New Member, Newly Diabetic Kitty Romeo

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Becky & Romeo

Member Since 2022
My name is Becky and this is Romeo. He is a 14-year-old neutered male cat. I picked him up off the side of the road as a kitten, so I’ve been his almost his whole life. First symptom was drinking obsessively, which I briefly ignored because he plays with his water bowls, slides them around, smacks them, that sort of stuff, and I didn’t realize he was actually drinking like a fish at first. Then he started wanting food constantly. He’s older and has arthritis and I’m more of the mind of quality over quantity, so I started giving him a bit more canned food. But then he looked like he was losing weight and then I really noticed the drinking.

First appointment was 3/2. He was diagnosed as diabetic, and vet kept him overnight. Picked him up the next day and was given Prozinc, supposed to give 1 unit 2x/day. Vet was not a lot of help as far as any kind of information. The vet tech I saw when I picked Romeo up was more forthcoming, but I was surprised that nothing I had read online overnight was mentioned and they acted like they’d never heard of it (home testing, food options).

Romeo went back 1 week later for another blood glucose. I again asked the vet about home testing and was told it’s very difficult and we don’t have our clients do that. Then he said, we’ll have you come every couple weeks or so here for a while and then you can come every 6 months. Lots of times cats go into remission, so you may not even have to do this very long.

Romeo’s numbers were still high, so he was raised to 2 units 2x/day, although I refused to go that high first thing. I was freaking out about the no home testing and picturing me giving him a shot when he didn’t need one, going to work and him going hypo and dying (I took care of my dad, who was diabetic, for 4 years). I did 1.5 for several days and then upped it to 2 and he’s improved quite a bit more. Our next appointment is April 1st.

Romeo has arthritis in his back legs, diagnosed a couple years ago, and no longer jumps (I have boxes, stools, etc., so he can get in my bed and on the couch and window). When I took him home after he was first diagnosed, his back legs were terribly weak and wobbly. When I brought this up to the vet, all he would say was sign up for the soon to come arthritis shot on my way out. However, after his insulin increase, a lot of the wobbliness is now gone, and he seems to be improving quite a bit (he improved to the point that one night last week he figured out a path to the table where I moved the other cats’ dry food and had himself quite a feast :rolleyes::D).

I asked to switch vets and was told no (it’s a multi-vet practice. I’ve gone to this place for over 50 years - my parents took my pets there when I was a kid). Getting in anywhere else would be a several months wait for an appointment. So I’m really not sure what to do. The one thing the vet did emphasize several times was that he asked me who was going to be the expert on Romeo and told me it was going to be me. I’m kind of inclined to stay there for now and just use him to get supplies and start testing on my own, as I’ve seen some people mention both here and in the Facebook group, and either not bother telling him or just present it at my next appointment as a “you told me I was the expert.”

Romeo was already eating low carb wet food (mostly Fancy Feast pates, although I’ve had to branch out a bit into Meow Mix and a couple others thanks to Covid and availability). I have stopped the dry food (how sad to see it mentioned by name in my welcome in the Facebook group, Purina Beyond). The vet did send a bag of some kind of high protein kitten food home with me, which he really likes but I don’t think is actually that good (plus one of my other cats thinks it’s crack and I can’t keep her out of it. She actually knocked half a bookshelf over trying to get to where she saw me put the bag). I’m planning to send for samples of the 3 dry foods that were mentioned somewhere in a food spreadsheet, although I’m not sure if I will give him dry food again or stick with all wet. I’m not really sure how to handle being gone all day at work when I think he really needs a mid-day meal.

I have picked up the ReliOn meter and supplies from Walmart over the weekend and plan to start testing him tonight.
 
Welcome, it is good that you re starting home testing and are feeding FF canned. There are low-carb dry food s that are acceptable but canned is better.
Most of us here record our BGs and other info in a spreadsheet that is available to view by others here. Here is how to create the SS:
https://felinediabetes.com/FDMB/threads/how-to-create-a-spreadsheet.241706/

What are you giving for the arthritis? I have used Adequen injections, gabapentin pain meds and Cosequin.
.
 
Welcome to the club Romeo and Becky. I am new to this as well but learning.

One option for providing him with food while you're gone may be the Surefeed chipped feeder. We use them and they work well. They are around $200 though.

One thing I have learned is that cats with diabetes can have something called neuropathy. This is when the constant high BG numbers cause some nerve damage or nerve issues, as I understand it. The result is weak, wobbly kitties, often issues with the back legs or walking funny -- a classic sign is a cat walking more on the bottoms of their feet instead of up on their toes like they do when healthy.

It makes sense that Romeo's neuropathy is already subsiding now that he is on insulin. That is usually the case! Good to hear he is improving in that regard.

