New Diabetic

Marley and fam

New Member
Hi all!

My name is Hailee and our cat Marley was just diagnosed with diabetes on June 26th. The vet found ketones in her urine and so she was hospitalized until the 29th. They started her on half a unit of Prozinc and then started to give her a full unit, which they said we should be continuing at home.

Marley is an 11 year old tortie and has been a really healthy cat until last year when she started to develop some sort of allergy. We never figured out what it was but she had some skin problems until she received a steroid shot at the vet. They think the steroid is what developed her diabetes and they were unsure she even had diabetes until they tested her last Wednesday (lost a lot of weight, started drinking more) and said she was in an early stage of ketoacidosis. She is a really happy cat and so it can be a little difficult to figure out when she doesn’t feel well but when I had to pick her up for something, I really felt how much she lost (I saw her numbers at the vet and it was around 2 lbs since November).

My mom has been administering the insulin twice a day but it’s been a real challenge. First, she doesn’t feel like she’s doing it right if that makes any sense. We pet her afterwards to make sure we don’t feel the insulin on her but she still feels like she’s not doing it right. I don’t know if there’s anything valid with that. Marley, although very happy, hates to be held or constrained and she doesn’t like to be bothered while she’s eating. The vet suggested treats while we administer so my mom will try giving her some plain pieces of turkey (her favorite) so we’ll try that. I know it’s best to test her blood frequently but I don’t think she would be able to tolerate it since she struggles with the twice daily insulin injection. Flinches, won’t sit still, pulls away, etc. It is hard to describe but I feel like she already recognizes that it is coming and tries to avoid it. So it’s tough to even get her with the needle. We’re following the typical routine of grabbing the skin and getting the pocket but it’s really hard to get her. She would not tolerate being held down. Even at the vet, she was all over the exam room. She doesn’t bite or scratch but she’s really good about wiggling out, even with towels and etc. I wish she knew we’re trying to help her :(

We’ve been testing her urine instead at the suggestion of her vet team but of course we know that’s less trustworthy and consistent since we can’t make her pee on cue and her blood glucose is what is important. We caught her twice and she’s pulled the same numbers (different times of the day and different days). Right after her dose and around +4 hours after. Light ketones and somewhere in the 500 range for glucose. Her vet was told about those numbers today.

Another problem is her cat brother. Duke is an absolutely awful eater. He will eat wet food but only a few licks of the gravy at a time and mostly grazes on his vet-recommended dry food. Obviously it isn’t ideal to keep the dry food out and if he wasn’t horrible with food, we would eliminate it entirely but he has never consumed more than a spoonful of any type of wet food per day. Her vet is aware of this and said she can graze but same food consistently. But also said that might be leading to a higher glucose.

Of course we want what is best for her but we’re also trying to avoid as many vet visits as possible. She is getting increasingly stressed with each one with the last resulting in her peeing all over herself in the carrier. Which has never happened before in 11 years. Not at home and not in the carrier, which she’s had to be in for previous moves before. So if she can’t even tolerate a 15 minute walk in the carrier anymore…

I’m not sure what problems to look for and how to help her. I can’t tell if I am just being needlessly paranoid or if there’s validity in our concerns about how we’re handling all this. And she just started receiving insulin less than a week ago so I don’t know what to expect while we work on regulating her. I feel like her energy levels might’ve dropped a little bit so I’m just really overall worried about what we’re doing for her. If anyone has any words of wisdom, advice, or anything helpful to add then I’d greatly appreciate it.

EDIT: to add, she was given around 1/2 a can of her vet-recommended wet food before each insulin dose but she’s never had that little food before. This was to compensate for the dry food grazing at the recommendation of her vet. Marley just sits in the kitchen now so her vet said we can try 3/4ths
 
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Hi Hailee!

I'm quite new here, so I won't be much help regarding your diabetes management questions, I'm blessed with a very easygoing cat!

I just wanted to tell you about the stressful vet visits, my other cat has been traumatized in a previous clinic, and since then, I give him 50mg Gabapentin 2 hours before each visit.
It's a mild antianxiety and analgesic medication. Ask your vet if they could give you some to try it on her. It is commonly used on anxious cats for better vet care.
 
Hi Hailee!

