Lurker says "thank you!"

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Lexi Nagi

Member Since 2021
Hi all,

I made this account to log on, say thank you to every one who has contributed to this gem of wisdom and to maybe, in time, help others.

This post is more of an introductory storytime: I'll share numbers and units and measurements in a different post if it contributes. Just know I did check things here and with my vet all of the time.

Three cats have moved in with us over the years: the eldest, Lexi, was diagnosed with diabetes in februari 2021. She is 11, a tiny feisty torti, and I had expected a lot of different diagnosises, but not this. I went in because I just found her lackluster and depressed. No other signs of illness really. They eat grainfree their whole life (a mix of a kibble and natural wetfoods with treats like freezedried salmon).

We have a wonderful vet who is good at taking care of both owner and animal: he sent me home with a lot of info and asked me to think about it for a day before starting treatment because it's a lot financially, planningwise, and you have to be able to poke your animal with needles.

We own a business that is on the lot next to our own house, which gives us a lot of freedom. It also allows us to make the expenses needed, for which we were grateful. So I returned the next day. Because my guy it a bit iffy with needles, we opted for the vetpen with caninsulin. I'm pretty much able to do whatever is needed. So we started and for two weeks all was good with a startup dose. Lexi perked right up. But she started to hate the pen more and more, and come pokingtime she started to hide, get fearful. And since she felt better she was a strong menace and able to refuse cooperation.

Since I've taken care of her since she was a 5 week old stray, it broke my heart to see her being scared of me all the time. Things escalated ever further until it lead to three cats running around the house, me in a nervous wreck and no insuline in the cat. I had perused the internet and stalked these boards for hours. I tried smaller gauge needles on the pen, different sites etcetc. No use.

I decided (with my vet) that a few days break would not kill her and tried to retrain her to the pen (without a needle, just the tenting, touch and a treat) but to no avail. I found a chinese herbal supplement for diabetic cats and with that and all wetfood we took a break. She remarkably was stable from march till july. We made little progress with training tho. She hated the vetpen so much I couldn't understand it.

Mid july she started loosing weight rapidly and getting depressed again. We came to a point that a decision had to be made: I was on the verge of making the final call because she started suffering visibly.

Then fate intervened. I was cleaning the living room and while she was trailing behind me as she usually does, I absentminded started clicking a ballpoint pen I had picked up. Lexi looked at me with fearful eyes, ducked and ran for the cover of the sofa. I put two and two together and realised that that sound set her off. And the vetpen as a slight but sharp noise to it too. So I used the info here to order the smallest shortest needled U40 I could find (Braun Omnican 20's). And with a prayer and no prior testing I shot her with 1 IU in her flank. She was so far gone that I could not do any damage and I wanted to spare her any and all stress from hometesting or driving to the vet. And the shot went in. 12 hours later another one and she began to react. After two days of roughing it I took her back to the vet, told him of my adventures, we did a bloodtest and we took it up to 2 IU.

Within two weeks her weight was almost completely back on, she began to build muscle and a gleaming coat. She is really fit now. There have been bumps along the road since, including a very scary hypo-episode, and we continue to train, now also for hometesting more structurally, but we are taking it slow because too much pressure will sent this little torti into rebellion. She has to think everything is her idea.

But she is still with me, more cuddly then ever, and for that I have to thank you!

It has also taught me that perfection is the enemy of good enough. There are a lot of things we might be able to do in theory or some time in the future but that are too much, too soon, right now for what she (and I) can handle. So we go for 1) QOL, 2) acceptable labs and only then 3) the possibility of remission/tight regulation etc.
 
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Hi and welcome to you and your kitties. Thank you for sharing your story.
Looking forward to seeing some of Lexi’s data.
Can you tell us what type of food you are feeding her, and if you are going to home test?
Can we help in any way?
 
Thank you for your welcome!

As to food:
We use a dry kibble as a stickypokey reward. Since several years they get Power of Nature's Fee's Favorite. It's a European kibble that has 57,8% protein, 24,4% fat and 0,89% carbs (NFE) in the dry matter analysis, which leads to 1% metabolic energy from carbs. It's still dry food of course, but as a training device it's very useful.
Wetfood we have few that we rotate: Mac's bio, Bozita, Feringa, Animonda Diabetes. I look for almost all meat wetfoods.
With three cats I also look at price per kilo and packaging: I rather have a single 400 gram tin for two meals then all the waste from small serving containers.

In Dutch there's a great website that offers food analysis: catmoneo.nl and I base my purchases on their analysis.

I will -in time- look into more structured monitoring at home. I have a monitor but my girl is not an easy bleeder and maintaining my relationship with her, so I can inject her twice daily, is my no 1 priority atm. She had a hypo episode a few weeks ago, under 3 mmol, which i was able to monitor at home, give her glucose and then keep monitoring the rest of the day because I can prick her ear if need be. But once she perked up, further eartouching was out of the question.

