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Molly & Cisco

Member Since 2021
Hello! My name is Molly and Cisco is my 9-year-old pal whose diagnosis last week was precipitated by a week of walking on his heels. His Fructosamine was 510 umol/L and our vet started him on 1.5u of Lantus every 12 hours. He weighs 14lbs, down from 16lbs last year. Vet thinks he could stand to lose two more pounds.

The vet recommended against immediately starting at-home monitoring however after a suspicious potentially hypo episode on Monday, I made the executive decision to begin testing. Vet told us to pause the insulin until we had some readings and bumped us down to .5u of Lantus every 12 hours. Our spreadsheet is linked in signature.

The food adjustment has been one of the more challenging parts so far. We have started the Tiki Cat Luau wet food. Cisco's brother Roman (from the same litter) is also along with us on this journey, despite not having his own diagnosis. He prefers the Purina DM dry food to the wet and is used to grazing so we're working to get them both on a regular eating schedule.

Cisco began urinating outside the litter box last year and our vet deemed him healthy, so this was considered behavioral. There are a fair number of outdoor cats in our neighborhood and he was marking by the doors and fireplace, so we worked with a behaviorist, relocated/added litter boxes, tried new toys and towers, started him on fluoxetine, etc. Now I am wondering if this was diabetes all along. I also recently read that dandruff and poor coat quality can be symptoms of diabetes. He has both of those too.

We went back to vet today for a Freestyle Libre implantation, done by a vet tech. He's got a shirt on now so fingers crossed that the sensor stays on. I'm excited to see how the readings compare to the glucometer. My biggest focus right now is getting him regulated in the hope that his neuropathy/plantigrade stance will be reversed. It's been so sad watching him hobble around and I've had to clean him off after litter box visits a few times. Poor guy.

Thank you for reading! I am so grateful for this invaluable resource.
 
Getting the glucose under control is the best thing you can do for the diabetic neuropathy, but you can also add Methyl B-12.

There's a brand name called Zobaline for Cats but it's pretty pricey. You can use any B-12 as long as it's the Methyl form and there's no sugar or xylitol in it.

You can use these capsules by just opening them and pouring the powder out (it's tasteless) or crush these tablets to mix in his food.

Methyl B-12 helps the nerve endings heal but getting the glucose down is the first thing since until the glucose is down, it's going to continue to damage the nerves. Nerves are the slowest healing type of cells but diabetic neuropathy can be totally reversed with treatment and time.
 
Thank you for this info! Do you know offhand if these products are available for purchase in stores in the US or only online?
 
You want to look for methylcobalamin (Methyl-B12)

at a health food or store that stocks a wide range of vitamins. Vitacost is a US online supplier. I would look at Zobaline to double check how much to give. (It's available on Amazon.) You might check Whole Foods, GNC or any health food store in your area for methycobalamin.

I would discourage feeding your kitties the dry form of DM. It is high in carbohydrates and will keep Cisco's blood glucose (BG) levels high. If you look at the ingredients, it's not a very good quality cat food. Most of the "diabetic" foods are really not terribly good. The ingredients in some of the varieties of Fancy Feast or Friskies are actually better and a lot less expensive. Tiki Cat is a great food. There are lots of good choices. This is a list that contains a broad range of canned cat foods along with their nutritional information (aka carbs).
 
Wonderful, thank you both for the additional info about Methyl-b12. Cisco loves the tiki cat but it is definitely not cheap! I’ll explore some of the other options on that list.
 
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