Having "the talk" with my vet...

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Chris & Queenie

Member Since 2015
Ok, so it's only been a few weeks and already this forum has been a god send! I am learning a ton, blessed with a good patient, and lucky to be a work at home "bean" (who came up with that expression anyway?).

About 10 days in I bought a human meter. I am working to do the TR protocol, though I admit that long term I really don't want to test multiple times a day. I took on my mom's kitty because mom has health issues of her own and really needs to only have healthy animals in her house. I have 16 other cats, 15 alpacas, a dog, a husband (who is wonderfully understanding), a full time business of my own, plus my husband's pet sitting business.... you get the idea.

I have a great relationship with our vet. I think they are pretty terrific and I am on a first name basis with 5 of them at this practice, including a homeopath. So when I started down this path of FD I did not expect to land here on the forum. But I did, and I'm grateful.

Tonight I told the owner of the practice, who is a neighbor and someone I call a friend what was going on with Queenie and the forum. He is never judgmental with me though jokingly says "and that is why we love you" whenever I explain the rationale behind going "above and beyond" for any one of our critters. he knows me to be very proactive and tuned into to how my animals feels often seeking treatment and diagnosis long before most people would think they have a problem. He is interested, supportive and yet somewhat guarded. His biggest issue is with the use of human meters, though he totally understands the economics of the situation and said that Alpaha Trak had more or less priced themselves out of the market. He also feels that testing multiple times a day for years on end is overkill and even "people with diabetes don't necessarily to do that". He went on to say that he has had diabetes patients for many years and some of them who rarely test and only go by clinical symptoms do "OK" long term. He did talk about the days before pets were home tested and admitted the disease is best managed in the home with routine testing,but clearly feels I am obsessing.

So here is my bottom line question...how do I talk about or what can I point to in terms of concrete, non anecdotal information that will help him wrap his arms around what you all know to be true. that even though the human meters give a different range of numbers, they are reliable and relative to a range that has been established as trustworthy?

I really can't afford to alienate this practice, I rely on them way to much. I can get a vet on the phone day or night to asses or answer a question if it's urgent. And if need be I can send a text to the owner and get a reply right away (though I draw the line at overnight texts, of course!)

I would appreciate hearing your stories of talking to your vets, and suggestions on what to say and what to share.
 
See my signature link Glucometer Notes and also point to the recent research work by Dr Rand of the University of Queensland which is the source for a great deal of the numbers. Check the Lantus/Levemir forum stickie notes.

The most recent article indicated that human glucometer values are roughly 60-70% or the Alpha Trak values.
ie Alpha Trak * 0.65 (the midpoint) = human glucometer estimate
and
ie Alpha Trak estimate = human glucometer estimate / .65 (the midpoint)

All of these are +/- the 20% FDA allowed variance from what a lab would get.
 
See my signature link Glucometer Notes and also point to the recent research work by Dr Rand of the University of Queensland which is the source for a great deal of the numbers. Check the Lantus/Levemir forum stickie notes.

The most recent article indicated that human glucometer values are roughly 60-70% or the Alpha Trak values.
ie Alpha Trak * 0.65 (the midpoint) = human glucometer estimate
and
ie Alpha Trak estimate = human glucometer estimate / .65 (the midpoint)

All of these are +/- the 20% FDA allowed variance from what a lab would get.
Thanks!
 
My vet wasn't thrilled I was using a human glucometer. When Bud went in for his dental, I brought it with me and every time they tested Bud with their meter, they tested with mine too. Once she saw it was consistently reading about 50 points lower, she was fine with it since she now has a reference point of what the readings on my spreadsheet might read on their meter. So might be worth an ask if they would try taking some readings on both meters to compare.
 
He also feels that testing multiple times a day for years on end is overkill and even "people with diabetes don't necessarily to do that".
I tend to agree with yur vet here. I test al lmy cats before each shot but only very infrequently test between shots. When I get a "new" diabetic cat I do test more between shots to understand what is happening so I can determine the "best" dose but after that I only infrequently test between shots
 
I tend to agree with yur vet here. I test al lmy cats before each shot but only very infrequently test between shots. When I get a "new" diabetic cat I do test more between shots to understand what is happening so I can determine the "best" dose but after that I only infrequently test between shots
Good to hear this Larry, I tend to do the same sort of thing for other conditions. I pay very close attention to the clinical signs and act proactively 99% of the time rather than play "wait and see". I usually treat an abscess this way for example. If I ran to the vet every time I had one of those I'd have gone to the poor house years ago! But sometimes they do warrant attention from the vet. He trusts me enough that I can get an antibiotic if I feel I really need one without seeing the patient. I'm thinking I may offer to run a few "side by side" curves (or spot checks) for him and keep the Alpa Track strips on hand to help keep the peace. I really want to be able to feel I can go there in an emergency. As I said, he was supportive of me following the forum, but no other client of his has ever mentioned it!
 
I took my new ReliOn meter to my vet this morning, he compared it to his meter at the office, only 11 points different. Didn't even charge me for the appointment.
At that time, at that glucose level, in that cat, they were only 11 mg/dL different. They won't always be 11 points different.
 
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