She's a sensitive sassy girl: she also does not like the feeling of tenting the skin, no matter how gentle and how much petting around it. So I poke her thigh, aiming angled upwards to avoid muscle, without tenting. That usually goes well. But the monitoring is a whole other beast and she does not cooperate.

As to help: atm nothing concrete. We are consolidating the phase we are now. Next week we'll go in for another fructosamine measurement and general check. Then things might come up maybe.
 
yes we did. She was getting 3 IU twice daily when she hypo'd. She was on that dose for about 2 weeks before, because her fructosamine were rising instead of falling in the weeks before.

We went back to 2 for a few days over the weekend and then, because of the glucose measured at home, up to 2.5
All as discussed with out vet over the phone.
 
I currenly track the dosage and time of injections, as well as any missed ones (wet fur)
I also track the glucose levels that I do get, all on paper.

A spreadsheet would only be useful once madame decides to put up with multiple glucosechecks a day instead of maybe once or twice a week. She is really not there yet. Did I mention she is a torti ;)
 
It would actually really help us to see any data so would be great if you set up theSS. We can’t really help Unless we can see some data
 
Hi all,

I made this account to log on, say thank you to every one who has contributed to this gem of wisdom and to maybe, in time, help others.

This post is more of an introductory storytime: I'll share numbers and units and measurements in a different post if it contributes. Just know I did check things here and with my vet all of the time.

Three cats have moved in with us over the years: the eldest, Lexi, was diagnosed with diabetes in februari 2021. She is 11, a tiny feisty torti, and I had expected a lot of different diagnosises, but not this. I went in because I just found her lackluster and depressed. No other signs of illness really. They eat grainfree their whole life (a mix of a kibble and natural wetfoods with treats like freezedried salmon).

We have a wonderful vet who is good at taking care of both owner and animal: he sent me home with a lot of info and asked me to think about it for a day before starting treatment because it's a lot financially, planningwise, and you have to be able to poke your animal with needles.

We own a business that is on the lot next to our own house, which gives us a lot of freedom. It also allows us to make the expenses needed, for which we were grateful. So I returned the next day. Because my guy it a bit iffy with needles, we opted for the vetpen with caninsulin. I'm pretty much able to do whatever is needed. So we started and for two weeks all was good with a startup dose. Lexi perked right up. But she started to hate the pen more and more, and come pokingtime she started to hide, get fearful. And since she felt better she was a strong menace and able to refuse cooperation.

Since I've taken care of her since she was a 5 week old stray, it broke my heart to see her being scared of me all the time. Things escalated ever further until it lead to three cats running around the house, me in a nervous wreck and no insuline in the cat. I had perused the internet and stalked these boards for hours. I tried smaller gauge needles on the pen, different sites etcetc. No use.

I decided (with my vet) that a few days break would not kill her and tried to retrain her to the pen (without a needle, just the tenting, touch and a treat) but to no avail. I found a chinese herbal supplement for diabetic cats and with that and all wetfood we took a break. She remarkably was stable from march till july. We made little progress with training tho. She hated the vetpen so much I couldn't understand it.

Mid july she started loosing weight rapidly and getting depressed again. We came to a point that a decision had to be made: I was on the verge of making the final call because she started suffering visibly.

Then fate intervened. I was cleaning the living room and while she was trailing behind me as she usually does, I absentminded started clicking a ballpoint pen I had picked up. Lexi looked at me with fearful eyes, ducked and ran for the cover of the sofa. I put two and two together and realised that that sound set her off. And the vetpen as a slight but sharp noise to it too. So I used the info here to order the smallest shortest needled U40 I could find (Braun Omnican 20's). And with a prayer and no prior testing I shot her with 1 IU in her flank. She was so far gone that I could not do any damage and I wanted to spare her any and all stress from hometesting or driving to the vet. And the shot went in. 12 hours later another one and she began to react. After two days of roughing it I took her back to the vet, told him of my adventures, we did a bloodtest and we took it up to 2 IU.

Within two weeks her weight was almost completely back on, she began to build muscle and a gleaming coat. She is really fit now. There have been bumps along the road since, including a very scary hypo-episode, and we continue to train, now also for hometesting more structurally, but we are taking it slow because too much pressure will sent this little torti into rebellion. She has to think everything is her idea.

But she is still with me, more cuddly then ever, and for that I have to thank you!

It has also taught me that perfection is the enemy of good enough. There are a lot of things we might be able to do in theory or some time in the future but that are too much, too soon, right now for what she (and I) can handle. So we go for 1) QOL, 2) acceptable labs and only then 3) the possibility of remission/tight regulation etc.
Perfection is the enemy of good enough! I like that. so glad that your kitty has improved!
 
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