3/2 Buzzy AMPS 155; +6.25 (91); PMPS 125; pic for fun; vet update

ugh apparently he vomited quite a bit again last night. Ughhh. Is it the clavicillan? Would "vomiting" as a side effect kick in a week after starting it? :\
 
I'm sorry about the vomit. I'd ask the vet about the meds causing it. I hope you can get him in today if he needs it. Sending prayers.
 
So sorry that Buzzy is vomiting. Hope the vet can give him something to help. And I hope you see more greens today!
 
Vet appointment set for this afternoon. Will mention vomiting. May cancel next week's urine re-check as well for now and just watch him to see if he has any actual UTI symptoms (this was an option she gave me before anyways)...or get one of those at-home tests. I think he's been antibiotic-ed enough for a while, and also, I am beyond out of money.
 
I feel like we need a picture to lighten the stress.
Cuddle cat:
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So, vet update:
His ears look perfectly good and normal inside. She thinks it's either related to how much I'm sticking his ears, which is causing inflammation, or that it is, indeed, diet-related.
Soooo I'm to minimize sticking...she actually asked me to stop completely for a week, but I'm not comfortable w/ that....also I don't think it can be that bc I literally stopped sticking the "worse" ear for a week, and it only got worse... but still I will minimize sticking bc his ears are inflammed and unhappy right now.
Also, I need to find a better food.

She says the vomiting is likely bc of the antibiotics, but she wants me to finish them off anyways -- his urine looks a lot better, so we do not need to go in again for a re-check next Monday at least, so that's good.

Edit: also, he's gained weight. Just a little. 13 pounds instead of 12.something now.
 
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You could always try paw pads to test.....
We alternate- just throwing it out there.
A probiotic might help with the antibiotic since it kills all the good bacteria in the gut.
 
@Si am cat mom I asked about that, and she didn't want me to do paw pads. (Although, funny, bc the other vet suggested paw pads.) To be honest, I'm not comfortable doing paw pads. I don't think the sticking is what is causing it -- if it was, I think the ear I'm sticking would be the worst ear. Not the one i've practically stopped sticking!

Actually....get this guys....
She suggested just doing urine glucose testing.
I was like "nooo...you don't understand... I've got this cat regulated to between blood glucose values of 50-150...there should be no glucose in that urine. I have to make sure it's safe to give him his shot at all."
She was definitely an old-school vet with a lack of some knowledge. I haven't heard a suggestion to glucose test urine only in like a decade!

Things she said during course of visit:

"it shouldn't matter what you feed him if he's on the right amount of insulin."
"just test his urine for glucose."
"you shouldn't give insulin at such low values."
"Just keeping him below 300 is good enough."
"A topical steroid won't impact his blood glucose." (may be true, but a lot of people find differently.)

So yeah I was mostly like ...k thanks for making sure his ears aren't infected!....
 
So, current plan is to still give him a little Friskies w/ his pill in it & then to gradually transition him over to Performatrin adult chicken cat food - it's a Canadian cat food, but we have PetValu here locally & it's actually the most convenient location. It's a super clean cat food and pretty affordable at $2.39 for a big 13-oz can. Canadian chart confirms it should be perfectly fine on carbs & lower in phosphorus & I like that it's ONE protein source, no fish, no byproducts, no carageenan...it's super clean
 
Praise the lord he's eating it lol (mixed with Friskies for now. And doing his pill just in the Friskies. We will do this gradually since he's being a butt.)
It's a super soft pate!
 
Your vet's suggestions make me want to slam my head into a wall.

If food didn't matter, how about suggesting that if her infant were to get diabetes, she feed said child a diet of ice cream, cookies, soda (and not the artificially sweetened kind), and pasta? Of course, she might have to give her child 60u of insulin to compensate but what the heck!

Urine glucose testing is only supported for 3rd world countries where access to glucometers is poor and it's better than nothing. The problem with urine testing is that the results are not a reflection of the current glucose level. Food needs to be eaten, metabolized, enter the blood stream, filtered by the kidneys, and then stored in the bladder until your cats the urge to urinate. Those last 2 steps take quite some time. Your cat could be having a hypoglycemic event by the time you're getting a reading and you would never know the numbers were that low since the urine you're testing is hours old. And, urine strips do not give you highs or lows.

Below 300? Does this vet not understand renal threshold?

Where did this vet train and when was the last time she took any continuing education credits on diabetes?

Yeesh!
 
Your vet's suggestions make me want to slam my head into a wall.

If food didn't matter, how about suggesting that if her infant were to get diabetes, she feed said child a diet of ice cream, cookies, soda (and not the artificially sweetened kind), and pasta? Of course, she might have to give her child 60u of insulin to compensate but what the heck!

