Thoughts on Pinky's BG numbers

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Danoodle009

Member Since 2023
Hello! I just wanted to get some thoughts on Pinky's current BG numbers. The SS is fully up to date. I still haven't heard back from the vet who specializes in FD; I left him a second VM today so hopefully he will get back to me soon. However, I have noticed that Pinky's numbers have been really low this week, with some even in the normal range. When they were higher, I was unintentionally feeding him food with potato starch in it; I switched him on Monday to a food that no longer has that starch in it, and his numbers have been steadily trending down.

I am going to keep monitoring him through the week and likely into next week; my question is, are his numbers high enough to start insulin comfortably? I am happy to see the lower numbers (and especially just now, I got an 80 out of him, so I was really happy to see that. I tested on a second strip because I didn't believe it initially), but I want to be sure I'm not being prematurely optimistic.
 
Hello! I just wanted to get some thoughts on Pinky's current BG numbers. The SS is fully up to date. I still haven't heard back from the vet who specializes in FD; I left him a second VM today so hopefully he will get back to me soon. However, I have noticed that Pinky's numbers have been really low this week, with some even in the normal range. When they were higher, I was unintentionally feeding him food with potato starch in it; I switched him on Monday to a food that no longer has that starch in it, and his numbers have been steadily trending down.

I am going to keep monitoring him through the week and likely into next week; my question is, are his numbers high enough to start insulin comfortably? I am happy to see the lower numbers (and especially just now, I got an 80 out of him, so I was really happy to see that. I tested on a second strip because I didn't believe it initially), but I want to be sure I'm not being prematurely optimistic.
I can tag a few members for you to see whether or not you should start insulin now

@tiffmaxee

@Suzanne & Darcy

@Wendy&Neko

Thanks ladies
 
Could you put a comment in the Remarks section of the spreadsheet that you changed food to lower carb? That way we can see how the food change impacts his numbers. As is, he does seem to be trending down towards normal BG numbers.

With that 80 in there, I'd keep monitoring for a couple days before thinking of starting insulin.
 
He’s staying in normal range for a long time and that’s great. He may not need insulin anymore by the time you get the prescription :bighug:

Perfect example of why home testing is so important. What if you had blindly started him on 2 units, which is a starting dose we hear so many vets prescribed here? That would have been life threatening.
 
Could you put a comment in the Remarks section of the spreadsheet that you changed food to lower carb? That way we can see how the food change impacts his numbers. As is, he does seem to be trending down towards normal BG numbers.

With that 80 in there, I'd keep monitoring for a couple days before thinking of starting insulin.

Yes I would be glad to! I am just not sure where the remarks section is? Would I just add that as an extra page and add in general notes?

I'm happy to start insulin if necessary, but I'm also happy to keep monitoring to see if I don't need to give him insulin. Of course after everything I have learned, I will be keeping him on wet food only, but I think that made a huge difference for him. A few weeks ago he was having difficulty walking on his back legs - something that I know now can be associated with untreated diabetes - but he's walking & jumping around like normal now.
 
Yes I would be glad to! I am just not sure where the remarks section is? Would I just add that as an extra page and add in general notes?

I'm happy to start insulin if necessary, but I'm also happy to keep monitoring to see if I don't need to give him insulin. Of course after everything I have learned, I will be keeping him on wet food only, but I think that made a huge difference for him. A few weeks ago he was having difficulty walking on his back legs - something that I know now can be associated with untreated diabetes - but he's walking & jumping around like normal now.
I hope you get lucky & don't have to start insulin. You are doing a great job with Pinky, he's lucky to have you for a momma.
The remarks colum is all the way to the right side of your spreadsheet.
 
I hope you get lucky & don't have to start insulin. You are doing a great job with Pinky, he's lucky to have you for a momma.
The remarks colum is all the way to the right side of your spreadsheet.

Thank you! I have had sleepless nights since the end of December because I was worried about what to do/what I could be doing better, so I am thankful to see any progress at all.

Thanks for that! I added the notes to the remarks section.
 
Thank you! I have had sleepless nights since the end of December because I was worried about what to do/what I could be doing better, so I am thankful to see any progress at all.

Thanks for that! I added the notes to the remarks section.
I get what I call broken sleep Lol I'm a bit of a test aholic, I've been testing, working, & sleeping when I can for 15 months now. I don't know if my boy will ever go into remission but I'm not giving up on him ever.
 
The vet at KSU got back to me finally! They indicated that they don't love to give medical advice over the phone with an animal they've never seen (which I totally get), but they did agree that they prefer to have a glucose curve be done at home. I let them know that I have been home testing and that his numbers are trending downward, with several in the normal range. They said that, generally speaking, they wouldn't recommend administering insulin to a cat with his numbers. She recommended that I call back Monday if his numbers seem abnormal or something changes.

