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upmoonbeams

Member Since 2014
My Chester was diagnosed with diabetes yesterday. The vet is keeping him for a few days (up to 10 days) they said to get him regulated. I am having a hard time dealing with him not being home but the other pet siblings are having a harder time.

Is it normal to feel guilty? I have tried so hard to feed my fuzzy children grain free healthy food. But I feel like I failed him somehow. He will be 13 in a few months. I have a 17 yr old cat and Chester's sister who both seem to be doing ok.

Just wanted to vent I guess...
 
Omg I so feel your pain. Its so nice to see so many people that truly love their furry family members.

I share the guilty feelings that you have, at times blaming myself for not researching in greater depth the dangers of dry high carb "food". I bought fairly pricey stuff that the vets often try to flog thinking that I must be feeding them at least decent quality foods. Along with the guilt, I also feel a bit of resentment towards the "food" companies selling us this crap without at least similar warnings that cigarette companies put on their packaging warning you of the dangers. The resentment also extends to a lot of veterinarians and their lack of food nutrition knowledge. You tell most of the vets in my area that you feed Fancy Feast and they look at you like you are commiting homicide on your cat. Tell them you are feeding them dry science diet and they pat you on the back for feeding the "the good stuff".

As for your kitty being in the vets for 10+ days, I cant even bear the *thought* of that! Let alone actually going thru it. If it was me, I would go back to the vet and collect your loved one, buy yourself a meter and if the vet wont give you advise on what to do at home, there are plenty of knowledgeable people on this board that will be able to walk you thru what you need to do.

In fact, depending on the personality of the cat, it may do more harm than good being at the vets for 10 days instead of his familiar ad comfortable surroundings at home.

Good luck and keep us posted.
 
Is there something else wrong with Chester like ketones? Otherwise there is no reason to for him to be at the vet. Y can measure your cat's blood sugar using a human meter. It is better to do this at home since the blood sugar can artificially be elevated at the vet.
 
Unless your cat is in DKA - there is absolutely NO reason for the vet to keep your cat for 10 days! Diabetes does not get regulated overnight or in 10 days!

I was told the same thing with Maui and freaked out too. The folks here set me straight - and now it's your turn... :-D

Here is my basic welcome info - there is ALOT of information below, don't get overwhelmed, we can and will help you.


WELCOME, this forum is a great place to gain knowledge and really learn how to manage feline diabetes. By doing just a few things each day (that really won't take up much of your time at all), you won't need to worry about losing your precious cat, not where feline diabetes is concerned.

There are three key factors to managing diabetes: food/nutrition, home testing and insulin

1) Feline Nutrition: Now, as far as diet - definitely dump the dry food (if you are feeding any) and if the vet recommends purchasing prescription food like DM just say "no thank you". ALL cats, and especially those with diabetes, do best on a species appropriate diet that is high in protein and low in carbs. Dry food DOES NOT fit that bill and DM food, even canned, just really isn't that great as far as quality. Most here on FDMB feed low carb/high protein canned, raw bought from a pet store or they make there own.

Here is a link to a site by a vet "Dr. Lisa DVM" ... who also posts on this board from time to time ... http://www.catinfo.org

If you look on the right side of her site, she has a food comparison chart to help you figure out what food you want to get based on the carb %.

You want to keep the carb % below 10% and around 7% is great. (Personally, I stay between 0-6% carbs.)

While on her site, you can read about in-depth info. on nutrition and how to make raw food, etc.

Here is another link that will give more information about food/nutrition

Nutrition/food info

The good thing with feeding your diabetic cat this way, is that it is ALSO good for any non-diabetic cat too. All your cats can safely eat the same food without worry and it may save you some costs and headaches of having to do separate feedings and keeping track of what they are eating.


2. Home testing: It is impossible to convey the value of testing your cat's BG (blood glucose) level at home. Some vets will "suggest" this, but most won't even mention it. They will send you home with insulin and an amount to shoot and maybe some instructions about hypoglycemia (blood sugar dropping to a dangerously low level).

Well, the thing is, human diabetics don't EVER give themselves insulin without checking there BG to make sure it is safe to do so, so why shouldn't it be the same for our kitties. Here on FDMB it is. You will notice that the vast majority of people here test their cat's BG at least 2x/day (before giving each shot to make sure the level is safe enough) and periodically at other times to see how the cat is responding to the current dose. We use a human glucometer, test strips and lancets - which are all very readily available and easy to use.

