New member - 10 year old deaf cat

Status
Not open for further replies.

Shannon and Stella

Member Since 2020
Hello! My name is Shannon, and I am so grateful to be a part of this community. My 10-year-old cat Stella (female) was diagnosed with diabetes earlier this month after a bad UTI in October, and she just started insulin (Lantus) last week.

Things are going pretty well so far. My grandparents had a diabetic cat when I was growing up, so the idea of giving Stella insulin injections wasn't nearly as scary as it might have been. Stella has been eating increasing amounts of low-carb wet food for the last several months; even before her diabetes diagnosis, I was looking for foods that would be easier for her to eat, given her past dental problems (teeth removed for tooth resorption), and she has done very well with TikiCat Velvet Mousse. I am currently in the process of completely transitioning her off of kibble (Instinct).

My biggest worry is home glucose testing. The vet currently has Stella using a Freestyle Libre continuous glucose monitor to track how her body is responding to insulin, especially in the initial phase. It's a great short-term tool - it keeps a chart of the user's glucose level, and you just hold up your phone to the monitor to get a current reading - but it's not suited for long-term use; even on people, the monitor is only designed to last 2 weeks, and it doesn't seem to last that long on a cat.

I intend to start home testing, but there is a complicating factor: Stella is congenitally deaf, and she does not like having her ears messed with. She lets me clean her ears periodically, and she is in most respects a very tolerant cat, so I am cautiously optimistic that with patience and practice we will both get the hang of home testing. But I wondered if anyone had prior experience doing home testing on a deaf cat or cat who is particularly sensitive to having his/her ears handled? Any advice would be very helpful! Any recommendations on glucose monitors would also be appreciated. It sounds like a lot of people use ReliOn, and that's what I've been looking at.

Thanks in advance!
 
Welcome to you. You have come to the best place for diabetic cats. Max was not deaf at diagnosis but became so his last year. He was fine with testing. Some people test using the paw but that never would have worked for him. Did your vet say if Stella had ketones present? Do you know what her blood glucose was at diagnosis? What dose of Lantus are you giving?

We have a spreadsheet we use here to track the bg and are very data oriented so let us know if you are willing to get one started. It’s very user friendly once set up. You plug in the numbers, date, and dose and it does the rest.

It’s great that you are switching to low carb food. That can make a huge difference.
 
WELCOME TO FDMB Shannon and your extra sweet Stella! If you click on this link it wll take you to a page that will help you help us whenever someone encounters everything Stella!
New? How You Can Help Us Help You!

Read carefully and you will find the section regarding "Profiles ans Signatures"
Your signature will appear at the bottom of ALL your posts. It will give everyone an at a glance knowledge of all Stella's particulars. This will speed up any assessment needed. Trust me it will serve you going forward.
Read on and theres a link for spreadsheets. Please load this as well. Your spreadsheet is the best tool you will have in tracking just how insulin works in Stella's body. IF you have ANY problems with the spreadsheet we have GOOD people that will help you getting his life saving measure done.

The only thing left for me to say is

WELCOME TO OUR FAMILY:bighug:

Youve landed in a safe place to learn everything you need to know about feline diabetes and beyond!;)
We look forward to getting to know you both.

jeanne:coffee:
 
WELCOME TO FDMB Shannon and your extra sweet Stella! If you click on this link it wll take you to a page that will help you help us whenever someone encounters everything Stella!
New? How You Can Help Us Help You!

Read carefully and you will find the section regarding "Profiles ans Signatures"
Your signature will appear at the bottom of ALL your posts. It will give everyone an at a glance knowledge of all Stella's particulars. This will speed up any assessment needed. Trust me it will serve you going forward.
Read on and theres a link for spreadsheets. Please load this as well. Your spreadsheet is the best tool you will have in tracking just how insulin works in Stella's body. IF you have ANY problems with the spreadsheet we have GOOD people that will help you getting his life saving measure done.

The only thing left for me to say is

WELCOME TO OUR FAMILY:bighug:

Youve landed in a safe place to learn everything you need to know about feline diabetes and beyond!;)
We look forward to getting to know you both.

jeanne:coffee:

Thank you, Jeanne! I have set up my signature and created Stella's spreadsheet. :)
 
One thing you can try doing is conditioning Stella to let you handle her ears for testing. Pick a place where you plan to test her. Gently start touching and massaging her ears and reward her with low carb treats. A good treat is freeze dried chicken. Even if you are not successful at first, soon she will associate you handling her ears with something good, getting treats. Do it a few times a day so she gets used to it.
 
