Princess mother
Member Since 2015
Hi, my 9 year old cat, Princess, was just diagnosed last week and started on insulin twice a day. I am scared and havent stopped crying since. There is soooo much info out thenre. I dont know where to start.
I dont know where to start.

Hi and welcome to FDMB. It is scary and overwhelming to get a diagnosis of feline diabetes, but I can assure it that it is very managable. We can help you overcome your fears. First take a big breath and relax.
Can you tell us your name? Also, did the vet start Princess on insulin yet? If so, what kind and what dose?
Also what are you feeding Princess?
Diet plays a major part in managing FD. You need to feed her a low carb/high protein diet. If she is eating dry food, you want to begin transitioning her over to canned food. Dry food is high in carbs and that cause the glucose levels to raise. By switching over to canned food, you can significantly lower her glucose levels. Some cats also can become diet controlled. There are many brands of foods that are available, but a lot of us feed our cats either Friskies or Fancy Feast pate flavors. You want to avoid canned foods with gravy in them.
If your vet is going to prescribe insulin, there are several that work well in cats: Lantus, Levemir, Prozinc and BCP PZI. The first two are human insulins. If your vet prescribes either of these, ask for the prescription for the pens instead of vial. In the long run, this will save you money. Prozinc and PZI are bought through your vet's office.
You also want to learn to hometest. This means testing a small drop of blood before every shot. This will help you determine if it is safe to give the insulin and how well the dose is working. Don't worry, we can help you learn how to test if your vet's office does not show you how.
Begin reading the posts on this site and ask any questions you may have. You have a lot of experience on this board and we are here to help you.
OHi and welcome to FDMB. It is scary and overwhelming to get a diagnosis of feline diabetes, but I can assure it that it is very managable. We can help you overcome your fears. First take a big breath and relax.
Can you tell us your name? Also, did the vet start Princess on insulin yet? If so, what kind and what dose?
Also what are you feeding Princess?
Diet plays a major part in managing FD. You need to feed her a low carb/high protein diet. If she is eating dry food, you want to begin transitioning her over to canned food. Dry food is high in carbs and that cause the glucose levels to raise. By switching over to canned food, you can significantly lower her glucose levels. Some cats also can become diet controlled. There are many brands of foods that are available, but a lot of us feed our cats either Friskies or Fancy Feast pate flavors. You want to avoid canned foods with gravy in them.
If your vet is going to prescribe insulin, there are several that work well in cats: Lantus, Levemir, Prozinc and BCP PZI. The first two are human insulins. If your vet prescribes either of these, ask for the prescription for the pens instead of vial. In the long run, this will save you money. Prozinc and PZI are bought through your vet's office.
You also want to learn to hometest. This means testing a small drop of blood before every shot. This will help you determine if it is safe to give the insulin and how well the dose is working. Don't worry, we can help you learn how to test if your vet's office does not show you how.
Begin reading the posts on this site and ask any questions you may have. You have a lot of experience on this board and we are here to help you.
Hi and welcome to FDMB. It is scary and overwhelming to get a diagnosis of feline diabetes, but I can assure it that it is very managable. We can help you overcome your fears. First take a big breath and relax.
Can you tell us your name? Also, did the vet start Princess on insulin yet? If so, what kind and what dose?
Also what are you feeding Princess?
Diet plays a major part in managing FD. You need to feed her a low carb/high protein diet. If she is eating dry food, you want to begin transitioning her over to canned food. Dry food is high in carbs and that cause the glucose levels to raise. By switching over to canned food, you can significantly lower her glucose levels. Some cats also can become diet controlled. There are many brands of foods that are available, but a lot of us feed our cats either Friskies or Fancy Feast pate flavors. You want to avoid canned foods with gravy in them.
If your vet is going to prescribe insulin, there are several that work well in cats: Lantus, Levemir, Prozinc and BCP PZI. The first two are human insulins. If your vet prescribes either of these, ask for the prescription for the pens instead of vial. In the long run, this will save you money. Prozinc and PZI are bought through your vet's office.
