Help I'm New and I'm Lost. Is this allowed??

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Saxlover59

Member Since 2014
My Bently is 13 and a couple of weeks or so he started not eating and not playing. I kept a close eye on him and within two days I realized he seemed confused. I took him straight to my vet's office and they ran many tests and that's when he was diagnosed. He's still in the hospital in critical condition. His glucose levels were at 400 when he arrived. They've gotten them down to the high 200's as of yesterday. I have MS and live on SSI. Thank God my sweet son put up his credit card, there's no way I could have paid this bill. It's in the thousands already. I don't know how much the medicine, meters, strips, and needles are going to cost monthly. Or even if I have to have those things before he comes home. The vet was puzzled because he said he rarely see's cats that are not over weight who get diabetes. My vet said he will need two injections a day. And I have tremors from nerve damage due to the MS. And let me tell you, I'm finding out through this who my true friends are. Some of them are saying, "are you crazy? spending that kind of money on a dumb cat. look at all the cool things you could have bought." Or, "I can't believe your crying over a cat." Bently's not a cat, he's like my child. Every morning when I opened my bedroom door, he would be sitting there waiting for me to get up. Then he'd run down the hall and follow me to the coffee pot. Then we would sit on the sofa and wwe would share our love for each other over coffee and treats. I miss that so much. I can't wait until he comes home. I'm sorry rambling on about myself, how rude. Would like any and all support. And what it's like when they come home? Will he still have a quaility life? I think I also saw a place where you can buy things cheaper. Any new info would help. I just feel lost and so out of my element. I've been friends with Rebecca for a bit. She's super sweet. Bently might be coming home Tues. I'm thrilled and scared all in the same second.
Sorry if I rambled, thanks for listening.
Lisa Gott
 
Hi Lisa. Yes there a lots of ways to save money. We can help you with that.
I know how you feel. My kitty was hospitalized for a long time and I couldn't wait until he got home. Every day, my light my love my every thing was focused on the short visit I could be with him at the vet hospital. He came home with a feeding tube because he wouldn't eat the whole time he was at the vet hospital. After a day, maybe a day and a quarter of being home, I found him down in the basement and his feeding tube had been pulled out. I brought him upstairs and was calling the vet and asking what to do next and there he was eating on his own again.

He's like your child. We understand that. You've come to the right place for support, and I hope we can help you with getting your Bently healthy and playing again.
 
Unlike humans, cats can actually go into remission and get off insulin when fed a low carbohydrate diet and given a long-acting insulin for a time. Good insulins for a cat are ProZinc, PZI, Lantus, and Levemir as these last about 12 hours in the cat.
 
Hi Lisa,

Just wanted to add my welcome and support for you and Bently. We get it. You're speaking my language. My brother-in-law asked me why i was doing all this for my cat because there were 100 more just like him at the shelter. Well there aren't!!

We'll be glad to help you. We understand feline diabetes and do it 24/7. I would get Lantus (Glargine) or Levemir (Detemir) - they are the longest acting insulins.

You want to get pens - they are a smaller volume (300ml) instead of a vial. They are different prescriptions. Lantus' low point happens around 3-6ish hours after the shot. Lev's low point happens around 4-8 hrs after the shot. That becomes a significant difference because you'll be testing and most of the people using Lev have to get up during the night to get tests. I used Lantus with punkin.

Here is the document you want to read and provide to your vet about your choice of insulins: Management of Diabetic Cats With Long-Lasting Insulins Cats who are newly diagnosed, who can become "tightly regulated" meaning that the blood sugar is held between 50-120, can have their pancreas heal and can go off of insulin.

What insulin is your vet using on Bently?

We're going to ask you a zillion questions, so i'll just say that it will be good if every time you have a vet encounter, you ask for copies of the labs to take home with you. We have several people good at interpreting labs who can help you with what to ask or how to understand what you get.

As far as supplies, i think the cheapest supplies are probably going to come through http://www.americandiabeteswholesale.com.

You can preregister through http://www.mrrebates.com and you'll get a % rebate on everything you buy at ADW after you go through mrrebates first.

I bought a Relion Confirm at Walmart for the glucometer and got the first package of test strips with it.

Then I bought the Arkray test strips through ADW. They are generic and they will work with that meter. This deal with 5 boxes of 50 strips each (250 strips) for $70. http://www.americandiabeteswholesal...-sensor-blood-glucose-test-strips_4050_54.htm If you get a different meter, then you'll want strips to go with that meter - i just know these go together.

I used these syringes: http://www.americandiabeteswholesale.com/product/terumo-thinpro-insulin-syringe_5891_112.htm. they are some of the most inexpensive, the needle is thin, the barrel is longer and narrow, which means that you can see the markings a little more easily than some, and the plunger moves smoothly, making it easier to give the actual shot.

