Recently diagnosed: Looking for help with questions and concerns

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Tom & Snickers

Member Since 2020
Hello everyone. One of our two cats, Snickers, was diagnosed with diabetes just yesterday. It’s been very upsetting for me and I’m a bit worried about my situation going forward. It’s a lot to take in and I’ve been trying to read everything on this forum, so Snickers can be healthy again. Sorry if this post is a little lengthy, I'm just trying to get feedback on if these concerns are valid and what I should do moving forward. If you're willing to read all of this, thanks in advance. It is greatly appreciated.

For reference, Snickers is 12, almost 13 years old, and currently weighs 14.2 pounds. He used to be around 18 pounds. He's been overweight for a large portion of his life, which is likely why he developed diabetes - a fact that I currently feel very guilty about, but that's not really what I want to discuss today. A few weeks ago Snickers back legs stopped working as well, and we later found out that this was due to neuropathy from diabetes. The only reason we waited so long to see a vet was because that was the quickest we could get an appointment. Luckily, other than that he’s relatively fine and doesn't seem to be in pain, but I’m worried his condition could get worse, which is why I’m attempting to do more research.

Our vet was very brief on what to do to help Snickers, at least compared to the amount of helpful information found on this forum. Essentially he told us to give him insulin once a day, switch to a low-carb, high-protein diet, watch his food intake, and watch out for hypoglycemia. He said he will monitor his progress in a few weeks.

When I later questioned him if we should do at-home BC testing, he told me "cats glucose levels don't fluctuate like dogs, so there's no need to worry about testing at home". I know absolutely zero about veterinary, but after reading all about many people’s personal experiences on this site, this doesn’t seem right to me. I’m not saying I know more than my vet, but I just find his opinion a bit concerning, and I don’t know how to move forward with him if I’m questioning my trust for him. But who knows? Maybe he is right...I guess I just don’t know who to believe. For now, I'm going to err on the side of caution and start home testing him for the time being.

Another thing I’m concerned about is the type of insulin we’re using and the dosage. He prescribed us Vensulin and instructed us to give Snickers 2.0 units once per day. As for the dosage, from what I’m hearing, 2 units seems like a lot to start off with, but that might be because he instructed to only give 1 dosage a day instead of 2. He stated that Vensulin is slow-acting and works all throughout the day, so that might be why?

As for the insulin type, I’ve heard a lot of people on here saying that Vensulin isn’t good for cats? Why is that and how detrimental would giving Vensulin to Snickers be compared to other brands? Should I consider switching?

I just wanted a second opinion on what our vet told us. I really want to err on the side of caution here. This entire experience is very upsetting for me and I don’t want to risk Snickers's condition getting worse. I plan on questioning the vet further regarding this matter, but he hasn't responded to my calls yet.

Unfortunately, if the best scenario ends up being to change insulin, switch to a different vet, etc, it’s going to be a bit of an uphill battle for me because my family already thinks I’m being overly dramatic, cautious, and worried. They do not think that it’s a big deal that he has diabetes. That it was “inevitable” and “his fault for eating too much." I’m 20 and still in college, and while I do have a bit of money saved up, I’m still very much dependent on my family.

My mother won’t even entertain the thought of switching to another brand of insulin, so if it turns out the best option is to switch insulin brands it’s going to be out of my pocket. I can probably afford to pay for insulin for a few months. Worst case scenario I would have to get a part-time job during school. I don't know if I would be able to afford additional expenses, though. I have not done the calculations yet. In summary, nobody in the house takes my concerns very seriously, so I’m going to be on my own in terms of expenses and caring for Snickers outside of the treatment the vet has prescribed him. Even then, I don’t know if I can trust the rest of my family to take the tasks the vet has given us very seriously.

What really worries me is that once school starts again, I would only be able to visit Snickers on the weekends and I really don’t trust my family to be persistent with monitoring Snickers insulin levels. The only way they are going to listen to me is if the vet agrees with me, and even then, going off many past experiences, I doubt they would treat taking care of him that seriously. At least to the extent that I would like them to.
 
