Got call Saturday that my big Stirfry has diabetes. Have been doing a lot of reading since the.

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Stirfry

Member Since 2017
his first doc appt is tomorrow morning. I already have my own home testing kit and plan to bring with me. It looks like we caught it early and I am hoping to change his diet and home monitor for a few days before we do insulin. But my fear is vet will put pressure to get him on right away along with expensive food I am thinking they will want me to buy. Any advise for how to prepare. Thanks
 
My my Stirfry looks like a big boy :woot:, grey panther!
What was his diagnosis BG reading? (blood glucose)
Heads up, if you purchased a human glucometer the Vet will probably try to tell you it won't work and you need the Pet Meter, AlphaTrak 2. The majority of us use a human glucometer and the protocols written here were with human meter numbers. They are also more budget friendly ;).

Expensive prescription food is not needed either and most of them are higher in carbs than a sugar kitty should have :smuggrin:. Many feed Friskies pate (non indoor formulas) and Fancy Feast classics (pate).

If you haven't done any diet change yet, depending on his diagnosis BG, I'd push to try diet change alone first BEFORE starting insulin :)
 
his first doc appt is tomorrow morning. I already have my own home testing kit and plan to bring with me. It looks like we caught it early and I am hoping to change his diet and home monitor for a few days before we do insulin. But my fear is vet will put pressure to get him on right away along with expensive food I am thinking they will want me to buy. Any advise for how to prepare. Thanks
How you plan depends on your vet's personality and your relationship with him/her. Does your vet listen to your concerns? Is he/she willing to work collaboratively with you?

Best Case: vet will collaborate/listen
  • tell him/her you want to test BG at home, will do BG curves there to avoid extra stress on the big guy and will email data to him/her to discuss
  • say you want to try feeding canned low carb food instead of prescription food - maybe give the link to Dr. Pierson's food list from the stickies at the top of this forum
  • ask what his/her preferred insulin is so you can read about it before hand (almost every insulin is started at 1 unit twice a day regardless of the size of the cat)
Worst Case: vet is autocratic and hard to discuss issues with
  • emphasize your need to keep costs down so you want to be hands on with testing at home, etc.
  • nod politely but go home and do what you want
  • if there's no middle ground search out a new vet.
 
My my Stirfry looks like a big boy :woot:, grey panther!
What was his diagnosis BG reading? (blood glucose)
Heads up, if you purchased a human glucometer the Vet will probably try to tell you it won't work and you need the Pet Meter, AlphaTrak 2. The majority of us use a human glucometer and the protocols written here were with human meter numbers. They are also more budget friendly ;).

Expensive prescription food is not needed either and most of them are higher in carbs than a sugar kitty should have :smuggrin:. Many feed Friskies pate (non indoor formulas) and Fancy Feast classics (pate).

If you haven't done any diet change yet, depending on his diagnosis BG, I'd push to try diet change alone first BEFORE starting insulin :)
 
I believe they said it was 440 I did already take him off dry food but just put him on canned tuna in water for today just used my freshly bought mont and was 367. I hope they will let me test mine verses there's tomorrow to get accuracy. I will pick up cat food tomorrow too. What does pate mean? Thank you again. For response very grateful for this resource.
 
How you plan depends on your vet's personality and your relationship with him/her. Does your vet listen to your concerns? Is he/she willing to work collaboratively with you?

Best Case: vet will collaborate/listen
  • tell him/her you want to test BG at home, will do BG curves there to avoid extra stress on the big guy and will email data to him/her to discuss
  • say you want to try feeding canned low carb food instead of prescription food - maybe give the link to Dr. Pierson's food list from the stickies at the top of this forum
  • ask what his/her preferred insulin is so you can read about it before hand (almost every insulin is started at 1 unit twice a day regardless of the size of the cat)
Worst Case: vet is autocratic and hard to discuss issues with
  • emphasize your need to keep costs down so you want to be hands on with testing at home, etc.
  • nod politely but go home and do what you want
  • if there's no middle ground search out a new vet.
 
Thanks for tips. I just moved so this was my first visit to this vet. I really want to try and see if I can get under control before I do insulin. I just did first ear prick and we both handled it really well. I will try and Stand my ground and if I feel like they are not listing look for new vet. Will keep posted on appt tomorrow. Thank you!!
 