I highly recommend ditching the dry kibble all together. We have six cats and they ALL loved to free feed on kibble until Hendrick's diagnosis and so we have been working for 3+ months now on getting them to all convert to wet food or raw only.

Speaking of raw, have you ever tried any on your kitties? @Garciacat recommended some Stella and Chewy's raw as it helped their cat Macho tremendously (he went from needing 6 units of insulin to needing only 2 when they put him on raw)

I now feed a few raw pellets with a meal or two, it has helped get some extra calories into my boy and it is so full of good nutrients and protein I think it really helps. These are the ones I buy from Chewy...not for the faint of wallet:

 
Hi Becky it's great that you are going to home test and most of us do use the Relion Meter
In case you ever want to try testing freehand using the lancet by itself
Always aim for the sweet spot warm the ears up first, you can put rice in a sock and put it in the microwave, test it on the inside of your wrist to be sure it's not to hot, like you would test a babies bottle. You can fill a pill bottle with warm water and roll it on the ears also.Just keep rubbing the ears with your fingers to warm them up
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6. As the ears get used to bleeding and grow more capilares, it gets easier to get the amount of blood you need on the first try. If he won’t stand still, you can get the blood onto a clean finger nail and test from there.
When you do get some blood you can try milking the ear.
Get you finger and gently push up toward the blood , more will appear
You will put the cotton round behind his ear in case you poke your finger, after you are done testing you will fold the cotton round over his ear to stop the bleeding , press gently for about 20 seconds until it stops
Get 26 or 28 gauge lancets
A lot of us use the lancets to test freehand
I find it better to see where I'm aiming
You can also put a thin layer of vaseline on the ear ,to help the blood bead up

Here is a video one of our members did
VIDEO: How to test your cat's blood sugar

Are you using U-40 syringes with half unit markings ,we adjust the dose by 0.25 units/at a time not whole units, call them give them the code and they will call your vet for a script ask for refills
https://www.adwdiabetes.com/product/16363/carepoint-vet-u-40-syringe-29g-half-unit

adw-coupon-dia10.jpg

10% off your next order!
 
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Thanks for the welcome.

For his arthritis, I am current giving some joint remedy stuff in a tube (sorry, at work and don’t recall name). It has Cosequin and other stuff in it. Gabapentin and Romeo did not agree. The vet actually gave me Gabapentin for help with transporting him several years ago because he’s extremely difficult to take to the vet (he screams like a banshee, has broken claws, bruised and cut his nose/face, and broken a cat carrier). He was having issues with balance and walking along with the arthritis and Gaba made this worse. He wasn’t able to walk and then he fell and it made his freaking out even worse to the point he won’t quit crying if he’s given it. Then the vet suggested it as treatment for the arthritis. I tried at a lower dosage and then a much lower dosage with the same results. I was actually happiest with a treat form of a joint supplement, which was the first thing I tried. I though it gave the best results, but after about 6 months he refused to eat them anymore. So I switched to the stuff in a tube.

Thanks for the heads up about neuropathy, I will take a look at the info on that.

As far as syringes, I am using U-40 but they don't show half units. Thanks for the link to adwdiabetics. I found the syringes on Amazon but that's an even better deal.

I tested for the first time last night and then again this morning and both times he bled all over. And that after I printed pictures of the "sweet spot" and held a light up to his ear and looked really good from all angles. Practice, practice, practice I guess. He didn't even care. I'm not sure he even felt it.
 
Hi Becky We Can't See Your Spreadsheet


What you need to do
To set spreadsheet sharing permission:
* At the top right of the spreadsheet screen click on Share.

* In the pop-up dialog box click on the Get Link section.

* Change link access from 'Restricted' to 'Anyone with the link' and make sure that the permission on the right hand side is set to 'Viewer'.

* Click Done to save the changes.

If you have trouble let me know
For arthritis a lot of members give
Adequen injections with helped a lot . Ask your vet about it

@Becky & Romeo
 
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Becky
This is a good video showing a cat with neuropathy. You'll see Tootsie walks on the back of her legs or her haunches rather than on the tips of her paws like a cat should. Does Romeo do this? If so, methyl B12 supplementation should help as well as better control of her glucose levels. You can also Google other videos , Google videos of cats with neuropathy
 
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I’m planning to send for samples of the 3 dry foods that were mentioned somewhere in a food spreadsheet, although I’m not sure if I will give him dry food again or stick with all wet. I’m not really sure how to handle being gone all day at work when I think he really needs a mid-day meal.
Can you get your other cat to eat LC wet
If you have to leave the lower carb dry food out for the mid day snack then so be it
It's best to stay with LC wet, like Kyle mentioned some people use
a surefeed micro chip feeder , you can Google this
You can put the wet food in them
Such as
https://www.petsupplies4less.com/Su...cj7shcfUHi4pi4kTq55PhiUq53LevReBoCAcgQAvD_BwE
 
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Hi Becky We Can't See Your Spreadsheet


What you need to do
To set spreadsheet sharing permission:
* At the top right of the spreadsheet screen click on Share.