I'm glad that I finally found someone who agrees about a glucose curve being done at home; the bad news is that they are almost two hours away. If I need to take him, I am happy to, but I don't necessarily want to stress him out for that long if I don't have to. So I will keep monitoring through Sunday and keep you all in the loop to get your thoughts on what is going on with him and his BG numbers. Thank you all so far for all your time and expertise! :)
 
I woke up this morning to Pinky and his sister Inky fighting; they haven't fought in weeks, so I thought we were out of the woods with this. He's a little persistent with the grooming, and she gets irritated. Eventually she bites and pops him, and he's again persistent enough that he continues to try to groom her through her attitude. I assume it has a lot to do with him being submissive towards her, but I'm not a behaviorist, so I'm not sure. I separated them, but he's showing typical signs of stress - pacing, acting a little shy, being a little more vocal, not really touching his food, and his blood sugar was slightly elevated this morning (140).

Is there something you all do to soothe your cats in these instances? Especially with his history, I get anxious when he doesn't really want to eat. Should I just try to feed him again in a couple of hours when he's more relaxed? He seems to be calming down now that I am awake (and presumably can protect him from her). Other than separating them, do you all have any advice for helping foster an environment where cats get along?
 
Hello everyone!

I have continued to actively monitor Pinky through the weekend, and his numbers are continually getting better. I've updated the spreadsheet to reflect my tests. He's even acting better, and being more playful than I have ever seen him. He's jumping around places, eating all the calories I need him to ravenously, using the litterbox finally, and not having the same issues he was having almost three weeks ago now.

Can a cat put on the right diet reverse course so sharply? Is this normal?
 
A change to a low carb diet can make a huge difference. It doesn't always bring numbers back into normal (50 - 120) range but we've seen some impressive turn arounds.

I'd like to make a few suggestions. First, can you please add what insulin you're using both to your signature and on your spreadsheet? If you're not giving insulin, can you put that information somewhere?

As for kitties that are arguing, I do think Feliway can help. Take a look at the instructions on the box. I suspect that most of the time when people think it's not helping it's because you don't have enough diffusers going. The instructions on the box indicate how much area the diffuser can cover and chances are you'll need more than one. I have two cats and my male tends to be a brat. He's always grabbing my female by the back of the neck. She gets pissed and chews off his whiskers!

It looks like Pinky's numbers are highest in the morning. This is called dawn phenomenon -- it's the way an animal's body prepares for the upcoming stress of the day by releasing stress hormones. They cause blood glucose to rise. When the pancreas is working, food stimulates the pancreas to produce insulin which then helps to move glucose out of the blood stream and into the cells. When this happens, blood glucose numbers drop. With this in mind, you may want to consider getting a timed feeder so you can have low carb canned food available several hours before you get your first AM test. It may cause those numbers to be a bit lower. (I'm assuming you don't want to wake up to feed your cat at some very early hour. A feeder is a good way to ensure you get a decent night's sleep.)
 
A change to a low carb diet can make a huge difference. It doesn't always bring numbers back into normal (50 - 120) range but we've seen some impressive turn arounds.

I'd like to make a few suggestions. First, can you please add what insulin you're using both to your signature and on your spreadsheet? If you're not giving insulin, can you put that information somewhere?

As for kitties that are arguing, I do think Feliway can help. Take a look at the instructions on the box. I suspect that most of the time when people think it's not helping it's because you don't have enough diffusers going. The instructions on the box indicate how much area the diffuser can cover and chances are you'll need more than one. I have two cats and my male tends to be a brat. He's always grabbing my female by the back of the neck. She gets pissed and chews off his whiskers!

It looks like Pinky's numbers are highest in the morning. This is called dawn phenomenon -- it's the way an animal's body prepares for the upcoming stress of the day by releasing stress hormones. They cause blood glucose to rise. When the pancreas is working, food stimulates the pancreas to produce insulin which then helps to move glucose out of the blood stream and into the cells. When this happens, blood glucose numbers drop. With this in mind, you may want to consider getting a timed feeder so you can have low carb canned food available several hours before you get your first AM test. It may cause those numbers to be a bit lower. (I'm assuming you don't want to wake up to feed your cat at some very early hour. A feeder is a good way to ensure you get a decent night's sleep.)

Thanks so much for getting back to me! Right now Pinky is not on any insulin because I have been working to find a vet that will work with me doing a glucose curve at home. Though I finally found one, he is 2 hours away, and also indicated that with Pinky's numbers, he wouldn't necessarily recommend putting him on insulin and that I should just keep monitoring and to let him know if/when anything comes up that is concerning. I wanted more thoughts on this; especially if I don't need a prescription for insulin at this time, should I continue to monitor him? How often should I check him to be sure that his numbers aren't jumping suddenly? I noted that he is not on insulin in his SS and will be updating my signature shortly.

