Animal Profile

Juno is on the at risk list for medical reasons. He is a friendly senior cat who was diagnosed with diabetes at the shelter. Juno will require long-term medical management for this disease. Juno has allowed for all medical handling and solicits attention during his exams.

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This pet needs emergency placement. Please click here to go to our emergency placement page for more information. Juno is on the at risk list for medical reasons. He is a friendly senior cat who was diagnosed with diabetes at the shelter. Juno will require long-term medical management for this disease. Juno has allowed for all medical handling and solicits attention during his exams. What my friends at ACC say about me: I would appreciate slow introductions to new people and places to help me feel safe. I am a sweet, social, older gentleman, looking for the perfect forever home! What do you get when you cross a cat with a couch? A cat-potato! And that's me to a T! A volunteer writes: Showing me his belly and his chirpy little purr, Juno introduced himself to me by rolling over onto his side. A very sweet senior who finds himself here for the second time through no fault of his own, Juno has been trying his best to show how much he has to offer and all that can be if only he can find someone to give him a little chance. Friendly and outgoing around new people, he's said to seek quality time and will stretch out on the sofa in his efforts to be close. Most adorably, Juno loves to play and will do so very gently in an effort to respect everyone else's boundaries. We'd love so much for Juno to get a chance at a forever home. Please come and meet him at the Queens Care Center.

My medical notes are...

Weight: 10.64 lbs

3/3/2022

DVM Intake Exam Estimated age: 6 yr Microchip noted on Intake? negative History: owner surrender Subjective:owner surrender Observed Behavior - fearful but allows handling Evidence of Cruelty seen -none Evidence of Trauma seen -none Objective QARH mm pink P = WNL R = WNL BCS 4/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: FORL at 208, drooling PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G:scrotal testes MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal:not performed Assessment FORL, will need dental surgery- dental extractions Prognosis:very good Plan: ok for adoption simbadol today, and monitor appetite SURGERY: Okay for surgery

3/5/2022

QAR in kennel, resting comfortably. Appetite good, CTM while at BACC.

4/23/2022

Estimated age: ~ 6 years as previously estimated Microchip noted on Intake? scanned positive (previously at ACC) History: Returned due to allergies Subjective: BAR in kennel, meowing Observed Behavior - Walked right out of kennel and began head-butting, exploring the exam table, and purring; minimal restraint needed for exam/tasks (purred the whole time) Evidence of Cruelty seen - None Evidence of Trauma seen - None Objective: BCS 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Mild tartar/gingivitis (no FORL appreciated on exam today) PLN: No enlargements noted H/L: NSR, NMA, MM pink/moist, CRT < 2, lungs clear, eupneic ABD: Non-painful, no masses palpated U/G: Neutered male MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally clean Wood's Lamp Exam: Not performed Assessment: Stage 1-2/4 dental disease, otherwise apparently healthy Prognosis: Excellent Plan: Follow-up with primary care veterinarian for dental cleaning

3/9/2022

Pre-surgical exam, anesthesia, and surgery performed by offsite vet. Medical record uploaded to Vet Documents. Green linear tattoo placed lateral to incision.

7/26/2026

[DVM Intake] DVM Intake Exam Estimated age: 10-13yo based on dentition Microchip noted on Intake? Scanned positive History: Owner surrender due to housing Subjective: BAR Observed Behavior - trying to be small as possible, tolerated exam and medical handling Is there evidence of suspected cruelty? No Objective: T = P = wnl R = wnl BCS 6/9 EENT: Eyes clear, mild dry ocular discharge OD, ears mild to moderate dark waxy debris AU, no nasal discharge noted Oral Exam: Moderate gingivitis, moderate dental tartar PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Externally normal neutered male MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally normal Wood's Lamp Exam: Not performed Assessment: Moderate to severe dental disease Prognosis: Good Plan: Intake tasks and exam SURGERY: Not needed

7/29/2026

PU/PD reported on rounds board S/O: BAR, good appetite, no c/s/v/d noted; large amount of urine appreciated in LB, formed stool EENT: No ocular or nasal discharge LUNGS: Eupneic MSI: Amb x 4 CNS: Appropriate mentation A: Senior cat PU/PD Dental disease P: Scheduled CBC/CHEM/T4/UA CTM while at QACC, pend results for plan

7/30/2026

Blood collected, Urine collected via cysto, sent out to IDEXX Alopecia noted on lower abdomen