When I later questioned him if we should do at-home BC testing, he told me "cats glucose levels don't fluctuate like dogs, so there's no need to worry about testing at home". I know absolutely zero about veterinary, but after reading all about many people’s personal experiences on this site, this doesn’t seem right to me. I’m not saying I know more than my vet, but I just find his opinion a bit concerning, and I don’t know how to move forward with him if I’m questioning my trust for him. But who knows? Maybe he is right...I guess I just don’t know who to believe. For now, I'm going to err on the side of caution and start home testing him for the time being.


It is definitely beneficial to test at home, especially before giving each dose. Cat's levels can absolutely fluctuate! Take a look at my Ducote's spreadsheet if you need proof o_O Testing at home will ensure that you are safe to give that next shot and it is a great way to make sure that your insulin is working.



Another thing I’m concerned about is the type of insulin we’re using and the dosage. He prescribed us Vensulin and instructed us to give Snickers 2.0 units once per day. As for the dosage, from what I’m hearing, 2 units seems like a lot to start off with, but that might be because he instructed to only give 1 dosage a day instead of 2. He stated that Vensulin is slow-acting and works all throughout the day, so that might be why?

As for the insulin type, I’ve heard a lot of people on here saying that Vensulin isn’t good for cats? Why is that and how detrimental would giving Vensulin to Snickers be compared to other brands? Should I consider switching?

I just wanted a second opinion on what our vet told us. I really want to err on the side of caution here. This entire experience is very upsetting for me and I don’t want to risk Snickers's condition getting worse. I plan on questioning the vet further regarding this matter, but he hasn't responded to my calls yet.

Unfortunately, if the best scenario ends up being to change insulin, switch to a different vet, etc, it’s going to be a bit of an uphill battle for me because my family already thinks I’m being overly dramatic, cautious, and worried. They do not think that it’s a big deal that he has diabetes. That it was “inevitable” and “his fault for eating too much." I’m 20 and still in college, and while I do have a bit of money saved up, I’m still very much dependent on my family.


My Ducote was started on Vetsulin and we just switched to Prozinc today. The Vetsulin is definitely not a slow-acting insulin and it does not work throughout the entire day (once again, feel free to check Ducote's spreadsheet for proof). Every cat is different but most cats get big drops from Vetsulin and with my kitty this caused lots of bouncing back into high numbers constantly. Vetsulin normally hits it's peak around 4-6 hours then it kind of wears off. Because of it wearing off and not lasting all day, Vetsulin is supposed to be given twice a day and 12 hours apart.

I decided to make the switch to Prozinc because his numbers were just never right. He was staying high all of the time and I needed to try something different. I bought the Vetsulin and syringes from my vet ($58 for insulin and $18 for syringes). I ordered the new insulin and syringes from Chewy.com. They offer free shipping and I had a promo code so my total was $101. I only paid a $25 difference and if it works better than the Vetsulin that would be a steal :)
 
WELCOME TO FDMB We are so glad you found us!!! First of all your Vet is 100% wrong. Home testing blood glucose levels is the ONLY way to keep Snickers safe. I never heard of such a statement as fluctuating bgs dont happen with cats wth??? My guess is your vet hasnt had many diabetic cats. Dogs maybe but not cats.

You are in a sticky situation with your family. Diabetes isnt a death sentence but it HAS to be monitored closely. I dont know how you will be able to do this but you arent the first. Lets see what others have to say ok?

As you probably already know, theres a wealth of information here with folks that eat, live and breathe diabetes. They will help you decipher all the information found here. I SURE hope we can convince your family to take an interest.

jeanne
 
Hi and welcome!!

