I'm so helpless

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HangInThere

Member Since 2017
My cat Sinbad was diagnosed in March. He's been on Novelin insulin 2cc for a couple of weeks and we upped it to 3 cc's a few days ago because we didn't see any improvement. He has neuropathy in his back legs and isn't walking well. We have been giving him B12 methylcobalamin as used by one member of the forum. Of course we started on a low dose. But there doesn't seem to be any improvement. I know I want to see immediate results but I know it takes time for changes to happen. I do not have the money for continued lab work at $129 a pop. It's hard for him get around and I don't know what to do. I look at him and I hurt for him. He eats really well, but he is still so skinny! I'm having a really hard time coping. How do you judge what is quality of life? How do you decide to take something as precious as a loving cat and friend and put them to sleep. I can't do this and I can't deal with this. My hat is off to all of you who are coping better than I am. I'm trying, but it is very, very hard.
 
Welcome!

I'm sorry to hear that Sinbad isn't doing well. Unfortunately, not all vets are familiar with the current recommendations to treat diabetes in cats, which include a low carb, canned diet, home testing, and slow acting insulins.

I have a couple questions for you. What is Sinbad eating? Diet can make a HUGE difference in insulin need. Has your vet mentioned, or would you be willing to learn to test his blood sugar at home? If you're testing at home, there's no need to get his blood sugar levels tested at the vet--home testing is in fact more accurate than vet testing, because many cats have inflated BG (blood glucose) readings at the vet due to stress, often leading to chronic overdosing. There's ton of tips, tricks, and videos that can help you learn to home test. It seems difficult in the beginning, but even the most ornery cats come around and accept it if you pair each test with a treat! Testing does not hurt them, cats have less nerve endings in their ears than people do in their fingers. Bandit's ears are just fine after 8 years of home testing.

I'm also concerned about your vet's choice in insulin and dosing recommendations. What does Sinbad weigh right now, and what should he weigh? Novolin has a short duration of action in cats, which is why it's not a recommended insulin for them (cats' metabolisms are twice as fast as people or dogs). It drops their blood sugar hard and fast, but then wears off a few hours before their next shot. Your vet also started him out on too high a dose, and is raising the dose too quickly. Cats need very small doses, and we typically raise dose by .25-.5u, not whole units.

You're not helpless--there's a ton of help and support available here and hopefully we can help get things sorted out with you for Sinbad. Diabetes is very treatable with the right food, insulin, and slow dose adjustments via hometesting.
 
I forgot to add--his neuropathy should improve a great deal once you're able to get him regulated. I helped treat a cat named Sydney a few years back--he had been on a dry diet, his owner wasn't home testing, and her vet (very old school when it came to feline diabetes) also had him on Novolin. He was on this treatment path for 6 months, and he had severe neuropathy--it was so bad he was peeing on puppy pads she was laying in her kitchen because he couldn't walk into the litter box. That's when I was approached to help out--we got him on Lantus insulin, changed his diet to canned food, and got her home testing. His neuropathy greatly improved as we got his blood sugar under control (we also were using Methyl B12), and by the time he went into remission 6 months later, he was back to running up and down the stairs!
 
I forgot to add--his neuropathy should improve a great deal once you're able to get him regulated. I helped treat a cat named Sydney a few years back--he had been on a dry diet, his owner wasn't home testing, and her vet (very old school when it came to feline diabetes) also had him on Novolin. He was on this treatment path for 6 months, and he had severe neuropathy--it was so bad he was peeing on puppy pads she was laying in her kitchen because he couldn't walk into the litter box. That's when I was approached to help out--we got him on Lantus insulin, changed his diet to canned food, and got her home testing. His neuropathy greatly improved as we got his blood sugar under control (we also were using Methyl B12), and by the time he went into remission 6 months later, he was back to running up and down the stairs!
I forgot to add--his neuropathy should improve a great deal once you're able to get him regulated. I helped treat a cat named Sydney a few years back--he had been on a dry diet, his owner wasn't home testing, and her vet (very old school when it came to feline diabetes) also had him on Novolin. He was on this treatment path for 6 months, and he had severe neuropathy--it was so bad he was peeing on puppy pads she was laying in her kitchen because he couldn't walk into the litter box. That's when I was approached to help out--we got him on Lantus insulin, changed his diet to canned food, and got her home testing. His neuropathy greatly improved as we got his blood sugar under control (we also were using Methyl B12), and by the time he went into remission 6 months later, he was back to running up and down the stairs!