You also want to learn to hometest. This means testing a small drop of blood before every shot. This will help you determine if it is safe to give the insulin and how well the dose is working. Don't worry, we can help you learn how to test if your vet's office does not show you how.
Begin reading the posts on this site and ask any questions you may have. You have a lot of experience on this board and we are here to help you.
Thank you, Eliz. Princess is a very lovable 9 year old short hair tabby. She has been overweight since i took her off the street seven years ago. I noticed she was losing weight right before her annual check up at which time she was diagnosed with diabetes. The vet put her on Lantus 2 units twice a day and recommended Purina DM. All along she was eating Fancy Feast.
I have been using the Alphatrak 2 to test her blood glucose and her numbers go up and down throughout the day. I am trying not to obsess but its not working.
My biggest concerns are
- getting this under control with disrupting the other two cats in the house
- costs...the insulin and needles cost me $300 and will only last 25 days
- will the other cats come down with this as they are from the same litter
I just lost my 19 year old cate who was on fluid treatments for kidney disease for the last two years of his life. That was a great deal of work and heartache. Wondering if i have the strength!!
Marie
Thank you, Eliz. Princess is a very lovable 9 year old short hair tabby. She has been overweight since i took her off the street seven years ago. I noticed she was losing weight right before her annual check up at which time she was diagnosed with diabetes. The vet put her on Lantus 2 units twice a day and recommended Purina DM. All along she was eating Fancy Feast.Thank you, Eliz. Princess is a very lovable 9 year old short hair tabby. She has been overweight since i took her off the street seven years ago. I noticed she was losing weight right before her annual check up at which time she was diagnosed with diabetes. The vet put her on Lantus 2 units twice a day and recommended Purina DM. All along she was eating Fancy Feast.
I have been using the Alphatrak 2 to test her blood glucose and her numbers go up and down throughout the day. I am trying not to obsess but its not working.
My biggest concerns are
- getting this under control with disrupting the other two cats in the house
- costs...the insulin and needles cost me $300 and will only last 25 days
- will the other cats come down with this as they are from the same litter
I just lost my 19 year old cate who was on fluid treatments for kidney disease for the last two years of his life. That was a great deal of work and heartache. Wondering if i have the strength!!
Marie
Hello, mother of Princess, and welcome to FDMB,
I suggest you start out by sitting down somewhere comfy and taking a very deep breath...
And another deep breath...
And another deep breath...
And when you feel yourself relax a little, say to yourself: 'I know I'm scared. I know I don't know where to start yet, but I am doing the very best I can at this moment. And I trust that I will get through this...'
And here's a big welcoming ((hug)) for you:
Please know that most of us - if not all of us - have been where you are now, and we do understand what you are going through.
The good news is that feline diabetes is treatable! With care, a diabetic cat can live just as long and as happily as a non-diabetic cat.
Would you like to tell us more about Princess?
What insulin has she been prescribed, and what dose?
What are you feeding her at the moment?
And, what are your main fears/concerns at this time?
Feel free to talk. We're here to listen, and to help.
Best wishes,
Eliz
My biggest concerns are
- getting this under control with disrupting the other two cats in the house
- costs...the insulin and needles cost me $300 and will only last 25 days
- will the other cats come down with this as they are from the same litter
Hi Larry,The Lantus insulin last about 6 months or move if handled carefully and refrigerated. Most here purchse the 5 pack of 3 ml pens instead of a 10 ml vial. Most can use the whole 3 ml pen before it goes bad. That is usually not the case for 10 ml vial. That, even though the cost per ml for the pens is more than for the vial since yo can usually use up a pen.
You draw the Lantus put of the pen like a vial. The pen delivery system only doses in 1 unit increments and most cats nee 1/4 or 1/2 unit increments.
I feed my cats separately twice a day so I can monitor their eating
There appears to be some genetic component of coming down with diabetes.
Oh, thank goodness!! The vet has not explained any of this to me. I am very grateful for the info you have given me!Lantus is a U-100 insulin, which means there are 100 units in 1 milliliter (mL).
The vial contains 10 mL * 100 = 1,000 units.
At 2 units per day, it contains enough for 500 days, however it wimps out by around 6 months (180 days) and you'll throw away a lot of it.