I plan to get some Feliway this week! Thankfully my home isn't super large and I hope that one or two can do the trick.

I will definitely start looking at those! For now I don't mind getting up a little early if that means it will help him in the long run.
 
I'd check around at the big box pet stores vs Amazon for Feliway. I don't know if Amazon is cheaper!

It did sound like the vets at KSU were supportive. We're seen cats return to normal numbers once on a low carb diet. A few things that can contribute to higher numbers are both stress in the environment and stress that can result from a medical issue. A urinary tract infection, upper respiratory infection, or a dental problem (including gingivitis/need for a cleaning) can cause inflammation/infection and raise blood glucose numbers. Once things clear up, numbers drop. The stress of going to the vet's office can also cause numbers to rise. All of that is important knowledge since I would likely encourage you to periodically check Pinky's numbers as a way to know if he's in good health. Even with the kitties here that go into remission, they are still diabetic -- diet controlled diabetics. You don't want to go back to feeding high carb food or your cat will be back in diabetic numbers. If you see numbers trending up, it may be that your cat is developing an infection or needs his teeth cleaned.

I'll stop meandering. The bottom line is that Pinky is in pretty good numbers. Frequent, small meals may help to keep his numbers in normal range. I would keep monitoring for a couple of weeks to be sure that things are staying in a solidly normal range. If so, it's less critical to rush to find a vet. You might ask if the school has a referral network so you don't have to stress out Pinky with a 2-hour drive. Did you happen to search for a feline friendly practitioner in your area? This is a link to the search engine for the American Assn of Feline Practitioners.
 
I'd check around at the big box pet stores vs Amazon for Feliway. I don't know if Amazon is cheaper!

It did sound like the vets at KSU were supportive. We're seen cats return to normal numbers once on a low carb diet. A few things that can contribute to higher numbers are both stress in the environment and stress that can result from a medical issue. A urinary tract infection, upper respiratory infection, or a dental problem (including gingivitis/need for a cleaning) can cause inflammation/infection and raise blood glucose numbers. Once things clear up, numbers drop. The stress of going to the vet's office can also cause numbers to rise. All of that is important knowledge since I would likely encourage you to periodically check Pinky's numbers as a way to know if he's in good health. Even with the kitties here that go into remission, they are still diabetic -- diet controlled diabetics. You don't want to go back to feeding high carb food or your cat will be back in diabetic numbers. If you see numbers trending up, it may be that your cat is developing an infection or needs his teeth cleaned.

I'll stop meandering. The bottom line is that Pinky is in pretty good numbers. Frequent, small meals may help to keep his numbers in normal range. I would keep monitoring for a couple of weeks to be sure that things are staying in a solidly normal range. If so, it's less critical to rush to find a vet. You might ask if the school has a referral network so you don't have to stress out Pinky with a 2-hour drive. Did you happen to search for a feline friendly practitioner in your area? This is a link to the search engine for the American Assn of Feline Practitioners.

No, I truly appreciate everything you have posted this evening. It's all been incredibly helpful. We just got Pinky from my fiancé's parents at the beginning of December. We both believe he came to us sick, based on how he was acting at the time. He was severely overweight and only eating Meow Mix. My fiancé initially thought it was old age, and I didn't know Pinky's personality well enough at the time to know his behavior was abnormal. We quickly switched him to better food, but I don't think that was enough at the time. After just a few weeks, he was jaundiced. The vet who diagnosed him gave us antibiotics and an anti inflammatory. She had limited ways to diagnose him, so she gave both hoping it would help. Thankfully, something worked.

That was about three weeks ago. He's a completely different cat now. The vet who diagnosed him did a fructosamine test, but if he was sick that 2-3 weeks prior, I do wonder if his blood sugar levels were elevated due to an underlying sickness/infection, combined with adjusting to a new home after being in the same home for 15 years. Either way, I am happy to continue monitoring him. A couple of pokes a day to keep him safe in the long run is worth it. Also, my fiancé and I have both resolved to feeding him his new LC wet food, regardless of price, if it keeps him well fed, happy, and healthy.

The ER vet I initially went to kept trying to convince me to euthanize Pinky, saying that "it was the humane thing to do" and "he really just isn't worth it at this age". I had to sign an against medical advice form to take Pinky. That vet really rattled my cage, and I lost nights of sleep worrying about Pink. I am glad I took him home, and I am glad I found this forum. I wouldn't have gotten through the past few weeks if not for your, and everyone else's, help.

We have several good vets here, but many of them are inexperienced with feline diabetes. I will continue searching and hopefully find someone who can help!
 
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