Urine glucose testing is only supported for 3rd world countries where access to glucometers is poor and it's better than nothing. The problem with urine testing is that the results are not a reflection of the current glucose level. Food needs to be eaten, metabolized, enter the blood stream, filtered by the kidneys, and then stored in the bladder until your cats the urge to urinate. Those last 2 steps take quite some time. Your cat could be having a hypoglycemic event by the time you're getting a reading and you would never know the numbers were that low since the urine you're testing is hours old. And, urine strips do not give you highs or lows.

Below 300? Does this vet not understand renal threshold?

Where did this vet train and when was the last time she took any continuing education credits on diabetes?

Yeesh!

"She was an honors graduate of Murdoch University School of Veterinary and Biomedical Science, Australia."
Lol. That's all I know.

I felt bad for how obsessively I was talking at her basically not taking any of her advice. I'm not great at being assertive.

I'll give her this - her first question out of her mouth was "are you home testing?" So...I mean, at least there's that? But like..if I didn't go in knowing my sh*t from this site...ugh. (FYI this isn't the same vet who diagnosed him; she encouraged home blood testing & an all-wet diet -- though she did say DM would be 'ideal.' I mean, she still tried to start him on 3u, but yeah. She was better.)

I showed her the food spreadsheet. I told her how I was trying to keep him on something under 10% carbs. I told her that he is actually pretty responsive to carbs.
But yeah I went wide-eyed at the suggestion to urine test. I'm like...by the time there's glucose in the urine, your cat is sick. That's what they had my mom do a decade ago.

Oh yeah and she also suggested dropping him to 0.5u but I wasn't fully understanding her reasoning...something like if I put him on 0.5u, I could just not test to give his ears a break?
But I'm not going to do that. I AM going to minimally test til we get his ears a little better - I may use more MC food to keep safe. We'll see. One day at a time.
 
Take a look at Gabby's SS. I tested a lot. Gabby's ears were fine. I think there may be a food or other allergy. Have you tried an allergy med like Zyrtec? Omega-3 may help as long as Buzzy isn't allergic to fish. There's also a topical product, Allerderm, that may help. I believe you can find it on Amazon.
 
Take a look at Gabby's SS. I tested a lot. Gabby's ears were fine. I think there may be a food or other allergy. Have you tried an allergy med like Zyrtec? Omega-3 may help as long as Buzzy isn't allergic to fish. There's also a topical product, Allerderm, that may help. I believe you can find it on Amazon.

I also suspect allergy. I also do not think it's the testing, because he is mostly going at the ear I haven't even been poking! But, I do think the poking is especially uncomfortable right now because his ears are so irritated from the allergy. And I highly suspect it's food related. Thus, the food change :) This new food should eliminate soooo many things.
I opted to go chicken instead of turkey bc turkey had fish oil in it & even though I don't think he's allergic to fish, I wanted to really eliminate as much as possible.

Ingredients in new food:
Chicken, Chicken Broth, Chicken Liver, Guar Gum, Salt, Potassium Chloride, Dried Kelp, Choline Chloride, Cassia Gum, Xanthan Gum, Taurine, Inulin, Oregano, Parsley, Iron Proteinate, Zinc Proteinate, Rosemary, Sage, Vitamin E Supplement, Yucca Schidigera Extract, Thiamine Mononitrate, Copper Proteinate, Manganese Proteinate, Sodium Selenite, Niacin Supplement, D-calcium Pantothenate, Pyridoxine Hydrochloride, Riboflavin Supplement, Vitamin A Supplement, Biotin, Potassium Iodide, Vitamin D3 Supplement, Vitamin B12 Supplement, Folic Acid

It's not on Dr. Linda's sheet since it's a Canadian food (Performatrin Adult Chicken --- NOT the Ultra). It's on the Canadian sheet someone shared in the FB group though and is listed as under 10%. (Something like 4%)


I'll look for Allerderm. (looks expensive)
I declined the steroid cream. She did say I could use hydrocortisone cream from OTC, but I'm wary of all steroids.
 
Interesting discussion with your vet....I gotta shake my head at all of 'that advice'...they do try...but thankfully, you know better...so just go with what you know and hope that you can sort out the allergy thing...I think that's just too challenging and it's easier to recommend that you stop testing your cat - and we both know that's not an option...

One thing that I didn't see mentioned was the Libre - might be out of your budget now - but that's one of those monitors they wear all the time - unfortunately the vet has to apply it and they don't stay stuck on for long - but it could buy your a week or so of 'no sticks' just to see if those ears improved...just a thought. You can check out @For_Luna - to see how they've done with the Libre. I don't know if they're using it now, but they did for a while.

I love the pic! He's adorable!!!

:cat:
 
I've seen members on the French language facebook group apply the Libre CGM sensors to their cats themselves. They even had a video posted of someone doing the application of the sensor.

