At the end of my rope, insulin resistance

Faryn

New Member
I decided to finally make an account today after using this forum for a year to get great advice.

My cat Cash was diagnosed in T2 April of last year and nearly hit remission in December, but now his numbers are out of control despite everything I'm doing. Attached are his curves from the past year. He's on ProZinc, started at 2 units and got down to 0.5 before his glucose started to rise and hasn't stopped.

Cash is a Maine Coon mix, about 18lbs. 14 years old.
Glucose is home tested on the Alphatrak and Contour meters

I now have him on 3.5 units, increasing 0.5 almost weekly. He's on 0.5 cup of wet food twice a day, Tiki mixed with a little Wellness (lowest carb Beef & Chicken). He was on Wellness up until December when my vet switched him to Royal Canin kidney support wet food. I believe this is where things went wrong. He was on it for about a month before his glucose started rising. Twice I tested him and he has been over 720 the past two weeks.

At this point his legs have significant neuropathy and he's drinking a lot, generally lethargic. No vomiting, appetite still good. No ketones in the urine. I'm looking for any advice or insight. I'll be taking him to see a specialist late this week or next week, but it's been heartbreaking my heart to see him suffering in the meantime. My vet basically said he's too complicated and they don't know what to do anymore. I'm intimately familiar with the workings of diabetes because my brother is a T1.

This community has been a life-saver this past year so BIG thank you for all the people who contribute here!
 

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I decided to finally make an account today after using this forum for a year to get great advice.

My cat Cash was diagnosed in T2 April of last year and nearly hit remission in December, but now his numbers are out of control despite everything I'm doing. Attached are his curves from the past year. He's on ProZinc, started at 2 units and got down to 0.5 before his glucose started to rise and hasn't stopped.

Cash is a Maine Coon mix, about 18lbs. 14 years old.
Glucose is home tested on the Alphatrak and Contour meters

I now have him on 3.5 units, increasing 0.5 almost weekly. He's on 0.5 cup of wet food twice a day, Tiki mixed with a little Wellness (lowest carb Beef & Chicken). He was on Wellness up until December when my vet switched him to Royal Canin kidney support wet food. I believe this is where things went wrong. He was on it for about a month before his glucose started rising. Twice I tested him and he has been over 720 the past two weeks.

At this point his legs have significant neuropathy and he's drinking a lot, generally lethargic. No vomiting, appetite still good. No ketones in the urine. I'm looking for any advice or insight. I'll be taking him to see a specialist late this week or next week, but it's been heartbreaking my heart to see him suffering in the meantime. My vet basically said he's too complicated and they don't know what to do anymore. I'm intimately familiar with the workings of diabetes because my brother is a T1.

This community has been a life-saver this past year so BIG thank you for all the people who contribute here!
@Suzanne & Darcy
 
Can you do your signature and set up our spreadsheet so members can help you
Here is a link helping us to help you link. If you noticed, our members have some basic information about their cat's in their signature. This helps us to not pester you by asking the same questions (your cat's name, insulin type, date of diagnosis, etc.) repeatedly. We also have a link to our spreadsheet in our signature. We are very numbers driven. The spreadsheet is a record of your cat's progress. By linking it in your signature, we can follow along and provide feedback should you need the help


The link will explain how to set up the spreadsheet, if you need help just ask. Why did your vet put him on Royal Canin Kidney support?
I tried to find the carbs for this but couldn't find it
Cash is a gorgeous kitty :cat:
@Faryn
 
Oh my goodness, Faryn I am so sorry I have not replied to you yet. Please forgive me. I read your post yesterday and looked at your curves. I spent some time thinking about the situation and I think I thought about it so much that I thought I had responded. I have been having a terrible time with one of my cats this week. She has heart disease and is having a very difficult week. I have had several sleepless nights. I think that’s why I went to sleep thinking of you and your sweet kitty. Let me reply in full in a few minutes.
 
Between August and October you reduced his dose from 2 to 1.5. Why? I don’t see a low number, but there were months between. You then reduced to 1 unit and later to .5 units. I am not sure why. I don’t see it in the numbers. If there was a daily spreadsheet, I could understand more.
 
This is very perplexing. If it were only the food change I feel like when you switched off of the renal food that things would have improved. Have you had your vet visit this week?
 
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