I believe they said it was 440 I did already take him off dry food but just put him on canned tuna in water for today just used my freshly bought mont and was 367. I hope they will let me test mine verses there's tomorrow to get accuracy. I will pick up cat food tomorrow too. What does pate mean? Thank you again. For response very grateful for this resource.
A pet meter will read higher than a human meter. The difference will be fairly small at low blood glucose levels but much larger at high levels. There's no conversion formula you can use. It's a matter of getting to know what BG numbers are too high, OK and too low. Some people buy a pet meter and its very $$$ test strips for use when their vet wants a curve done but they use a human meter day-to-day to keep costs down.

Many of us here feed Friskies or Fancy Feast pate types. The label should say "Pate" on it somewhere. I believe Fancy Feast Classics are pates - the smooth textured type of food. Any wet food that is chunks/shreds in gravy or sauce is too high in carbs.
 
Ok so update is Vet was not happy about me not taking there food or that I wanted to hold of a day or two to see how new diet would effect his BG. The insulin they want to use is ProZinc and $190 for a 10ml bottle. I am supposed to go back Wednesday at 5pm to check BG and give him first shot of insulin. She said it is very rare for cats to ever be able to be off of insulin or go in remission. The only way that was a possibility was if I bought the prescription food and even then unlikely. I think I will try and find another vet before Wednesday they did not seem happy about me monitoring at home... Would really like a vet who will work along side me to care for StirFry at home as much as possible. Anyone from Brighton Mi area?
 
Ok so update is Vet was not happy about me not taking there food or that I wanted to hold of a day or two to see how new diet would effect his BG. The insulin they want to use is ProZinc and $190 for a 10ml bottle. I am supposed to go back Wednesday at 5pm to check BG and give him first shot of insulin. She said it is very rare for cats to ever be able to be off of insulin or go in remission. The only way that was a possibility was if I bought the prescription food and even then unlikely. I think I will try and find another vet before Wednesday they did not seem happy about me monitoring at home... Would really like a vet who will work along side me to care for StirFry at home as much as possible. Anyone from Brighton Mi area?
I use ProZinc that I buy from my vet for $90.50 (change amount might be wrong) for a 10ml vial. I live in Indiana, maybe things are higher in the state where you live, but it should not be $100.00 higher. The only way to manage your kitty's diabetes is to monitor at home, do not ever give insulin without checking BG levels.
 
I use ProZinc that I buy from my vet for $90.50 (change amount might be wrong) for a 10ml vial. I live in Indiana, maybe things are higher in the state where you live, but it should not be $100.00 higher. The only way to manage your kitty's diabetes is to monitor at home, do not ever give insulin without checking BG levels.


So do you monitory BG twice a day? They said I should only do text every couple of days?
 
Ok so update is Vet was not happy about me not taking there food or that I wanted to hold of a day or two to see how new diet would effect his BG. The insulin they want to use is ProZinc and $190 for a 10ml bottle. I am supposed to go back Wednesday at 5pm to check BG and give him first shot of insulin. She said it is very rare for cats to ever be able to be off of insulin or go in remission. The only way that was a possibility was if I bought the prescription food and even then unlikely. I think I will try and find another vet before Wednesday they did not seem happy about me monitoring at home... Would really like a vet who will work along side me to care for StirFry at home as much as possible. Anyone from Brighton Mi area?
I have to question the motives of any vet against home testing. Either they are control freaks or just want you to have to make more office visits... $$$$$

Sounds like he's not willing to work with you.

ProZinc is good though... :) Although if you shop around you can get it cheaper.
 
So do you monitory BG twice a day? They said I should only do text every couple of days?
At minimum we recommend preshot tests... This will assure he's high enough to shoot. Preferably you should get at least one mid cycle number as well to see how low the dose brings him.
 
So do you monitory BG twice a day? They said I should only do text every couple of days?
I monitor before @AMPS (morning before shot) and PMPS (evening before shot) and most of the time more than that. Your Kitty's blood sugar levels change more than every couple of days. I can check my kitty and check again in an hour and it could have changed. I'm sure your vet would not take a shot of insulin without checking her BG.
 