I'm quite new here, so I won't be much help regarding your diabetes management questions, I'm blessed with a very easygoing cat!

I just wanted to tell you about the stressful vet visits, my other cat has been traumatized in a previous clinic, and since then, I give him 50mg Gabapentin 2 hours before each visit.
It's a mild antianxiety and analgesic medication. Ask your vet if they could give you some to try it on her. It is commonly used on anxious cats for better vet care.
Hey Daphne. Post here on the ProZinc forum if you want some help/guidance. @Daphne and Aida I don’t have time to always be over on Feline Health. I am here most days and have helped a lot of cats. Two have recently gone into remission, and I am really excited about that!!
 
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Hi Hailee. I’m sorry and Marley’s stress (and yours!) I definitely agree on the Gabapentin to be given 2 hours before a vet visit. It’s really helpful. If you can ultimately get to a place where you can either test her blood glucose at home or put on a Libre continuous glucose monitor (which I am generally not a fan of, but if there’s no other option) then you will not need regular vet visits. The only real way to make certain that Marley is safe, while at the same time getting her regulated, is to be able to test at home. This can take some time for people. Testing the urine isn’t telling you too much except that her blood glucose is so high that she’s spilling it into her urine. I am very glad that you caught her while she was only in the “early” stages of DKA. Since you are already testing her urine, you should get some keto sticks and test her urine for ketones as well.
 
e than a spoonful of any type of wet food per day. Her vet is aware of this and said she can graze but same food consistently. But also said that might be leading to a higher glucose
Dry food will definitely raise Marley’s blood glucose. You are right. Low carb wet food is best for diabetic cats and all cats, in fact. Maybe you could try the Dr. Elsey’s Clean Protein chicken flavor as it’s one of two low carb dry foods for cats. It’s still not ideal, but it’s better than the HC dry food for Marley.
 
Let me know more specific questions you may have. We have tips for trying to test at home, and I would encourage you not to give up on it entirely. Your girl may just need to get used to it very gradually. I cried for a week or two while trying to learn how to test — and my boy was easygoing. Don’t give up.
 
Let me know more specific questions you may have. We have tips for trying to test at home, and I would encourage you not to give up on it entirely. Your girl may just need to get used to it very gradually. I cried for a week or two while trying to learn how to test — and my boy was easygoing. Don’t give up.
With the dry food, her vet switched her to the one she’s been eating currently because of her weird skin/allergy problem coupled with some digestive issues that they’re unsure about but putting on hold till she’s regulated. They never found out what was irritating her so she got this ultra plain dry food for her usual grazing. She was recommended this food back in November but they’re aware she’s on it. It’s the Hills Prescription Diet for digestive care. I’ll ask my mom to bring up that brand next time she speaks to the vet but even if they approve it, my other cat would basically not eat all day so that’s kind of tough to do there. And both people in my household (including me) works so it’s not like we could give him a bit throughout the day. I’ll also bring up the Gabapentin. The urine sticks they provided also test for both glucose and ketones.

Today for her PM dose, she was almost impossible to get. It’s getting worse and I don’t know how we’ll be able to do it twice a day let alone test her. No recommendations I’ve seen has worked. Not petting, not letting her eat for a bit and then doing it there, not a treat, she just gets up and moves away when I tried to grab her skin. Also trying different spots. She won’t sit still for anything. If you pet her, touch her, she’ll just get up and get excited. Just constantly walks and follows you around, rubs her cheeks on everything. I don’t want to have to feel like testing isn’t an option but especially with how she’s been, I don’t know how we’d be able to do it so often and daily. She finally just laid down at one point and I was able to give her the unit but she’s been laying down near her food dishes all night ever since.

I’m only 21 and my mom brought home Marley when she was a kitten so she’s quite literally grown up with me and she’s quite the little buddy. We both want what’s best for her and want to help her but this really hasn’t been easy. Even her current state has me worried but I don’t know what I could do since I can’t test her.
 
Update on tonight cause I was quite worried. My mom came home at around +3 hours after dosage and Marley immediately perked up. Completely different cat for the past 40 minutes. Complete 180.

