New member needing advice

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Suzanne Ullrich

Member Since 2020
Hi! My name is Suzanne and my cat, Rocky, was diagnosed a month ago. Ricky is 14 years old and weighs 17 lbs. We are not yet able to stabilize him on Lantus. His blood sugar numbers are consistently 650-750 no matter when in his cycle he is tested. I use an AlphaTrak 2 glucometer; same one our vet uses. Our vet has been helping us gradually increase Ricky’s dose. He is now on 5 units given twice a day at 7:30 AM and 7:30 PM. Rocky is behaving normally, eating normally, walking normally. He is still drinking more water than normal cats. None of this has changed since he started on insulin. He is eating exclusively DM diabetic diet food. He is a dry cat food eater but does eat a little of the wet food as well.
Questions: Should I ask the vet about changing the dosing schedule or trying a different insulin? Do I need to seek a specialist consult?
Thank you for any advice you can offer. Suzanne and Rocky
 
Hi Suzanne, Is your cats name Rocky or Ricky?
You spelled it both ways in your post. Bet you were very nervous. That's ok. We help a lot of diabetic cats and their nervous and stressed caregivers here.

How were the insulin doses increased? In full 1 Unit increments or slower?
We recommend 0.25U or maybe 0.5U increases/decreases in the insulin dose.
What was the diagnosis date?

Sticky: New? How You Can Help Us Help You!

If you could read the above document and put some information in your signature, that will help us help you better.

p.s. How did you find us?
 
Hi Suzanne, Is your cats name Rocky or Ricky?
You spelled it both ways in your post. Bet you were very nervous. That's ok. We help a lot of diabetic cats and their nervous and stressed caregivers here.

How were the insulin doses increased? In full 1 Unit increments or slower?
We recommend 0.25U or maybe 0.5U increases/decreases in the insulin dose.
What was the diagnosis date?

Sticky: New? How You Can Help Us Help You!

If you could read the above document and put some information in your signature, that will help us help you better.

p.s. How did you find us?

Thank you for responding. Cat’s name is Rocky. He was diagnosed on January 22 this year. His first dose was 2 units every twelve hours. Dose was increased to 3 units twice a day after 3 days, to 4 units a day 5 days later and to his current 5 units twice a day one week ago. He was kept in the hospital for one day when he was at 3 units twice a day. The vets were able to get his blood sugar down to 264 by giving him a 2 unit booster halfway between his daily shots. They did not advise us to do this at home. Not sure why since it is the only thing so far that has lowered his blood sugar. I found this website through internet search for information on feline diabetes dosages. Search engine was BING. I am waiting for a call back from our vet. I really appreciate being able to communicate on this forum. Thank you!!
 
Started on Lantus insulin.
1/22/20 2U every 12 hours
1/25/20 3U every 12 hours
2U booster given of lantus, at vet clinic BG down to 264
1/30/20 4U every 12 hours
2/11/20 5U every 12 hours

Eating dry food only. Purina DM dry (dry food addict)
Insulin is lantus.

Do I have that correct Suzanne?
 
Last edited:
It is recommended that you don't start at more than 1 unit if eating dry food. Increases should be at .5 units. 3 days between increases is too short.It takes time to build up the deposit of insulin in your cat. Please read up on the procedure for using Lantus in the Lantus forum. Also read up on what to do in case of a hypo. There are some wonderful people who will help you out in the Lantus forum. Just post Rocky's story and ask your questions.

Try to wean Rocky off all dry food as they are all too high in carbs, including the so called prescription cat food.
 
Started on Lantus insulin.
1/22/20 2U every 12 hours
1/25/20 3U every 12 hours
2U booster given of unknown insulin type, at vet clinic BG down to 264
1/30/20 4U every 12 hours
2/11/20 5U every 12 hours

Eating dry food only. Purina DM dry (dry food addict)
Insulin is lantus.

Do I have that correct Suzanne?
 
Ok Suzanne, you only quoted my post.
Did not see any sort of new post from you.
Please try posting again.
Simply type what you want to say in the text box at the bottom of the screen.
 

Yes, the dosage info is all correct. The booster he received at the vet was 2units Lantus.

He does eat 1-2 tablespoons a day of the DM diabetic canned food per day, but prefers dry food. He usually will not eat any canned food at all so I’m glad he is at least willing to eat some of the diabetic canned food.

I forgot to say... 3 months before his diagnosis, he weighed 20 lbs. At the time of diagnosis 1/22 he weighed 13 lbs even though his eating habits had not changed. Now he has regained weight to 18 lbs. He is a big cat and his vet has always said his ideal weight should be 14-15 lbs.

Thank you!
 
Gaining 5 pounds in less than 1 month is a Huge weight gain.

Is there some other medical condition going on with Rocky?

