how to know when cat is loosing diabetis

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lbonelli

Member Since 2014
Hi. I have a cat who was diagnosed with diabetes in August of 2012. It took me over a year to get her regulated. My vet kept doing fructosomine tests to adjust her insulin. Her last fructosomine was around 388 in January and she was on 3 units of levemir twice per day. At the same time her glucose was at 239. I thought all was well. I switched to a new vet who was treating her for an ongoing UTI and asked him how I would know if the cats diabetes went away. He told me she had no glucose in her urine on 2/28 and was somewhat concerned. I ended up testing her BG with him on 3/5 in the afternoon before she received her night insulin and it was 145 (she had her morning dose). This concerned him and we lowered her dose to 3 in the morning and 2 at night. I took her back this week and she had no insulin in the morning (she went into hiding) and her insulin again was 180 with the missed dosage. Now the vet is telling me I may want to lower this to 2 in the morning and 1 at night. I am nervous because it took me so long to get her regulated. I should also say I can sometimes test her urine and it is always sugar free, but I thought that was the point. I’m have a hard time understanding what to do next and don’t think my cat will let me test her blood myself. Any suggestions?
 
Welcome to FDMB.

Remission to a diet-controlled state happens when the glucose is between 40-130 mg/dL without any insulin.

Also, if you are shooting twice a day, we suggest equal doses - ex 1.5 units every 12 hours.

We strongly advocate home testing to keep your cat safe. It takes some learning. Most cats tolerate it fairly well as there are few nerve endings in the outer edge of the ear.
 
What kind of food are you feeding him? If not currently in remission you could probably help your cat achieve it by switching to low carb wet food like Fancy Feast or Friskies. Keep in mind that if you do switch, his insulin needs will drop dramatically so you would want to be testing his glucose closely so you can further adjust his insulin lower if needed.
 
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