Yes, I would agree with that. Even though the drama might cause some stress-induced, perhaps a bit of artificially elevated BGs, I think it’s still significantly more desirable than what you might see at a clinic. And KUDOS for sticking it out and getting those BG numbers. It’s no small feat to test given Bear’s personality. I have a few former ferals and I’m well aware how difficult it would be if they became diabetic. I hope you’ll be able to continue to get BG tests — they really can be a game changer and a huge benefit in helping you help your cat.
Kudos also for taking in Bear in the first place. Far too many end up in shelters or euthanized, even those without medical issues. I sense angst and frustration in your posts and for that I’m sorry.
As for free-feeding… I’ve always done that too. Most of mine, including my past diabetics, are grazers and tended self-regulate their food intake. I also liked the idea that there was always food available if their BG dropped low while I was unavailable or sleeping. Some folks prefer meal feeding. It’s really about learning how your cat reacts to food and insulin and tinkering until you figure out what works best for you both (that’s where BG data can really be valuable). Especially with multiple cats, I know it can be hard. With Charlie, who had serious GI issues and could only eat one food, it really helped that he only would eat that one food and pretty much ignored everything else.
You mentioned you were here 20 years ago and a vet helped you get your cat into remission, perhaps with a sliding scale? I’ve been here a little over 18 years but don’t recall a “resident” vet who gave dosing guidance. What insulin were you using? I’m wondering whether you’re talking about Dr. Hodgkins. If so, then things make a bit more sense as some of her theories and dosing methodologies were notably different than what we use here (she had her own website for while, not sure if it’s still live). The only other vet I know of who posted here is Dr. Lisa Pierson, and her focus was much more on feline nutrition and health (not dosing).
I’m sure you’re aware that Vetsulin tends to be a harsher insulin in cats, meaning more rapid BG drops and rises and not always good duration (think an adult roller coaster with steep climbs and drops vs. a child’s more gentle ride with small hills). Lantus can have some steep rises and drops in some cats as well (especially in the early days of use) but overall it seems to be better suited to a cat’s metabolism. That said, I fully understand financial constraints. I mention all of this for several reasons:
(1) Awareness of current options. Lantus generics/biosimilars are now available and significantly lower cost than brand name Lantus.
(2) Cost calculations. Because Lantus and Vetsulin are different “strengths” (concentrations), you get 2.5 x more units of insulin in a 10ml bottle of Lantus than a 10ml bottle of Vetsulin. So that’s important in calculating per-unit cost (I didn’t pay attention to this initially, just knew that the price of one vial was significantly more expensive than the other).
(3) Safety. Any cat can go hypo from any insulin, but it’s definitely important to have food on board 30 minutes or so before giving Vetsulin or any other faster acting insulin. If you haven’t seen them, I encourage you to refresh your memory by reading the posts marked “Sticky” over on the “Caninsulin/Vetsulin and N/NPH” forum, particularly the “Beginners Guide to Vetsulin” sticky. There’s a lot of valuable info there.
For what it’s worth, some cats avoid the shots if it makes them feel worse, perhaps due to rapid BG change or hypo numbers or whatever. However, many (even spooky or wild-ish) cats will learn to associate the shot and/or BG tests with feeling better and actually learn to come to a testing spot (or at least tolerate the pokes without too much fuss). I hope this becomes true for Bear. The worst days are often the early days. Keep persevering.
Finally, welcome back to the board. I wish you and Bear only the best. I hope you continue posting your progress.
[Added note: the board has grown exponentially in the past 18 years as the Internet has evolved into a “go-to resource” and as more and more cats have been diagnosed with FD. I’ve noticed a difference in the board too, but I believe it’s more about managing the sheer size and volume of requests for help rather than “policing.” There are still just as many folks here who are kind and care as before. Regardless of personalities, I think we need to remind ourselves that it was, and always will be, all about the cats.]