Ok so update is Vet was not happy about me not taking there food or that I wanted to hold of a day or two to see how new diet would effect his BG. The insulin they want to use is ProZinc and $190 for a 10ml bottle. I am supposed to go back Wednesday at 5pm to check BG and give him first shot of insulin. She said it is very rare for cats to ever be able to be off of insulin or go in remission. The only way that was a possibility was if I bought the prescription food and even then unlikely. I think I will try and find another vet before Wednesday they did not seem happy about me monitoring at home... Would really like a vet who will work along side me to care for StirFry at home as much as possible. Anyone from Brighton Mi area?


HI THERE!!!

I am at least in your state!! I am from the metro Detroit area. Mufasa was diagnosed early November last year. I said the same thing to my vet and she was disappointed but at the same time she was for it too. Mufasa's first BG reading was 438, and he had not eaten for at least 2 days, and weighed in at 18.5lbs (He is big framed lol, no really he is). He had a minor UTI as well and had to be put on a mild dose of antibiotics, that he ABSOLUTELY hated. He would spit it out and the next day the house smelled sweet like the antibiotic.

Mufasa used to be on all dry food all day long. He has 2 bowls that are probably a cup and a half each and I would fill those up as they got empty (every 2-3 days). I would also feed him a 1/3 or 1/4 of we food in the morning when we woke up. We used to be strong supporters of buying only 9-Lives food.

So, fast forward to November of 2016. I was instructed to buy grain-free wet food only, because carbs are very high in the regular stuff that everyone in American usually buys for their animals. Not only that, no more dry food, and I was instructed NOT to leave the food down all day for him to nibble on it. Feed him 3 times a day. Well, after that all added up my husband looked at me and was like we need to figure something else out because we are going to go broke. I read up on making his own food. I started doing it in January of this year, shredded chicken, chicken broth and baked chicken livers. It's cheap way to feed your kitty good healthy food, but the time to prepare is what can be bothersome.

The exercise he gets is climbing the stairs. He is a healthy guy other than his sugar levels. He flies up those stairs like he was a 1 yr old. I keep his litter box in the spare room upstairs, and he gets fed down stairs. (ok, so it is not a spare room, it is HIS bedroom) But he loves climbing stairs and racing me. We race to the bedroom when it is bed time. Its cute.

Back in June he got a lil sick again, and I thought he had a piece of string cheese caught somewhere. My darling step daughter decided she was going to feed him string cheese. #fun We took him in again, this time there was nothing caught but he had an ear infection. And his sugar was at 483. BUT he weighed in at 14.78lbs. That is good at least. But with the sugar being so high, I felt disappointed. And the vet said it is time to make that decision to put him on insulin. He wanted to see Mufasa in 2 weeks, he said we can think about it and do our research. What was bad on my part, I canceled the appointment. (bad mama)

Now, last Monday he followed me down to the basement to talk to me during laundry. When it was quiet and time to go back up, I called for him and he let out a cry from the storage closet. I opened the door and he was squatting in pain. I panicked because I thought he was acting out from us being gone over the weekend. I took him up to his room, put him in his litter box, and he jumped out. So, I thought it must be dirty. I got ready to clean it and he ran to the corner of the room, and squatted again with a cry. I dove across the room with paper towel in my hand and caught it! But to my surprise, the paper towel was bloody. I freaked out and started crying. Hubby came up and said its time to get him his medicine. I spent 3 hours at the emergency vet. BG came in at 489, he had the worse UTI seen in a cat, and couldn't stop peeing blood. I didn't see the other usual doctors, this doctor was new. He explained everything and shown me the charts and the tests. I told him to write me the script for the insulin and needles and I will shop for a good price.

Here is the part you will learn fast about. The vet wrote me for Novolin-N with U-40 needles. To newcomers like you and I, that doesn't seem like anything. Once I joined here and the FB page for this group, I was alerted NOT to use that insulin and that the vet has to be wrong with the needles because Novolin is a U-100 Insulin. So I called the vet back and the doctor called me back after a day. He told me that is what he was giving me because he gives that to all his cats and that is what the practice gives as well and that is the correct needle. I told him about the message board and all the concerns, and he told me to not listen to anyone on these groups. And he was snotty about it. At this point I was so confused and didn't know what to do. Went home and hubby said we should hold off too long on this and that if the doctor is saying this is what he wants us to do, then we do it. I went to bed nervous and agreed to do it the next morning.