Lancets are cheap - to prevent infection and pain, you'll want to use a new lancet with each test time. sometimes i see people say they'll use the same one for several tests and i've seen a pic of the lancet after it's been used multiple times. it gets blunted and you don't want to hurt Bently's ear by poking with a blunted lancet. I used a device - some people free hand, but if you have any hand tremors, i think you'll want a device. i had no preference on them, just used what came with it.

Here is a picture of where you want to poke Bentley's ear. He'll get used to it, but it will really help relieve the ouch from the poke if you buy Neosporin ointment with Pain Relief to put on every night. I tried it on myself and the stuff works great for relieving pain. I put it on punkin's ear every night. Some people put it on with each poke. The only trick is that you don't want enough on at the point that you are poking to goo up the strip.

http://www.felinediabetes.com/FDMB/download/file.php?id=4550&mode=view


Here is a video on how to hometest:

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you'll also want to look at his food. He doesn't need special vet prescription food. Save your money and don't bother with it. Just tell them you already have appropriate food for Bently at home. He needs low-carb canned cat food from the store - many people feed Wellness, Friskies or Fancy Feast. Those are probably the most common, although there are many others. There is a great list of the carb values of canned food on http://www.catinfo.org compiled by a veterinarian who occasionally posts to this site. You want canned (NOT DRY) that is less than 10% carbs. Most people feed around 4-5%. No carbs is not better. I gave punkin Fancy Feast chicken feast or turkey and giblets until he had the beginnings of kidney problems and then i switched to Friskies Special Diet, Turkey and Giblets.

I hope i haven't completely overwhelmed you. I want to encourage you that this is very doable. We can give you tips to help you master testing and shooting, and get Bently back to being his regular self. Ask anything and we'll do our best to help you.
 
Hi, Lisa and welcome to FDMB.

Many of us who found our cats in critical condition at diagnosis had to deal with others making the same kind of remarks. You won't find anyone here that would do anything but applaud how you feel about Bently and we would all go the extra mile for our kitties. It's absolutely OK to rant about the people who don't understand how important our kitties are. We all get it!

Diabetes isn't cheap but it's manageable and we can help you find ways to keep the costs in line. For example, no matter what your vet tells you about getting a meter that will test a cat's blood, a human blood meter is what most of us use. The costs are dramatically different. Walmart's house brand meter (Relion) is good and the strips are inexpensive. The company that makes those meters has even less expensive strips. Buy strips online. Buying supplies at a pharmacy will cost you an arm and a leg.

Food. Don't let the vet convince you that Bently needs costly, prescription food. Low carb, canned Fancy Feast or Friskies pate style foods are better quality than the prescription stuff and in some cases lower in carbs. If you've been feeding dry food, you'll want to transition him to canned. There are lots of reasons for this but the bottom line is that many cats who are diagnosed with diabetes have a dramatic lowering of their blood glucose with a diet change to a low carb canned food.

Right now, the important thing is that Bently's diabetes and whatever else is going on gets stabilized. Do you have any more information regarding what is requiring the hospital stay? Was he experiencing diabetic ketoacidosis? (Usually, this has to be managed at the vet hospital.)

The people here are very generous with their time and knowledge. Please let us know how we can help.
 
almost forgot - you can get a Lantus Savings Card to help with the cost of Lantus.

For Levemir, you can also sign up for a discounted program here: https://www.levemir.com/toolsressources/levemircare.aspx#signup. When you register for either of them, your cat is over 18, fyi. ;-)

The pens come in a pack of 5 pens, but there are pharmacies who will sell you just one pen at a time. Buying just one pen and using the savings plan can get your cost down considerably for the insulin. You'll have to call around to find a pharmacy that will open the box to sell one pen, but some will. Often a pharmacy that will sell one to a nursing home, for example. Sometimes hospital pharmacies will break open a box. I was able to buy one from a Sav-On chain pharmacy - there isn't really a rhyme or reason, you just have to make calls. You're not going to use the "pen needles" that come with it, rather you'll use regular syringes. When you're at that point, we can tell you how to administer the insulin at home using the pen and a syringe.

If you're wanting to educate yourself now on it, here's a link on how to take care of your insulin. It applies to both Lantus and Lev. You can watch the video about 1/2 way down the page on how to draw up the dose, because it's important that you not contaminate the insulin.

http://www.felinediabetes.com/FDMB/viewtopic.php?f=9&t=151

There are lots of bits of good information on the Lantus/Lev Tight Reg forum here: http://www.felinediabetes.com/FDMB/viewforum.php?f=9

A little light reading for you. :-D
 
I know it's lots of reading and can and does seem quite overwhelming, but we will help you to do it one step at a time.

We are here to help you will support too, if you are feeling frustrated or worried.

I hope your boy Bently is coming home soon and is soon feeling back to his young self again.
 
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