New member @CLM1975 is using the Libre CGM on her cat. Here is the link to her thread.
http://www.felinediabetes.com/FDMB/threads/george-newly-diagnosed.226285/#post-2535951

Have you thought about doing paw testing, to give his ears a break?

(Someone probably already mentioned that, but thought I'd mention it again.)
 
Interesting discussion with your vet....I gotta shake my head at all of 'that advice'...they do try...but thankfully, you know better...so just go with what you know and hope that you can sort out the allergy thing...I think that's just too challenging and it's easier to recommend that you stop testing your cat - and we both know that's not an option...

One thing that I didn't see mentioned was the Libre - might be out of your budget now - but that's one of those monitors they wear all the time - unfortunately the vet has to apply it and they don't stay stuck on for long - but it could buy your a week or so of 'no sticks' just to see if those ears improved...just a thought. You can check out @For_Luna - to see how they've done with the Libre. I don't know if they're using it now, but they did for a while.

I love the pic! He's adorable!!!

:cat:

I thought of the libre & did some research on it, but this cat will gnaw off soft paws in a day...I can't imagine a libre would have a chance lol. I fantasize of the day they make a libre for pets that is teeny tiny or something.
My current plan is just to minimize testing as much as possible & to keep using the coconut oil - no neosporin. If finishing the antibiotic & changing his food makes no difference, I will have to reevaluate what might be up. I have everything crossed that this is food-related. Unfortunately, it's going to take some time to find out especially bc I'm going to keep giving him the Friskies at least for his pills through Friday morning & then mixing Friskies w/ the new food to slowly transition him so he doesn't reject it.
 
I've seen members on the French language facebook group apply the Libre CGM sensors to their cats themselves. They even had a video posted of someone doing the application of the sensor.

New member @CLM1975 is using the Libre CGM on her cat. Here is the link to her thread.
http://www.felinediabetes.com/FDMB/threads/george-newly-diagnosed.226285/#post-2535951

Have you thought about doing paw testing, to give his ears a break?

(Someone probably already mentioned that, but thought I'd mention it again.)

I did, but I don't personally feel comfortable doing paw testing given that his paws go into his litter and all over this house, which I mop with chemicals... I just...eh.
That'd be something I'd re-evaluate if things don't improve w/ the changes I'm making now.
 
The food may be fine providing Buzzy isn't allergic to chicken! It's a common food allergy for cats.

Yeah, I know it's common. He's had chicken-based food all his life & done fine on it, so I don't think he's allergic to that.
Chicken & turkey have always been OK for him. If I have to, I'll switch to turkey - I contemplated it a lot - I ultimately went w/ the chicken bc their turkey formula contains fish oil...and while I don't think he's allergic to that, I wanted to eliminate as many possibilities as I could.
 
Gizmo was fed only chicken and turkey for years and years. He developed IBD and can't have any poultry. Go figure.

Well that's fun!
Fortunately, Buzzy's poo has been fine lol. Unlike when he was eating the wet DM & got constipated & I had to pull poop out of his butt AFTER he dragged it all over the carpet while I was at the gym -.-

The vet suggested going "back to a food on which he's done well in the past," but that's tough because he always ate a mix of wet and dry, and the wets he ate are more carbs than I'd like (from what I can even remember -- I have forgotten many of the foods I've tried him on; he was always more into dry.).
If I have to, I'll go back to the Wellness chicken morels, but it's 10% carb :\ ...I THINK he ate Wellness pate at some point too, so that's an option, albeit an expensive one.
The internet can't seem to agree on the quality of Performatrin, but, to me, the ingredients list surpasses anything we make in the US.

Foods I remember:
Chicken Soup for the Cat Lover's Soul: 7% carbs & an option but very expensive -- didn't used to be so expensive
Wellness chicken morels: 10% carbs - also expensive
Hill's science diet age 7+: alllll above 20% carbs & was what I had them on right before diagnosis. Ha.
And I think Wellness pate, which is fine, but expensive. I think the Performatrin is veeeery similar ingredient-wise, but about $1 per big can cheaper.

Geeking out -- ingredient comparison below; overlap bold/differences in italics.
Wellness:
Chicken, Chicken Liver, Turkey, Chicken Broth, Carrots, Natural Flavor, Guar Gum, Cranberries, Ground Flaxseed, Potassium Chloride, Cassia Gum, Xanthan Gum, Taurine, Salt, Choline Chloride, Iron Proteinate, Zinc Proteinate, Beta-Carotene, Thiamine Mononitrate, Vitamin E Supplement, Copper Proteinate, Manganese Proteinate, Sodium Selenite, Niacin, d-Calcium Pantothenate, Pyridoxine Hydrochloride, Riboflavin Supplement, Vitamin A Supplement, Biotin, Potassium Iodide, Vitamin D3 Supplement, Vitamin B12 Supplement, Folic Acid.

