First Post - Please Help

J

Jessica Yeung

Member Since 2026
Hi
Meow is a female cat aged 19. She was diagnosed on Feb 2024. At that time, I changed her food to wet food and was successfully controlled to low numbers with 0.5iu once daily after few months. On July 2024, we did a blood test and found that that her crea and bun were increased so high (crea 2.8 & bun 45).Then our vet suggested feeding her Hills K/D wet food until now. Her crea and bun are maintained at crea 2.1~2.3 and bun 25 right now while bg with 0.5iu twice daily with pre-shot number within 7-8.

Now the problem is that her bg is out of control because of Pancreatic disease occurred on 18 Dec 2025. After nearly two months, the low numbers (with blue and green numbers) are always caused a high boucing numbers for few days, even a whole day on above 20++.

I know that the high crab of Hills K/D is the mains reasons. But she is only Hills no matter I gave her others low crabs food.

I feel so frustrated and have no methods to dear with it. She is wearing freestyle libre 2 plus and with insulin of Lantus on 1.25iu.

Attached are the most recently the curves for information.

Hope someone can give me advice and help.

Jessica
 

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Chrispooky12 said:
I know there is a list of low phosphorus food somewhere I'm just not sure where. Not sure how much @Diane Tyler's Mom GA is on? I know Weruva BFF play are low in phosphorus
Click to expand...
@Jessica Yeung
Have you tried any of these flavors
Weruva Pates
They are low carb and low phosphorus which is good for kitties who have CKD
You can probably pick up some of these in Pet smart ,or Petco so you can try them out to see if your kitty likes them

BFF play chicken Checkmate
Protein 31%
Carbs 5%
Phosphorus 133%

BFF play chicken & turkey topsy turvy
Protein 32%
Carbs 5.20%
Phosphorus 134%

BFF play chicken cherish
Protein 31%
Carbs 4.90%
Phosphorus 132%

BFF chicken & turkey tiptoe
Protein 31%
Carbs 5.10%
Phosphorus 133%

BFF chicken duck & turkey take a chance
Protein 32%
Carbs 5.20%
Phosphorus 152%

BFF play chicken & lamb laugh out loud
Protein 31%
Carbs 5%
Phosphorus 152%

BFF play chicken & duck destiny
Protein 32%
Carbs 5.10%
Phosphorus 163%

BFF play chicken & beef best buds
Protein 33%
Carbs 5.30%
Phosphorus 175%

Don't know if your kitty likes pate but here is the list of the BFF line.
YOU WANT CARBS UNDER 10% AND PHOSPHORUS IDEALLY LOW 200's OR LESS

Also

https://www.amazon.com/Weruva-Focus...cphy=9003521&hvtargid=pla-1796056536677&psc=1

I know you can buy single cans of the BFF I listed at Petco, Petsmart to see which ones your kitty likes , the Focused one not to sure
71WqJPQiM2L.__AC_SX300_SY300_QL70_FMwebp_.jpg





With weruva foods
You want the metabolizable energy profile percentage of carbs to be less than 10%, and the phosphorus which Weruva lists in Minerals to be less than 250 mg per 100 cals. So you have to look at two different places in the Weruva charts.


You can even check out the soulistic pates
Feed Your Cat's Soul With Soulistic By Weruva
When you click on one of the flavors then click on
COMPLETE NUTRITIONAL INFORMATION (link to page)
and look at the same two places like on the weruva
 
This site contains affiliate links for which Feline Diabetes Message Board - FDMB may be compensated.
I had got the food list from Andrew Hall who is the administrator of Feline Chronic Kidney Disease (CKD) and tried weruva wx of which I can buy in Hong Kong but my cat doesn't like it. From the list, most of them I can't find in Hong Kong. I can't buy any cat from Amazon because they can' deliver to Hong Kong.
Diane Tyler's Mom GA said:
@Jessica Yeung
Have you tried any of these flavors
Weruva Pates
They are low carb and low phosphorus which is good for kitties who have CKD
You can probably pick up some of these in Pet smart ,or Petco so you can try them out to see if your kitty likes them

BFF play chicken Checkmate
Protein 31%
Carbs 5%
Phosphorus 133%

BFF play chicken & turkey topsy turvy
Protein 32%
Carbs 5.20%
Phosphorus 134%

BFF play chicken cherish
Protein 31%
Carbs 4.90%
Phosphorus 132%

BFF chicken & turkey tiptoe
Protein 31%
Carbs 5.10%
Phosphorus 133%

BFF chicken duck & turkey take a chance
Protein 32%
Carbs 5.20%
Phosphorus 152%

BFF play chicken & lamb laugh out loud
Protein 31%
Carbs 5%
Phosphorus 152%

BFF play chicken & duck destiny
Protein 32%
Carbs 5.10%
Phosphorus 163%

BFF play chicken & beef best buds
Protein 33%
Carbs 5.30%
Phosphorus 175%

Don't know if your kitty likes pate but here is the list of the BFF line.
YOU WANT CARBS UNDER 10% AND PHOSPHORUS IDEALLY LOW 200's OR LESS

