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lallypop77

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I'm not really sure where to post this so I'm going with this one. I live in a household with 4 cats and a dog. 2 of the cats I board for someone else while he is in law school. However, in January he will be taking them back until summer when he goes back to Washington D.C. (I don't like them going back and forth but I've explained this to the owner and hes going to do what he wants)

Angus is the kitty I'll be talking about. Angus is 10 years old. Neutered male. I've been boarding him since 2005 off and on. In 2005 he weighed a nice 14ish pounds and was a very happy cat, but in September of this year, I noticed that he was losing weight. He had to get his shots anyway, so we took him in and I told the vet of my concerns of his recent weight loss. He weighed 12.6 lbs at this point (but I don't know when he started to lose weight) The vet said it could just be a seasonal thing. wait a month and come back to me if he's lost more weight. (the owner wanted to stay with this vet because he is cheap, and overall he's done a good job with other peoples pets) So a month goes by and I weigh angus on our home scale with my husband getting on weighing himself and then getting off and then weighing Angus there didn't seem to be much change maybe an ounce? I didn't call the vet. About three weeks later I saw that Angus was skinnier and I could feel his bones so we weighed him again and he was 10.6 lbs. I almost fainted right there. I alerted the owner but finals week was upon us and he was very diligent that I not go to the vet without him. (a few times I almost went out the door but I didn't know what the legal implications could be) we went on that friday, and the vet said that it wasn't a very good day to get blood because fed x wouldn't be able to take it after we left because he'd been there already. (yes, I gave this huge lecture to the law guy about how he needed to let me take him earlier in the week) At first we all thought it was hyperthyroidism. So the next monday I took him in and the vet called back 2 hours later saying when he prepared the blood for the mail the blood was very fatty and he tested the glucose and it was 2 times what a normal cat should be (even for car rides) I kept asking him "should i change his food, should he be on insulin should he eat more or less?" the doctor said he wanted to wait for the thyroid test to come back which was another 2 days which was negative. Finally, that thursday which was Last thursday in fact The law guy and my husband took him to the vet (I had just had surgery and couldn't go) They came in feeling glad and like it was going to be easy. (I was very skeptical of this because i've worked in vets offices before and I know how something can seem and then go very wrong) We got W/D Science Diet for the complex carbohydrates and Humulin N (now I'm reading this may not be the best option) I give angus 3 units of it every 12 hours and I can't tell if its too little or too much. I was doing it in the scruff but I'm going to start doing it in the hip area. maybe I should feed before? but Afterwards he gets some fancy feast wet food (I have 4 cats here give me a break on the cheap wet cat food here....). Thats the story....Now, here is what I'm seeing that I'm having a hard time interpreting.

He's still drinking alot of water, and when he eats the wet food he really wants to eat all of it. He still seems to be losing weight and I'm going to check him tonight (i know, your not supposed to rely on your household scale but this one was exactly on when we checked it with the vets office) Hes getting to be like one of those 20 year old cats that have no fat left and all you can feel is bones. I checked his hydration levels with the pulling of the skin and its about 2 seconds to lie flat. Its christmas eve now and I'm not going to rack up ER charges. When I changed the litter box last night all the liter was just soaked. i change them frequently (completely change them) The one thing I'm upset about is that the vet didn't tell them to get a blood meter, or what to look for if he is in trouble. Like, I'm not really sure whats going on right now. He doesn't look "sick" but he looks like hes trying to figure out what in the world is going on and definately doesn't look like the same Angus I knew earlier this year. He doesn't look like he feels very good. I guess I should check his gums too. Hold on Ill check weight and gums and write it down so you don't have to wait for a reply. okay according to my scale he weighs 10.2 pounds. Again, my scales have been right so far but I'd like to have my husband weigh himself and check tomorrow as well and then again at the vets office whenever we go back. his gums are pink.

I have a long drive to make tomorrow (my mom will be around to give angus his insulin) but I think I better get a glucose monitor. and figure out where he is and where he needs to be.
Do any of you think his urine output will slow when I figure out exactly where he should be? I feel so bad that he feels bad and right at this very moment there is nothing I can do. :sad:

lily
 
I'll let others chime in with more advice and info but to answer your one question.

Generally speaking, yes, if you get his blood sugar under control through proper diet and/or insulin as required his urine output will slow down and return to nearly normal.

And yes, you really should get a blood glucose monitor to keep track of whats going on with him. Any model of human meter that you feel comfortable using will be fine. The Walmart Relion eters have been widely used by people here to good success and are very cheap. You'll want to keep the current recall on test strips that is posted above in mind when picking one out.
 
If you picked up a BG meter at the pharmacy and tested BG before giving shots and did a couple curves when you can, you could find out how that insulin is working. From the sounds of it, it's not working well at all, but without testing, you have no clue if it is a dose that is too high or maybe the insulin is just poor for this cat, giving low BG after the shot, but then the BG numbers are going high hours before the next shot.

The urine output will decrease a great deal, but only once the cat is regulated and I don't see that happening with the insulin you are using. What are the chances of changing to a better choice? With the cat losing weight and not looking good, the vet visits will cost alot when just using a better insulin, home testing, and feeding a better diet will fix the cat's problems or at least the diabetic ones.

For the food, there is no reason to think you have to pay for expensive food to get good food. I find even fancy feast is expensive and mostly feed mine friskies and also watch for sales on some foods at Petsmart.
I take a copy of binky's list with me when going for cat food shopping, and aim for carbs under 10%
Binky’s Food Lists
Feeding Your Cat: Know The Basics of Feline Nutrition

As Angus is not your cat and you are stuck with the vet that the owner wants, I hope you can have some luck convincing the owner that changes are needed for his cat, for the cat's health.

In the meantime, I have a link to some info on the insulin you are using, but can't say if it's valid or not. If you have some questions on it, do ask because others have used this insulin
Humulin Primer Info

There are plenty of choices and they will be good to feed to your other cats as well.
I don't know much about this insulin, but I believe that you are supposed to feed the cat BEFORE giving N because it's a very harsh insulin. The better longer lasting insulins like Lantus and Levemir I know do not require feeding before shots and they are a much gentler of choices for insuln.

That weight loss is pretty big so something is going on. I hope you are able to help Angus get better
 
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