Introduction and request for glucose testing advice

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SarahL

Member Since 2013
Hi -- Sarah here from the bay area in CA. Hello and thanks to all of you for being such a wonderful community!

My kitty Miko was diagnosed with diabetes last week. He's about 10, neutered male, indoors, has already been on raw diet (primal and rad cat) for about the past 18 mos., and he's been lean and active his whole life. He very likely is part burmese or siamese -- I have to suspect genetics, although he did eat kibble for most of his life until a couple years ago when I learned better and slowly transitioned to canned and then raw diet.

He didn't have any steroids or anything else that could have brought it on. His diabetes manifested after switching from Primal to RadCat, but I think that's probably a coincidence since RadCat is only 2.5-3% carbs. Just in case I've reintegrated Primal again, too, along with Nature's Variety from NZ (my other kitty is IBS and needs a lot of variety to stay stable).

Miko's been started on 1 unit BID of Lantus. Insulin injections went better than I expected. He was a feral kitten who has never gotten comfortable with being picked up or handled, so he can be very hard to manage. He's the kind of cat who stays away from me for a good month after a flea treatment.

So that being said, next big hurdle is the at home glucose testing. I just got an AlphaTrak2 today, and I'm hoping that you lovely people might have some suggestions. I'd love to be able to distract him with his favorite treats, but it doesn't look like many people glucose test while the cat is eating, I guess because the head needs to stay so still. Miko is small and skinny with tiny ears, too. I think the only key to my having success with this will be to make it a comfortable and rewarding experience for him. I see some people have used towels, but if I do that I can almost guarantee Miko won't come near me again for days on end (which will also endanger my ability to give him insulin).

He is a kibble addict, so even though I don't want to go crazy on that, he's very bribe-able with the lure of a few pieces of grain-free kibble. I'm terrified of hypoglycemia, so I would feel a LOT better being able to do frequent glucose testing and knowing exactly what is happening. Any advisement, tips or tricks you all can offer are so very appreciated.

Purrs to you and yours,
Sarah
 
Hi Sara and your sugardude Miko! Welcome to the FDMB, the best little message board in the universe for helping your diabetic cat. We have lots of practical experience, since we live with our diabetic cats 24/7.

First, get Miko used to having his ears touched, rubbed, fondled, and held between thumb and forefinger of your non-dominant hand. Do that at least a dozen times a day. Give him one piece of that low carb kibble as a reward. We are bribing him with food and that is perfectly acceptable! :lol: :lol: :lol:

Here are two links for you on home testing. This first one is for the How to's. top ear testing tips

This next one is how to make your cat more accepting of the process. Written by member Kpassa for her feral diabetic kitten Michaelangelo. ear testing psychology

Not sure if you have all your supplies for testing. Here is a new member shopping list.

Would you cut and paste the following synopsis into your user control panel signature, profile, edit signature? Please.
Sarah & Miko (male, 10)
DX date 7/?/13
Alphatrak 2 & Lantus BID, 1U to start
Raw diet Radcat and Primal, Nature's Variety
 
Hello and welcome to the board!

First I want to work out why he is diabetic.. raw food is a great choice but I am wondering if he is very carb sensitive and those treats might do it.. because grain free doesnt mean low carb. What are the treats exactly ? Many of us here use freeze dried chicken or liver.

How are his teeth? His ears? Any sign of infection?

Does he get to go outside unescorted? Is there any other source of high carb food in the house he could get to ie dog food?

Wendy
 
Ah you can give treats and you can try giving them at the same time that you test - many of us reward after testing, but I don't see any reason why you can't reward while testing, if it keeps him occupied and still allow you to hold and test the ear, why not.

Here is a link to low carb treats you can try:

viewtopic.php?f=3&t=9172
 
Thank you so much for those great links, Deb! The one on the feral kitty behavior is SO helpful. And thanks also for the advice on treats while feeding, Hilary!

