Can you help me figure out a plan for Mac? (Owen's brother)

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SusanandOwen

Member Since 2013
I just took Owen's brother Mac in for an annual check up on Saturday, and got the results of his bloodwork back today.

I have to admit I was really bummed to learn that Mac's BG was 270. All his other values were fine.

Like Owen, Mac was diagnosed with diabetes six years ago (when he was about 3) but he has been well controlled with diet since that time. Or at least up to now, I guess. He definitely had a hard time when Owen died, and was acting very depressed and - at the risk of being overly anthropomorphic (sp) - lonely. He and Owen were littermates and had never been separated. So we recently adopted another young cat, Jackson, in the hopes of providing Mac with some company. The introduction has gone very well; there hasn't been any hissing or fighting or anything along those lines. They touch noses and both sleep on the same bed, and they eat together in the morning without any fuss. I say all this because there has clearly been a bunch of change in Mac's life, and I assume that would cause some stress.

So now we are faced with what to do to care for Mac. The vet suggested we bring Mac back in to do a fructosamine test. I asked her if we could consider doing a curve at home (was that a reasonable request?) I definitely want to do the right thing for Mac but I'll be frank that after the $8000 we spent trying to save Owen and the $500 charge for the "wellness" exam on Saturday, I am broke.

I am truly petrified about what I will do if Mac ends up needing insulin. My job requires crazy hours and my husband travels extensively for work; I don't see how we could possibly manage the schedule he would require.

I do think that we could get stricter about Mac's diet; he eats canned food only but he's fairly fussy, so we've let him have some of the FF food that is not on the super low carb list in an effort to get him to eat. And recently, because we've been transitioning the new cat over to canned from dry food, Mac has been able to snatch a few bites of the dry food in the process. Do you suppose that could have been enough to tip him into the 270 range?

Sorry for the pity party. My heart is still broken after losing Owen and now to have Mac at risk is just overwhelming.

Susan
 
Re: Can you help me figure out a plan for Mac? (Owen's broth

some things you need to remember:

1) you don't put a cat back on insulin based off of one test result only

2) you especially don't put a cat back on insulin based off of one test result taken at the vet's office.

remember - vet stress can artificially raise the bg levels by 100 points or more.

with that being said, why not do the following.

Begin home testing two times a day at random times for one week and see what the numbers are. If they remain in normal bg levels - 50-120 (give or take), then do nothing - he is fine, just continue doing random tests.

if he is above 120 consistently and it's not coming down, then you may want to consider putting him on a small amount of insulin.

if you have the ability to home test, there is no need to spend the money for more tests - you can also tell the vet that you cannot afford the tests and if the vet would like to donate his/her services and the tests, you will allow them, if not then you will home test for a week and see what the numbers are and if insulin may be needed.

does that make sense?
 
Re: Can you help me figure out a plan for Mac? (Owen's broth

For the cat still on dry food, you might slowly phase in Welnnes core or Innova Cat and Kitten, which are close to the 10% calories from carbohydrates. That way if Mac gets a bite, it will be less likely to raise the glucose much.
 
Re: Can you help me figure out a plan for Mac? (Owen's broth

Hillary & Maui said:
some things you need to remember:

1) you don't put a cat back on insulin based off of one test result only

2) you especially don't put a cat back on insulin based off of one test result taken at the vet's office.

remember - vet stress can artificially raise the bg levels by 100 points or more.

with that being said, why not do the following.

Begin home testing two times a day at random times for one week and see what the numbers are. If they remain in normal bg levels - 50-120 (give or take), then do nothing - he is fine, just continue doing random tests.

if he is above 120 consistently and it's not coming down, then you may want to consider putting him on a small amount of insulin.

if you have the ability to home test, there is no need to spend the money for more tests - you can also tell the vet that you cannot afford the tests and if the vet would like to donate his/her services and the tests, you will allow them, if not then you will home test for a week and see what the numbers are and if insulin may be needed.

does that make sense?

Thanks, Hillary, all of that does make sense.

I did tell the vet I wanted to test Mac at home... because I remembered reading here that being at the vet's can skew the numbers. (Vet was fine with this - this practice is very supportive of home testing.) I did test Mac tonight at home and got a reading of 190. Not the number I was hoping for but lots better than the 270 at the vet's, I guess.

I can test morning and evening for the next week while being stricter about his diet; random times simply aren't possible on weekdays because I am at work and it's just too far from home to drive back and forth. I could do more on the weekends, though.

Mac has never been on insulin. When he was diagnosed my vet at the time suggested changing his diet (from dry to canned) and that brought him down to the +/- 100 range quite quickly. He's stayed there pretty much ever since. The only struggle we've had is his reluctance to eat the really low carb pate style food, so the compromise has been to alternate it with some of the other FF flavors that he likes and eats better. I could try insisting on him eating the pate and my DH went out to buy a few of the other brands/flavors that are on the low carb list to see if he will eat them more readily.
 
Re: Can you help me figure out a plan for Mac? (Owen's broth

BJM said:
For the cat still on dry food, you might slowly phase in Welnnes core or Innova Cat and Kitten, which are close to the 10% calories from carbohydrates. That way if Mac gets a bite, it will be less likely to raise the glucose much.

That is a good idea, thank you :) I have been pretty aggressive getting the new guy transitioned to canned food and so far he has been a star about it (good boy!) He ate the canned food by itself this morning with no problem, so I am hoping that we can just use that from now on... hopefully he won't get too picky!
 
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