Diabetic cat with extreme separation anxiety

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lizzie685

Member Since 2017
****Reposted from Welcome to the Group / Introduction forum.

Hi – brand new poster here looking for some advice. I apologize in advance for length. The cliff’s notes are that I am looking for advice on managing a diabetic cat (10 yrs old, diagnosed at age 5) with extreme separation anxiety who has gotten sick enough to require hospitalization the last two times that I left town for more than one night. Please read below for details if you can help in any way, and thank you in advance for taking the time:

My cat, Frankie (female) is 10 years old and was diagnosed with diabetes when she was 5. She is on a very high dose of insulin (4 units 2x a day), which has climbed to that point over the years, only achieving good regulation within the last year (she has also been on 3 different kinds of insulin, and is currently on the Lantus insulin pen). For the last few years, every time I’ve had to go out of town (which isn’t often), I’ve either boarded her at the vet (which she did not handle well – have not done that since she was about 6 yrs old) or had a sitter come to feed her and give insulin injections. She handled sitters well at first, but for the last year or so she has not – gets extremely stressed and aggressive toward sitters. I think this stems from an incident in August 2015 where a pet sitter gave her an insulin injection after I had already given one (she misunderstood that she was supposed to come that evening, not that morning after I had left for work) and I had to check her in to the emergency vet for observation for the whole day. Frankie was fine – I remembered later that not all of my injection had gotten under her skin, so she probably didn’t even need the emergency vet – but ever since that incident, she has been extra aggressive and stressed every time I have left town (charging at the pet sitter and trying to attack her, urinating when she is cornered, etc.). At the end of September last year, I left town for 4 days, and Frankie had to be hospitalized for 4 days after I came back with an episode of pancreatitis that led to diabetic ketoacidosis after a couple of days of not eating and therefore not being able to receive insulin. My vet and I talked about managing her anxiety after that, and she started taking fluoxetine (Prozac). I went out of town for one night in November, about a month after her hospitalization and 2-3 weeks after starting Prozac, and she did fine. Then I went out of town for less than 48 hours for Christmas, and she was vomiting and refusing food when I came home – no pancreatitis, but she did have ketoacidosis, and had to be hospitalized for 6 days.

I have a consultation with a behaviorist scheduled for April 10, but for the time being I am just looking for any suggestions from anyone who has dealt with a diabetic cat with separation anxiety (or any cat with extreme separation anxiety). I unfortunately will likely have a project assignment that requires me to take a few out-of-town trips this year, and I am not ready to lose her, especially since she seems perfectly normal whenever I am home and I don’t believe she is feeling sick or suffering at all.
 
Thanks! I've seen and tried some of these, but not all (trying mini-separations with my sitter right now, but she wouldn't eat during the first one and I had to cut it way shorter than planned). I've had Frankie since she was about 10 weeks old and she's always shown some level of separation anxiety and fear of strangers.
 
Have you tried feliway diffuser plug-ins?

How about one of those pet cameras where you can talk to your pet? They even have ones that let you despence treats or play with a laser pointer using your phone.
 
Have you tried feliway diffuser plug-ins?

How about one of those pet cameras where you can talk to your pet? They even have ones that let you despence treats or play with a laser pointer using your phone.

I do have a Nest camera (basically just a home security camera), which I can talk through, and she reacts to that, but she can't see me, so it doesn't seem to help. I have considered FaceTime-ing with my pet sitter, which seems ridiculous, but maybe it would help. Any specific recommendations on a camera that's more interactive than the one I have?
 
Have you tried feliway diffuser plug-ins?

How about one of those pet cameras where you can talk to your pet? They even have ones that let you despence treats or play with a laser pointer using your phone.

Also, yes, I do have the Feliway diffuser plug-ins. I think I currently have three plugged in. Actually got them mostly because I have another cat who has become aggressive toward her since her multiple hospital stays. They are now *both* on Prozac to manage that. I've considered separating them while I'm gone as I could easily close off a couple of rooms and give her one whole half of my apartment (which is the half she spends most of her time in anyway) and him the other half (also his preferred half), but they actually don't seem to fight when I'm gone - I think it's more of a competing-for-attention thing than anything else.
 
Does your vet do boarding?

That's the backup I'm considering and I'm not 100% sure if my current vet does it. The thought when my vet and I discussed it last was that bringing her out of her home environment would just make things even more stressful for her, but maybe it would be better for her to at least be somewhere that she could get regular veterinary monitoring and treatment if needed (if she went into an episode there, at least they might be able to correct it before it gets bad enough to require hospitalization). Not sure.
 
I have considered FaceTime-ing with my pet sitter, which seems ridiculous...
I don't think that sounds ridiculous at all. If it affords her some comfort I would definitely do it.

Feliway makes a breakaway collar that is infused with the same pheromones as the diffuser (they worked on my Bengals, who hate each other, but they (the Bengals) are so active they kept breaking them free). How about calming chews? I don't think their effect is very long-lasting, but maybe they would help some.

My male Bengal has separation anxiety, but not as bad as your Frankie. Leaving him at the vet, though, for any reason, treatment, boarding, whatever, is the absolute worst thing for him. He's already stressed because I'm not with him, and then adding in the stress of being somewhere he either isn't familiar with or just doesn't want to be, with people he doesn't know, is a recipe for disaster with him. He can never be boarded, he can not cope with it at all.
 
I do have a Nest camera (basically just a home security camera), which I can talk through, and she reacts to that, but she can't see me, so it doesn't seem to help. I have considered FaceTime-ing with my pet sitter, which seems ridiculous, but maybe it would help. Any specific recommendations on a camera that's more interactive than the one I have?
None that i've personally tried.... this one has a built in video monitor... hahaha https://www.amazon.com/PetChatz-Two...sing/dp/B01G7WH9CG/?tag=felinediabetesfdmb-20
 
Have you tried leaving used socks, underwear, t-shirts and other clothing around the house when you leave especially where she likes to hang out. This let's them know you're close by and will be coming back.
 
I don't think that sounds ridiculous at all. If it affords her some comfort I would definitely do it.

Feliway makes a breakaway collar that is infused with the same pheromones as the diffuser (they worked on my Bengals, who hate each other, but they (the Bengals) are so active they kept breaking them free). How about calming chews? I don't think their effect is very long-lasting, but maybe they would help some.

My male Bengal has separation anxiety, but not as bad as your Frankie. Leaving him at the vet, though, for any reason, treatment, boarding, whatever, is the absolute worst thing for him. He's already stressed because I'm not with him, and then adding in the stress of being somewhere he either isn't familiar with or just doesn't want to be, with people he doesn't know, is a recipe for disaster with him. He can never be boarded, he can not cope with it at all.

I hadn't heard of the Feliway collars - I'll definitely look into that! I've tried Zen Chews or something along those lines for calming her during a move (prior to all of the really bad separation anxiety issues) - I don't remember if they had much effect, but they could be helpful.
 
Have you tried leaving used socks, underwear, t-shirts and other clothing around the house when you leave especially where she likes to hang out. This let's them know you're close by and will be coming back.

You would think I would have tried this - it makes a lot of sense... but I'm pretty sure I haven't. I was just thinking about that today. Maybe spray some Feliway on her favorite blanket and put a well-worn shirt of mine next to it near her favorite spot on the couch, or something. She does tend to spend most of her time when I'm not here sitting in "my" usual spot on the couch, which I'm guessing smells at least a little like me.
 
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