10 units of Lantus is a lot of insulin for a 24 hour period of time.
 
Gaining 5 pounds in less than 1 month is a Huge weight gain.

Is there some other medical condition going on with Rocky?

10 units of Lantus is a lot of insulin for a 24 hour period of time.


Gaining 5 pounds in less than 1 month is a Huge weight gain.

Is there some other medical condition going on with Rocky?

10 units of Lantus is a lot of insulin for a 24 hour period of time.
 

I am not aware of other medical problems. The vet has done bloodwork twice in the past month since diagnosis and says there is nothing else evident except the diabetes. The vet also did an X-ray and all looked normal

Rocky has a history of cancer five years ago in his left front leg. It was caused by the injection site used for his early young cat vaccinations. It was discovered because he broke his leg and xrays showed the bone in his leg significantly affected by cancer. The break was caused by the bone deterioration weakness in the leg which we didn’t know was there. He was referred to a specialty vet hospital and his left leg and part of his shoulder were amputated. We were told 95% of cats who have this type of cancer have the cancer recur within a year and that if a cat survives for a year, it is almost certain the cancer will not return. We tried prophylactic chemo for a couple of weeks but it made him so sick and miserable we chose to discontinue it and the surgeon concurred. Five years later, Rocky is still cancer free. Bloodwork and xrays confirm this. So, he is a survivor and a brave kitty who has been through a lot. He is a rescue cat, adopted at age 2 from the Humane Society and he had been abused by his previous owner. He is a beautiful orange tabby ginger cat with extra toes. He is sweet and loving. I am worried and determined to do the best I can to help him be healthy and happy.
 
Suzanne. Try to only type what you want to say in the text box below the post.
When you quote someone's post, you need to type what you want to reply Outside of the quoted text. You should see the word [/QUOTE] at the end of what you have quoted.

You then start typing after that last ] mark to say what you want to say. Sorry this is so frustrating for you, Learning how to reply correctly here.

By clicking on the Reply button in the lower right hand corner of the thread, you have only quoted my post.
This thread from the Announcements & How to Use the FDMB forum will help you to navigate within the FDMB message board.
Sticky HOW-TO USE THE FDMB: The Basics
 
See above reply to you. Post #13. We may have posted at exactly the same time. You may not have seen what I said.
He is a beautiful orange tabby ginger cat with extra toes. He is sweet and loving. I am worried and determined to do the best I can to help him be healthy and happy.
Worried is normal. Determined is excellent.
 
Hi Suzanne and welcome to you and super sweet Rocky. There are a couple of secondary endocrine conditions cats can get that mean they need higher insulin doses. My girl had a couple of them, acromegaly (benign pituitary tumour which sends out excess growth hormone) and insulin autoantibodies or IAA (think of it like a allergy to the injected insulin). However, before we consider whether a cat has either of those conditions, it's very important that they be on low carb food. Rocky is eating high carb food. We had one cat on 5.5 units and just snacking on dry unknown to his momma, she removed the dry and two scary sleepless days later he was in remission. I wouldn't normally mention the other endocrine conditions this early, but gaining weight in spite of being in high blood sugar numbers can be an indication or excess growth hormone.

Dry food is not ideal for any cat, much less a diabetic. What food have you tried for Rocky? Here are some tips for Transitioning a Dry Food Addict. Have you tried either freeze dried raw or air dried (Ziwipeak). Both are low carb options. Other options if you are in the US, is Dr. Elsey's clean protein chicken, or Young Again.

How are Rocky's teeth? Any dental needed? Infection/inflammation can also cause higher numbers.

And lastly, are you testing for urinary ketones. That's very important when they are in high numbers.
The vets were able to get his blood sugar down to 264 by giving him a 2 unit booster halfway between his daily shots
Do you know what type of insulin the booster was?
 
Ok Suzanne, you only quoted my post.
Did not see any sort of new post from you.
Please try posting again.
Simply type what you want to say in the text box at the bottom of the screen.

Sorry about the posting errors. I hope I’ve got it right now. Thank you to all who have replied. I will ask the vet about endocrine conditions and the other suggestions you made, Wendy and Neko. Rocky’s teeth have been checked by the same vet who says they are ok. I am beginning to think I need to request a specialty referral to the clinic/hospital that did his cancer surgery. They have a staff of excellent specialist vets and even though they are 40 miles away it would be worth the trip. The specialty clinic only sees patients who have been referred by a vet, so our vet would need to refer Rocky.
Both the wet and dry food Rocky is eating are Purina DM Veterinary Diabetic diet and are high protein. They require a prescription and our vet prescribed them. Are you thinking this might not be the right food to give him?

I have not checked for urinary ketones but I will. I have two grandsons who are Type I diabetics and I’ve done it with them. I have read about how to do it with cats.