Welcome to you. You have come to the best place for diabetic cats. Max was not deaf at diagnosis but became so his last year. He was fine with testing. Some people test using the paw but that never would have worked for him. Did your vet say if Stella had ketones present? Do you know what her blood glucose was at diagnosis? What dose of Lantus are you giving?

We have a spreadsheet we use here to track the bg and are very data oriented so let us know if you are willing to get one started. It’s very user friendly once set up. You plug in the numbers, date, and dose and it does the rest.

It’s great that you are switching to low carb food. That can make a huge difference.
Thanks for the reassurance! I got a glucometer (ReliOn Prime) on Sunday and was able to test Stella's glucose on the very first try, which was a huge but pleasant surprise. She has been a trooper the last couple of days as I have been doing frequent tests to track her glucose throughout the day. I tried her paw once, but the ears seem to work better. I've created her spreadsheet and started filling it in.

Stella's glucose was between 300 and 400 at the time of diagnosis. I'm pretty sure the vet tested for ketones and said there weren't any, but I'd have to confirm. Stella is currently getting 0.5 unit of Lantus twice a day.

Now that the anxiety of home glucose monitoring has been largely resolved, my biggest concern (after making sure her blood glucose doesn't get too low) is Stella's weight. She's lost more than half a pound since June (weighed 8.39 lbs at the vet on June 11 and 7.86 lbs at the vet on October 29). I just got a scale to monitor her weight at home, and I'm hoping that once her insulin is regulated she will start putting on weight again. I understand it takes time for glucose to become regulated and to return to a healthy weight, much as I wish it could all happen right now. What is the average range of time it usually takes to get diabetic cats to a healthy maintenance level?
 
Time to get regulated varies from cat to cat and there’s no way t predict. That’s why testing is so important.

I just had a look at your spreadsheet. She dropped under 90 and earned a reduction on SLGS. Her dose will be .25. I see you already shot tonight so please start the new dose of .25 in the morning. Good job testing. She is getting a really good response to insulin. Your +2 is slightly lower than your PMPS so she could drop under 90 again tonight. How long will you be able to stay up tonight? Are the tests on the spreadsheet from the Libre or from the Relion?
 
Last edited:
One thing you can try doing is conditioning Stella to let you handle her ears for testing. Pick a place where you plan to test her. Gently start touching and massaging her ears and reward her with low carb treats. A good treat is freeze dried chicken. Even if you are not successful at first, soon she will associate you handling her ears with something good, getting treats. Do it a few times a day so she gets used to it.
Thank you, Lisa! I've adjusted the way I've been holding her, and even in just a few days the tests have turned into time to cuddle. I did not expect it to happen so quickly.
 
Time to get regulated varies from cat to cat and there’s no way t predict. That’s why testing is so important.

I just had a look at your spreadsheet. She dropped under 90 and earned a reduction on SLGS. Her dose will be .25. I see you already shot tonight so please start the new dose of .25 in the morning. Good job testing. She is getting a really good response to insulin. Your +2 is slightly lower than your PMPS so she could drop under 90 again tonight. How long will you be able to stay up tonight? Are the tests on the spreadsheet from the Libre or from the Relion?
I've back-filled the spreadsheet to last week when she started getting insulin, with notes. She initially started on 1 unit every 24 hours, and the vet changed her to .5 unit every 12 hours on 11/16/2020. The last readings from the Freestyle Libre were prior to the PM shot on 11/16/2020. All subsequent readings are from the Relion.

How do you accurately measure doses of .25 units? The smallest U-100 syringes I've seen have 0.5-unit markings, and even those are very close together.
 
I've back-filled the spreadsheet to last week when she started getting insulin, with notes. She initially started on 1 unit every 24 hours, and the vet changed her to .5 unit every 12 hours on 11/16/2020. The last readings from the Freestyle Libre were prior to the PM shot on 11/16/2020. All subsequent readings are from the Relion.

How do you accurately measure doses of .25 units? The smallest U-100 syringes I've seen have 0.5-unit markings, and even those are very close together.
Stella is beautiful! I also had a hard time with the smaller units. There is a video somewhere on thie board that helped quite a bit, although it's enlarged from how the syringe actually is. I'm hoping that this is just a temporary problem because of the UTI. It's good you are feeding a low-carb wet food and I hope she will go into remission. Is she an indoor only cat? White cats can get sunburned and you live in Florida.
 
Status
Not open for further replies.
Back
Top