We share two theories - one being that because of her resistance to getting the shot, my mom hasn’t been successful in actually puncturing her. We haven’t felt anything wet on her fur that we know of but she’s not confident in her previous cycles since Sunday. We might try letting her finish her food completely before letting her sit and grabbing her skin in a different way since I was successful with that. I know for a fact I punctured her and even had the chance to draw back to make sure I didn’t get a vein. She didn’t flinch or anything so I’m hoping she wasn’t just giving up and that this method was more successful for her moving forward. Cause with the way she acted previously, I seriously thought I wasn’t going to be able to get her at all. She’s a shorthair but she’s quite fluffy so it was hard to see her skin through the pocket. Spreading out her fur while she was lying down made sure I actually saw the needle go through. I don’t know if this half cycle alone was enough to change her energy but hopefully this was successful for her glucose.

Our second theory is the dry food is just too much for her right now if she’s struggling to determine her actual hunger levels throughout the day. We haven’t been putting much out since Marley returned home but we’re going to try taking it away while we’re home. If our other cat goes to the kitchen asking for food then we’ll follow him for that. I still feel bad cause he’s a terrible eater but hopefully he will adjust and maybe take a liking to her new food. He already had a few bites of it so either he was incredibly desperate after today or he actually likes it for now. Marley can probably adjust to feeding times since she can eat a good amount in one sitting but he is just a grazer to the core!

My only wish is that she could be still for a few seconds while we do the insulin. It’s really impossible with the way she is right now. This is a cat that will immediately stand up if you pet her because she gets so excited. Which is of course lovely because she’s just a restless energetic lovebug but it also makes something like this extremely difficult. :(
 
Talk to your vet about putting on a Freestlye Libre continuous glucose monitor. I am surprised they haven’t mentioned it already if you have told them how difficult she is to test. If they’re not interested in you knowing what her blood glucose is when you are giving insulin, I would find another vet.
 
She sounds like such a sweet cat. I know you love her and you and your mom will find a way to help her. It takes time. All this new stuff will not necessarily come together in a day or a week. It does make things more challenging when there’s another cat involved, I have been through that. One thing about feeding a diabetic cat is that they do much better (and it’s safer) if they have multiple small meals spread out over the course of the cycle. I would never leave the house without leaving food for her to graze on because you are currently not testing and she needs food available in case the dose of insulin causes her blood glucose to drop too low. Normally, if you were testing her BG, I would recommend a feeding schedule where she eats her breakfast at the same time she gets her shot. Then she would have snacks at 2 and 4 hours after the shot (+2 and +4) and possibly at 6 hours after (+6) as well. After that I would not recommend any feeding until the next shot time. When testing BG at home it’s best (especially when first starting out) to not give them any food for two hours prior to the insulin shot so that you can get an accurate “fasting glucose” number that is not elevated by food. This is how you know if Marley’s BG is even high enough to give the insulin. It’s particularly important with ProZinc. Hopefully, since we don’t have any information right now, the 1 unit dose is a small one for her and isn’t lowering her glucose too much. So that’s what I would recommend if you were testing. All things in good time. She sounds really sweet, and I haven’t given up hope that you will figure out a way to het her to cooperate with some testing. I really appreciate how you and your mom are really trying to help her.
 
Oh, and you don’t necessarily need to see her skin when you shoot. You will get used to it and know if the needle has gone in just by “feel” soon. Some people will have a small spot of fur shaved in the beginning, but it’s usually people with long haired cats. Keep trying. You will get it!
 
Oh, and you don’t necessarily need to see her skin when you shoot. You will get used to it and know if the needle has gone in just by “feel” soon. Some people will have a small spot of fur shaved in the beginning, but it’s usually people with long haired cats. Keep trying. You will get it!
Yeah I know we don’t necessarily need to see her skin but it’s been helpful. Hopefully I don’t jinx it but she’s been doing much better with our new way of getting her. She’s still quite restless as usual but hopefully I get a routine with her.

With Marley, she has never had to deal with any sort of health problems in her 11 years and so this whole thing is extremely foreign to her. Very new for most pets but she has no familiarity of having to do anything medical. Even aside from her unknown allergy, weird diet issues, and now the diabetes, they said she looks wonderful and everything else looks great. The one good thing about her being hospitalized was they were able to monitor her cycles and she was doing well on the one unit of Prozinc. She has an upcoming vet appointment in a few weeks to reassess where she’s at and see how she is doing. We wouldn’t be able to test her daily anyways with our work schedules but hopefully when she’s more adjusted we can test her occasionally and on an as-needed basis. Her team said we’ll talk about the options there her next visit.

