Buster and Me, April

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BustersMaDukes

Member Since 2013
Hi,
I am April, the Mama to Buster my 12 year old baby. He was diagnosed as diabetic last week and immediately put in Hills md and started insulin this last Monday. I did some research of my own, you know informed patient etc. and found some research that made a lot of sense to me by Lisa A. Pierson DVM. I sent a link to my vet to review so we could discuss the idea of home testing, and diet change. My vet just told me today that she no longer feels comfortable managing buster since I didn't trust her treatment choice. Soooo basically I just got booted from my vet for asking questions. I'm so frustrated and not even sure what to do at this point. Any vet recommendations for my area: Rochester, NY. I was going to Laurelton Animal Hospital. He was scheduled to go in this upcoming Monday for his testing curve and now since we got kicked out I'm not sure what to do....keep giving insulin like prescribed? Keep feeding the food that I have questions about? My poor baby! I'm lost and furious!!!
 
hi and welcome to fdmb.

i know a wonderful long time member of fdmb in rochester. let me see if i can make contact with her and see who she uses. Her name is Julie, in case she replies here :-)
 
I have to say the advise I've gotten on here is much better than my vets. The animal hospital where I go has about 10 different vets. The vet who diagnosed my cat pretty much said feed diabetic food and give her insulin. Months down the road my cat is OK but not doing her best. I find this forum and make some changes. I find better food, I start home testing, and things are looking better.
 
First, WELCOME!

Second - that sucks! ...BUT...you don't really need a vet that's so insecure or has such a 'God Complex' that they feel threatened by questions or informed patients! ...just fyi...my vet doesn't see KT for his diabetes, I dose/test/manage that here at home. You can do the same altho you DO need a new vet for other things... ;-) It's possible your vet looked at Dr. Lisa's site and realized how behind he/she was. MY vet didn't encourage testing because he didn't know any other way than drawing blood from a vein then using it. He also had never heard of Lantus insulin that KT uses altho' he was willing to give me a prescription for it.

What insulin are you using and at what dose? Someone here can help you with that question/answer!

BIG HUGS! It's a bit far to drive from NY to Oklahoma.....
 
Welcome Buster and his mom April to the FDMB, the best place you never expected to be!

So to verify, your cat is already on insulin since 4/29 and the Hill's M/d diet. Is that correct?

I need to ask you some questions and get some more information on your cat (and you) to help you better.

What type of insulin?
What is the dose and how many times a day do you give it?
Which type of the Hill's m/d? Dry or canned?
Are you interested in learning how to hometest?
Would you like to have your cat on a lower carb food that many here find helps to control the BG (blood glucose) numbers?

Sorry, no advice on the new vet. Someone else should be here soon to help on that.
 
ok, i got hold of Julie and she told me to tell you:

"I can't go on right now but tell her Caring for Cats 585-865-5220 on Island Cottage Rd. She must see Dr. Betsy Arnold, she is my vet and very willing to work with. I give her diabetic packets to hand out to new clients :)"

Julie has been a member here i think longer than I have and also does rescue work so you can have faith in her recommending someone.

i see others are responding to your question about the insulin and such so i'll leave mine with the vet recommendation for now :-)
 
<waving Hi>

First off....Welcome to the FDMB Family
Second....HUGS sorry you had to deal with a vet that doesn't like to have a client ask questions and open a discussion...that SUXS.
Third...BREATHE You have now found the best place on the web that you never wanted to be but are blessed to have found.

I have two diabetic cats and my vet doesn't see either of them for their diabetes, I do all that here at home with the help of this board, but yeah you are going to need a vet that is willing to work with you for the other stuff that kitties can need.