I’m sorry this is being harder for you than it needs to be. I’ll first say that I don’t think your vet is experienced with feline diabetes. First because he prescribed your cat an insulin made for dogs as you already know. Second because he told you to give insulin only once a day and that’s just not how insulin works. Third because he told you cats level don’t fluctuate and that’s my just be the most absurd thins I’ve ever heard a vet say. Take a peak at my spreadsheet (link on my signature) and you’ll see just how much Minnie’s levels fluctuate throughout the day and week to week. At the end of the day, you’ll actually be saving money by monitoring your cat’s levels at home because you won’t be paying for the vet visits. It’s an initial investment of about $40 at Walmart for meter, strips and lancets. I do suggest switching to an insulin like prozync or Lantus that’s better for cats and the good news is we all here order from Mark’s Pharmacy in Canada and it’s about a 1/3 of the us price $150 will get you 5 pens of Lantus that can well last over a year.

the issue with your family reminds me of another post we had recently with a similar situation and being away in school. That is going to be a tough one because you need someone to be the caretaker, monitor, give insulin, check for hypo accidents. Is there one family member that might be more willing to help you?

and yes as JT said, once the diabetes is regulate your cat will be healthy again. Many cats live many years after diagnosis even without remission. Also for eh neuropathy, b12 methyl really works to help them recover faster but not until the diabetes is under control. We can give you more info on that later :cat:
 
Hi! So I am a newer member and am no way qualified to give advice but can tell you that people here are amazing and will help you as they help me almost daily! Until you get some responses though I will get you started because I definitely understand your overwhelm-it is ALOT to process and figure out but the fact that you care so much is of great benefit to you and your kitty (: So again-not qualified to give advice-but what I wish I had been able to process/understand when we were first diagnosed was:

1) changing diet to canned is essential (and in fact has almost lead my kitty to remission) I was so overwhelmed by the 60 plus pages of AWESOME cat food info that it took me too long to start that so I encourage you to read that to make dietary decisions but to give you a quick "cheat sheet" version of what you can reasonably get anywhere affordably to get you started and not have you crying in the cat food isle is FANCY FEAST CLASSIC OR PATE (my cats prefer chicken and beef) they are only 3% carbs

2) Testing is vital, especially as you change diets because the need for insulin will change and too much could induce hypoglycemic episodes-my vet did not tell me this, members here did thank God!!! I set up my spreadsheet and they reviewed it and helped me adjust doses, I firmly believe my cat would be very ill or dead if I had not been testing and following advice here-my biggest regret is blindly following my vets advice (or lack of) the first month while I was processing/absorbing all the information online-I was severely overdosing because I wasnt testing at first!

3) regarding insulin wait for someone else to advise, but I can tell you that I started off on vetsulin once a day also, and again it is one of my regrets that I didnt learn sooner that is not the ideal insulin for cats, nor is once a day so I switched after the first month which in itself created alot of confusion/challenges as consistency is key-others can help you weigh the importance and I definitely understand the financial strain so I would encourage you to call/ask your vet or other local vets if there are any donated diabetes supplies/insulin you could have (I just donated my brand new bottle and many pet owners whose babies have passed give back to the vet for this reason also) and/or ask your vet if you can return the vetsulin since it is not the AAHA recommended insulin for cats, also there is a link on this site and on local neighborhood apps usually about people selling/donating supplies

4) it is alot, but you've got this! start by reading/posting on here as much as you can, switching food, testing, and waiting to be advised on insulin (:
 
He used to be around 18 pounds. He's been overweight for a large portion of his life, which is likely why he developed diabetes
Weight is only one of a number of issues. Don't feel guilty.

A few weeks ago Snickers back legs stopped working as well, and we later found out that this was due to neuropathy from diabetes
Neuropathy can be worked on. A B12 (methylcobalamin, not cyanocobalamin) supplement can be given with food.