She is showing the typical insatiably hungry new diabetic behavior so leaving wet food out just doesn’t last and is gone in an instant. Only option is giving her some bites while we’re home (not possible some days since we do have to leave a bit after her insulin dose) or leaving the dry food out when we’re gone. We’ll definitely reassess leaving just a bit of dry food out when we’re gone once she’s regulated and not desperate for food 24/7 so she’ll go back to her occasional snack during the day but not overdo it.

She has been doing wonderfully ever since I started to do her shots and with the new way I mentioned, as well as taking away the dry food when we’re not here. Still constantly hungry but she’s had so much energy and personality! Crossing my fingers that she continues to take her insulin begrudgingly and we get her in a routine so she knows she’s got a few seconds to be over with. I think the big thing is continuing to get her glucose down, regulated, and then making sure she’s as comfortable as possible so we can start testing and adjusting for her as needed. Feeling much better as I start to get used to her new routine and as she continues to show improvement in how she feels so I appreciate the help and I think I feel more equipped for questions during her next vet appointment! She’s already completely gone back to her usual self so hopefully this continues on and of course we’ll monitor for any changes!
 
Usually people who are gone all day at work will get a few night time tests (when many cats tend to drop lower) and then on the weekend or their day off they will run a curve testing every two hours during one cycle. This way they can learn most important information like how low (nadir) the dose is taking the cat. Doses are based in large part on nadirs, with some consideration to preshot numbers with ProZinc. Cats insulin needs can and do change. A dose that is good for now may not be in another week (or day) or two.
 
Usually people who are gone all day at work will get a few night time tests (when many cats tend to drop lower) and then on the weekend or their day off they will run a curve testing every two hours during one cycle. This way they can learn most important information like how low (nadir) the dose is taking the cat. Doses are based in large part on nadirs, with some consideration to preshot numbers with ProZinc. Cats insulin needs can and do change. A dose that is good for now may not be in another week (or day) or two.
Well that’s why I said that we’ll do it occasionally and as-needed once we determine how she’s settling in with the shooting!

Just did her PM dose and she’s beginning to recognize the prepping of the needle, which is a good(?) sign. Marley paused her eating and I called her over to her new spot, she did flinch but she settled nicely. I just don’t want to make it impossible to ever even get the insulin in since we wouldn’t be able to financially handle taking her to the vet twice daily or having a nurse come and do it if she gets overwhelmed with the constant poking/proding and we become unable to do it. Today is only a week she’s been getting these twice daily injections so we all want to make sure she’s adjusting well. She has a vet appointment in two weeks so like I said, we’ll talk about her state, numbers, and plans for testing then.

I was able to test her urine tonight and it’s negative for ketones which I think was the big concern. And the color in glucose present in her urine was harder to read but a big difference in her previous numbers. So I’m just glad she’s currently on the right track now and her vet will always take calls so if before we test her and before her appointment, we’re ever concerned about her numbers then we can bring her over and figure it out then.
 
Negative for ketones! Excellent. :) You are smart to have a particular spot to do the shots and feeding. You should give her a treat she may like - like a Pure Bites chicken treat or similar pure meat thing (some people use chunks of boiled chicken breast.). Keep it positive. We do that for testing too. Always a treat, whether you’re successful or not. I hope she’s going to feel so much better!
 
I know this is a little late to your post, but I relate SO heavily on being young and trying to understand all of this and care for your cat, as well as, having a second cat who was used to grazing and now cannot. My diabetic cat, Grimm, got diagnosed last June and my other boy, Jasper, still hasn’t fully adjusted to scheduled feedings.

I’m not sure if it’s doable for you, but I have a separate room with a closed door for feeding Grimm and I feed Jasper at the same time and have kept it routine to try to eliminate the need to graze. If Jasper gets antsy throughout the day, I give him some dry food and I either have Grimm in a separate room closed off or I give him freeze dried chicken breast or turkey liver treats as they are high protein. From my experience, the dry food will up your diabetic kitty’s numbers so eliminating the chance of him getting the dry food outside of feeding times would be best.

