So many questions!!!

Taytayandtimmy

Member Since 2019
I have a 12 year old cat named timmy! He was diagnosed with diabetes back in June. So it’s been about 4 months now. And he is on Lantus. He lost a lot of weight since he wasn’t diagnosed for a little while. He was rather over weight to begin with. He’s currently at 13 pounds and finally getting some meat on his bones. He was our family cat for 10 years and when I moved out he came with me. My mom was free feeding him dry food for majority of his life. When he started losing weight I got him an automatic feeder and thought the regulated meals were helping. Then I noticed him drinking tons of water. Then I noticed him peeing outside the litter and I knew something was up . We’ve had a difficult time with the vet telling us many different things, and I feel I’ve had to go to the internet to learn as much as I have about this. He had a few scares where he dropped very very low. They started him out at 1 unit and I wasn’t home testing at this time. I took him in and his levels were still high the following week so they increased him to 2 units. The following week I noticed he seemed very on edge and skiddish so I brought him in again, and keeping in mind he hates the trips to the vet. This time I saw the owner. I had told him I switched him to fancy feast food but he is still getting 1 small snack in the morning of dry food from his automatic feeder, so I can keep sleeping since he likes to wake up around 5 am. The vet told me to cut out the dry and move him up to 3 units. At this time thank god I decided to start home testing. The vet hadn’t even explained the importance to me. They wanted me to keep going in to spend $ on the tests. Shortly after this timmy dropped down to 2 mmol/l. I give his shot around 1030 am and 1030 pm since I work in the evenings. He dropped to 2 mmol/l around 830 pm. I called the vet and they were closed, I called the animal emergency and they couldn’t help me because he’s not a patient there. So I gave the corn syrup and some food and got him up to 5.7 mmol/l. I decided to skip the shot because at this time I was so uneducated and had no clue what to do. The next morning after his shot again dropped scary low so I called the vet in a panick and they told me to drop it down to 2 units again and if his glucose levels read under 12, to skip his shot because she thinks he’s going into remission. I proceeded to do that. So he was mainly getting one shot a day. And this was going fine, just after the skipped shot, by the next one, he was reading higher. Anywhere from 14-18 Me and timmy moved a couple weeks after this so his levels were higher due to stress. But then he started dropping low again. He dropped as low as 1.9 and almost gave me a heart attack. I got on the phone with the vet and again the only one available was a different vet. She tells me it makes no sense why the other vet would say to give the shot if he’s over 12, because then he’s getting 2 units if he’s over 12 and that’s too much. So she says only give his shot if he’s in the 20’s! Timmy goes crazy when his levels are too high. She said to check if he’s showing signs, like urinating frequently and drinking water. But all I’m thinking is of course he will be showing signs if he’s in the 20’s? At this point I’m so fed up with the back and forth phone calls and not being able to get ahold of them then spending a fortune to take him in. So I’ve taken it into my own hands. Timmy is now on 1 unit 2 times a day. And he hasn’t dropped low again in weeks. I’ve gone through so many strips it’s costing me way too much money so I’m testing him 2-3 times a day. Always before his shot and sometimes mid day. Now, lately he’s been reading anywhere between 15 and 9. One night he even read in at 6. He gets half a can at 6 am, no shot. Then at 1030 am he gets 1 full can followed by one unit. Then at 1030 in the evening he gets another full can and 1 unit. I wonder if it’s strongly recommended he’s not on dry at all. Since I have the feeder and he keeps me up from 5 am to 1030 am everyday since we stopped using it, even after his snack he’s still up. So I’d like to use his automatic feeder just for the morning. But it’s ok if not. I’m curious if I should be skipping any shots if he’s under 12 still? I’m curious if he’s getting enough food with 2 and a half cans a day. Or if I should switch to 3 cans. I just have so many questions it can be so overwhelming but he’s my world and I’d give it all for him! I worry so much that he’s gonna drop low when I’m at work. It’s a constant fear of mine. It’s so discouraging to hear the word remission used so many times just for it to not be true.
 
Waving to you from Central Ontario. There are a lot of Canucks here.


I'm on my way out the door. Others will respond to your questions shortly. But quickly, there is no dry food in Canada that is low carb. Fancy Feast Pates and Friskies Pates (only the pates) are low carb. You can freeze a portion of the pate and put it in the feeder set for early morning. Some feeders will also take an ice pack.

Here is the link to the food charts assembled by a vet.
Here is a list of Canadian only food.

Strips are crazy expensive in Canada, but the insulin is crazy cheaper than in the US. More about how to save a bit of money on strips later. I have to dash.

If you could start to set up a signature and a spreadsheet, that would be helpful. We are pretty data driven.
Kudos to you for taking the matter into your own hands. You've saved your cat's life.
 
The vet told me to cut out the dry and move him up to 3 units.

:eek:

He dropped to 2 mmol/l [...]He dropped as low as 1.9 and almost gave me a heart attack.

:eek: :eek:

So she says only give his shot if he’s in the 20’s!

