My cat is a year and a half old and was diagnosed with diabetes the first week of January. He has been on Lantus 3 units BID for the past month and his fructosamine bloodwork came in today at 590. I'm absolutely frustrated because last month when he was on 2 units his fructosamine came back at 500, so I was sure we were getting close to his "golden" dose. When he was on 1 unit, his fructosamine was around 520.
He has been seeing an internal medicine specialist at UC Davis and we were just recently told that it may be impossible to get him into remission because of how insulin resistant his body acts. We have tried so many things... Freestyle libre sensor would only last about 6 days (we had the sensor reapplied many times) and his glucose levels never dipped below 430, he would still urinate large amounts on Vetsulin (my vet informed me that this is because it is a short-lasting insulin), and his body would not respond at all to the Toujeo insulin pen (so we switched to Lantus with U-100 syringes).
Doing glucose curves on him at home or at the vet is out of the question because of how aggressive he is. I used to work as a veterinary technician and he is, honestly, the worst patient I have ever had. I have to give him gabapentin in order to even take him to get his blood drawn for the fructosamine.
Honestly, it seems like he has been doing great on the Lantus 3 units BID. He was always stuck around 9-10 lbs and yesterday he was weighed at close to 12 lbs.
Has anyone had to deal with such a frustrating situation? I'm wondering if anyone here has ever just ignored bloodwork results completely and to just focus on their clinical symptoms/behavior at home for finding their correct dosage.
He has been seeing an internal medicine specialist at UC Davis and we were just recently told that it may be impossible to get him into remission because of how insulin resistant his body acts. We have tried so many things... Freestyle libre sensor would only last about 6 days (we had the sensor reapplied many times) and his glucose levels never dipped below 430, he would still urinate large amounts on Vetsulin (my vet informed me that this is because it is a short-lasting insulin), and his body would not respond at all to the Toujeo insulin pen (so we switched to Lantus with U-100 syringes).
Doing glucose curves on him at home or at the vet is out of the question because of how aggressive he is. I used to work as a veterinary technician and he is, honestly, the worst patient I have ever had. I have to give him gabapentin in order to even take him to get his blood drawn for the fructosamine.
Honestly, it seems like he has been doing great on the Lantus 3 units BID. He was always stuck around 9-10 lbs and yesterday he was weighed at close to 12 lbs.
Has anyone had to deal with such a frustrating situation? I'm wondering if anyone here has ever just ignored bloodwork results completely and to just focus on their clinical symptoms/behavior at home for finding their correct dosage.
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