Also, I’m not sure if this is helpful but - Grimm was also slightly resistant to the needle at first. I allowed him to eat his wet food, Fancy Feast Pate, and once he ate majority of that, I would add dry food on top of whatever was left. The dry food is his favorite part so it’s like a “treat” after finishing the high protein part of the meal. And once he starts eating the dry is when I take the opportunity to give him his insulin because he is highly distracted by his preferred food. Your kitty seems to be more antsy though, so I’m not sure if that would work for you but figured I’d share in case. I’m not sure if you tried any squeezey treats, but those tend to be highly preferred treats for our feline friends as well. There were times I needed to squeeze some on top of Grimm’s food to keep him distracted too. Tiki Cat is a good brand of them because they’re grain-free! And you/your mom should feel a “pop” too of when the needle goes through the skin. At first, it’s hard to adjust to the amount of pressure you need to put in to do it, but over time you get used to it.

I know it’s frustrating. I cried so much at the beginning of Grimm’s diagnosis and still have moments here and there, today being one of them. Give yourself grace and know it’s a journey of learning and adapting. I hope you find a routine that works for you!
 
I know this is a little late to your post, but I relate SO heavily on being young and trying to understand all of this and care for your cat, as well as, having a second cat who was used to grazing and now cannot. My diabetic cat, Grimm, got diagnosed last June and my other boy, Jasper, still hasn’t fully adjusted to scheduled feedings.

I’m not sure if it’s doable for you, but I have a separate room with a closed door for feeding Grimm and I feed Jasper at the same time and have kept it routine to try to eliminate the need to graze. If Jasper gets antsy throughout the day, I give him some dry food and I either have Grimm in a separate room closed off or I give him freeze dried chicken breast or turkey liver treats as they are high protein. From my experience, the dry food will up your diabetic kitty’s numbers so eliminating the chance of him getting the dry food outside of feeding times would be best.

Also, I’m not sure if this is helpful but - Grimm was also slightly resistant to the needle at first. I allowed him to eat his wet food, Fancy Feast Pate, and once he ate majority of that, I would add dry food on top of whatever was left. The dry food is his favorite part so it’s like a “treat” after finishing the high protein part of the meal. And once he starts eating the dry is when I take the opportunity to give him his insulin because he is highly distracted by his preferred food. Your kitty seems to be more antsy though, so I’m not sure if that would work for you but figured I’d share in case. I’m not sure if you tried any squeezey treats, but those tend to be highly preferred treats for our feline friends as well. There were times I needed to squeeze some on top of Grimm’s food to keep him distracted too. Tiki Cat is a good brand of them because they’re grain-free! And you/your mom should feel a “pop” too of when the needle goes through the skin. At first, it’s hard to adjust to the amount of pressure you need to put in to do it, but over time you get used to it.

I know it’s frustrating. I cried so much at the beginning of Grimm’s diagnosis and still have moments here and there, today being one of them. Give yourself grace and know it’s a journey of learning and adapting. I hope you find a routine that works for you!
It was just stressful not knowing how to best help her but she completely took charge of her routine after we stopped trying to jab her while she was eating. She completely decides to go in her spot on her own and has fully learned that needle = treat and has now started PURRING at the needle LOL. She still is a little antsy some days and I have now discovered that some of her skin is just not as cooperative so I have to be wary of that. We will feel the needle go in slightly but it will sometimes push out or not puncture enough in some spots. She’s been a champ about it though thankfully. After my first time giving her the shot, we’ve fully settled into a routine with her fussy skin now being the only problem.

I live in a tiny nyc apartment so I only have two doors in the entire place and neither are good spots to feed her. My other cat has took an enormous liking to her new food though so that’s been really helpful. She’s just so hungry still since she isn’t grazing like she used to. We’ve tried feeding her a small spoonful during certain times of the day, not too close to her dose time and it’s been fine so idk.

But she’s been a very energetic happy cat otherwise so we’ll take that as a good sign! I don’t think anyone would guess her age based on how active she’s been lately haha. Still no ketones in her urine either so we’re doing well.
 
