Bebe's Thread

Plotinus

Member Since 2025
Hello, my name is David Lafferty (user name Plotinus) and my cat is Bebe. She is a "diluted tortie" and is 16.5 years old. We are in Chicago, Illinois. She was diagnosed with diabetes about 3 months ago. Her Alpha-Trak numbers were very high, in the 700s. We started on Glargine insulin at 12 hour intervals and there was some effectiveness at first, but I could not get her below an average of 382. In my anxiety I kept using the original botte of insulin past its 28-day expiration, (I don't know how I could have been that stupid but somehow I though that because it was refrigerated, it was still effective). Once I realized my error she is getting fresh insulin as she should have been getting all along. Because the Alpha-Trak blood test was difficult for both of us, I because she struggled and I live alone with no one to help, I put her on the Free Style Libre Sensor. This is very expensive, but (when it works) it does give continuous glucose information.

The problem is that it is still very difficult to get her glucose to stay in the normal range for more than two hours each day. She gets 4.5 units of glargine insulin with food at 3AM (I get up from bed) and at 3PM and her glucose will drop to 140 or even somewhat lower and will stay there for 90 minutes. The it begins a slow rise to above 350, where it will remain for the rst of the 12-hour period. She gets100 ml of subcutaneous fluids every second day and this seems to make the normal periods last longer. For most of her life she has eaten prescription cat food to protect her kidneys, but recently she refused to eat those and now will eat only Fancy Feast. I mix Catney with that food to help absorb phosphorus that is bad for her kidneys. She has a good appetite but remains underweight. She likes Purina Hydra-Care which has become difficult to find because of distribution problems.

I would be very grateful if anyone has any suggestions about how I can get Bebe's glucose to stay in the normal range for linger periods. The vet says she has pancreatitis but there i sno cancer or other issues. I may be making some mistakes and please feel free to point those out to me.

Best to all!

David
 
Welcome to FDMB David and Bebe, for starters you are in the right place to stabilize Bebe with the correct insulin dose and diet, and it is awesom you are home testing; Fancy Feast is a great choice, however, it is important that Bebe has a diet of low carbs between 0-10% carb, so from Fancy Feast the gravies are out of the question, most members give their cats a diet up to 5%, below is a calculator, and a Drs. Food list, the third column contains the carbs, you use the nutrient in the food to calculate the dry matter carbs, you can go to CHEWY.COM, look for the food you are feeding, click on the can, scroll down and you will see the nutrients of the food, insert them in the cells of the calculator, The Libre is a great tool for easy testing the BG, however it has its flaws, and expensive, when those sensors stop working before the 14 days. Most members use the ReliOn Premier Human monitor and strips, it is accurate and inexpensive, can be purchased at Walmart, if you choose to try it, there are many sticky notes in the Main Forum with much valuable information, in the meantime I will tag a member that can help you with Glargine, the best insulin for cats are ProZinc and Lantus, is gentle on the cats system. I am sure many of the amazing knowledgeable members here will plug in to answer your concerns, keep posting.

https://catinfo.org/docs/CatFoodProteinFatCarbPhosphorusChart.pdf
Cat Food Nutrition Calculator | Elizabeth C Scheyder
@Bron and Sheba (GA)
 
Hello and welcome. I had a "big gulper" girl who ended up needed up to 8.75 units of Lantus. We have a saying here ECID or every cat is different. There are a lot of factors that can influence a cat's dose. Eating lower carb food can make a big difference. Mine had two secondary conditions that meant she needed a higher insulin dose. The fact that Bebe is seeing some numbers below 150 is a good sign.

Regarding the Lantus, if you keep the vial in the fridge between shots, people can get up to 5-6 months out of it. I used one vial, then switched over to pens (actually cartridges which you can get in Canada but not the US). I used one of them up to the last drop. Which wasn't long when she was on a higher dose, but when she got down to smaller doses it would last up to 90 days. There are a number of Sticky Notes at the top of the Lantus forum, and I recommend you give them a read. Not all at once, there is a lot there!

Another post to read, is this one: New? How You Can Help Us Help You! If you could share some of your blood sugar test data in a spreadsheet, we might be able to give you some dosing tips to help get Bebe regulated.
 
Hello and welcome. I had a "big gulper" girl who ended up needed up to 8.75 units of Lantus. We have a saying here ECID or every cat is different. There are a lot of factors that can influence a cat's dose. Eating lower carb food can make a big difference. Mine had two secondary conditions that meant she needed a higher insulin dose. The fact that Bebe is seeing some numbers below 150 is a good sign.

