Any input on Pumpkin’s lab work would be so appreciated!

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Aureonitens

Member Since 2024
Hi there,

I’m Aureonitens and own two kitties (littermates) who will be eight years old in about a month: Pumpkin and Pepper.

Both cats had their senior bloodwork and urinalysis on February 1st, and Pumpkin’s came back with some elevated glucose levels. For this first test, they had to keep her for a few hours as they couldn’t find any urine when they first tried to collect. For reference, she has had stress hyperglycemia recorded by another vet before when she was six months old, but has never had any clinical diabetes symptoms. During this visit, she weighed 11.2 lbs and had a BCS of 6. These were her results: https://imgur.com/a/gZVrP9e (261 mg/dl blood glucose and a +1 strip reading for glucose in urine).

The vet was concerned about her glucose levels and asked us to bring her in for retesting four weeks later, which we did; I also called back and specifically requested that they run her fructosamine levels. These were her results this last time, when she weighed 10.8 lbs (we have adjusted her food intake to try and get her to lose a little weight). She did not have to stay at the vet’s this time as she had urine in her bladder, and samples were taken approximately four to five hours after she had last eaten. https://imgur.com/a/DMdPEeX (250 mg/dl blood glucose, TRACE strip reading for glucose in urine, fructosamine level well within the reference interval).

The vet called us back and said he still can’t be sure she isn’t in a pre diabetic state (he stated he had only seen stress hyperglycemia levels up to 200 mg/dl, although a quick literature search seems to state they can exceed that by a lot) and recommended we switch her to Hills GlucoSupport to head off any problems down the road. He was not concerned with any of her other results. We have ordered both dry and wet prescription food, although from what I am seeing here an all wet diet may be advisable for cats anyways (anyone have any anecdotal experience on tartar buildup with only wet food?). I guess my question is where do I go from here? Should I get a blood glucose monitor and test her levels at home? Any insight would be very welcome. Thank you so much!
 
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I wouldn't be sure that your kitty is diabetic. The fructosamine is normal and there's no glucose in your cat's urine. The in office glucose reading may be stress hyperglycemia.

I would not feed your cat GlucoSupport regardless of whether it's canned or dry food. Neither are low carbohydrate foods. The prescription diabetic foods contain nothing that is "prescription" worthy. This is a link to a food chart that contains nutritional information, including carbs, on most of the canned foods available in the US. Getting both cats on a low carb diet will be fine for them both. Cats are obligate carnivores and do not need carbohydrates in their diet. They also do far better on a diet that contains high quality protein (vs by-products).
 
I wouldn't be sure that your kitty is diabetic. The fructosamine is normal and there's no glucose in your cat's urine. The in office glucose reading may be stress hyperglycemia.

I would not feed your cat GlucoSupport regardless of whether it's canned or dry food. Neither are low carbohydrate foods. The prescription diabetic foods contain nothing that is "prescription" worthy. This is a link to a food chart that contains nutritional information, including carbs, on most of the canned foods available in the US. Getting both cats on a low carb diet will be fine for them both. Cats are obligate carnivores and do not need carbohydrates in their diet. They also do far better on a diet that contains high quality protein (vs by-products).

Thank you so much for your input and the food recommendations! She did have a +1 glucose strip reading during her first urinalysis and a TRACE reading during the second urinalysis, which is why I’m unsure if it’s worth taking her glucose readings at home.
 
I would consider getting a glucometer and testing at home. The Walmart Relion meter is inexpensive and it will answer the question as to whether this is stress hyperglycemia. If it turns out your cat is diabetic, you will be catching it very early and will dramatically increase the potential for remission.
 
I would consider getting a glucometer and testing at home. The Walmart Relion meter is inexpensive and it will answer the question as to whether this is stress hyperglycemia. If it turns out your cat is diabetic, you will be catching it very early and will dramatically increase the potential for remission.

Thank you so much! I will try to go pick one up today and will review the testing at home tips on here. This site is a lifesaver!
 
Just so you don't have to go hunting: Hometesting info

If you are going shopping, you will need the glucometer and a container of extra strips. You'll also need lancets. Look for 28 gauge lancets.

Also, so your cats don't get too annoyed at the process, get low carb treats! Freeze dried protein (e.g., freeze dried chicken) is what most of us use but any low carb treat will work. If your cat loves cheese, give him cheese! You want your kitty to associate testing with something positive -- like treats.
 
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