Still waiting for the vet to return my call. I have lots of questions for him thanks to all of you. Thank you so much!
 
Both the wet and dry food Rocky is eating are Purina DM Veterinary Diabetic diet and are high protein. They require a prescription and our vet prescribed them. Are you thinking this might not be the right food to give him?
There is nothing special about these foods that makes them any better for diabetics than commercially available low carb food. Note that they are dietitic management, not diabetic management. They are high cost and ingredients aren't the greatest. The dry has soy and corn gluten meal and poultry by products, meaning, no protein muscle meat. The majority of cat here do fine on commercially available low carb food or home made.
 
Are you thinking this might not be the right food to give him?

No...the kibble is too high in carbs for a diabetic cat and although the pate style of DM is low enough, the ingredients aren't anything special either.

Most of us feed our own cats Fancy Feast Classics, Friskies pates or 9-Lives ground which are all under 10% carbs, easy to find and a lot more affordable.

There's a great website written by a vet with a special interest in Feline Nutrition that has lots of great advice, including a food chart that lists many brands/flavors of foods and their nutritional breakdown.

This is one of my favorite parts (From the page on "Prescription Diets")

‘Prescription Diet’ trademark – marketing tool creates false perception

As an example of the serious lack of regulatory oversight, Hill’s secured trademark status for the term “prescription diet” in 1990 thus reinforcing the perception that, like prescription medications, their diets are subject to intense scrutiny and testing. However, nothing could be further from the truth.

There is a strong argument to be made that no trademark protection should be granted for any marketing label containing the word “prescription” given the strong potential to seduce the buyers of these products into a false sense of security growing out of the assumption that anything labeled “prescription” has been put through multiple layers of regulatory and testing paces.

If any product – including food – is allowed to carry a “prescription” label, it needs to be held to the same standards as a prescription medication. Otherwise, the word “prescription” becomes no more than a marketing label, and as such, should hold no more credibility than any other marketing slogan.

To quote the FDA/CVM Communications Staff Deputy Director:

“‘Prescription diet’ is an industry-coined term and holds no legal meaning.”

In other words, these diets contain no ingredient that actually requires a prescription. The trademarked term “prescription diet” is simply a clever marketing tool between Hill’s and veterinarians. The sale of these diets is restricted (by Hill’s, not by law) to veterinarians only. In return, Hill’s enjoys a boost in perception of quality brought about by this profession’s endorsement of their products. However, this perception of quality is undeserved and this incestuous relationship jeopardizes the integrity of our profession.
 
There is nothing special about these foods that makes them any better for diabetics than commercially available low carb food. Note that they are dietitic management, not diabetic management. They are high cost and ingredients aren't the greatest. The dry has soy and corn gluten meal and poultry by products, meaning, no protein muscle meat. The majority of cat here do fine on commercially available low carb food or home made.
Thank you, Wendy!
 
No...the kibble is too high in carbs for a diabetic cat and although the pate style of DM is low enough, the ingredients aren't anything special either.

Most of us feed our own cats Fancy Feast Classics, Friskies pates or 9-Lives ground which are all under 10% carbs, easy to find and a lot more affordable.

There's a great website written by a vet with a special interest in Feline Nutrition that has lots of great advice, including a food chart that lists many brands/flavors of foods and their nutritional breakdown.

This is one of my favorite parts (From the page on "Prescription Diets")

‘Prescription Diet’ trademark – marketing tool creates false perception

As an example of the serious lack of regulatory oversight, Hill’s secured trademark status for the term “prescription diet” in 1990 thus reinforcing the perception that, like prescription medications, their diets are subject to intense scrutiny and testing. However, nothing could be further from the truth.

There is a strong argument to be made that no trademark protection should be granted for any marketing label containing the word “prescription” given the strong potential to seduce the buyers of these products into a false sense of security growing out of the assumption that anything labeled “prescription” has been put through multiple layers of regulatory and testing paces.

If any product – including food – is allowed to carry a “prescription” label, it needs to be held to the same standards as a prescription medication. Otherwise, the word “prescription” becomes no more than a marketing label, and as such, should hold no more credibility than any other marketing slogan.

To quote the FDA/CVM Communications Staff Deputy Director:

“‘Prescription diet’ is an industry-coined term and holds no legal meaning.”

In other words, these diets contain no ingredient that actually requires a prescription. The trademarked term “prescription diet” is simply a clever marketing tool between Hill’s and veterinarians. The sale of these diets is restricted (by Hill’s, not by law) to veterinarians only. In return, Hill’s enjoys a boost in perception of quality brought about by this profession’s endorsement of their products. However, this perception of quality is undeserved and this incestuous relationship jeopardizes the integrity of our profession.
Thank you, Chris and China,
I’m glad to know about the food issues. Ricky loves Fancy Feast so we will go back to that. Thank you!!
 
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