Bringing cat home tomorrow... What to expect?

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Mnyc

Member Since 2013
Took my appx. 13 year old guy to the vet the other day because he hadn't eaten for about 3 days (his diet has been mainly 6 oz. canned food with maybe a tablespoon of dry food each day). He was dehydrated and constipated, so the vet kept him overnight. When the blood came back the next morning it turned out to be DKA, so I rushed him right to the hospital where he has been for 3 days. They tell me he has done really well and should be ready to come home tomorrow. (His last checkup was 6 mos ago and there was no sign of diabetes, and up until last week he had been acting perfectly normally).

I am a bit worried because I don't quite know what to expect. I have had him for 4 years and he has always been a bit unusual. He will skip a meal entirely, not touch his dinner for hours but then eat it all in the middle of the night, ignore water for a day but then stand at the sink and meow until I turn the faucet on for him, be completely lazy for a day or two at a time but then get energetic... So it's really hard to discern when he is acting strangely or when he is just being himself (ie, him not eating didn't set off any alarms for me until the 3rd day because he has often gone for 2 days just picking at his food).

Long story short, from what I have been reading it seems like a regular eating schedule is important to proper insulin administration, but that has just never been his way. Unfortunately I work long hours so giving him a shot every 12 hours will be difficult but doable. But if I give him a shot at 8am and then come home at 8 to give him another, what happens if he won't eat his dinner? I'm also wondering how you really know how much water a cat drinks when you aren't home (to know when he might be drinking more than normal).

Also, blood testing. How often should this be done? (Some things I read say every day or twice a day, other things say every few days...).

Sorry if these are really basic questions but I'm trying to calm myself down before the doctor goes through everything with me as part of the discharge process.
 
Hi Mnyc,

I don't have any answers for you, but wanted to welcome you. Others, more experienced, will come up with some suggestions for you. Does your kitty like treats? There are some that are basically freezed dried meat. Very low or no carb. Most cats seem to love them. Unfortunately, my sugar kitty does not, but my other two guys do. Maybe a treat would start him eating? Have you tried different canned foods? My cats love the Fancy Feast Classics, and fortunately it is a good food for diabetic kitties.

Good luck!
 
Welcome! If you read the information on this site, you can find vital information that will help you take the best care of your sweet kitty.

We suggest testing before each shot (to be sure that it is safe to give the amount you are planning on) and midcycle, when possible. Members with demanding jobs often do some testing at night and on their days at night.

If you use one of the mild, long lasting insulins like Lantus, Levemir or ProZinc, eating after the shot is not imperative, although some food would be good. Actually grazing on wet low carb food is a good approach so his patterns may be fine.

Keep reading and asking questions. We'd love to help.
 
Cleo & Jane said:
Hi Mnyc,

Does your kitty like treats? There are some that are basically freezed dried meat. Very low or no carb. Have you tried different canned foods? My cats love the Fancy Feast Classics, and fortunately it is a good food for diabetic kitties.

Good luck!

Thank you. He does enjoy treats but unfortunately not the ones that are good for him (Purina Whisker Lickins, I believe). As far as canned food, he has a grain allergy so I am a little limited. I have been feeding him the Natural Balance LID, but when I found this board last night I saw the chart showing how high that is in carbs. So, I have a few different varieties of EVO and Wellness here for him to sample when he gets home. Hopefully one of those will appeal to him.

Sue and Oliver (GA) said:
If you use one of the mild, long lasting insulins like Lantus, Levemir or ProZinc, eating after the shot is not imperative, although some food would be good. Actually grazing on wet low carb food is a good approach so his patterns may be fine.

Keep reading and asking questions. We'd love to help.

Thank you, I didn't realize that and it makes me feel a bit more at ease.
 
Do you know what kind of insulin your vet is planning to use? We highly suggest the three I mentioned earlier. There are other harsher insulins like Canninsulin and Humulin but we find those harsher and harder to regulate with.

You can do some shopping to get ready for his homecoming. Many members use the ReliOn meter from Walmart. You want a meter that takes a tiny sample and that has cheaper strips. You'll also need lancets (25-27 gauge work much better than the 30-31 gauge that humans use.) also get some ketone strips ( the same kind humans use to test their urine). This is especially important if your kitty had DKA. Many of us give low carb treats like PureBites or Bonito flakes.
 
No, I don't know what kind of insulin yet. This happened really fast and he was in such bad shape when we figured out anything was wrong that there wasn't much time for discussion. Since then it has really been a matter of trying to make sure nothing else was wrong while getting everything else normalized.

I plan on bringing him home tomorrow and then going out to get supplies while he rests and hides. This is the first time he has been out of the house overnight since I got him, let alone being hooked up to tubes and pumps for three days. I'm sure he will welcome some quiet time in his own place.
 
