the urine). The effect on the body which is then renal secondary hyperparathyroidism. You know how phos binders have been proven in some cases to reduce PTH levels, sometimes it won't and you need to use calcitriol. But certainly in human CKD there is a significant amount of evidence to support the use of phos binders to counteract hyperparathyroidism in renal disease at stages I-II, and evidence in feline medicine is slowly catching up. In a few, maybe 5 years time, I think it will be routine to give phos binders to cats diagnosed with CKD from stage I onwards, but we will have to wait and see!

I would be interested to see how many practices routinely test PTH in suspected/recenty diagnosed CKD cats. And if phos levels are tested in-house on the vettest, whether the given ranges are being used to assess whether serum phos is within norm levels - it's only flagged as "high" when it reads above 2.11umol/L...

For some good bed-time reading if anyone's intereted (the weather is so rubbish it's a good excuse to stay inside and read something)...

http://onlinelibrary.wiley.com/doi/10.1111/j.2044-3862.2008.tb00238.x/abstract

http://jarvm.com/articles/Vol6Iss3/BrownVol6Iss3155-160.pdf

http://www.vetoquinol.ca/documents/Quoi%20de%20neuf/Articles/Round%20table%20discussion.pdf

[/quote]

thanks for your reply

we would only run a PTH if the calcium was affected, total and ionised, as there is a direct correlation between these. I deal with CKD patients on a regular basis and work with internal medicine/nutrition specialists , they read all the literature from around the world and will only use phosphate binders in the situation I have already stated.

Usually diet in the first instances will have enough phosphorus restriction to maintain levels. I think the articles you have put make interesting reading, however in the jarvm article their study was based on cats being fed a normal diet not a renal diet, I agree that if a renal diet is not being eaten then a binder could be used as a pre-emptive treatment but with cats happily eating (and dogs) renal diet then unless phos starts creeping up then there is no need.

I would always suggest that people send out bloods for monitoring CKD patients anyway as the vettest seems to throw out extremely high creatinine results, for example one of our ckd cats came to us ooh crea on vettest was over 1000, crea the following morning on our big wetlab machine was 675, yes he had been on fluids but not at such a high rate to cause that drop in 8 hours.

Re: Diets for Chronic Renal Failure in cats

Sal the 1st — Sun, 05 Feb 2012 09:36:23 GMT

I am pretty certain there is a homemade diet in the back of the BSAVA book on nutrition - I cannot find mine ( I am hoping it isnt another one that has been left behind at various practices when I have moved) but I do think it is where I got at least one of them from. I will check at work tomorrow and see if we have a copy there

Re: Diets for Chronic Renal Failure in cats

Steph Smith BSc(hons) RVN — Sun, 05 Feb 2012 03:43:41 GMT

[quote user="Steph Worsley"]unless phosphorus is increased there is actually no need for a phosphate binder, usually diet will be enough to control phos levels until stage III or IV[/quote]

Hi Steph, thanks for your reply. In response....

For some good bed-time reading if anyone's intereted (the weather is so rubbish it's a good excuse to stay inside and read something)...

http://onlinelibrary.wiley.com/doi/10.1111/j.2044-3862.2008.tb00238.x/abstract

http://jarvm.com/articles/Vol6Iss3/BrownVol6Iss3155-160.pdf

http://www.vetoquinol.ca/documents/Quoi%20de%20neuf/Articles/Round%20table%20discussion.pdf

Re: Diets for Chronic Renal Failure in cats

Carol Cottrell — Fri, 03 Feb 2012 20:11:48 GMT

Thanks too Sal, I did have a search before I posted but couldn't find any but would appreciate if you can!

Cheers

Carol

Re: Diets for Chronic Renal Failure in cats

Sal the 1st — Thu, 02 Feb 2012 22:48:18 GMT

[quote user="Carol Cottrell"]

Hi !

Does anyone have any suggestions please for homemade diet for CRF in cats? He's tried Hill's Kd dry & pouches & RCW renal pouches but isn't keen. Think his Mum is going off the prescription diet idea! His owner was asking for suggestions for foods she might be able to cook for him but try as I might I can't seem to find enough information!

Thanks

Carol

[/quote]

I posted a couple on here yonks back. I am looking for them now, have used them with clients in the past but only as a short term measure ie a gradual changeover to an rx food

Re: Diets for Chronic Renal Failure in cats

Carol Cottrell — Thu, 02 Feb 2012 19:39:31 GMT

Brilliant Steph, thanks :)

Re: Diets for Chronic Renal Failure in cats

Steph Worsley — Thu, 02 Feb 2012 18:32:25 GMT

Hi Carol, sorry only just managed to get hold of the book! I will PM you some details

Steph.....pet hate of mine.....unless phosphorus is increased there is actually no need for a phosphate binder, usually diet will be enough to control phos levels until stage III or IV. Everyone just assumes that CKD animals automatically need a phosphate binder but they don't

Re: Diets for Chronic Renal Failure in cats

Steph Smith BSc(hons) RVN — Thu, 02 Feb 2012 00:45:03 GMT

Are they giving a non-calcium based phosphate binder as well?

Re: Diets for Chronic Renal Failure in cats

Carol Cottrell — Tue, 24 Jan 2012 22:42:03 GMT

Thanks & yes please Steph, would really appreciate that

x Carol x

Re: Diets for Chronic Renal Failure in cats

Steph Worsley — Tue, 24 Jan 2012 22:19:10 GMT

try suggesting purina NF as another option......I can see if I can borrow someones book tomorrow which is a decent homemade diet book if you want.