I agree the fructosamine was totally unnecessary, and if we'd even thought your vet would want to do one, we would have told you to refuse it.
You know where Boot's blood glucose numbers have been for the past several weeks, and that's all the test will show...of course your vet may be trying to prove that we're wrong and she's right too and hoping the test results will come back that Boots is not controlled (don't worry about it...he is!)
Did you take your spreadsheet to show her? (or give her the link so she could look herself?) No biggy at this point..I just hate for you to have spent money you didn't need to.
I hope the blood tests come back looking better than they did before. I can't see them not being better considering the difference in Boots' overall health! Keeping his blood glucose in normal numbers helps their kidneys function better too
It's really frustrating when you can prove what you're doing is working, but your vet will still have a problem with it....her expensive 'prescription" food (even if it's not too high in carbs) is made with meat by-products too!
The lowest carb canned "prescription" food is DM
Ingredients
Purina Veterinary Diets DM Dietetic Management Formula Canned Cat Food
Liver, poultry by-products, meat by-products, water sufficient for processing, chicken, salmon, oat fiber, salmon meal, guar gum, potassium chloride, carrageenan, salt, Vitamin E supplement, calcium phosphate, taurine, thiamine mononitrate, zinc sulfate, ferrous sulfate, niacin, calcium pantothenate, copper sulfate, Vitamin A supplement, manganese sulfate, menadione sodium bisulfite complex (source of Vitamin K activity), pyridoxine hydrochloride, riboflavin supplement, Vitamin B-12 supplement, biotin, folic acid, Vitamin D-3 supplement, potassium iodide.
And of course the dry is worse!!
Crazy doctors...can't admit they might be wrong even when it's staring them in the face! Enjoy Boot's OTJ status and don't let her steal one bit of your thunder! You did it!
Here are some tips to stay OTJ
1. Never feed dry - not even treats. If you change wet food types, be 100% sure the new food is also low carb and same low carb % as your current food. Some cats are very carb sensitive and an increase from 3-6% to 8-10% can spike the BG’s. Don’t feed if you aren’t sure!
2. Weigh every 2 weeks to 1 month to watch for weight changes. Too much of a weight gain can cause loss of remission.
3. Measure blood once a week, indefinitely. You want to catch a relapse quickly. Some people only do checks every 2 weeks to a month.
4. No steroids or oral meds with sugar - remind your vet whenever giving you any medication. Always double check.
5. Monitor food intake, peeing and drinking. If increasing, a sign of losing remission.
6. Regular vet checks for infection such as dental , ear or UTI. And get them treated quick!
If your cat does fall out of remission you need to be more aggressive and resolve issues/ back on insulin as soon as possible as the window for a second remission is tight if any.