8/1/2026

CBC: Lymph 0.46 (L) Mono 0.91 (H) Chem: Glu 460 (H) Na 161 (H) K 5.3 (H) Cl 130 (H) TP 8.9 (H) ALP 65 (H) UA: USG 1.047 Urine Protein 3+ (H) Glu 2+ (500) (H) Blood 2+ TT4 wnl ______________________ A: Consistent with Diabetes Mellitus. No secondary infection noted in urine. P: Start Senvalgo (ordered, will arrive in 2-3 days). Recommended monitoring/recheck schedule once we start mediation: 1. Place DM monitoring sheet on kennel 2. Start SGLT2 inhibitor: Senvelgo 1mg/kg PO SID Must be dosed with syringe that comes in package. Can be administered directly into mouth or in a small amount of food. If a dose is missed, re-dose as soon as possible. If cat vomits within 30 minutes of receiving medication, then repeat dose. 3. Place the following DVM and Medical Rounds Specialist rechecks: Day 2 or 3: - Rounds specialist: Place No-Sorb litter and obtain free- catch urine sample. Test for urine ketones*. - DVM: Recheck. Reweigh and assess appetite, hydration status, signs of lethargy, vomiting. Day 7: - Rounds specialist: Place No-Sorb litter and obtain free- catch urine sample. Test for urine ketones*. - DVM: Spot BG ideally <270mg/dl. Recheck. Reweigh and assess appetite, hydration status, signs of lethargy, vomiting. +/-Day 14 (optional): - Rounds Specialist: Place No-Sorb litter and obtain free- catch urine sample. Test for urine ketones*. - DVM: 1. Spot BG <270 mg/dl If >270mg/dl by week 2, then r/o stress hyperglycemia (consider fructosamine). Routine blood glucose curves are not recommended. 2. Recheck. Reweigh and assess appetite, hydration status, signs of lethargy, vomiting. Week 4: - Rounds Specialist: Place No-Sorb litter and obtain free- catch urine sample. Test for urine ketones*. - DVM: 1. Spot BG <270 mg/dl If >270mg/dl then r/o stress hyperglycemia (consider fructosamine). If persistent hyperglycemia is noted by week 4, then switch to Insulin. 2. Reweigh and assess appetite, hydration status, signs of lethargy, vomiting. 3. Treatment is considered successful if clinical signs and blood glucose/fructosamine have improved by this time. Then every 3-4 months: - DVM: Test ketones (blood or urine), glycemic control (BG or fructosamine), physical exam, weight. ii. If patient develops any abnormal clinical signs during treatment, evaluate for DKA/eDKA. Monitoring interpretation tips: -SGLT2 inhibitors are unlikely to cause hypoglycemia, so blood glucose curves/continuous glucose monitoring is less critical. -Note that urine glucose will be elevated, as medication causes glucose excretion through kidneys. -If ketones are positive, stop SGLT2 inhibitors and start insulin (even if BG is normal). This includes: o Urine ketone dipstick > trace o Plasma ketones (using plasma on urine dipstick) >/= 1+ -DKA and Euglycemic DKA are possible complications, which makes ketone monitoring critical. This was most common within the first week of treatment during trials and is the reason there are more initial ketone checks. -If there is a clinical concern for DKA, DVM can screen for ketonuria, measure serum ketones using urine ketone stick, or measure beta- hydroxybutyrate with a handheld blood ketone monitor; BHB >2.4 mmol/L prompts discontinuing Senvelgo. Note: Idexx reports BHB as mg/dL and should be converted to mmol/L (mg/dl / 10.3 = mmol/L) for interpretation. - Initial mild weight loss is not uncommon. If does not improve or stabilize within 7 days, then evaluate for concurrent disease. - Due to lack of evidence, the AAHA task force recommend keeping cats on SGLT2 inhibitors on their regular diet. Can be transitioned to a DM diet once considered regulated. - Osmotic diarrhea is a common side effect of medication. Consider starting a high-fiber diet vs. reducing medication by 25%. Adopter/placement counseling: This cat should immediately establish a relationship with a primary care veterinarian. During treatment with an SGLT2 inhibitor for diabetes mellitus, consistent bloodwork and veterinary relationship (every 3-4 months) is recommended. Client handout on diabetes management with this medication (https://docs.boehringer-ingelheim.com/Senvelgo%20Pet%20Owner%20Brochure.pdf)

8/11/2026

-Senvalgo arrived today; initiating treatment per instructions in 8/1/26 Medical Record -Senvalgo 1 mg/kg of 15 mg/ml, 0.32 ml PO into mouth SID; use provided syringe; start tomorrow 8/12 -Scheduled Day 2/3 and Day 7 ACRs; future ACRs to be scheduled at rechecks -New Hope Placement; emailed plea on 8/11

8/12/2026

recheck- dx DM on 8/1 S/O BAR, A+A, food trays mostly empty, no c/s/v/d appreciated, comes to the front of the kennel and solicits attn for interaction EENT: no ocular or nasal dc HL: eupneic GA/GU: npm MSI: amb x 4, good skin turgor A. DM Geriatric Dental dz P. start Senvelgo as previous described (10 pound dosing on syringe equivalent to 0.32mL as written in SB) Staff reports no issue giving p medication and no vomiting Recheck as scheduled Seek placement asap as p is geriatric senior with diabetes