He prescribed us Vensulin and instructed us to give Snickers 2.0 units once per day. As for the dosage, from what I’m hearing, 2 units seems like a lot to start off with, but that might be because he instructed to only give 1 dosage a day instead of 2. He stated that Vensulin is slow-acting and works all throughout the day, so that might be why?
In dogs, vetsulin is usually given once a day. It is an insulin developed for dogs, also called caninsulin (canine). But cats are not dogs and metabolize insulin differently.
Yes, 2 units is a high starting dose. The general protocol is to start with 1 unit twice a day. For the sake of the cat, I strongly suggest that you switch to 1 unit twice a day.

I’ve heard a lot of people on here saying that Vensulin isn’t good for cats?
As I just said, Vetsulin was developed for dogs. For cats, it is a harsh insulin and can drop a cat fast and hard at the beginning of the cycle. Not only does it not last 24 hours, it lasts 8 hours if you are lucky. So basically, the cat takes a ride on a hormonal rollercoaster twice a day. A few cats respond well to vetsulin, most do not.

There are gentler insulins out there. If you are in the US, you can order Lantus from Canada much cheaper than you can get vetsulin from your vet. A box of lantus ($160US + $25US shipping – quite a few of the people here buy insulin from this company – very reptutable) will last months and months and months. Also, Lantus comes up in our Supply Closet from time to time.

I really don’t trust my family to be persistent with monitoring Snickers insulin levels.
The most important thing you need your family to do is learn how to test. That is how the dosage is fine-tuned and it is how you keep a cat safe. Your question to your parents is "would you give insulin to a child without testing first?" As simple as that and as soon as possible if the cat is getting a starting dose of 2 units.

Yes, your family does need a new vet. You can call around and ask clinics how they handle diabetic cats.
This link is what you should ask:
Your vet is seriously out of date and out of a few other things as well. If your family refuses to find a new vet, you have done some of the research and are gaining a wealth of information that you did not have before. Do some more reading, then talk to the vet. Maybe the vet will be willing to work with you.

Here are recent veterinary guidelines for diabetes.
Keep asking questions and we'll answer them as best we can. Feline diabetes is a steep learning curve. You'll be an expert in no time. And thank you for looking out for your little one.
 
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Hello everyone. One of our two cats, Snickers, was diagnosed with diabetes just yesterday. It’s been very upsetting for me and I’m a bit worried about my situation going forward. It’s a lot to take in and I’ve been trying to read everything on this forum, so Snickers can be healthy again. Sorry if this post is a little lengthy, I'm just trying to get feedback on if these concerns are valid and what I should do moving forward. If you're willing to read all of this, thanks in advance. It is greatly appreciated.

For reference, Snickers is 12, almost 13 years old, and currently weighs 14.2 pounds. He used to be around 18 pounds. He's been overweight for a large portion of his life, which is likely why he developed diabetes - a fact that I currently feel very guilty about, but that's not really what I want to discuss today. A few weeks ago Snickers back legs stopped working as well, and we later found out that this was due to neuropathy from diabetes. The only reason we waited so long to see a vet was because that was the quickest we could get an appointment. Luckily, other than that he’s relatively fine and doesn't seem to be in pain, but I’m worried his condition could get worse, which is why I’m attempting to do more research.

Our vet was very brief on what to do to help Snickers, at least compared to the amount of helpful information found on this forum. Essentially he told us to give him insulin once a day, switch to a low-carb, high-protein diet, watch his food intake, and watch out for hypoglycemia. He said he will monitor his progress in a few weeks.

When I later questioned him if we should do at-home BC testing, he told me "cats glucose levels don't fluctuate like dogs, so there's no need to worry about testing at home". I know absolutely zero about veterinary, but after reading all about many people’s personal experiences on this site, this doesn’t seem right to me. I’m not saying I know more than my vet, but I just find his opinion a bit concerning, and I don’t know how to move forward with him if I’m questioning my trust for him. But who knows? Maybe he is right...I guess I just don’t know who to believe. For now, I'm going to err on the side of caution and start home testing him for the time being.