So we have you covered on the diabetic end of things...and I see you have gotten a vet recommendation from Julie who is incredible as well so in a few days life should get a whole lot better. Just keep asking questions and we will keep trying to get you the answers you need. :-D

Mel, Maxwell, Autumn & The Fur Gang
 
Buster takes 1unit of Novilin 2 times a day after meals. He started insulin on 4/29 and has been eating hills md dry food. I would love to switch his food and test bg but my vet said that testing at home was a bad idea because, we'll I'm not sure why but she was resistant to it before she booted us. I am getting a glucose monitor and supplies tomorrow but was never taught how to test. I've seen a tutorial using the blood vessel in the ear. Thank you for the vet recommendation. I will call them tomorrow! I am so glad that this site is here, I would be truly lost without this support!
 
When you get a chance April, would you go back to your very first post in this thread and click on edit over towards the right of the screen. Then change the icon from the 911 to the ? (question mark). Thank you.

I think we are past the emergency stage now and can let people know you have gotten the vet info you so desperately needed.

That 911 icon gets our adrenaline running and it's way past my bedtime. ;-) Think I'll go feed the kitties their second dinner and sleep for a couple of hours.
 
BustersMaDukes said:
...I would love to switch his food and test bg but my vet said that testing at home was a bad idea because, we'll I'm not sure why but she was resistant to it before she booted us. I am getting a glucose monitor and supplies tomorrow but was never taught how to test. I've seen a tutorial using the blood vessel in the ear. ...

How was he diagnosed as a diabetic - Blood glucose level at office? Urine glucose present? Fructosamine? Voracious hunger, yet weight loss? Excessive thirst with excessive urination? Diabetic ketoacidosis?

While you work on learning to blood glucose, check my signature link Secondary Monitoring Tools for urine ketone testing tips, plus some other assessments which are helpful to observe.

Until you are home testing, KEEP THE DIET THE SAME. Changing to low carb canned food may drop the glucose as much as 100 points.
 
And while you are shooting blind, please printout, read, and post someplace handy the following:
How to handle HYPOs

N type insulins last roughly 6 - 8 hrs in the cat. This means that 4 - 6 hours of every 12 hours has no insulin helping. There are 2 ways to manage that - 1) pick up the food 6 hours after every shot OR 2) give the insulin every 8 hrs (0.5 units), until you are blood glucose testing.

This Humulin N Primer applies to Novolin N, too.
 
Hi again April.

You know having your old vet toss you out might just have been a blessing in disguise...because now you can go find a nice new vet...like the one that Julie recommended that will work with you to get your Buster feeling tip top.

One of the first things you can do right now is start learning to home test, since that requires absolutely nothing from a vet. :-D All you need to learn to test Buster's BGs at home is a human glucometer, a box of test strips that fit the meter, some lancets, a kitty with ears, and [b]Treats[/b] for both kitty and mom.

Now since I'm guessing that Buster comes with 2 ears, as most models of cats do come with two ears, you already have the most critical part of this whole home testing thingy. :-D Now it is just getting the other pieces parts collected and learning how to use them all.

Now when picking out your meter, the most important thing to consider is the cost of the test strips, now you would think that the meter with all its computer parts, beepy and flashy things would be the pricey part right? Nope not even close, it is those tiny little piece of paper that sip up the blood, so that is where you are going to want to focus your attention when you start looking for a good meter that fits your budget. And you will want to get several boxes of those strips because you will not believe how fast you will go through them in the beginning.

Okay now you have narrowed your selection down by strips that fit your budget, next thing to look at is how much blood the meter takes. You want one that takes as little of blood as possible so you don't have to put big holes in Buster's ears as well as it is just plain easier in the beginning to get a little speck of blood than a big bead. I always like easier myself. :lol:

My personal favorite and recommendation for a meter is Walmart's house brand Relion Micro, which is also the Arkray 01-mini, just repackaged for Walmart, so if you don't want to shop Wally World you can order online through the shopping link at the top of this page from ADW.

Okay now we have a cat with 2 ears (although a 1 ear model will work), and a meter with test strips that fit the meter...next piece of the puzzle are the thingies to do the actual poking...which would be the lancets....now here it is pretty easy as most lancets are interchangeable with most lancing devices, the biggie here is gauge size, in the beginning the bigger the hole it makes the better, but here again is a tricky part...the smaller the number the bigger the hole...so you are going to want 28-29 gauge to start with, now if you can't find the actual gauge size on the box look for the ones that say for alternative site testing, those are the ones you want to start out, eventually you will get to the point where you can use that Ultra-fines as Buster's ears learn to bleed.