Regarding the Lantus, if you keep the vial in the fridge between shots, people can get up to 5-6 months out of it. I used one vial, then switched over to pens (actually cartridges which you can get in Canada but not the US). I used one of them up to the last drop. Which wasn't long when she was on a higher dose, but when she got down to smaller doses it would last up to 90 days. There are a number of Sticky Notes at the top of the Lantus forum, and I recommend you give them a read. Not all at once, there is a lot there!

Another post to read, is this one: New? How You Can Help Us Help You! If you could share some of your blood sugar test data in a spreadsheet, we might be able to give you some dosing tips to help get Bebe regulated.
Thank you so much!! I will try to work on the spreadsheet data. What is odd with Bebe is that when she gets subcutaneous fluids, which is every second day, there will be a glucose dip to normal territory a few hours later. That will last an hour or two and then her glucose will rise above 350, the point at which the Libre sensor will stop giving a number reading and will just say "high". Somehow the fluids seem to dilute the glucose. I will check the Lantus forum! Thank you!
 
Thank you so much!! I will try to work on the spreadsheet data. What is odd with Bebe is that when she gets subcutaneous fluids, which is every second day, there will be a glucose dip to normal territory a few hours later. That will last an hour or two and then her glucose will rise above 350, the point at which the Libre sensor will stop giving a number reading and will just say "high". Somehow the fluids seem to dilute the glucose. I will check the Lantus forum! Thank you!
Ok remember I was telling you in my post about Libre having flaws? Well that’s one of them and also in low 2 digit numbers it ca read as much as 15-20 BGs lower than what it actually is, I had the first Libre that came out when Corky was diagnosed, it was a nightly histaria, I had the low BG alarm in 90BG, so normally the BG gets lower at night, For started I had no idea about anything, what to do, I was fired by Corky’s life time Vet, he wanted nothing to do with diabetes, so, the alarm on the monitor will start to go off telling me his BG was 49-50! I ran around the house like a chick n without a head, not until I found this Forum 3 months later, when Corky left the hospital, he was there for 8 days, I was just given the basic, I was not Told I needed to home test, and that a diabetic cat should have a BG between 200-300! Then his sensor fell off the next day, the insulin bottle fell out of my hand as I was placing back in fridge, it was a nightmare. So I banged it the best I could I had many sleepless nights, cried myself to sleep, my nerves were shot. This forum not only saved Corky’s life, but it gave mine back, if you take a look at Corky’s SS, you will see how the members here helped me any day any hour of the day- night. So stick around we are sure that with this forum and the dedicated members and with your help, Bebe will stabilize soon, I trust blindly any advice given here
 
Wow! You have been through it! I tarted Libre because I live alone and wasn't east to get someone to help me with a blood test. Bebe struggles and it was hard to get an ear vein lancet prick. I have had hell with Libre too: they stop working and company won't replace, This was ll while I was having right knee repalcement surgery. I can walk now with pain. Today my neck is stiff and I have phystical therapy at 2PM for knee. I am going to work on that spreadsheet thi sevening. Don't worry I love thi scat and I will work hard for her.
 
Great! Sorry about your pains, to test with the ReliOn Premier , you can lure Bebe with a low carb treat before and after, that is for association
Test where Bebe feels more comfortable, place all the stuff to test in front of Bebe let her sniff, cats are curious as you know, pet her for a bit, find a small sock, fill it with rice to make a small ball that can fit in the inner ear for support, tie it, it helps not to prick thru the ear and secure the ear, place lightly between the ears the palm of your hand to make sure when you prick she does not move, now you will have full access of the ear, it does not hurt them, after a week or so, the ears capillaries will swell and you’ll have easy access to the vein, with the ReliOn Premier strips you don’t need but the tip of the strip a tiny bit of blood, but the 3rd day or so Bebe will become comfortable to testing especially she knows treats are involved
 
Ok great! I have an Alpha Trak here and when I used that I used the tip of an insulin needle to prick her ear since that seemed to work better than the lancet in the AlphTrak set up. I will try the calming techniques you suggest.
 
Here are right thin lancets to use
IMG_3580.jpeg
 
30 gauge is pretty thin, too thin for most newbies to get blood with. 27 gauge is a more ideal size. You can use any brand of 27 gauge lancets and the matching device.
 