Our kitties get lots of love and treats for "putting up" with this and most of them actually come out to be tested on their own 'cause they want those treats . Here is a collection of great links that "Carolyn and Spot" pulled together about home testing. See what you think ... it truly is the best way to not only keep your cat safe but also really get a handle on this disease and help him to live a healthy life with FD (feline diabetes).

Home testing Links

3. Insulin: There are several types of insulin available. The top three we recommend are Lantus, Levimer or Prozinc all are great insulins. They are gentle insulin and given twice (BID) per day in 12 hour increments.

Please read up on the insulins available, here is a link to the Insulin Support Groups:

Insulin Support Groups


However, one caveat and again this shows how these three things are inter-related:

If you are feeding dry food or even a high carb food, BEFORE removing these foods, please make sure of your insulin dose as it will most likely need to be reduced, so as to avoid a possible hypoglycemic situation due to the removal of the dry/high carb foods that will lower the BG’s and reduce the amount of insulin required. Again, another reason why home testing is important.


I know this all seems like a lot, and that is because it is ... there is a learning curve here. But as long as you are determined and keep at it, you will have it down before you know it and you'll be seeing the results in Your cat' overall health and happiness. Ask all the questions you can think of – that is why we are here!

Also, if you have not done it yet, take the time and fill out your profile. It will help when others come on and read this. Also, let us know where you live - city/state or city//province/country as there are probably people in your area who can provide on the ground support and help you to learn home testing, etc.

Now, you can do this on a budget. Here is a shopping to get started:

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. Neosporin or Polysporin ointment with pain relief to heal the wound (can use generic brand)
5. Mini flashlight (optional) - useful to help see the ear veins in dark cats, and to press against
7. Ketone urine test strips ie ketodiastix - Important to check ketones when blood is high
8. Treats for the cat - like freeze dried chicken, even rotisserie chicken, deli chicken, canned tuna will work
9. Karo syrup/table syrup, honey or any sugar product like jam, jelly, etc. if you dont have it at home - for hypo emergencies to bring blood sugar up fast -
10. A couple of cans of fancy feast gravy lovers or other high carb gravy food- for hypo emergencies to bring blood sugar up fast


• We suggest the Relion meter and matching strips from Walmart, as they are the most economically priced meter and strips. That is assuming you have a Walmart nearby. If not, then you can purchase any human glucometer except for Freestyle with butterfly strips or any meter with TRU in the name. People have had issues in the past with these meters and best to start off with something else.

OK, that's enough for the moment. What questions do you have?

____________________________

May I suggest that you take the following action steps -

1) call the vet and ask

- what kind of insulin is being used
- how much and how often
- what is the frequency of testing
- what are the test numbers

2) then as long as the cat is not in DKA - tell the vet you want to pick him uptoday and bring him home - ask him to teach you how to test, if he won't don't worry we have videos to help you...

3) get low carb canned food - for an easy way of figuring this out for now - Fancy Feast Classics - Pate style are all low carb - when you have time you can read Dr. Lisa's chart and choose other options

4) if the vet insists on prescription food - just say no thanks, you'll stick with Fancy Feast

5) get a prescription from the vet for insulin - Lantus or Levimer - ask for the pen version

6) get a prescription from the vet for insulin syringes - U100 for these insulins

7) bring your cat home - be sure to thank the vet, but be strong and insistent that you can't afford the hospitalization cost, you also feel your cat will do better at home than in the vet office - remember if a human is diagnosed with diabetes, they don't spend 10 days in the hospital to get regulated. No reason your cat needs to be there.
 
Another condition could keep him at the vet - hepatic lipidosis, when the fat breakdown for calories swells up the liver and prevents normal digestion from happening. It can be fatal.

If no other medical concerns, and instead, an alleged regulation of his diabetes is going to happen ... Cats often have glucose elevated from 100 to 180 mg/dL at the vet. Plus, a food change may drop the glucose another 100 mg.dL. Depending on how high the initial values are, testing at home may as much as a 300 mg/dL lower value. If there is any infection, that raises glucose, too, and treatment will drop the glucose somewhat.

To test at home, get an inexpensive glucometer such as the WalMart ReliOn Confirm or Confirm Micro (aka the Arkray USA Glucocard 01 or 01 mini), matching test strips, and 26 to 28 gauge lancets. Then we can teach you how (there are YouTube videos on it too)
 
Is it normal to feel guilty? I have tried so hard to feed my fuzzy children grain free healthy food. But I feel like I failed him somehow. He will be 13 in a few months.

