https://www.vetnurse.co.uk/f/nonclinical-discussions/7397/wierd-feline-case Ok, so we have had a really wierd case come into our clinic... Even has our vet totally stumped. Urinalysis showed blood in urine, ketones v. high and Leuco&#39;s high and glucose in urine...HOWEVER...glucose level of totally normal 5.5!! Anyoneen-USTelligent Community 10https://www.vetnurse.co.uk/thread/72561?ContentTypeID=1Tue, 02 Mar 2010 19:20:45 GMT1a0763ec-3885-442c-853e-6cef656dfec5:c47fad3c-a0a7-4b73-9c70-0682bc72ccdcNick Shackleton <p>Urine sticks weren&#39;t outta date were they???</p><div style="clear:both;"></div>https://www.vetnurse.co.uk/thread/72475?ContentTypeID=1Mon, 01 Mar 2010 22:12:18 GMT1a0763ec-3885-442c-853e-6cef656dfec5:a1abf9f4-4978-4a6c-b6fd-89144f90761aSal the 1st<p>has the cat been shut in anywhere? eg it hasnt been locked in a shed or a garage or been missing for a few days (have seen ketones in cat urine before in these circumstances)</p> <p>also</p> <p>have just checked and glucocorticoid tx may give a false +ve&nbsp; ketones on the urine strips- also if it is hyperpigmented sample from the blood. Dont know if that helps at all? are the strips in date?</p><div style="clear:both;"></div>https://www.vetnurse.co.uk/thread/72449?ContentTypeID=1Mon, 01 Mar 2010 21:43:36 GMT1a0763ec-3885-442c-853e-6cef656dfec5:ea3e3cb6-bcf9-4460-ba9f-7eaa3bb78489Steph Worsley<p>hey how did the case present?</p> <p>i presume you are running full haem and biochem as well as the fructosamine and potentially getting the glucose rechecked at the lab..</p> <p>&nbsp;</p><div style="clear:both;"></div>https://www.vetnurse.co.uk/thread/72442?ContentTypeID=1Mon, 01 Mar 2010 21:35:19 GMT1a0763ec-3885-442c-853e-6cef656dfec5:a833166a-c061-4679-a5ec-2757a340fe62Hannah25uk<p>Never seen it but sounds like this </p> <p><a href="http://merckvetmanual.com/mvm/index.jsp?cfile=htm/bc/130609.htm">http://merckvetmanual.com/mvm/index.jsp?cfile=htm/bc/130609.htm</a></p><div style="clear:both;"></div>https://www.vetnurse.co.uk/thread/72437?ContentTypeID=1Mon, 01 Mar 2010 21:27:20 GMT1a0763ec-3885-442c-853e-6cef656dfec5:316e55fd-93b1-40cc-b6ef-8a4fced1525bEmma Townson VN Cert IV MBVNA<p>I wonder if they have been cutting out the cats carbs recently <img src="http://www.vetnurse.co.uk/emoticons/new/Very_happy_smiley.png" alt="Big Smile" /> heehee</p><div style="clear:both;"></div>https://www.vetnurse.co.uk/thread/72435?ContentTypeID=1Mon, 01 Mar 2010 21:26:28 GMT1a0763ec-3885-442c-853e-6cef656dfec5:ee8d46d2-b6c3-4cab-8bd3-6c629d7fc364Emma Townson VN Cert IV MBVNA<p>pee also on its way!</p><div style="clear:both;"></div>https://www.vetnurse.co.uk/thread/72434?ContentTypeID=1Mon, 01 Mar 2010 21:26:14 GMT1a0763ec-3885-442c-853e-6cef656dfec5:56ad6cf9-8a99-473d-a821-05475edfa717SmegSlayer<p>this isn&#39;t helpful but we have high urine ketones and normal BG when on the atkins diet...</p><div style="clear:both;"></div>https://www.vetnurse.co.uk/thread/72433?ContentTypeID=1Mon, 01 Mar 2010 21:26:02 GMT1a0763ec-3885-442c-853e-6cef656dfec5:bd2ef92e-88be-4f21-830d-7bb6b3c27f2cEmma Townson VN Cert IV MBVNA<p>Sorry, SG was tested on refractometer </p><div style="clear:both;"></div>https://www.vetnurse.co.uk/thread/72431?ContentTypeID=1Mon, 01 Mar 2010 21:24:43 GMT1a0763ec-3885-442c-853e-6cef656dfec5:da2cd5a7-04b4-4aa5-a030-56f4f0f13230Emma Townson VN Cert IV MBVNA<p>Sample was taken there and then by the vet (needle in the bladder job!)</p> <p>The only other thing we have is a centrifuge. Specifig gravity also normal...</p><div style="clear:both;"></div>https://www.vetnurse.co.uk/thread/72430?ContentTypeID=1Mon, 01 Mar 2010 21:23:43 GMT1a0763ec-3885-442c-853e-6cef656dfec5:64b0efcc-fcd2-48f9-957b-81f21aefa60fdinkyd<p>Also did a pee sample get sent to lab to?<img src="http://www.vetnurse.co.uk/emoticons/new/Very_happy_smiley.png" alt="Big Smile" /></p><div style="clear:both;"></div>https://www.vetnurse.co.uk/thread/72428?ContentTypeID=1Mon, 01 Mar 2010 21:22:45 GMT1a0763ec-3885-442c-853e-6cef656dfec5:436115f0-7c56-4254-878c-0d224514d5fddinkyd<p>Assuming the urine sample was fresh........</p> <p>Do you have any access to a blood machine other than a glucometer?</p><div style="clear:both;"></div>https://www.vetnurse.co.uk/thread/72423?ContentTypeID=1Mon, 01 Mar 2010 21:20:00 GMT1a0763ec-3885-442c-853e-6cef656dfec5:f5596b45-d355-4f62-a312-9d7a9732f4e6Emma Townson VN Cert IV MBVNA<p>I know!!</p> <p>Fructosamine is off at the lab, should have it back tomorrow...</p> <p>We tested BG 4 times throughout the day! All were within (5-7) Used a good gucometer we have in the clinic, the ones where you pop it in the bottom and put a drop of blood on the end.</p> <p>Very strange!</p><div style="clear:both;"></div>https://www.vetnurse.co.uk/thread/72419?ContentTypeID=1Mon, 01 Mar 2010 21:16:15 GMT1a0763ec-3885-442c-853e-6cef656dfec5:3aad90b1-fce8-4134-8f4a-be7050b5073fKate Claxton DipAVN(Med)VN<p>Have you tried with more than one glucometer, or changed the batch of reagent sticks? x</p><div style="clear:both;"></div>https://www.vetnurse.co.uk/thread/72417?ContentTypeID=1Mon, 01 Mar 2010 21:13:35 GMT1a0763ec-3885-442c-853e-6cef656dfec5:d6f7f903-25ae-4297-b7e7-280079a71721dinkyd<p>Interesting!How was the BG tested?Assuming you tested and retested again lol!Strange glucose in urine as this only shows when it exceeds the renal threshold of above 12-13mmol/l.Have they sent off a fructosamine sample to see if the BG has been stable?</p><div style="clear:both;"></div>