Hi Hailee,

Our kitty has been newly diagnosed with diabetes too after we nearly lost her to ketoacidosis. She’s doing OK, not quite out of the woods yet, but I find that gently holding her by the scruff of the neck helps calm her pre-injection - it shows her who’s boss! That and a little stroke to let her know she’s OK seems to work well, for now at least. In our two-cat household, we’ve always used SureFeed Microchip Cat Feeders which I am extremely thankful for now, and would thoroughly recommend. It took a few days for my cats to get used to them and they are quite expensive, but nowhere near as expensive as either cat overeating the food. Less stress, easier control, and as much as she tries, my DM kitty can’t get hold of her sister’s food. We’re in the UK but I’m sure they’re sold in other countries too.

I hope this helps
 
Hi Hailee,

Our kitty has been newly diagnosed with diabetes too after we nearly lost her to ketoacidosis. She’s doing OK, not quite out of the woods yet, but I find that gently holding her by the scruff of the neck helps calm her pre-injection - it shows her who’s boss! That and a little stroke to let her know she’s OK seems to work well, for now at least. In our two-cat household, we’ve always used SureFeed Microchip Cat Feeders which I am extremely thankful for now, and would thoroughly recommend. It took a few days for my cats to get used to them and they are quite expensive, but nowhere near as expensive as either cat overeating the food. Less stress, easier control, and as much as she tries, my DM kitty can’t get hold of her sister’s food. We’re in the UK but I’m sure they’re sold in other countries too.

I hope this helps
Yeah Marley is quite uncomfortable with the scruff holding. I’ve completely stopped attempting it because I can see she’s not a fan. Even while she’s sitting in her spot, if I grab her skin too much, she’ll shoot me a glare lol. But that’s fine, whatever she’s comfortable with and whatever works! She’s a smart cat and has her routine. As I’m writing this, my mother has texted me that Marley has finished her meal and gone to her spot to wait for me :D

I think we did talk about the micro-chipped feeders but we’re also still trying to see how she does in the upcoming weeks with her appetite. I think my other cat is doing fine for now. He’s started to enjoy her new food (he has now joined her in the kitchen and meowed for the two of them to receive food) and it’s we’re letting him jump the counter if he wants his dry food. He has no interest in people food so we’re not worried about habits. Just wiping it down whenever possible. We’re definitely at a point of “whatever works, works”.
 
As I’m writing this, my mother has texted me that Marley has finished her meal and gone to her spot to wait for me :D
With ProZinc, you don’t need to wait until after she has eaten to give the shot. You can actually test her and shoot the insulin and feed her. Or shoot while she’s eating or yes, you can shoot as soon as she’s finished eating if you need to — but you don’t have to wait to do the shot, unless she won’t let you?
 
I’m looking for her spreadsheet? Have you set one up yet? I would like to be able to see what kind of numbers she’s getting and at what dose.
 
With ProZinc, you don’t need to wait until after she has eaten to give the shot. You can actually test her and shoot the insulin and feed her. Or shoot while she’s eating or yes, you can shoot as soon as she’s finished eating if you need to — but you don’t have to wait to do the shot, unless she won’t let you?
I briefly mentioned it but she’s not a fan of getting the shot mid-meal. She usually finishes most of it and then goes to her spot, I give her the shot, and then she eats the rest if she left any. Which is fine, she has her routine and definitely recognizes what’s going on so it’s whatever she feels good about. As long as she continues to feel good about the routine, I’m solid.

This is week three since her initial diagnosis and her vet appointment is this Saturday so we’ll touch base on testing options during her visit. This thread is a little older and she’s doing good so no updates or changes. I think someone discovered it and left a comment so I replied. But she’s been doing good and we’ve been vigilant about any behavior changes.

EDIT: and she’s still getting the 1 unit twice a day.
 
Where are you posting? Where is your new thread? I am sorry to have commented on an old thread.

So you are not home testing? The only way to know how she is doing on a particular dose is to test her at home. She could be staying in very high numbers that are not healthy for her, or she could be dropping into a number that is too low. It’s important to know the nadir (the lowest point in the cycle) to decide upon the correct (and safe) dose for your cat. If you decide you would like some help with your ProZinc dosing, please post a thread here on the ProZinc forum.

Best wishes. I am glad you have established a routine that she’s comfortable with.
 
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