Unfortunately, yes, it is normal to feel guilty.
One word...
DON'T!!!!!
I think I probably had twenty kitties before Bob. And every one of them ate the same food. It was just cheap store brand dry for the most part, not close to healthy grain-free. And Bob was the only one that became diabetic. Now I know better, and the dry probably caused health issues in others that my brain didn't "connect" to diet. But before my vet said "Bob has diabetes", I had no idea cats could get diabetes.

You didn't fail him in any way. Life just threw the two of you a curve ball. I've believed since three years ago that Bob's FD was a blessing in disguise. A lot of people here probably feel the same way. Bob's last two and a half years of life were his best, and healthiest.
 
Carl & Bob (GA) said:
Unfortunately, yes, it is normal to feel guilty.
One word...
DON'T!!!!!

You didn't fail him in any way. Life just threw the two of you a curve ball. I've believed since three years ago that Bob's FD was a blessing in disguise. A lot of people here probably feel the same way. Bob's last two and a half years of life were his best, and healthiest.

Carl is exactly right! I too fed what I thought was high quality (translation expensive dry cat food), the bowl was down 24/7 and on occasion they got canned as a treat, which Maui NEVER touched.

Ever since I got Maui, she had skin issues - itchy, dry, flaky, fur pulled out, etc. She was treated for symptoms - with shampoos, steroid shots, etc - NEVER did the vets say, hey what are you feeding, maybe that is the problem. Instead they wanted to push prescription dry food on me.

It wasn't until Maui's FD diagnosis that I found this board, Dr. Lisa's site and LEARNED. However, I panicked first! How on earth was I going to get Maui to eat canned food. I've offered it for years and she never wanted it. Not only that, how was I going to get everyone else to give up that dry.

I literally had to teach Maui to eat canned food and fight with Buster to continue eating canned when the dry was removed! It was challenging, frustrating and messy to put it mildly and it took WEEKS!

But I saw an amazing transformation in Maui as a result. The itchiness and skin problems that plagued her stopped. Her fur changed from coarse, dry to sleek and smooth. Her crazy drinking and thirst stopped and she actually enjoyed canned food. I ventured beyond and experimented with raw food and she loved that too.

Rather than feel guilty, embrace your new found knowledge and try new things with your cat. It's amazing what they really like to eat and how it can be healthy and good for them too!
 
Thank you all for the great advice! Hugs to everyone. Actually I went to the vet yesterday and visited Chester. He had some neuropathy issues from the diabetes as well. I have 2 other cats and 2 other dogs at home. So I gave been researching like I am back in college with the late hours sucking up all the info I can. Also I am getting my house set up for Chester. I want to be armed and ready for the vets info. And thank you as well as I plan on not getting the science diet garbage they told me he had to eat. I used the food chart and did get some expensive and some inexpensive food- all canned grain free. I am tossing the dry food out to the neighborhood stray cats. I don't feel so freaked now that I have some info. And yes I truly think some vets think pet caretakers are idiots. :roll:
 
OK. Thought I had better clarify on food...got 9 Lives pate...the cats have always ate that so I know Chester will eat it. Yes! Below 6... and I got Merrick BG...which is also below 6. It is the Iams dry food that is the problem. I think my mistake was feeding my fuzzy children senior food thinking I was doing them good. Live and learn...
 
For diabetic neuropathy - you want to start mixing Methylcobalamin B12 in his food. You can purchase the cat version - Zobaline or go with any human version, as long as it only contains this type of B12 ---
methylcobalamin. Just make sure it doesn't have any added sugar.

The version I used was from Vitacost and while it contained a little rice flour, it wasn't enough to matter to the BG level -- http://www.vitacost.com/vitacost-vitami ... 0-capsules

To use depending on what you buy - give 3 - 5 mg once a day. I used capsules and it didn't have any taste and easily mixed into food. If you get pills, you can melt it in a little water and mix in food.

If anyone else eats it or he doesn't finish, no worries. The body will absorb what it needs and pee out the rest. I used to joke that Maui was peeing pink now....as it's a pink colored vitamin.
 
Do you know what insulin your vet will have your kitty Chester on once he comes home? Hopefully, it's one of the good insulins for cats, Lantus, Levimir or Prozinc. The others don't last long enough with a cat's fast metabolism.

You said you were researching to prepare. This is a great reference. AAHA Diabetes Management Guidelines for Dogs and Cats. There's a PDF version too if you would like that.
 
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