Sue and Oliver (GA) said:
Do you know what kind of insulin your vet is planning to use? We highly suggest the three I mentioned earlier. There are other harsher insulins like Canninsulin and Humulin but we find those harsher and harder to regulate with.

You can do some shopping to get ready for his homecoming. Many members use the ReliOn meter from Walmart. You want a meter that takes a tiny sample and that has cheaper strips. You'll also need lancets (25-27 gauge work much better than the 30-31 gauge that humans use.) also get some ketone strips ( the same kind humans use to test their urine). This is especially important if your kitty had DKA. Many of us give low carb treats like PureBites or Bonito flakes.

Took him home this afternoon (he's been hiding since). He is going to get 1/2 unit of Lantus twice a day. Now I just need to make sure he eats, because there is no way I will be able to give him 1/2 a dose (1/4 of a unit).
 
Because he has had DKA, you also should monitor for ketones. There are some glucometers which will test for that, howver they and the test strips tend to be expensive.

Most of us use urine test strips. Please see my signature link Secondary Monitoring Tools for tips on how to achieve that as it may require a bit of persistence!
 
BJM said:
Because he has had DKA, you also should monitor for ketones. There are some glucometers which will test for that, howver they and the test strips tend to be expensive.

Most of us use urine test strips. Please see my signature link Secondary Monitoring Tools for tips on how to achieve that as it may require a bit of persistence!

Yeah, they sent me home with a box of the strips. I'm going to try the plastic wrap route because he is very picky about his litter.
 
Wendy&Tiggy said:
How's it going?

Oddly enough I saw this just after I put another post up. It's going... Poorly. He really hates all the needle sticks and it is taking a toll on me.

The hospital sent me home with an Alphatrak. I see that the strips are much more expensive than if I got a regular meter but at this point I don't even care about that, so I'm just going to stay with it.
 
He will get used to the needle sticks.. Remember the treats. Ear testing might be easier on you if he doesnt mind his ears touched.

We can deal with the meter issue later.. There are some cheaper options we can recommend.
 
Neosporin ointment (not cream) may be applied to the ear a few moments before testing, then wiped off. This will reduce the annoyance of testing and also helps the blood bead up.

When you have a chance, pop over to ADW and look at the Arkray glucometers. These are the meters that WalMart sells under the ReliOn brand.

Ex
Arkray Gluocard 01 = WalMart ReliOn Confirm
- uses one of the smallest blood drops
- inexpensive test strips, though not the least expensive
 
You said;
He really hates all the needle sticks and it is taking a toll on me.

I found this in someones elses post and think it was very appropriate, especially the part about the cat not objecting when the vet did the poke,

Amy & Papaya said:
It really will get easier, and it won't even take that long . . . soon you'll be giving tips to others.

My cat is not particularly cuddly and at times has been a bad biter. The first few days of blood sugar testing were NOT easy. I felt like I needed to be an octopus to try to restrain the squirming cat and do the testing! I realized the biggest thing I needed to change was my own feelings, because I saw that my cat didn't object at all when the vet calmly poked her ear. I just tried to imitate his matter-of-a-fact attitude when I approached my cat to test her - be calm, act like it's no big deal even if you are really just trying to convince yourself more than the cat! It was my stress she was reacting to more than the actual testing, which if you do on the ear, really doesn't hurt the cat.

Cats pick up on our stress very easily and can make home testing difficult. One of the most difficult parts of this process is for you, the caregiver to remain calm, upbeat, positive and know that what you are doing is a very good thing. Pretend you are an actress going onto the stage in front of a very critical audience, your newly diagnosed diabetic cat. You have to convince your cat that what you are doing is a run of the mill, every day occurrence, no big deal. In the meantime, while you are calming treatiing your cat, you are screaming inside that this is so hard, crying inside and so worried that everything must go well and not real sure if you are doing everything correctly and maybe fumbling those ear pricks a little.

We do not expect perfection. EVER. We would like you to do the best you are able to and if you are having issues, problems, something we have suggested is not working for you or you need clarification, need a shoulder to cry on or just someone to listen, post here. This is a emotionally draining, physically exhausting and spiritually demanding process, this sugardance as we call it.

It is also a two way conversation, between all those replying to you on this board and you. Please don't forget that you need to pipe up when you don't agree with something or need clarification. Yes, our three main tenets that we advocate for here on FDMB are home testing, changing to a low carb food preferably a wet one, giving insulin. Sometimes all three of these are not possible for the caregiver to do. We can propose alternatives. But we have to know first that you need alternatives. Give us feedback please.

We get it. We have been there. Many of us are still going through tough situations. Please keep asking for help when you need it.

Some repetition here. Take deep breaths, take lots of them, over and over again. concenetrating on your breathing. It will help to relieve some of the stress you are feeling.
 
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