Performatrin:
Chicken, Chicken Broth, Chicken Liver, Guar Gum, Salt, Potassium Chloride, Dried Kelp, Choline Chloride, Cassia Gum, Xanthan Gum, Taurine, Inulin, Oregano, Parsley, Iron Proteinate, Zinc Proteinate, Rosemary, Sage, Vitamin E Supplement, Yucca Schidigera Extract, Thiamine Mononitrate, Copper Proteinate, Manganese Proteinate, Sodium Selenite, Niacin Supplement, D-calcium Pantothenate, Pyridoxine Hydrochloride, Riboflavin Supplement, Vitamin A Supplement, Biotin, Potassium Iodide, Vitamin D3 Supplement, Vitamin B12 Supplement, Folic Acid

Summary:
Basically, Wellness uses "natural flavor;" Performatrin uses specific herbs.
Wellness has two poultry proteins, Performatrin has one.
Performatrin uses Yucca extract that contains beta-carotene among other things; Wellness uses Beta-carotene by itself
Wellness is "sweetened" with carrots & cranberries while Performatrin uses inulin.
Also Performatrin has a lighter, smoother texture for what that matters.

...I'm only a little obsessive....

Point is, if he did well on Wellness, he should do well on Performatrin, and it's cheaper lol.
 
Wellness is high in fat -- more calories, if that is a factor. The one thing they both contain are gums. They have been related to IBD and can be a source of allergy/inflammation.
 
Wellness is high in fat -- more calories, if that is a factor. The one thing they both contain are gums. They have been related to IBD and can be a source of allergy/inflammation.

I guess I'm not sure what you're suggesting instead? Do you think Performatrin is a bad food or something? I'm not sure what else I would feed them... I can't afford anything more expensive than this, and this is pretty much the cleanest food I've ever fed him.
Neither of my cats has IBD or, as far as I know, any bowel issues. I'm pretty sure every food he's been on has contained gums, so I don't think it's that. I've not witnessed any flatulance or bloating or constipation. There was the throwing up those couple of nights before I ever started the Performatrin, but that's stopped (knock on wood). And, bonus, he actually really likes and will eat this food.

This food is definitely pretty high fat as well, I think, but most of the foods we're cycled through in this attempt to go all-wet have been high fat -- as are all the alternatives we've been entertaining (Blue, Wellness). All I can really do is monitor weight & change amounts or whatever as needed. He's a healthy weight right now. My other one is definitely gaining (which sucks because I JUST got her down to a healthy weight) bc she's a freaking wet food fiend & will steal Buzzy's food -- and I can't separate them mid-day...and he hates when I separate them bc he wants to swap bowls, but then she ends up eating more than him. It's a whole thing. Cats!

I will say his ears continue to look normal (as in not flushed) until I test them AT ALL.
I only tested twice today, but after I stuck his ear just ONE TIME for tonight's blood test, they both went bright red and seemed uncomfortable.
And yet I can't find anyone else whose cat has had this sort of reaction to testing...so I can only hope the food change fixes it :\ But I really don't know if it will bc he's been on so many foods & literally done fine on all of them til now (and I vaguely remember him having issues with Fancy feast in the past).
 
I only tested twice today, but after I stuck his ear just ONE TIME for tonight's blood test, they both went bright red and seemed uncomfortable.
Are you putting anything on his ears prior to testing? Some CG put vaseline or neosporin.

Second thought - are you using the lancet device or freehand? I'm wondering if Buzzy is sensitive to the lancet or lancet device?

Third thought - do you have anything on your hands when you test him... creams, hand lotion?

Just brainstorming a bit...
 
Are you putting anything on his ears prior to testing? Some CG put vaseline or neosporin.

Second thought - are you using the lancet device or freehand? I'm wondering if Buzzy is sensitive to the lancet or lancet device?

Third thought - do you have anything on your hands when you test him... creams, hand lotion?

Just brainstorming a bit...

no, because I was using Neosporin when the reaction started happening. The vet doesn't think it's the lancet; his ears went bright red and super irritated with just her handling them at all.
I wash my hands - someone already suggested it could be that.
I"m nearly certain it's the food. Unfortunately, he's being an ASS and resisting switching
I thought we were in the clear with this food, but unless I mix it with Friskies, he won't eat it -- his sister eats it all -- she is getting fat
 
I'm a little late to this thread but I do want to share my experience with the freestyle Libre. It has been an amazing tool, my cat is very easy and has not really played with the sensors. I'll include a picture, the sensor on his shoulder was faulty so they had to apply a second sensor on his hind leg. Once it got working it has been so easy. We have done a few blood tests to compare and the readings are very very close.

My vet did apply the sensor with a with surgical glue, it's been 11 days on his shoulder and 9 on his hind quarter.
 

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