Jakko

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thebluejackal

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Hello, everyone!

My big 14lb black cat (he's built like a rottweiler and mostly muscle) has recently been diagnosed with diabetes. My partner and I noticed that he was losing weight and urinating large amounts frequently, so we weren't at all surprised by the diagnosis. My partner's mother has type 1 diabetes, so we're really familiar with the disease in humans.

We have been trying in vain to switch him over to canned food, but he doesn't like the pate texture and will only eat so much of the shredded. Our other cats eat Taste of the Wild dry, supplemented by whatever wet food Jakko doesn't finish.

Our cats were all used to free-feeding . . . and there's nine of them. We foster for a local rescue and some of the "unadoptables" have wound up in our home, including a tortoiseshell who enjoys screaming at her overlong tail at the wee hours of the morning, a cerebellar hypoplasia kitty that I handfed from about 2 weeks old, and a hermaphrodite (neutered and spayed) who was born to a feral mother that was brought in by a woman in order to allow her to have her kittens safely. (She then had all the kittens and the mother fixed, released the mother, and found homes for the kitties). This particular kitten was attacked by one of the resident Maine coons for being "different" and has a myriad of neurotic issues resulting from that attack.

Anyway . . . everyone is now on a feeding schedule and only allowed access to the food around the time Jakko needs his insulin. We can't feed everyone individually because of the CH kitty's need to spend a LOT of time eating just because it takes him a bit longer than others. He's wobbly. XD We have placed the food in an extra closet and I open the doors for about 45 minutes while I'm at lunch and then about an hour at night. During this time, we take Jakko into a separate room and attempt to get him to eat canned food. We have discovered that he hates pate and only likes shredded foods with very little extra moisture content. I think his favorite thus far has been AvoDerm tuna, but I want to try some of the foods on the list that's posted on the site. The other kitties then get to eat whatever he didn't eat from the can. We are currently allowing him to eat a little bit of the dry ToTW because of how little of the canned food he will actually consume.

He is currently at 7 units twice a day. I have not been able to try home testing just yet, but I am willing to give it a go to help get him regulated. We have noticed that he has a lot more energy and is less irritable than he was before starting the insulin, so that's at least an improvement. He will be boarding at my vet while my partner and I take our yearly sojourn to the Renaissance Fair in Muskogee, OK (which is great, by the way) not this weekend, but next. They'll be doing a bit of a glucose curve on him while he's there.

(As a side note, none of my ToTW bags for either my dogs or cats were affected by the recall. They're from the Missouri plant, not the Carolina plant. I checked with the people at the little store I buy the food from and have had no issues.)

As far as Jakko's age is concerned, we're not really sure. He was at least 4 when we got him, but he could have been as old as 8 or so. We have had him for 6 years.
 
Hi and welcome to FDMB!

One question, what type of insulin is Jakko on?

I'll be back later, but yes, by all means, all of us home test and highly recommend it! It's the safest way to manage feline diabetes.

Carl
 
No matter what insulin you are using, 7u BID is high, BUT it's likely due to the dry food.
Before changing food to wet, you need to be home testing because Jakko's insulin needs are going to drop much lower when you switch the food. Do not get any of the FreeStyle BG meters as they give false low readings for cats.

Many diabetic cats are diet controlled and do not need insulin once they are switched to a wet low carb diet. There was once a cat who was getting 20u caninsulin and after switching to wet food, the dose dropped to around 1u BID. Be very careful when switching foods.

One other point is that it's very hard to regulate cats, well, much harder, if you continue to feed the dry food. There have been the odd cat who would not switch to wet, and those cats need more insulin. If you have a cat who is very carb sensitive, it will take some extra effort on your side to keep the numbers decent.

There are some ways to switch for the hard-to-switch kitties which may help you.
 
Here are some tips to help you out with the switch: http://catinfo.org/#Transitioning_Dry_Food_Addicts_to_Canned_Food_

One option is to switch ALL your cats to canned food. There is a member here, Momma of Muse, who has 13 cats (with 2 diabetics) who all eat the same canned diet of low carb friskie's. I hope she'll show up and give you some advice on how to manage this...

7u is a VERY high dose of insulin. I am very concerned that your cat is on this high dose and you are not home testing. Most cats don't need much more than 1u of insulin on a canned diet, and even cats still eating dry food do not need 7u of insulin, so I am concerned that your cat may be getting too much insulin, which is very dangerous. How did you get up to 7u? What kind of insulin are you using? Most cats should be started out on 1u of insulin, with gradual dose increases of .25u-.5u. The maximum starting dose, even for a large cat, should never be more than 2u, and the maximum dose should not exceed more than 3u within the first month, according to the AAHA guidelines, p. 218-219 (4-5): http://www.aahanet.org/PublicDocuments/AAHADiabetesGuidelines.pdf. Bandit is 13.5 lbs, and he never needed more than 1.25u of insulin.

Also, many vets don't realize that too high a dose will keep blood glucose just as high as too low a dose, which is how cats often get overdosed to begin with. Tests done at the vet are usually inflated because of stress and are very unreliable. For example, Bandit is in remission, so his blood sugar is 60-100 at home. After we get back from the vet, his blood sugar is in the 200-300 range, and even higher if he experiences anything he considers traumatic.

The good news is that with the correct treatment (a long acting insulin like Lantus or Levemir, a low carb canned diet, and dose adjustments via home testing), 84% of newly diagnosed cats go into remission and no longer need insulin.
 
Welcome extra sweet Jakko and his Beans!

You mentioned the magic word...(Muskogee), OK....are you another OKIE by chance?

Sounds like you're already on the right road with sweet boy. Home testing is definitely the next step - you need to know where his BG levels are as you're giving insulin....no different than humans with diabetes. Lots of us have multiple animals so definitely understand the different things you do for them. The best place to get a meter and strips is your nearest Walmart - their 'ReliOn' brand, either the Mini or the Confirm. I have an Ultima but don't like it at all...takes too much blood and strips don't draw well. Just my opinion.... ;-)

We have several members with CH kitties - Anne/Zener and Tucker'sMom are 2 I can think of now but there are others.

Again, welcome and BIG HUG!
 
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