Feeding advice for seafood allergic diabetic cat in Australia

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Richard N

Member Since 2021
Hi all,

I am new to this forum so first, some background.

My name is Richard and my cat's name is Quixote. Quixote is a 14yo Male Blue Devon Rex. He was recently diagnosed with DM (about 8 weeks ago now). He has had his ups and downs, but is now largely stable on Lantus (glargine as we call it), but only after I switched him to an entirely wet food and human grade meat diet.

When I first switched him I put him on Kiwi Kitchens Venison, Lamb, and Chicken varieties. The meat he gets is kangaroo, pork, venison or lamb fillet. He gets about a third of his calories from meat and the rest from cans. I chose Kiwi Kitchens because it contains no carbs with high quality ingredients.

The problem I have is that he is allergic to fish. I have always thought it was a minor allergy and we generally avoided seafood, but many of the high quality, low carb canned foods (like Kiwi Kitchens) available here come from New Zealand and contain Green Lipped Mussels (GLM). Unfortunately he is HIGHLY allergic to GLM. He had broken out in sores and was scratching holes in himself. I eliminated any GLM food from his diet and added a Vegan Omega 3 source and his skin cleared up completely within two weeks.

My problem now though is it is extremely difficult for me to find the very low carb canned food I need for him, or alternatively, a meal balancer I can add to his meat that doesn't contain Green Lipped Mussels. He seems to tolerate fish oil, but a food free of all seafood would be much better for him. I am combing several different wet foods to roughly balance his requirements, but the ones without GLM all have limitations here (eg, added fish oil, too much carbs from fat, unreliable supply)

I wonder if its possible to make up my own meal balancer using human supplements?

Maybe also worth noting is he is very responsive to insulin but also very sensitive to carbs. He is currently on 2u gLargine bid and doing very well, but 2.5u was pushing him into hypo.

Can anyone help?
 
Hi Richard and welcome to you and Quixote to the forum.
I live in Sydney.
I am going to link a couple of pages for you. One has information for Aussie caregivers and the other has information about food available here.
The food list was done in 2019 so is not completely up to date.

There should be plenty of different canned foods that you can use that don’t have fish in them or the mussels.
As long as they are 10% or under carbs, that is fine. You don’t need to have zero carbs. In fact, many cats do better with carbs around 5 to 7 %.

When you say a meal balancer….are you meaning supplements that are added to the meat that make it a complete meal?

I feed my cats a completely raw diet of 80%muscle meat, 5% liver, 5% kidney and 10% bone. One of the cats can’t eat chicken so I use eggshell powder as the calcium supplement. I also give an egg yoke a week and sardines once a week for the fish oil (you could use something else). I also add some taurine and vitamin E.

There are recipes around that give you what supplements to use with a raw diet. We don’t have a combined supplement we can buy here in Australia as they do overseas.
However there is a place in Perth that makes up one that you can add to muscle meat. www.rawmeow.com.au

AUSSIE FOODS https://www.felinediabetes.com/FDMB...an-cat-food-list-suitable-for-fd-cats.216897/

INFORMATION FOR AUSSIE CAREGIVER
https://www.felinediabetes.com/FDMB...for-aussie-feline-diabetic-caregivers.217781/
 
Welcome to FDMB.

I'm linking a page on feline nutrition. The website is authored by a vet who has become very knowledgeable about feeding cats. Along the right side menu is a link to making cat food. While there are commercially prepared pre-mixes (i.e., dry preparations that contain all of the supplements that are needed for a cat to have a nutritionally complete diet), it sounds like there may be allergens your cat can't tolerate. The recipe that's included on the website has all of what you would need to make a raw diet (or partially cooked diet) for your cat. It is likely that you can source proteins like ground lamb or pork or other common proteins at a grocery store. I have no idea whether things like venison would be available outside of a specialty butcher shop. The recipe does contain fish oil as a source of Omega-3. I would check with a vet or it may be possible to contact the vet who authored the website, Lisa Pierson, DVM, to ask about a substitute. Alternatively, University of Queensland has an excellent vet school with a companion animal hospital. They may have someone who ca offer an idea about a substitute.
 
Hi Richard and welcome to you and Quixote to the forum.
I live in Sydney.
I am going to link a couple of pages for you. One has information for Aussie caregivers and the other has information about food available here.
The food list was done in 2019 so is not completely up to date.

There should be plenty of different canned foods that you can use that don’t have fish in them or the mussels.
As long as they are 10% or under carbs, that is fine. You don’t need to have zero carbs. In fact, many cats do better with carbs around 5 to 7 %.

When you say a meal balancer….are you meaning supplements that are added to the meat that make it a complete meal?

I feed my cats a completely raw diet of 80%muscle meat, 5% liver, 5% kidney and 10% bone. One of the cats can’t eat chicken so I use eggshell powder as the calcium supplement. I also give an egg yoke a week and sardines once a week for the fish oil (you could use something else). I also add some taurine and vitamin E.

There are recipes around that give you what supplements to use with a raw diet. We don’t have a combined supplement we can buy here in Australia as they do overseas.
However there is a place in Perth that makes up one that you can add to muscle meat. www.rawmeow.com.au

AUSSIE FOODS https://www.felinediabetes.com/FDMB...an-cat-food-list-suitable-for-fd-cats.216897/

INFORMATION FOR AUSSIE CAREGIVER
https://www.felinediabetes.com/FDMB...for-aussie-feline-diabetic-caregivers.217781/

Thanks very much for the quick reply and all the info. I've sifted through most of the options, and the only canned food I have found that I can easily get which really fits the bill is Tiki Cat Luau Luau Chicken from PetBarn. Most of the others have fish oil or other seafood, too much carbs (for him anyway - he is hyper sensitive), or are no longer available here.