Thank you so much!! I will try to work on the spreadsheet data. What is odd with Bebe is that when she gets subcutaneous fluids, which is every second day, there will be a glucose dip to normal territory a few hours later. That will last an hour or two and then her glucose will rise above 350, the point at which the Libre sensor will stop giving a number reading and will just say "high". Somehow the fluids seem to dilute the glucose. I will check the Lantus forum! Thank you!
Hi David! Welcome to the forum. If you have any problems setting up the spreadsheet, let us know, and we'll be glad to help. The more experienced folks will definitely want to see what Bebe's numbers look like. I look forward to seeing her improve!
 
That vet who would not work on diabetes should not be in business! I have had some bad Libre experiences including one that stopped after 3 days and one that fell off. When they do work I like the continuous picture I get. It is just that they are so damned expensive and the vet charges $100 or more for installing them. I will try to get Bebe adjusted to the ear samples, she is very high strung.
 
You do not need a vet to place the sensor on Bebe, the instructions are sooo simple, you don’t need to pay for a vet visit plus replacing it. all you need is a shaving razor blade, and 5 minutes, also keep the box of the bad sensor, always keep the box for 14 days and to replace the sensor call the number on the box, customer service, they will replace it, they are guaranteed, you just can’t tell customer service is for a cat, they will ask you the serial number that’s on the box , and some other info, tell them you need it right away so it can get to you in 48 hours, weather it stops working before the 14 days or if it falls off;)
 
Hi David, welcome! I was asked to give you some information about using a Libre. I use a Libre 3 on my kitty since she won’t let me poke her all the time.
(I can poke occasionally, like when she goes low (under 40 or Lo on that Libre)

As you have found, the Libres do have some challenges to them, but they are really helpful in many cases.
I have learned that when giving fluids, they should be given on the opposite side of the body or they can kill the sensor or affect the readings greatly.

I see Mary just attached a document we have put together with lots of helpful information about using one.
And installing a Libre is really easy to do. You don’t need the vet to do it or overcharge you.
There’s a coupon right now from Abbott for $19.99 per Libre (see the post above)
I normally pay around $37 each per Libre.

If you have any questions, please let me know! 🥰
 
You do not need a vet to place the sensor on Bebe, the instructions are sooo simple, you don’t need to pay for a vet visit plus replacing it. all you need is a shaving razor blade, and 5 minutes, also keep the box of the bad sensor, always keep the box for 14 days and to replace the sensor call the number on the box, customer service, they will replace it, they are guaranteed, you just can’t tell customer service is for a cat, they will ask you the serial number that’s on the box , and some other info, tell them you need it right away so it can get to you in 48 hours, weather it stops working before the 14 days or if it falls off;)
I didn't know that! If I can replace the sensor myself I will do it!
 
I didn't know that! If I can replace the sensor myself I will do it!
The more we get to learn to do for our cats the less the vet pockets in. Ask ME! I cannot afford one vet visit, That’s why I say that this Forum has saved Corky’s life. Everything I Do for Corky I owe to this forum, and without any short cuts, try to get that spreadsheet and signature so you can get assisted with dosing as well , no vet bill with that either, and if your vet talks to you about doing a curve for Bebe, you don’t need him for that either, you can do that yourself as well, is just testing every two hours for 1 cycle ( 12 hours) he would tell you you need to leave him admitted. Ask the forum before for advice, you can save yourself lots of money
 
I didn't know that! If I can replace the sensor myself I will do it!
You're going to be thrilled when you see how easy it is--and following the recommendations in that linked article will be way more reliable for keeping them on than what the vet does. At the vet, they very often use glue to adhere the Libres, and that glue can damage the sensor OR kitty's skin. Not good. And when they don't use glue, they don't take the time to do careful skin prep. (Ask me how I know... I had the vet ruin two sensors in one day, one with glue and one without.) But because you'll take your time with skin prep when applying them at home, the results are a lot better. Occasionally you'll still get a sensor that's just a dud, but the majority of them should last you the full two weeks as long as you've got a good way to keep kitty from bothering it. :) Good luck!!
 
You're going to be thrilled when you see how easy it is--and following the recommendations in that linked article will be way more reliable for keeping them on than what the vet does. At the vet, they very often use glue to adhere the Libres, and that glue can damage the sensor OR kitty's skin. Not good. And when they don't use glue, they don't take the time to do careful skin prep. (Ask me how I know... I had the vet ruin two sensors in one day, one with glue and one without.) But because you'll take your time with skin prep when applying them at home, the results are a lot better. Occasionally you'll still get a sensor that's just a dud, but the majority of them should last you the full two weeks as long as you've got a good way to keep kitty from bothering it. :) Good luck!!
Excellent advice and information, Lauren!
 
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