Introducing Max

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tiffmaxee

Member Since 2013
Hi,

My name is Elise and my cat's name is Max. He is 16 years old and has had chronic pancreatitis for about 4 years with an increase in episodes recently. He also is being treated for high blood pressure with amlodipine. His BG at the vet's office had been between 170-198 but in September 29th was 258. The fructosamine was within normal range however. He started drinking water (which he never does as he's eating only canned food) and urinating more so I checked his urine and it tested positive for glucose on Wednesday so we went to the vet yesterday. His BG was in the mid 300's and glucose was in his urine so I brought him back today for his first shot of insulin, Lantus, and the vet is doing a glucose curve. I started reading about all this last night and it seems it was too soon for this but my vet doesn't agree. Max is a VERY timid cat and easily stressed. I know too much about CKD, anemia, and intestinal lymphoma but not about diabetes. I am freaked out that he might have a problem over the weekend and I won't know it. I plan to buy the necessary things to test at home but I am freaked about about sticking his ears. I remember how freaked I was about sub-q fluids so I know I will get over this too. I most likely won't start home testing until after Wednesday when I take him back to the vet and if I have what I need they will teach me. In the meantime I will try to get him to eat the fancy feast classics even though he much prefers the sliced which are higher carbs.
He has had a pancreatitis attack since the end of Sept. as well so his eating has been sporadic. He gets ondansetron for nausea and I can give him cyproheptadine if he doesn't eat. So what do I need to know about feeding him, signs to watch for his BG going to low, how often should I test his urine. I just need to get through this first week and will read a lot here. Thanks for reading.

Elise
 
Hi Elise.

Here is a link to Symptoms of & How to Treat Hypoglycemia.

We can help teach you to home test. I would buy the meter and test strips and ketone test strips as soon as you can.
Just in case you feel you need to know what his BG number is, over the weekend.
You can start by fiddling with his ears and telling him what a good boy he is, and then giving him a treat.
You'll want to buy some zero carb treats (like freeze dried 100% meat treats) and have them handy with your meter.
 
Hi there and welcome to the board!

I would slowly transition to the classics over a week or so , sudden diet changes can cause diarrhea.

Here are some home testing tips https://docs.google.com/document/d/13c_CPZVKz27fD_6aVbsguadJKvjSrSAkD7flgPPhEag/puband a shopping list

1. Meter ie Walmart Relion Confirm or Micro.
2. Matching strips
3. Lancets - little sticks to poke the ear to get blood . new members usually start with a larger gauge lancet such as 28g or 29g until the ear learns to bleed. Optional - lancing tool.
4. Cotton balls to stem the blood
5. Neosporin or Polysporin ointment with pain relief to heal the wound
6. Mini flashlight (optional) - useful to help see the ear veins in dark cats, and to press against
7. Ketone urine test strips ie ketodiastix - Important to check ketones when blood is high
8. Sharps container - to dispose of waste syringes and lancets.
9. Treats for the cat - like freeze dried chicken
10. Karo syrup/corn syrup or honey if you dont have it at home - for hypo emergencies to bring blood sugar up fast
11. A couple of cans of fancy feast gravy lovers or other high carb gravy food- for hypo emergencies to bring blood sugar up fast

Wendy
 
I ordered the supplies but won't get them until Wednesday. I have my next appointment with the vet that day so probably won't have the meter before I go. He is with my vet now and I will pick him up in about an hour. They started the insulin and did a curve. I've been told it is too soon but when I asked my vet that, he didn't like it and he is usually receptive to all my questions. I guess we now have a at the vet baseline. Thanks for your reply.

Elise
 
A cat's normal range is between 40 and 120. Max is much higher than that (258), so I think it was wise to start insulin now to get those numbers back down. Lantus is also a great insulin. The sooner you can get him treated, the higher his chances are at remission and the less likely he'll have a complication from the diabetes like DKA.

I would also agree with Wendy to go slowly with the food change, especially because you're not home-testing yet. Food changes can significantly decrease BGs (blood glucose numbers), so it's best to remove the higher carb wet food when you're able to monitor him since he's just been started on insulin.

Let us know what other questions you might have that we can help you with and welcome to the group! :YMHUG:
 
Hi Elise,
Welcome to FDMB. This group is really great. I agree with transitioning his food slowly since you're not monitoring at home. According to Dr. Pierson's website, food change alone can make a big difference to BG so if you do that plus give insulin without monitoring it might be a problem.

Rita
 
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