When I woke up I had a gut feeling to make sure again and to get Mufasa's records sent to me so that I can have another vet look over them (good advice from my friends here and on the FB page). That evening, while I was doing Mu-Mu's meal prep for the next 2 weeks, my phone rang and I let it go to voicemail. When I finally sat down to a tall glass of wine, I checked it. It was Mufasa's usual doctor calling me to tell me that not to use the U-40 needles with the Novolin and that she does not know what the other doctor was thinking. I tried to call the vet to catch her before she left but she had already gone but they put another doctor on the phone and she was freaked out for me. I told her everything and she assured me to not follow that doctors order and that Dr. Engel (voicemail) was right. Also told me that I should be getting ProZinc with U-40 needles and not the Novolin. We got everything all figured out. Then asked what was I feeding Mufasa and when I told her, she instructed me to get supplements to mix with what I was making him.

So, here we are today. His first shot of insulin was Friday evening before his dinner. I have been tracking his BG levels and we are still working on getting "normal". All the people here will help you with that. They are great, very knowledgeable and very kind. Mufasa gets 1 unit of ProZinc twice a day. When you see the unit size, you will not have sticker shock. My vet sells Prozinc for $119 for a 10ml bottle. But if that lasts 3 months, it is not that bad. I save $$ from making his food, and that money saved can go right to his medicine. I can also say, THANK GOD FOR CARE CREDIT! If you are having trouble balancing the finances, this is good. No one has $250 to drop on one visit to the vet. And that is only with the minor tests. Mufasa's 1st visit was $560, when they ran all the tests they could to find out what was wrong.

Sorry for being so drawn out, but I thought my story could help you. Don't be afraid to ask any type of question, no one will judge you here.
 
She said it is very rare for cats to ever be able to be off of insulin or go in remission. The only way that was a possibility was if I bought the prescription food and even then unlikely.

Funny my vet told me that many cats end up not needing insulin and remission is very possible. Of course some don't and will need insulin for the rest of their lives, as they say every cat is different. She didn't push the prescription food on me, also a big believer in home testing (even gave me a loaner glucometer to use before I got my own). After seeing this I must've gotten lucky with her, I'd definitely look around for another opinion.

Prozinc is $125 in my state and I thought that was a lot. I'm sure the vet is marking up the price quite a bit.
 
Ok so update is Vet was not happy about me not taking there food or that I wanted to hold of a day or two to see how new diet would effect his BG. The insulin they want to use is ProZinc and $190 for a 10ml bottle. I am supposed to go back Wednesday at 5pm to check BG and give him first shot of insulin. She said it is very rare for cats to ever be able to be off of insulin or go in remission. The only way that was a possibility was if I bought the prescription food and even then unlikely. I think I will try and find another vet before Wednesday they did not seem happy about me monitoring at home... Would really like a vet who will work along side me to care for StirFry at home as much as possible. Anyone from Brighton Mi area?
Not true that it's rare for cats to go into remission. True some don't, but cats that are tested at home do often. We usually a new remission on here at least once or twice a month. My cat had been in remission for 10 months after 4 months of insulin.
 
As we speak, with his UTI still working on being cleared up, he is holding steady between 340 - 390
thanks it is comforting to know that others have gone through this and that people are there to help support and answer all my many many questions. Mufasa is blessed to have you taking care of him and double checking what the vet says to make sure it is the right thing for him!!
 
Not true that it's rare for cats to go into remission. True some don't, but cats that are tested at home do often. We usually a new remission on here at least once or twice a month. My cat had been in remission for 10 months after 4 months of insulin.
that is so encoring to here!! I feel we caught it early and with a better diet and reg mont he should have a good chance I pray to go into remission.
So if you do the BG text at reg time and numbers are good you DONT give insulin (give less insulin..)? If you don't do you wait till the next sch shot and text then or do you have to keep monitoring in between shots that day?
 