Hi Marie,I just lost my 19 year old cat who was on fluid treatments for kidney disease for the last two years of his life. That was a great deal of work and heartache. Wondering if i have the strength!!
Thank you, Eliz. Princess is a very lovable 9 year old short hair tabby. She has been overweight since i took her off the street seven years ago. I noticed she was losing weight right before her annual check up at which time she was diagnosed with diabetes. The vet put her on Lantus 2 units twice a day and recommended Purina DM. All along she was eating Fancy Feast.
I have been using the Alphatrak 2 to test her blood glucose and her numbers go up and down throughout the day. I am trying not to obsess but its not working.
My biggest concerns are
- getting this under control with disrupting the other two cats in the house
- costs...the insulin and needles cost me $300 and will only last 25 days
- will the other cats come down with this as they are from the same litter
I just lost my 19 year old cate who was on fluid treatments for kidney disease for the last two years of his life. That was a great deal of work and heartache. Wondering if i have the strength!!
Marie
HereHi Marie,
It sounds like you lost a beloved kitty to kidney disease, and I am so very sorry for your loss...
You may well feel that you don't have the strength at the moment to deal with Princess's diabetes; that would be entirely understandable after what you've been through. But do please know that diabetes is treatable; and that some diabetic cats actually go into remission (become diet-controlled diabetics) after a short time on insulin. And even diabetics that remain on insulin can have full and happy lives in good health.
You said that Princess's numbers fluctuate throughout the day. Can you tell us more about that?
Big hug to you, (((Marie))),
Eliz
hank you. I am so grateful for everyones help. Ive posted some of Princess' BG numbers. Any insight is apprecited.Hi and welcome
A lot of US members use fancy feast. You just need to check that it has less than 10% of calories from carbs ( use the list BJM linked) and monitor closely if you change. Best to change slowly over a number of days and please monitor as blood glucose can drop further if carb content is lower in the new food.
You might be able to reduce costs further by using a human meter to test blood glucose. I know the alphatrak works out more expensive. Can I get you to add some details to your signature such as the lantus, the dose, the food, any other conditions or medication.
Can I also highlight the hypo info. We recommend that you print it out and keep it handy in case princess goes low but please note the numbers relate to a human meter and not the alphatrak. Hopefully someone can clarify the numbers for the alphatrak.
http://www.felinediabetes.com/FDMB/threads/how-to-treat-hypos-they-can-kill-print-this-out.15887/
Hi ,If it helps why not list out the blood glucose test readings so we can help. She might be dropping fast and then bouncing back up as two units is quite a high dose. List out the date, the dose and then various readings if you can.

Hi Eliz,Hi Marie,
I do so hope you're feeling a bit better today.
Thanks for typing out and posting those test results.
The numbers you've listed are mostly pretty high, and quite 'flat' (ie, not generally a huge amount of difference between them).
Did you get any lower test results than these at any stage, or are these numbers 'typical'?
And are you testing before each insulin shot?
And how far apart are you giving the shots; 12-hourly?
Best wishes,
Eliz
Hi Chris,I'm close to my own test/feed/shoot time, but wanted to just give one important piece of information real quick regarding feeding
It's actually better on our diabetic cats to have several small meals instead of 2 big ones....Just like human diabetics are told to eat 6 small meals a day instead of 3 big ones...It's easier on the pancreas to deal with smaller meals than it is to deal with big ones so there's no need to restrict your cat to only twice/day feedings Marie!
I feed China about every 3 hours...the only time we don't want them to eat is for the 2 hours prior to Pre-shot tests so the number isn't influenced by food.
Nope, Chris is not the only one that advocates several small meals throughout the day, she's only the first person so respond to you about doing that.Hi Chris,
Intuitively I also thought that Princess should eat small meals throughout the day, but you seem to be the only one advocating this. The poor cat looks like shes starving about six hours after each feeding. It doesn't make sense to me. Marie
What about the insulin? I was told by the vet to only feed her twice a day because of the insulin.Nope, Chris is not the only one that advocates several small meals throughout the day, she's only the first person so respond to you about doing that.
