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Tes

Member Since 2023
Hello everyone,

I come here, like many before you, with a newly diagnosed diabetic cat, absolutely drowning in everything there is to learn.

Some background on our boy, Bobby Western. We found him outside a friend's house at the end of January (he had been sitting on her porch for a week, during a heavy storm.) Honestly, we weren't in any shape financially, or otherwise, to take in a cat but we just didn't feel right about leaving him. He was such a friendly guy, so we were certain he must have had people. For two months we searched around, and nothing. Put up notices, called all the shelters, posted online, notified nearby apartment complexes. No chip, not fixed. According to our vet, that means he's ours now (and of course he is, he's got us wrapped around his paws. He's fantastic!). Unfortunately, about 2 1/2 weeks ago, he had a pretty dramatic spiral in his health. He was pretty spry with no obvious health issues all the way up until that point, (minus a little tummy trouble initially, but my friend had been feeding him an inconsistent variety of cat food, while he was lurking around her porch. It stabilized when we got him on a consistent diet.). It was pretty shocking, I feel like he was just dropping weight like crazy in only a week, despite getting all the food he wanted. Started drinking tons of water, very lethargic, sleeping most of the day, etc. Not knowing what to do, I started giving him boiled chicken with all his meals, while we waited for his vet appointment. I was suspicious of diabetes (he has always had a slight rounded tummy) but he's so young (probably 2, certainly not older than 5). On vet day, he of course looked like he had completely bounced back (and honestly, seems to have only improved) but we bit the bullet and got full bloodwork anyway (I'm no vet, but what I'm reading right now says Superchem, CBC, T4, FT4ED, U/A were included in his testing.) Our vet confirmed he most certainly is diabetic, and well...here I am feeling very much like I've returned to college, pouring over every bit of information I can.

Now, the steps we've taken so far (and I honestly wish I had researched more before we did, but here we are.) The vet immediately recommended the new pill, Bexacat. She said, based on his bloodwork, and the fact that he's never been on insulin before, he's a perfect candidate. We've been given a week's worth of pills, and are to monitor him closely and within 3-5 days have him brought in to check his ketone and go from there. This medicine literally just came into the clinic that week, it's a new process for them, I think they don't even have the equipment to test ketone in house yet. (I'm not entirely sure, between the hectic situation and information being relayed between my partner, the receptionist, and vet, it's rather overwhelming.) I trust my vet so far, I don't get the sense that they specialize in diabetes in cats however and want to learn as much as I can, so we can work together. That said, the fact that this pill is so new means that I haven't been able to find a ton of information or hear about people's personal experiences and it makes me nervous. Given that he's young and otherwise healthy, I would love to work on his diet and get him off the dry and see if that could assist in anyway. For now, our vet recommended keeping his food consistent and not changing it as we test this medicine. (That said, her alternative recommendation for further down the line was only the prescription diet, we haven't really had much time for me to get her opinion otherwise. No mention of canned foods, or raw diets or anything outside of what could be prescribed.)

I'm trying to keep cool and calm, but I really hope that things goes smoothly with this pill. Western is a particular fellow. He is extremely sweet and kind, but very protective of his personal boundaries. When we were first getting to know him, he bit both myself and my partner (hospital visit hard) and he's very large and very strong. He's only getting sweeter by the day, but I get more than a little anxious at the idea of pushing and prodding on him day in and day out. I'm not needle shy either, I've owned countless critters and used to have to give a rat daily injections. It's just...tough to imagine with this guy. I want him to have comfortable life. I'll take one for the team and be the one he dreads seeing (my partner is his favorite anyway) but it breaks my heart. Not to mention, we were already on the cusp of financial ruin (we're thrifty and responsible, but it's just one of those times where every possible emergency happens at once.) I've never not been in a position to be able to take care of my animals before, I always find a way to cut whatever needs to be cut in order to make it happen. This is just an extraordinary sucky time, and it's horrendously panic inducing. I'm foraging dandelion and chickweed in our yard to fluff out our own diets. Ugh. Still, his life is worth it. One step at a time, I suppose. Problems for a later time.

I look forward to sifting through the wealth of knowledge all of you have collected, and am so grateful there is a community out there. Thanks everyone <3
 
He’s a beauty and thank you for rescuing him!!!

you’re the second person to mention this pill today, but since it’s super new I don’t know anything about it. Maybe someone else who does will chime in.

Did they also do a fructosamine test? It gives the 3-week blood glucose average and it’s used to confirm the diabetes. Do you know what his bg was at the vet?

a few things you don’t need that will save you a lot of money. You don’t need expensive prescription food. It’s actually higher in carbs and not the best for a diabetic cat. Most of us feed Friskies or fancy feast pate. I know you mentioned he can be hard to handle, but you don’t need to have any curves done at the vet, if you can manage to home test him, you can do those at home. You also don’t need a pet meter to do that. Human meters work just as well and it’s what most of use here use. Walmart’s ReliOn is less than $10 and the test strips are pretty reasonable too. These are things to consider if he does go on insulin.

Your instincts are correct. Unfortunately most vets do not know a lot about feline diabetes….they have many animals to look after and they all have different diseases and treatments. Vets also get their information about nutrition from the big cat food manufacturers so they are biased in what they recommend. A dry high carb diet is not good for any cat, especially a diabetic cat. That’s like feeding your diabetic child a diet of biscuits, ice cream and sweets.