Just chiming in about cost, $190 for a 10ml vial of Prozinc is robbery! I also got mine for $120. You can get it from Allivet and after shipping about the same price $119-$120. We've had at least 2 other Prozinc members order from there, since I've been around :). You'll need to have U-40 syringes with half unit markings to administer Prozinc.

Once you get started, you might want to think about setting up your Signature with some information about Stirfry. It's also where the Spreadsheet (SS) link will go, very much hoping you are going to home test :smuggrin:. And HERE is information to help understand the SS. Click on the blue words to see instructions for both. If you need help setting up a Spreadsheet, just ask ;)
Lastly, one additional piece of information to read about because it's better to be prepared: http://www.felinediabetes.com/FDMB/threads/how-to-treat-hypos-they-can-kill-print-this-out.15887/
 
Ok so update is Vet was not happy about me not taking there food or that I wanted to hold of a day or two to see how new diet would effect his BG. The insulin they want to use is ProZinc and $190 for a 10ml bottle. I am supposed to go back Wednesday at 5pm to check BG and give him first shot of insulin. She said it is very rare for cats to ever be able to be off of insulin or go in remission. The only way that was a possibility was if I bought the prescription food and even then unlikely. I think I will try and find another vet before Wednesday they did not seem happy about me monitoring at home... Would really like a vet who will work along side me to care for StirFry at home as much as possible. Anyone from Brighton Mi area?
OMG! Even in Canada I paid $125 (in crap Canadian dollars) per 10 mL vial from my vet. Today that's about $98 USD.
 
Just chiming in about cost, $190 for a 10ml vial of Prozinc is robbery! I also got mine for $120. You can get it from Allivet and after shipping about the same price $119-$120. We've had at least 2 other Prozinc members order from there, since I've been around :). You'll need to have U-40 syringes with half unit markings to administer Prozinc.

Once you get started, you might want to think about setting up your Signature with some information about Stirfry. It's also where the Spreadsheet (SS) link will go, very much hoping you are going to home test :smuggrin:. And HERE is information to help understand the SS. Click on the blue words to see instructions for both. If you need help setting up a Spreadsheet, just ask ;)
Lastly, one additional piece of information to read about because it's better to be prepared: http://www.felinediabetes.com/FDMB/threads/how-to-treat-hypos-they-can-kill-print-this-out.15887/
So My Local Costco carries ProZink for $130 (no shipping so works out to be the same as online) only catch my vet won't call in till after my next appt which is fine but feel like she does not trust me to administer before hand (which i won't but still) I found the signature page and downloaded spreadsheet I plan to bring with me so vet can show me in person how to fill out :)
 
So My Local Costco carries ProZink for $130 (no shipping so works out to be the same as online) only catch my vet won't call in till after my next appt which is fine but feel like she does not trust me to administer before hand (which i won't but still) I found the signature page and downloaded spreadsheet I plan to bring with me so vet can show me in person how to fill out :)
Vet may not know about the Spreadsheet as it was designed (I think) for the forum. I linked the instructions for you to understand it as well. You can ask other members too if anything is confusing since most of us use it ;).
 
So My Local Costco carries ProZink for $130 (no shipping so works out to be the same as online) only catch my vet won't call in till after my next appt which is fine but feel like she does not trust me to administer before hand (which i won't but still) I found the signature page and downloaded spreadsheet I plan to bring with me so vet can show me in person how to fill out :)
Amps on the spreadsheet is the test before your morning shot. Pmps is the evening test. The +1,+2, ect is how many hours after the shot was given. We do it by number of hours rather than the times because we are all in different time zones.
 