Another thing I’m concerned about is the type of insulin we’re using and the dosage. He prescribed us Vensulin and instructed us to give Snickers 2.0 units once per day. As for the dosage, from what I’m hearing, 2 units seems like a lot to start off with, but that might be because he instructed to only give 1 dosage a day instead of 2. He stated that Vensulin is slow-acting and works all throughout the day, so that might be why?

As for the insulin type, I’ve heard a lot of people on here saying that Vensulin isn’t good for cats? Why is that and how detrimental would giving Vensulin to Snickers be compared to other brands? Should I consider switching?

I just wanted a second opinion on what our vet told us. I really want to err on the side of caution here. This entire experience is very upsetting for me and I don’t want to risk Snickers's condition getting worse. I plan on questioning the vet further regarding this matter, but he hasn't responded to my calls yet.

Unfortunately, if the best scenario ends up being to change insulin, switch to a different vet, etc, it’s going to be a bit of an uphill battle for me because my family already thinks I’m being overly dramatic, cautious, and worried. They do not think that it’s a big deal that he has diabetes. That it was “inevitable” and “his fault for eating too much." I’m 20 and still in college, and while I do have a bit of money saved up, I’m still very much dependent on my family.

My mother won’t even entertain the thought of switching to another brand of insulin, so if it turns out the best option is to switch insulin brands it’s going to be out of my pocket. I can probably afford to pay for insulin for a few months. Worst case scenario I would have to get a part-time job during school. I don't know if I would be able to afford additional expenses, though. I have not done the calculations yet. In summary, nobody in the house takes my concerns very seriously, so I’m going to be on my own in terms of expenses and caring for Snickers outside of the treatment the vet has prescribed him. Even then, I don’t know if I can trust the rest of my family to take the tasks the vet has given us very seriously.

What really worries me is that once school starts again, I would only be able to visit Snickers on the weekends and I really don’t trust my family to be persistent with monitoring Snickers insulin levels. The only way they are going to listen to me is if the vet agrees with me, and even then, going off many past experiences, I doubt they would treat taking care of him that seriously. At least to the extent that I would like them to.
First let me say my brothers cat was 25 lbs and Never had diabetes My cat was 8 lbs and had diabetes so please it is not your fault or your cats .
Why you Vet would tell you cats levels do not fluctuate is beyond me . I had the Freestyle Libre meter ( a system my cat wore on her put on by her Vet ) which tracked her BG levels Every every 15 minutes . I would check her levels all times of the day please feel free to see my chart also . Dusty was on Lantus Twice a day . When she was diagnosed I was overwhelmed . This forum helped me so much even if just being there for support .
As mentioned food choice is important. Most use Fancy Feast You want to stay low carbohydrate. Can I ask when do you go back to school ?
 
First let me say my brothers cat was 25 lbs and Never had diabetes My cat was 8 lbs and had diabetes so please it is not your fault or your cats .
Why you Vet would tell you cats levels do not fluctuate is beyond me . I had the Freestyle Libre meter ( a system my cat wore on her put on by her Vet ) which tracked her BG levels Every every 15 minutes . I would check her levels all times of the day please feel free to see my chart also . Dusty was on Lantus Twice a day . When she was diagnosed I was overwhelmed . This forum helped me so much even if just being there for support .
As mentioned food choice is important. Most use Fancy Feast You want to stay low carbohydrate. Can I ask when do you go back to school ?

I go back at the end of August. My school might do online if COVID is still bad enough. I should get news on their decision in early July. I'm crossing my fingers that it's online so I can be home with Snickers for the semester.
 
Completely agree. I've tried to explain it to them so many times, but they refuse to understand. It's very frustrating.
I can understand your frustration it is Not Snickers fault at all not to mention there are many overweight cat that are not diabetic. I went through quilt because I fed my cat dry food most of her life . I also went through people telling me “ It’s just a cat “ Ahggggg Dusty was Never just a cat to me she was a family member and it may sound crazy but a Friend too .
Good thing she couldn’t speak human language she knew too much ( Laughing )
 
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