Wendy&Tiggy said:
Hello and welcome to the board!

First I want to work out why he is diabetic..
raw food is a great choice but I am wondering if he is very carb sensitive and those treats might do it.. because grain free doesnt mean low carb. What are the treats exactly ? Many of us here use freeze dried chicken or liver.

How are his teeth? His ears? Any sign of infection?

Does he get to go outside unescorted? Is there any other source of high carb food in the house he could get to ie dog food?

Wendy

I do, too, Wendy -- the kibble treats are just since he was diagnosed. It's Natural Balance LID, about 35% carbs and he gets about 5-10 pieces with the insulin since I started the injections. I'm going to switch to the Wellness kibble that's under 10% in a couple days (he is extraordinarily kibble motivated). He wasn't eating those prior to diagnosis, though, so it's got to be something other. The timing was right around the switch to RadCat, but even though that's a percent or two higher carb than Primal, coming in at 2.5-3% carbs is still pretty fantastic.

His teeth have never been great, but he gets frequent dentals. His last was in February, along with his last ultrasound for his heart murmur, which he was diagnosed with a little over two years ago. His ears don't show signs of infection and are mite-free, but they have been itching him over the past few weeks -- I'm guessing the sugar load in his body has his pH out of whack, unless that can be a sign of something else? He just had a thorough cleaning at the vet, and they didn't pick up anything off (other than it took a small army to get the job done).

He doesn't go outside at all, and doesn't have human food or dog food (my dog is on raw, too, but never shares -- nor do I). He likes to lick the insides of windowpanes sometimes, but I doubt they have carbs :) He did get a tiny bit of Megaflex Glucosamine, MSM & Sea Cucumber joint supplement a few times a week and the last ingredient of that is maltodextrin -- I've discontinued that for now.

I do travel for work, though, and my last trip was at the beginning of June -- it's possible but unlikely that my petsitter fed him something. If this was diet-related, I'd be thrilled, but it's very odd that he eats raw and has always been extremely muscled and active and lean and got it, so I'm wondering if it is genetics or something underlying. As he gets stabilized I may do x-rays in case of pancreatic tumors or other underlying causes.

About a little less than a year ago (give or take), his voice went raspy, but nothing showed up on his bloodwork or ultrasound at all until last week, and my vet didn't think it was anything to worry about as everything was testing fine and his health was great. However, I have noticed that after just a few days on insulin his hoarseness is gone, so I'm thinking it must be related and am going to talk to my vet about it --- it's got to be connected. Any suggestions are very appreciated.

I also have his brother (both from the mom in the feral colony I was working with, different litters -- either 1/2 or full brothers), who is much rounder and less active than Miko and about 6 mos older, but who has yet to develop any diabetes (knock wood!).

Thanks for all your help and advice -- it is so comforting and I very much appreciate you all taking the time. I'm a chronic worrier about my fur kids, and I have a huge learning curve here along with a lot of anxiety about my littlest kitty. So thank you, thank you, thank you all.
 
Even 15 kibble can spike a cats BG if they are sensitive so I would keep that in mind as the 10% ones might still be too high.

Have a look in his ears.. Are they dirty inside? Black grainy stuff?

Wendy
 
Wendy&Tiggy said:
Even 15 kibble can spike a cats BG if they are sensitive so I would keep that in mind as the 10% ones might still be too high.

Have a look in his ears.. Are they dirty inside? Black grainy stuff?

Wendy

I totally agree the pinch of kibble isn't ideal, but for now it's nice to have him highly motivated with his very favorite treats while we build up familiarity and comfort with the new rituals in his life, since he's been so unmanageable and untreatable for all of his life.That was behind my decision to do it -- start with the big guns and slowly wean away. I do hope to be able to switch completely from it once we're further down the line to something else.

His ears haven't had any abnormal discharge since they started bothering him, they've just been itching him. Is that a normal reaction to high blood sugar? Thanks again for your help.
 
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