咨询描述：你好医生，我猫猫上周被诊断糖尿病，我有两份相隔半年的血检单，想让您帮忙分析，我想听下两地不同专家的意见。
在此之前我先阐述下他的过往病史：
他一年前得过一次腹膜炎，做了超声和血检，腹部有积水，那时住院一周，出院后回家药物治疗一个月，期间服用了大量的抗生素，后面复诊后超声和血检显示治愈，积水消失，指标正常。那时体重从8.5公斤降到7公斤。（但估计不是传染性腹膜炎，因为病毒检测全阴，和他弟弟也很健康）
腹膜炎后因为之前服用抗生素的缘故，开始拉肚子，后期用益生菌和****调养治愈。
半年前有次轻微呕吐后精神不佳，我担心是之前腹膜炎问题，带他做了超声和血检，超声显示肠道积有粪便和毛团，那时用药排出来治愈，精神食欲恢复正常，但血检指标显示血糖高，那时怀疑正在发展糖尿病，但还需观察，因此我调整了他的饮食结构，以百分之92肉ziwi干粮和罐头喂养，我把之前含碳水的猫粮都丢了。
这次发生在上周4，我猫猫连续呕吐4-5次，然后吐出大块毛团，随后精神食欲不佳，我观察一晚后第二天他虽有好转，但还是带他去医院检查，体温正常，我要求做了个血检，显示血糖和果糖胺高，加上他近一年来多饮多尿，确诊糖尿病，现在每天两针7个单位***。他检查完随后两天内恢复正常，现在目前精神食欲良好，跑跑跳跳。
这次我想让您帮我分析下两份检测报告，看下有什么潜在问题，其中我比较担心是他肝功能那，虽然只比正常值高了两点，但连读两次都是偏高的。
为了医生方便我把红标英语翻译下：
Glucose 葡萄糖，urea 尿素，chloride 氯化物，globulin 球蛋白，ALT 一种肝指标，bilirubin胆红素，Cholesterol 胆固醇，Fructosamine果糖胺。
他现在唯一跟糖尿病症状不同的是他体重目前维持的挺稳定，在7.7-8公斤左右，不像网上说的对吃但瘦。
两张血检表血糖值20点多的是半年前的检测，19点多的是上周五的检测
问题大致一样，细节不同？
王冲
执业兽医师
你好，首先非常感谢你的翻译，翻译后指标能够明确清楚哪些有问题了
有这么几个问题，猫咪血糖异常高而且果糖胺高，这就可以确定是糖尿病，而且糖尿病引起的症状就是多饮多尿，这种情况***注射需要连续打很长时间，控制的好，食欲会很正常，而且猫咪体重能够维持住，如果血糖控制不好，猫咪体重会迅速消瘦。
其次肝脏指标ALT指标升高，是肝脏功能损伤，怀疑是之前长时间吃抗生素导致的肝脏代谢问题，球蛋白高是全身炎症感染，不排除是肝脏功能损伤引起的。胆红素如果持续升高，猫咪身上可能会出现黄疸，所以需要修复肝脏功能。
建议给猫咪打***的同时，最好配合保肝药来修复肝脏功能，保肝药最少要吃一个月左右，同时还是需要消炎抗感染，最好选择没有副作用的抗生素，那边我不太清楚抗生素的种类，国内现在的抗生素中**泊肟酯这个是没有副作用的，你可以问一下那边有没有这种药
你好医生，请问那个黄_ 是什么病？有什么具体症状吗？ 还有保肝有什么推荐？，食疗或药物也好。 动物我不知道，但以人药为经验，两地虽然可能药品不同，但肯定有相互的替代产品的，大同小异，就像我自己吃的胃药一样，国内可能用***错比较多，我们这边用***拉唑更广泛，其实两个是差不多的东西
王冲
执业兽医师
黄疸是胆红素升高无法排除，在体内淤积，从而外部表现为皮肤发黄，这种情况需要口服保肝药来增强肝脏代谢，可以解决黄疸问题
稍后我给开出处方，你看看那边能不能买到相同作用的药物
王冲
执业兽医师
猫咪糖尿病可以吃糖尿病处方粮
修复肝脏可以用肝脏解毒片，是修复肝脏功能，你看看那边能不能买到相同作用的药物
那他皮肤没有黄梗迹象，粉粉的，还有最后一个问题，那根据两份报告，他的总体情况是比半年前好点还是坏点？
王冲
执业兽医师
目前虽然皮肤还没有变黄，不过最好是先吃药调理，防止病情加重，通过两个报告，现在指标比之前要好一点，但是还不算是理想状态，还需要继续调理
行谢谢医生，目前虽然指标不算理想，至少我知道我没往错的方向调理。说实话虽然养了7年猫，但他是我的第一只，很多问题对我来讲都是第一次遇到
王冲
执业兽医师
不客气，先按照这个方向调理，平时饮食一定要多注意，相信它会恢复健康的
医生建议及处方根据当前病情给出，仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具，此处方暂不展示
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