:eek: :eek: :eek:

At this point I’m so fed up with the back and forth phone calls and not being able to get ahold of them then spending a fortune to take him in. So I’ve taken it into my own hands. Timmy is now on 1 unit 2 times a day. And he hasn’t dropped low again in weeks.

:woot: :woot: :woot: :woot: :woot: !!!!

Wow, sounds like you really have been through the ringer dealing with this! So glad you took matters into your own hands and were testing all the way through. You probably saved Timmy's life with that. Pat yourself on the back for that!

A spreadsheet for all your data will be really helpful to us as we try to give advice. Hopefully, we'll be able to find a dosing and feeding strategy that gets Timmy into more stable numbers (at least)-- sounds like you are already well on your way to that.

We have two main dosing strategies for the L+L insulins, "Start Low, Go Slow" (SLGS) and "Tight Regulation" (TR), described in yellow stickies at the top of the forum. We generally change doses in 0.25U increments, so if you have syringes with half-unit markings (there are none with 0.25U markings), that's really helpful.

Welcome!
 
Another welcome Taylor and Timmy from a fellow Canuck in Ontario. All I can say is HOLY COW! What a ride you've been on thanks to the vets all with their very different perspectives and very questionable advice.:nailbiting::nailbiting::nailbiting: So happy you are home testing and taking control of this yourself. As Nan said, you probably saved Timmy's life because you are being proactive. He's a lucky little guy to have you. Most of here, don't consult our vets at all for the diabetes. We use their services if other issues crop up but otherwise, we make the decisions about the insulin dosing/diet/testing etc.

Keep the questions coming. If you have any problems setting up the spreadsheet, just holler. We are very data oriented here and you will soon find that the spreadsheet along with your glucometer will be your best friends..... well along with all of us fellow extra sweet kitty caretakers here! ;)
 
Welcome to the forum Taylor!! Lots of help and support here for you and Timmy!

Hope to see your SS soon! You've been a busy gal with your furbaby! Thankful that you were there to help him...sometimes the vets just don't know enough about FD...you've found the right place... :)
 
Hi again. I see from your signature that you are in Manitoba. That makes you CST, as is @Tucker12

The Contour Next takes a large drop of blood (0.6μl)). If you find you are wasting a lot of strips to get a reading, there are glucometers that need a smaller 0.3μl. FreeStyle Lite is a popular one among the Canadians here.

Strips. Check out prices at Safeway. Some members find it cheaper.
Also, save up those PC Optimum points and use them for buying strips. If you know anyone over 65, through them you can take advantage of Shoppers Drug Mart monthly Seniors Days.

Some people buy strips on ebay. The thing to watch out for is expiry date and shipping cost. Also, you want to buy well in advance in case you run out.

It is a good idea to keep a bottle of strips in your hypo kit, switching it out whenever you buy new strips. The strips have to stay in their original container. There is a preservative in the lid of the container to keep them fresh.

If you live near the border, Walmart has Contour Next strips for US$52.

There is also the Bravo meter. It takes the larger drop of blood (0.6μl). The meter is free with the purchase of strips. The difficulty (other than needing the larger drop of blood) is that you can only get strips online. There is no running to the store to buy any. As you've already seen, you are going to go through a crazy amount of strips. If you get a Bravo meter, you should have at least 300 strips on hand, reordering when you get down to your last 150.
Bravo meter

There are many other glucometers available. Always check the price of the strips and the size of blood droplet needed. It's like buying a printer. The printer is cheap. The ink is where they get ya.

Lantus: you can pick up Lantus at any pharmacy. You do not need to get it from the vet. Shop around. Costco/Safeway/___? A box of 5 vials should be around $120. It will last you at least a year.
btw: a vial of Lantus, if cared for properly and stored in the fridge lasts months. The 28-day shelf life is for humans who do not store an open vial in the fridge.

Insulin syringes. It is best to get syringes with half unit markings. I believe it is the purple and yellow BD Ultra Fine II box.
 
Welcome. I'm glad you decided to take things into your own hands. You'll get lots of help here. Just keep asking questions.
 
Hi and Welcome. We are both in the same time zone in Canada. I have the contour next meter as well--I have been getting a senior family member to buy the 100 strips on senior's day at Shoppers with their optimum card, which here is every Thursday (also bought our most recent box of syringes there as well). With discount, box of 100 contour next strips are usually about 68$ if I am remembering correctly. The meter is nice because it allows you to apply a second sample if the first wasn't big enough. I am however currently looking at changing to the freestyle lite just because it takes only 0.3μl of blood but haven't priced out those strips. Many pharmacies will give you a free meter with a new box of strips--I got a free second one to make sure to have on hand as a backup.

Also, if you have a superstore near you, the PC Extra Meaty pate is also a reasonable low carb food--the fancy feast is good too! If you have an optimum card and the ap on your phone, often I get an offer for 200 points (or 20 cents) back per dollar of food which adds up. I am not sure which type of feeder you have--if it is one that pops or rotates open (the tray spins), I have left cold wet food in mine for Tucker overnight no problem for his early morning snacks. I really found having multiple small meals helped him stay more level through the day and night, instead of 2 main meals.
 
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