With a diabetic cat you need

  • A low carb wet diet that is 10% carbs or under. Most of us use around 4-7% carbs
  • A suitable insulin such as Lantus or Prozinc which are long acting, more gentle insulins than the old insulins.
  • We recommend hometesting the blood glucose with a human meter…it is not necessary to use a pet meter which is expensive to run and is no better. It will keep your kitty safe and you will know how the dose is working for your kitty. Only testing every so often will not tell you what is happening in between those times and an awful lot can happen in even a day.
  • HELP US HELP YOU has information about the spreadsheet, signature and hypo box which you will need to be able to look after your beloved kitty properly

A word of warning though… if you do start him on insulin, don’t change the food you are feeding over to the low carb food until you are testing the blood glucose because a change over can drop the BGs by up to 100 points and we don’t want you to have a hypo on your hands.

FOOD CHART have a look on this chart and choose foods that are under 10%.

This is an excellent site for diabetic cats…it has been around for more than 25 years and has very experienced people to help you.

Keep asking lots of questions!
 
I think they don't even have the equipment to test ketone in house yet.
The standard urine test strips include a pad for ketones. YOu can also get urine test strips that have only a ketone pad and get them that have a glucose and ketone pad. You can also get hand held meters that use ketone test strips and test blood drop like one tests blood drops for glucose.
 
Hi and welcome to the FDMB. Bobby is adorable! You can feed a low-carb diet on the cheap. The food chart posted above has great options.
 
I have read about the Bexacat but no experience with it. My vet was not familiar with it so I went with the standard insulin route. From what I read the most important factor is to ensure that there are no other underlying health issues; that vet had thoroughly screened. If it was me, if confirmed no other issues I would likely try the Bexacat. You can always transition to insulin after if it doesn't seem to help. But once you start insulin you can't transition to Bexacat.
 
Hi and welcome to the forum Tes and Bobby Western.
The Bexacat is very new. They did trials of it in the UK.
Personally I would stay with insulin until more is known about Bexacat. I think you have a better shot at remission with insulin.
I would also move over to a low carb diet. Continuing with a dry food diet which is very high carb is not a good thing to do in my opinion.
Ale has given you some suggestions on food above.
And you certainly don't need to use the prescription food the vet suggested. That is high carb as well as expensive and there is nothing special about it...except the price.
To test for ketones you just need a bottle of Ketostix which you can get from walmart of a pharmacy. You test the urine with it and read the result exactly 15 seconds after dipping the test strip in to the urine. it is a simple test and there should be no ketones.
Keep asking questions:)
 
Welcome to FDMB!

There was a thread started about Bexacat in the Think Tank forum here.

I'd like to modify what Ale posted. Many vets, especially vets at multispecialty practices are less well informed about feline diabetes than diabetes in dogs. I've worked with two vets who are feline specialists who were knowledgeable and supportive. Your vet has been staying up on the literature if they were familiar with Bexacat. I would encourage you to try to have a discussion with the vet about pros and cons given how new this drug is.

You are also correct. In the beginning of managing your cat's diabetes, there's an overwhelming amount of information to absorb. Please let us know how we can help.
 
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One problem to me with Bexacat is that there is only one dose. It may work too well, or not work good enough to prevent problems like DKA. As a last ditch effort, like other option would be euthanasia, Bexacat would be worth a try. Since there is only one dose, it is less stress for the caretaker.
 
Update: Somehow pee collection and ketone testing went without a hitch first try! (He looked a little insulted, but what can you do.) It was hard to tell, but I'm fairly certain we've got a negative! (It wasn't dark enough to be trace amount, but maybe ever so slightly darker than negative. I'll take a picture next time!)

Just a quick response to say, I appreciate everyone so much! Just being given a sense of direction from your responses has helped tremendously. There is a lot of information I still need from my vet, which I'll have to wait until Monday or Tuesday to get (they didn't give us the paperwork from his bloodwork at the time but my partner remembers the vet saying something about a number reading at 400-450, which I can only assume is his bg?), in order to ask better questions from y'all. As soon as I can, I'll get a spreadsheet going (though I'm still figuring out how to go about that, given that he's not actually going on insulin yet and I still have a lot to learn about how to chart and test him.) He's getting Ketone test strips today, so I can start monitoring that. He took his third pill today as well, and so far so good on his behavior and general sense of well being, with the exception of having vomited at some point last night. He did have access to being free fed the dry food he was on, as the vet wanted to keep things consistent (she also recommended feeding him as much as he would eat). I had a bad feeling about it though, so I have lessened the amount and was able to get a few cans of Fancy Feast Classic Pate to replace the plain boiled chicken I was supplementing the dry with when he was feeling very unwell. He's not fussy about food, and he likes Fancy Feast more than dry for certain, but I don't want to upset his stomach, so I'll try and keep things in a slow and steady transition.

I appreciate the advice and information so far about Bexacat, I'll be sure to keep an eye on that thread and contribute what I can to the discussion. I keep a pretty meticulous record on paper, and not to mention a thousand questions written down, but given that I don't yet have a lot of information to share (beyond feeding and behavior) I'm going to try and take a step back and return next week to look for more advice, once I talk to the vet. Thanks guys, I feel more at ease already, and I'll work on getting that info together.
 
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Hi Tes, I am curious to know how your cat is doing on the Bexacat. I started my 13 year old FIV+ male on it on April 27. The first week or two was challenging, he took a while to show improvement, then the rest of May he started doing much better, numbers have improved slightly and he is eating better. My vet has me bring him in for a drop-off on the days they do his glucose curve, ketone, and fructosamine so that he has time to settle down in a quiet part of the clinic.
Looking forward to hearing about your cat's progress!

Heather and Angus
NC
 
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