When you start home testing, don't feed your cat 2 hours prior to your pre-shot test so your reading won't be influenced (higher than it really is) by food. Pre-shot test should be done 10-15 minutes before injection time. Good luck! You are in the right place for help. :)
 
A lot of vets really do not really know much about feline diabetes at the best maybe they know dog's, for the home testing you can argue that Styrfry gets very stressed at vets office so numbers aren't accurate ( which is true for most kitties) and regarding the food what I did is I bought 1 can (only one )of the prescription food, which I of course didn't even tried to give to Babu, and when he asked me I told him Babu had categorically refused to eat it but I had found a comercial which I had researched was low carb, very dietetic and that was the end of discussion since it was better he ate something than had him lose anymore weight, so what I did was that I blamed Babu for not buying any more and didn't really argued with him
 
So My Local Costco carries ProZink for $130 (no shipping so works out to be the same as online) only catch my vet won't call in till after my next appt which is fine but feel like she does not trust me to administer before hand (which i won't but still) I found the signature page and downloaded spreadsheet I plan to bring with me so vet can show me in person how to fill out :)

As Young said he would probably not know how to fill it in unless some other patient is here on the FDMB he probably has his own way of recording the tests results and he may not be happy thinking that on top of not taking his instructions about testing and food you want to impose your own spreadsheet
 
A lot of vets really do not really know much about feline diabetes at the best maybe they know dog's, for the home testing you can argue that Styrfry gets very stressed at vets office so numbers aren't accurate ( which is true for most kitties) and regarding the food what I did is I bought 1 can (only one )of the prescription food, which I of course didn't even tried to give to Babu, and when he asked me I told him Babu had categorically refused to eat it but I had found a comercial which I had researched was low carb, very dietetic and that was the end of discussion since it was better he ate something than had him lose anymore weight, so what I did was that I blamed Babu for not buying any more and didn't really argued with him
What a good Idea I plan to switch vets so I might try that with the new one to avoid at least one argument :) and I will keep my spreadsheet at home!!
 
So have another vet appt tomorrow at 5pm. StirFry BG levels the last few days where
7/16 10pm 367 (3 hours after dinner)
7/17 10:50pm 167 (3 hours after dinner)
7/18 3:30pm 285 (3 hours after dinner)
7/18 10pm 281 (3 hours after dinner)
Still working on spreadsheet, but is numbers seem pretty good. I was thinking I should take a few more days of testing and his new diet to before I put him on insulin. Thoughts?
He has been on Friskies little over 6oz cans ( 9 carbs per can)
I should be getting the fancy feast meal in mail tomorrow that are 4 and 6 carbs per 6oz
Thanks!!
 
That should have been enough time to clear the other food out of his system. Based on the numbers you've seen, I would say it's probably a good idea to start insulin. You'll need to decide two shot times that are 12 hours apart, and that you can hold consistently. Consider regular activities in your life that might interrupt shot time, and try to set it for the times you are least likely to have schedule changes. Then you'll want to get a pre-shot test before any shot. If the test shows a number over 200, then Stirfry needs some insulin. A non-diabetic cat runs between 50-120, with most cats staying between 50-80, so unfortunately, Stirfry is showing some pretty high numbers right now. The sooner you get started, the better chance of getting him regulated.
 
That should have been enough time to clear the other food out of his system. Based on the numbers you've seen, I would say it's probably a good idea to start insulin. You'll need to decide two shot times that are 12 hours apart, and that you can hold consistently. Consider regular activities in your life that might interrupt shot time, and try to set it for the times you are least likely to have schedule changes. Then you'll want to get a pre-shot test before any shot. If the test shows a number over 200, then Stirfry needs some insulin. A non-diabetic cat runs between 50-120, with most cats staying between 50-80, so unfortunately, Stirfry is showing some pretty high numbers right now. The sooner you get started, the better chance of getting him regulated.
Thank you so much for your response I checked out your spreadsheet and I can see now that even though is numbers are lower he is still very high. So if I get a number under 200 then I would hold of giving him another shot for another 12 hours (after texting)?
 
Right now yes. After you have collected more data you can shoot under 200, but at first we recommend caution. That's part of why this group is so great: having people who can help with finding the patterns and sharing their ideas on what will help each kitty since every cat is unique in how they respond, how much insulin they need, what type of dosing is best for them, etc.
 
Right now yes. After you have collected more data you can shoot under 200, but at first we recommend caution. That's part of why this group is so great: having people who can help with finding the patterns and sharing their ideas on what will help each kitty since every cat is unique in how they respond, how much insulin they need, what type of dosing is best for them, etc.
Ok so will master spreadsheet and get him started on insulin tomorrow!!
 
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