I feed my 3 cats, Wink the diet controlled diabetic and his two civie roomies, 4 times a day. Yes, they are always bugging me for more meals and treats, but we need to keep their weight in the normal range. They get 2 breakfasts, 1-3 hours apart and 2 dinners, 2-4 hours apart. It is what works for me, my schedule and my cats that hoover up the food like they will never be fed again! I think it's because they were abandoned and shelter kitties for months.
Princess may need more food until she is better regulated, up to 50% more food. Without enough insulin, the food that Princess eats can not be processed properly, so some goes right through her system without giving her much benefit. Weighing your kitty on a regular basis, like weekly can help you see how she is doing.
For example, when I first got Wink he was just under 12 pounds and was eating 11-13 ounces of food a day and lost more than 2 pounds in 6 weeks. Now, he eats 5.5 -6 ounces of food a day and has been maintaining his weight around 10.5 -11 pounds.
Princess was never a free feeder because of her weight but i would give her a little spoonful between meals to satisfy her hunger until dinner. Now she follows me around starting six hours after breakfast until i feed her dinner.I free-feed Rosa so she eats every 2-3 hours by herself. She's always been free-fed and I can't find any evidence that says that should be changed (apart from my vet suggesting only feeding 2 bigger meals per day but I'm not classing that as advice I'm that interested in taking). As far as I'm concerned, little and often is better for her for food so her pancreas isn't overloaded by big meals. And I can't think of any good reason why I should expect her to only be hungry when I say so, not when she actually feels like eating!!
Thanks. I may try giving her a spoonful mid day to alleviate her hunger. She never eats all that she is expected to eat at the two mealtimes. Splitting it up may be better.Lantus is a good insulin to be using for your diabetic kitty. Yes, you want your cat to eat something but it does not have to be before you give this insulin.
I think many vets suggest only feeding 2 meals a day to make sure the cat is hungry and will eat before the injection. This seems to be an older style of food management for diabetic cats when only some of the fast acting insulins like Humulin or Novolin N were used. Those insulins start to work really quickly, 1 hour or less, and your cat needed to have some food on board in order to offset the quick onset of the insulin action and keep the cats BG (blood glucose) levels from dropping too fast.
Lantus has a gentler action, later onset and the drops are not as fast and steep.
Try adding some water to the canned food, think applesauce consistency. This can help your kitty to feel fuller.
I think she would be happier with a little something mid day. Waiting from 7 a m to 7 pm is very long for her.I can understand you not wanting to free-feed if you've been trying to get her to lose weight, but even if you split up the amount you'd usually give her at meal times into several mini-meals - that way she won't have to go 12 hours at a time without food.
Me too! I wont have to look at those sad hungry eyes!She'd be more than fine with some of her food in the middle of the feeding times you've been trying to get her to stick to. If you're controlling her calories, I'd just split the usual amount into 3 instead of 2 and let her have that extra meal - I'm sure she'll be happier for it![]()
Is Wink on lantus? If so, when do you give it to him?I'm telling you, Wink can tell time. He knows when it's time for second breffis and he also knows when it's time for second suppa! Like clockwork, he starts to beg for his seconds!
Welcome to the FDMB! We have all been in your shoes and know the angst you are feeling now. This is the best place for you and Princess as the members are very supportive here and we have a great wealth of knowledge on managing FD.
How much does she weigh and what is her ideal weight? You said she has been obese so even having lost weight I'm assuming she is not now underweight? The starting dose for Lantus is 0.25u/kg of ideal weight unless kitty is underweight. The starting dose needs to be held for 5-7 days unless numbers are high and flat ....as are hers but we wouldn't raise the dose by 1u twice a day after only two days.
It would be great to have all these test numbers on a Spreadsheet.
If you have any problems with it, please send me a private message by clicking on Gracies photo to the left and selecting "Start a Conversation". I can do the SS for you quickly.
Hi Marje, Thank you for the offer. I figured it out. once you crack the code, it is quite easy. MarieI've been out of town but am back so if you need help with the SS, please let me know. We use a specific format so it updates automatically whenever you put in a number and we can also link it to your signature so we can all see it but can't edit it.