Thanks for responding. I would say that Sinbad currently weighs about 6 or 7 pounds. He weighed about 7 1/2 pounds at the last vet visit. I would say his weight was about 10 to 12 pounds before the diabetes... Maybe a bit more. He is extremely thin. I'm feeding him Fancy Feast canned cat food... Grilled, pate, and others. I got that recommendation from here at the Forum.

As for the insulin, I can't remember the name of the insulin the vet initially prescribed, but at $129 a bottle, I couldn't afford it. My pharmacist found the Novolin at about $30 a bottle and though I could barely afford it, I got it.

I do not like to think that I got a lesser quality for my cat than he deserved. I certainly would not want to do that for my daughter. But living on a limited income makes adjustments necessary. The vet had put Sinbad on 2 units and after a couple of weeks we did not notice one iota of change and went to 3 units. We still have not seen any change, but it's only been a couple of days.

I applied for financial assistance with a couple of places and got absolutely no response from anyone... Compassionate Assistance Program, Face, even my Humane Society. Nothing. My daughter is 26 and currently cannot work due to extreme pain from fibromyalgia so I support both of us on my social security. It's a bit of a challenge but we keep to the necessities and we're fine.

I do think my daughter and I could do the testing since I was testing myself for a while. My daughter, Shayna, draws up the insulin because I can’t see the lines, while both of us give the shots which he gets twice a day... 12 hours apart. It's been on going since March and there hasn't been any improvement.

Sinbad is eating really well, sometimes I can go through 2 or 3 cans of food. However, I have noticed on the forum that fish is not recommended, but he won't touch the turkey or beef or chicken anything. My vet said to force-feed him and I can't do that. Sinbad did not like and would not eat the prescription foods at all.. Dried or canned. Besides at $48 they were way beyond my budget. I was so grateful to find out about Fancy Feast and Friskies being healthy options.
 
You're still in the early stages, which are definitely the hardest. My cat, Moe, also had neuropathy and it continued until about 4 months after we regulated him. It took about 6 months for me to finally be comfortable doing his injections and to see that he was going to be ok. It's not fast so you just have to hang in there and take it one day at a time.

We've all been there so definitely reach out if you need help or have questions. This board is amazing at providing answers and support :)
 
Have you tried out Sheba Pates? Those are also low carb and pretty inexpensive (you can get them at the grocery store). Hopefully you find something he likes!

Would you consider home testing him? That's a really important step you can start right awy to help get better control over his BG. Walmart has some very inexpensive meters and strips. You'll save a bunch of money not having to bring him into the vet for testing.

As for insulin, you can order Lantus from Canada for WAY less than in the US. A pack of 5 pens (we treat them like mini-vials) costs about $170 after shipping, but it will last you a year or more with proper handling. That breaks down to costing only $14 a month--is that initial amount something you could save up for (hopefully using the money you'll be saving on vet curves by home testing?). You just need to ask your vet for a script--I'm sure they'd be willing to write one for you.

The thing with Novolin--it's cheaper in the short term, but not in the long term. You're basically paying $360 a year for an insulin that's not very effective in cats, where the Lantus is $170 a year, and proven to be very effective. Most cats go into remission on Lantus if you're home testing and feeding the right diet, which means your expenses are potentially even less in the long term (because you won't need to buy insulin or test as frequently if he's in remission).
 
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And in some cases (about 25%) cats can do ok on Novolin--but always with hometesting and diet change. You could try to get his BG under control with home testing and diet on the Novolin, while saving that vet curve money for Lantus in case you need to order some--if you're not seeing good control in 8 weeks with hometesting and diet on Novolin, you'll want to change the insulin. The folks here are fantastic, and can help give you advice on what to do with his dose when you start hometesting.
 
You're still in the early stages, which are definitely the hardest. My cat, Moe, also had neuropathy and it continued until about 4 months after we regulated him. It took about 6 months for me to finally be comfortable doing his injections and to see that he was going to be ok. It's not fast so you just have to hang in there and take it one day at a time.