Also

https://www.amazon.com/Weruva-Focus...cphy=9003521&hvtargid=pla-1796056536677&psc=1

I know you can buy single cans of the BFF I listed at Petco, Petsmart to see which ones your kitty likes , the Focused one not to sure
71WqJPQiM2L.__AC_SX300_SY300_QL70_FMwebp_.jpg





With weruva foods
You want the metabolizable energy profile percentage of carbs to be less than 10%, and the phosphorus which Weruva lists in Minerals to be less than 250 mg per 100 cals. So you have to look at two different places in the Weruva charts.


You can even check out the soulistic pates
Feed Your Cat's Soul With Soulistic By Weruva
When you click on one of the flavors then click on
COMPLETE NUTRITIONAL INFORMATION (link to page)
and look at the same two places like on the weruva
Click to expand...
 
This site contains affiliate links for which Feline Diabetes Message Board - FDMB may be compensated.
Jessica Yeung said:
I had got the food list from Andrew Hall who is the administrator of Feline Chronic Kidney Disease (CKD) and tried weruva wx of which I can buy in Hong Kong but my cat doesn't like it. From the list, most of them I can't find in Hong Kong. I can't buy any cat from Amazon because they can' deliver to Hong Kong.
Click to expand...
You can feed your cat a food that she will enjoy and use Aluminum Hydroxide phosphorus binder to her food. Are you familiar with that?
 
If you have not already done a lot of reading on the felinecrf.org website and/or joined the group, I would highly recommend it. Many of the low phosphorus foods recommended in this thread would be fine for a cat with very early stage kidney disease, but if you’re dealing with higher phosphorus levels and higher stage kidney disease, you may need to add the aluminum hydroxide binder to each meal or snack to control phosphorus levels. Of course, bloodwork will tell if what you are doing is controlling phosphorus adequately.
 
I know what is phosphorus binder. The main problem is that Hills is the only one she likes. fortunately, yesterdsy I find a new wet food she can accept when I mixed with Hills which is low phosphorus. I also give her Nefguard, a Oral Activated Carbon Supplement as her blood test of Phosphorus is 3.7
 
The food transition needs to be a slow on not to upset the stomach or a radical glucose dip, 2 tsps at a time mixed well with her favorite, until she’s only having low carbs, the longer you give the HILLS, the harder it will be stabilize her levels, Fancy feast has great chin le and flakes that are between 0-10% carbs, Corky grew up for 10 years on MEAUMIX kibbles and So did Coco since 2 months old and grazing, when Corky was diagnosed and I found this Forum I made the slow transition for both put them on a schedule and they could not be happier! it is possible to change their palette, FF had Chunky Chicken 44% carbs also Fish and Shrimp Flake 0% carbs lots of shrimp and fish to crunch on, also Trout 4 % carbs also chunky, most cats are carb and crunch addicts, but if we want their pancreas to heal, we need to do what’s best for them, cats cannot digest carbs that is the reason their pancreas damage, and taking a chance of having other issues such as kidney illnesses, your fue baby will know is because you love her, it makes no sense for a diabetic cat to get insulin and still giving a high carbs also diet😉
 
The ratio I give her is 50:50 and her stomach is okay for this. I dare not to give her too low carb food as it will caused her crea/bun number to increase so quickly as the first diagnosed in 2024 I gave her low crabs of 2% in food. This combination is moderate and I can see the change in curve yesterday even though bouncing from low number is still occurred but not too high as before. New wet food is called Cherie, chicken and tuna mousse which is low phosphorus and is a brand from Taiwan. Weruva and it's other lines, mostly I can't find in Hong Kong.
 

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Last edited:
Jessica Yeung said:
The ratio I give her is 50:50 and her stomach is okay for this. I dare not to give her too low carb food as it will caused her crea/bun number to increase so quickly as the first diagnosed in 2024 I gave her low crabs of 2% in food. This combination is moderate and I can see the change in curve yesterday even though bouncing from low number is still occurred but not too high as before. New wet food is called Cherie, chicken and tuna mousse which is low phosphorus and is a brand from Taiwan. Weruva and it's other lines, mostly I can't find in Hong Kong.
Click to expand...
actually a quick transition increases the BG not lowers it! are you curving at home? is the best way t do so, cats are very sensitive to stress so curving at the vets office will cause the BG to be higher than reality causing for unnecessary increase in dose . a curve is testing every 2 hours for a cycle *(12 hours)
 
With The Libre I’d important that you have a human monitor as well since there’s a flaw with the Libre it reads the low numbers (two fits) much lower than reality, so it is recommended that you double check before you act on a low number from the Libre sensor, and give unnecessary high carbs
 
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