8/13/2026

Brief progress exam S: BARH - at front of kennel soliciting attention pink moist mm, CRT <2s no c/s/v/d reported great appetite, food dishes mostly empty O: EENT: No ocular or nasal discharge, corneas clear LUNG: Eupneic at distance MSK: Ambulatory x4 INT: Healthy haircoat at distance CNS: Appropriate mentation A/P: OK to continue Senvelgo as RXd LVT task to free catch urine sample for IH ketodiastix 8/14 DVM recheck at day 7 of treatment

8/15/2026

Urine collected via nosorb. Ketodiastix strip - Glucose >2000mg/dl, ketones between negative and trace. Spoke with 2585

Details on my behavior are...

Behavior Condition: 1. Green

Behavior History
Behavior Assessment

Upon intake Juno was friendly and allowed all handling from staff.

Basic Information:: Juno is a 11-year-old male cat that lived with his previous owner for 4 years.

Previously lived with:: 1 adult

How is this cat around strangers?: Juno is curious and friendly around new people.

How is this cat around children?: Juno will usually hide from children.

How is this cat around other cats?: Juno will actively avoid other cats and has minimal experience.

How is this cat around dogs?: Juno will hiss at dogs.

Behavior Notes: Juno will stress meow when being picked up.

Bite history:: Juno has no bite/scratch history.

Energy level/descriptors:: low

Has this cat ever had any medical issues?: No

For a New Family to Know: Juno is very affectionate and prefers quality time. He will usually be in rooms where there are people and lounge on the couch all day. When he is in the mood to play, he will be very gentle and respect boundaries. Juno's favorite flavor of food/treats are chicken and salmon. He is used to a covered litterbox with scented little.

KNOWN HISTORY:: 7/27/26 Lived Indoors Previously lived with: 1 adult Behavior toward strangers: Juno is curious and friendly around new people. Behavior toward children: Juno will usually hide from children. Behavior toward cats: Juno will actively avoid other cats and has minimal experience. Behavior toward dogs: Juno will hiss at dogs. Bite or Scratch history: Juno has no bite/scratch history. Litter box training: Yes Energy level/descriptors: low Other notes: Juno will stress meow when being picked up. Juno is very affectionate and prefers quality time. He will usually be in rooms where there are people and lounge on the couch all day. When he is in the mood to play, he will be very gentle and respect boundaries. Juno's favorite flavor of food/treats are chicken and salmon. He is used to a covered litterbox with scented little. Upon intake Juno was friendly and allowed all handling from staff. 4/26/22 Lived Indoors Previously lived with: 2 adults, 2 children Behavior toward strangers: shy for days and sometimes fearful. He tends to stay hidden when strangers visit the home. He is gentle when playing with adults. Behavior toward children: respectful with the two children he lived with (ages 11 and 15). Behavior toward cats: Skittle did not live with any cats in the most recent home; however, in the previous home, Skittle lived with 6 other cats, both male and female, from 3-6 years old. He is very tolerant of them and is somewhat rough when playing with them. Behavior toward dogs: Skittle did not live with any dogs in the most recent home; however, in the previous home, Skittle spent time with a small mixed breed dog and he was very tolerant of him. Bite or Scratch history: Litter box training: He is litterbox trained and uses an uncovered box with clumping litter. Energy level/descriptors: Low, Skittle is described as shy. His favorite activity is sleeping. When you're home, he'll rarely seek attention. His favorite toys are catnip toys. Other notes: He may become afraid when being put in a carrier. He's unbothered when having his coat brushed or when being picked up and held. Skittle is reported to meow/cry when he's in a car. Skittle often scratches furniture/drapes and hides in fear.

ACTIVITY LEVEL:: Moderate

VOCAL:: Talkative

CHARACTER TYPE: : Social,Calm,Sweet,Affectionate,People oriented

POTENTIAL CHALLENGES:: New home adjustment period

Potential challenges comments:: One set of previous owners reported that Skittle may be shy or fearful.

BEHAVIOR DETERMINATION: : Level 2

RECOMMENDATIONS:: Single-pet home,Adult only home

Recommendations comments:: Juno will actively avoid other cats and has minimal experience. Juno will hiss at dogs. Juno will usually hide from children.

BEHAVIOR SUMMARY:: Juno was standing in front of his kennel as the assessor approached, face relaxed, eyes bright and ears forward. Juno made eye contact when spoken to and he remained in front of his kennel as the cage door opened. Juno allowed all petting while leaning in, purring, looking at the assessor with a soft expression and keeping his tail high in the air. Juno remained calm when lifted and placed back down. Juno interacts with the observer, appreciates attention, is easy to handle and tolerates all petting.This cat is showing behavior appropriate for cat parents with either an average amount of cat experience or demonstrate a basic understanding of typical cat behavior.