The last piece is something to back Buster's ear with so you don't poke yourself, and the lancet doesn't just bounce off his ear without actually poking it. Now this part is kind of a trial and error spot where everyone has their favorites, it can be a makeup sponge, a folded up paper towel, a cotton ball, or even a thing we call a rice sock...more on that below. Just about anything that is small enough to fit against his ear, gives you a solid base to poke against and keeps your finger out of harm's way.

Now more on the rice sock...warming up cold ears will get the blood flowing so to make a rice sock, you take a thinnish cotton sock, put about 1/8c of plain uncooked white rice or oatmeal in the toe and knot...easy. Now when you want to test, just stick the sock in the microwave for about 15-20 seconds until very warm but not hot, check the temp on either the side of your neck or the inside of your wrist. Now go find Buster, cuddle up, hold the now warm rice sock to his ear until his ear is nice and toasty warm...My girl also likes it if I rub her cheeks, chin, neck and shoulders with it too.

Now once you have all the pieces assembled it is time to put them all together and get that test in. In principle it sounds simple...Grab an ear, poke the edge with a lancet, sip up blood with a test strip inserted into a meter.....well actually it is that easy, but not right away, so don't get discourage if you don't get blood right away.
I'm not going to kid you here, there is a learning curve to home testing not only for you, but for Buster...this is where treats for you both come in real handy. Anything low carb will work for Buster, and for you its a personal choice but I find chocolate works well....mostly because I have convinced my husband that it really should be cute shoes. :lol:

So now that I have written you a small novel....Think you want to try learning to test at home?

Mel, Maxwell, Autumn & The Fur Gang
 
Hello and WELCOME to the best site on the planet for you to help your kitty. Like Mel said there is a learning curve and much to learn but if I can do it, anyone can..seriously.
I also think your EXVet may have given you the best gift she could by booting you. There are plenty others out there WANTING to help.

Good luck and best wishes...You CAN do this!
jeanne
 
When you are at the vet ask about changing the insulin to Lantus or Levemir, they are better insulins for cats and may help with remission.

CHange the food once you start testing - here is a shopping list..

Getting started shopping list
1. Meter ie Walmart Relion Confirm or Micro.
2. Matching strips
3. Lancets - little sticks to poke the ear to get blood . new members usually start with a larger gauge lancet such as 28g or 29g until the ear learns to bleed. Optional - lancing tool.
4. Cotton balls to stem the blood
5. Neosporin or Polysporin ointment to heal the wound
6. Mini flashlight (optional) - useful to help see the ear veins in dark cats, and to press against
7. Ketone urine test strips ie Ketostix or ketodiastix - Important to check ketones when blood is high
8. Sharps container - to dispose of waste syringes and lancets.
9. Treats for the cat - like freeze dried chicken
10. Karo syrup/corn syrup or honey if you dont have it at home - for hypo emergencies to bring blood sugar up fast
11. A couple of cans of fancy feast gravy lovers or other high carb gravy food- for hypo emergencies to bring blood sugar up fast

And here are some testing tips: https://docs.google.com/document/d/13c_CPZVKz27fD_6aVbsguadJKvjSrSAkD7flgPPhEag/pub

Let us know how you get on at the new vet!
 
I have an appt with the new vet Julie recommended on Monday. I am so happy to have so much support because it is going to make all the difference for my guy. I am now seeing the boot from my vet as a good thing as well but I do still feel angry that she could care so little about her patients to just let me go blindly with his care. This board is a blessing and is already my best resource. I am keeping busters regimine the same as recommended by the new vet office until he's seen there Monday. Feeling optimistic again!!! :)
 
That is good news April! It makes a big difference with a good vet. I changed vets (not hospitals the place I go has about 10 vets) and my new vet has so much more to offer.
 
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