@JanetNJ -
One of the key objectives at FDMB is to educate caregivers of feline diabetics. Chris is endeavouring to
inform here, not to scare.
It is true that some cats do well on Caninsulin/Vetsulin (C/V) and indeed some do achieve remission (and I am glad that your kitty is one of them!).
It is also true that in many cats treated with C/V the duration of effect that particular insulin is insufficient to maintain adequate levels of blood glucose control throughout the course of the day.
Studies have shown that chances of remission in newly-diagnosed cats treated with the longer-acting, gentler insulins Chris lists above are statistically much higher than for those treated with intermediate duration insulins like C/V - most notably in cats who commence treatment within the first six months of diagnosis using an ultralente insulin (Lantus or Levemir) eating a wet, low-carb food and following a program of tight regulation where remission rates may be as high as 80%+ (see attached published article below). Remission rates for cats who start treatment on an ultralente insulin after the initial six-month window are significantly reduced (by approximately 50%).
I think it is important for caregivers of newly-diagnosed cats to learn about different insulin types and treatment methods so that they can quickly get to the stage where they will be able to make their own well-informed treatment choices for their cats; doubly so when the statistical opportunity for the best treatment outcome for the cat is time-dependent.
Mogs
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