* In the pop-up dialog box click on the Get Link section.

* Change link access from 'Restricted' to 'Anyone with the link' and make sure that the permission on the right hand side is set to 'Viewer'.

* Click Done to save the changes.

If you have trouble let me know
For arthritis a lot of members give
Adequen injections with helped a lot . Ask your vet about it

@Becky & Romeo

I thought I did that but apparently not. I think my spreadsheet should work now. I have plans to do my first every few hour testing on Saturday when I will be off work.

I will ask my vet about the adequin. The only thing I was offered was gabapentin or a treat/tube form of what I'm giving him. Do they let you administer the adequin? Because if I have to take him to the office frequently, I'm not sure it would be worth it at this point in time. Too much stress on him.

I have 2 other cats. One of them would not transition very well to all wet food. She is extremely picky. Unfortunately I can't afford the chipped feeder and I'm not sure I could get him to understand it. I was unable to teach him to use a cat door, even with serious treat incentives (my dad had Alzheimer's and when I had to start locking things up I put a cat door in my bedroom door so I didn't lock any cats in. I had to remove the flap ). And it's taken major effort to get the steps and chair that give access to my bed and the couch to sink in.
 
Hi Becky yes you can give adequin shots at home
Tap on this blue link and read the posts , members
were discussing about adequin
Of course you would have to ask your vet how much to give
https://www.felinediabetes.com/FDMB...3-186-experience-giving-adequan-shots.258156/

Also found this posted by a member
You do the shots yourself at home, just like insulin shots, but need a prescription. Cats use the dog one.

The usual protocol is 2 shots per week for the first four weeks, then one shot a week for four weeks, then once a month. We actually do once a week ongoing because otherwise she limps... more so in the winter months than summer. But if your cat's joints aren't bad you probably only need a shot ever 3-4 weeks
 
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I can tag a prozinc user for you, Melissa usually comes on here about 9 PM Eastern time
@FrostD
Hi Melissa can you please read Becky's comments in her remarks section on her
SS thanks
 
I am so sorry, I saw that tag Tuesday and got caught up in something else. Apologies.

There's not a whole lot of advice I can give without much data. First thought is 2U is a relatively big dose, and jumping from 1-2U is a bit scary. That 156 this morning tells me he likely went pretty low overnight. Was that 156 fasting for 2 hrs beforehand?

Any history of ketones or DKA? Do you have the urine test strips at home?

When did the diet transition happen?

What day are you home next? I'm inclined to say drop down to 1.25-1.5U and test for ketones daily, then next day you're home do a curve (test BG every other hour for 12 hrs).
 
I am so sorry, I saw that tag Tuesday and got caught up in something else. Apologies.

There's not a whole lot of advice I can give without much data. First thought is 2U is a relatively big dose, and jumping from 1-2U is a bit scary. That 156 this morning tells me he likely went pretty low overnight. Was that 156 fasting for 2 hrs beforehand?

Any history of ketones or DKA? Do you have the urine test strips at home?

When did the diet transition happen?

What day are you home next? I'm inclined to say drop down to 1.25-1.5U and test for ketones daily, then next day you're home do a curve (test BG every other hour for 12 hrs).

I will be home Saturday. I am planning to test every few hours that day.

Yes, was fasting 2 hours before. He had 1/2 can FF around 10 pm the night before and I tested him at 6 am.

The vet did not mention ketones, although he was drinking and peeing excessively when he went in on 3/2, so I'm not sure. I picked up the ketones test strips when I got the meter this week but that's as far as I got with them. I know I read the article but I don't remember much. I will read it again and see what I need to do that.

When I took him home on 3/3 I removed all dry food. He was already eating appropriate pate (mostly FF), he's just getting a lot more. Vet sent him home with Hill's Science Diet Kitten and said I could leave that out during the day so I gave him maybe 1/4 cup during the day for several days while I was working, but then I had read more about feeding and read the ingredients and didn't think it was good for him. So I stopped it. So he's just getting pate (mostly FF, with some Meow Mix, all low carb by the food list). 1 can at 6am and 1 at 6pm before his shots, then roommate usually gives him 1/2 can about halfway through the day (noonish) and I do the same in the evening around 10pm (and sometimes in the middle of the night if he asks for it).
 
Ok, just wanted to make sure it wasn't recent-recent because that would change my recommendation. When you do the curve be sure to tag me so I can take a look
 
Going just by symptoms, I would say most definitely had ketones at first vet visit 3/2 and likely that first week while on 1 unit. After going to 2 units and currently, I would say no. I have read how to test and will give that a try. Thank you! And I will tag you.
 
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