Weruva isn't available from PetBarn any more. Also they are planning on dropping Wellness entirely soon.

For cats that don't have GLM allergy I recommend Kiwi Kitchens, available from MyPetWarehouse. He was doing very well on that until we had to discontinue.

Raw Meow Mix unfortunately contains Green Lipped Mussels. They do have a probiotiic with spirulina though which Quixote seems to enjoy. I've also been adding some Chia gel into his mix to help prevent constipation (this whole cycle was kicked off when he had acute constipation resulting in poo being removed under general anaesthetic!) I'm also using a human Vegan Omega 3 from algae which I get from Chemist Warehouse.

There is another balancer for dogs and cats called Furfresh, which I will probably get, although I'm not sure it contains everything needed. Pretty close though. I will add some Taurine, and egg yolk and shell as well as occasional liver/kidney to his muscle meat (he won't put up with a single canned food for long).

Thanks again. So glad to find this group with such helpful and responsive members as yourself!

Just to let you know how he is doing, he has just had his insulin dose reduced to 1.75u. There's a chance he is starting to enter remission, although I don't want to get too excited about that just yet!
 
To get a strong remission we recommend you don’t stop the insulin too soon but continue to reduce the dose ( when needed) done to 1.5 units, 1.25 units, 1 unit, 0.75 unit, 0.5 unit, 0.25 unit, 0.1 unit and a drop.
We can help you with the smaller doses if you like.
If you stop too soon, this remission won’t last and it is much harder getting regulation or remission the second time.
 
Continuing on with the story, I have twice tried reducing his dose from 2u to 1.75u and have had to revert back due to rising BGC. Most recently he had been on 2u for 3 weeks with no changes. BGC test before insulin revealed a level of 5.9 mmol/l, so I tried again reducing to 1.75u. 2 days later his BGC before insulin was 9 mmol. Unfortunately this was followed by a fur shot (he was grumpy after his ear jabbing and pulled away quickly from his insulin shot), so I have had to revert to his old dose to restabilise him.

My question though is this. After the 9 reading, should I have persisted on 1.75u expecting his system to readjust and stabilise at the new lower level in another couple of days, or should I have concluded he is still not in remission and reverted to 2u?

I am also wondering whether I should even be concerned about continuing him on 2u bid even if he is in remission. I can't find any information on whether this would be harmful and the vets he sees have been very vague on this point.

For the record, he was first diagnosed on October 4 and had to be admitted to hospital a week later with BGC of 38 mmol (!) and ketones in urine. Bloods confirmed he had been diabetic for at least 2 weeks before. He has been stable on insulin glargine (Lantus) for about 8 to 10 weeks (depending on how loosely you define stable).

He is also still quite difficult to get a BGC reading from. I generally do it once a week. I have only once successfully got a "curve" of 2 readings in one day. I also measure his total water consumption every 12 hours, which seems to be a surprisingly good proxy for BGC.
 
Richard -

Many of the experienced members here are reticent to give dosing recommendations without benefit of a spreadsheet. I know this is the case for me. We are highly numbers dependent and rely on members tracking their cat's blood glucose (BG) numbers and logging them into a spreadsheet template. I'm linking a post on helping us to help you that provides the information on setting up a spreadsheet and your signature. I would also be very reticent to give any recommendations based on your having only one test a week. There is way too much variability in BG numbers for only a handful of numbers to accurately reflect what is going on or how to adjust the dose. We rely on at least 4 tests daily to make dose adjustments. Are you giving Quixote treats every time you test?

We also follow specific methods for dosing. There are two methods for dosing glargine -- Tight Regulation (TR) or Start Low Go Slow (SLGS). The methods are described in this post.

My apologies for not really answering your questions. If you can set up a spreadsheet it will give us a better picture of your cat's response to glargine.
 
Thanks.

Spent the weekend compiling my spreadsheet and it is now linked. (I added extra columns for water consumption and weight.)

I haven't been strictly following TR or SLGS but it is closer to SLGS. There are a number of factors at play here though:

My wife and I both have full time jobs. Even if Quixote was more cooperative we wouldn't be able to do 4 tests daily.
If he is jabbed in the ear more than once he will (usually) start violently pulling away as soon as the strip is touched to his ear. (This has been getting better but is still a problem)
Quixote doesn't have anything he accepts as treats except for things which aren't good for him. He also has a few different conditions that we need to consider (diabetes, hip dysplasia/arthritis, strong allergy to any type of seafood, constipation possibly due to lower spinal nerve issue).

He has one Vet from Friday to Monday and another for the rest of the week from the Veterinary hospital. These vets don't always agree, and neither really follows TR or SLGS as such, but its closest to SLGS.

The bottom line is that at this point in time, a curve for Quixote is 2 measurements in the one day. We could probably manage that twice a week.

I was not looking so much for specific advice, but rather for whether it would be a common observation that a well regulated cat on one dose would see a higher peak after a small decrease in dose, but which would subsequently return to good regulation when that dose was held for an extended period.

Also hypothetically, if a cat is controlled between 4.4 and 6.6 on 2u bid 3 months after diagnosis, how likely is it that it will still go into remission, or at least can anyone share relevant experiences?
 
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