We've all been there so definitely reach out if you need help or have questions. This board is amazing at providing answers and support :)

How do you know when you cat is regulated? How did you - and Moe - get through all those months of not being able to use his legs or clean himself after using the cat box?
 
My cat Sinbad was diagnosed in March. He's been on Novelin insulin 2cc for a couple of weeks and we upped it to 3 cc's a few days ago because we didn't see any improvement. He has neuropathy in his back legs and isn't walking well. We have been giving him B12 methylcobalamin as used by one member of the forum. Of course we started on a low dose. But there doesn't seem to be any improvement. I know I want to see immediate results but I know it takes time for changes to happen. I do not have the money for continued lab work at $129 a pop. It's hard for him get around and I don't know what to do. I look at him and I hurt for him. He eats really well, but he is still so skinny! I'm having a really hard time coping. How do you judge what is quality of life? How do you decide to take something as precious as a loving cat and friend and put them to sleep. I can't do this and I can't deal with this. My hat is off to all of you who are coping better than I am. I'm trying, but it is very, very hard.
If you start testing at home you won't have to do the constant lab work. Once I started testing at home I just emailed my vet a link to her spreadsheet every two weeks to keep her in the loop. So while it will cost a bit for the testing materials, in the end it's cheaper then going to the vet every few weeks for them to do a curve.

The neuropathy will resolve once the numbers are regulated. keep doing the b12 it will help, but ultimately you need to get the numbers under control. A regulated cat is one whose numbers are consistantly under 300 at preshots and around 80-100 at nadir.)

If he's skinny and needs to gain weight feed his as much as he wants as often as he wants as long as you don't feed two hours prior to preshot testing.
 
Hi Hanginthere!
The unknown part is so scary. I'm sorry this has been hard on your family. But like your screen name, keep hanging!
The people here are really good at helping with advice. The dosing help will need you to begin home testing.
The ReliOn meter from Walmart is cheap and so are the strips. (Which is a big factor... no sense getting a free meter if the strips you need to run it are going to cost an arm and a leg.)
JanetNJ who posted above has a video on how to home test in her signature. It was the video that helped me the most on how to test. I recommend getting that started next.
It gets easier.
Once you start testing, you don't have to pay the vet to do it... and you get more reliable numbers to work with since you don't have vet stress/car ride increasing your kitty's numbers. Once you get some numbers you'll be able to actually see if the insulin is doing it's job... and the experienced people over at the Novolin thread can better help with dosing to help your kitty get regulated.
It's not a quick change like an illness treated with antibiotics. You want the change to come slow and steady - as that provides the best path for healing and regulation and sometimes even remission. But just like people with diabetes, it is a disease that can be managed. (However keeping people away from carbs seems much more difficult that managing a kitty diet.)

So keep asking questions, and learning info from this site! Hang in there! Hugs to your family!
 
I just wanted to mention if it has not already been mentioned, the FF classic is alright to feed, but not the grilled. If you are feeding Friskies it should be the pate. These are lower in carbs. My Kitty Buddy loves FF grilled, but it is high in carbs, I only feed it when he has very low numbers to bring his numbers up.
 
How do you know when you cat is regulated? How did you - and Moe - get through all those months of not being able to use his legs or clean himself after using the cat box?

I brought Moe in for weekly glucose checks with the vet until he leveled out. I still bring him in occasionally, if something seems off.

I'm one of the few who don't home test, but I live only a mile from the vet and we have a great relationship (they offered to teach me how to home test but, living alone and having a squirmy cat, makes it almost impossible for me to do). He's on 4 units of vetsulin 2x/day and eats prescription dry food (also an anomaly for this board). He was diagnosed in Jan 2016 and is doing great, so it's all about knowing your cat and doing the best you can. Definitely consider the advice you're given here but find a system that works for YOU.

I'll admit that there were lots of tears and lost sleep those first few months, since there were times when I was really scared that he wasn't going to pull through. This board and my friends provided a lot of support and that helped me get through it. As you see your cat start to improve, you'll begin to see the light at the end of the tunnel.
 
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