Just Diagnosed This Evening

Status
Not open for further replies.

wsugold

Member
Hi Everyone,
I have had simba for 12 years. he was just diagnosed tonight w/diabetes. i am waiting for further results to determine whether she feels he need insulin or not.
he has lost 3lbs since we took him to the vet last time. he wasn't even on a diet. when she told us though i broke down in tears and can't stop crying. he is my baby!

is there any questions i should ask when she calls? i was in such shock and still not sure really what to ask except for if he needs insulin and all about that.

she gave us a prescription food to try and i have to cut his food down drastically. i'm just not sure what to ask when she calls. she did blood work and is running all types of tests.

any advice would be appreciated.

thanks,
Michelle
 
Hi, Michelle-
Welcome! Sorry you have to be here but this group is the best! I wasn't here long with Nigel before I lost him so I can't offer you any help but I'm sure that you will get lots of great advice from other members. It will be okay. You might feel lost and helpless, but you can do this. Simba is still very young and diabetes is manageable so just listen to these guys and they will help you all the way. Will be thinking of you!
 
Hi Michelle!

Kitten and I welcome you to this wonderful place. It is definitely the calm of the storm here. Everything seems to be such a whirlwind at the beginning, but it does get better. I didn't think that it would, but now I realize just how much more calm and under control (relatively of course) I have everything and its only been 3 weeks!

You dont need the prescription food, as most cats dont really eat it for very long from what I heard. And its super expensive compared to what you can get from local stores. There is Binky's list that you can look at (hopefully someone can post a link...typing on my cell at the moment) and choose a food that is <10% carbs. Most people use Fancy Feast or Friskies (pates)...Kitten is eating Sophisticat and loves it - just make sure you look at the numbers for the particular flavours as some as way higher than others.

What was Simba's blood glucose reading? Did the vet do a fructosamine test?

I"m sure lots of people with a lot more experience will chime in, but I wanted to welcome you and let you know that you found the right place. We've all been where you are and people are so great with advice and words of comfort -- I know I've heard some great stuff here that have made everything better on some days.
 
Welcome to the board. We all know how overwhelming the diagnosis is, but do take heart in the fact that there are lots and lots of kitties here who live pretty normal lives as diabetics.

First off, I wouldn't waste money on prescription foods. A low-car wet food is the best choice for a diabetic and can drastically lower blood glucose on its own...some cats can be controlled on this type of diet without insulin. You want to aim for a food with less than 10% calories from carbs-most of us aim for under 7%. Janet & Binky's chart gives the carb % for many foods. Many of us feed Fancy Feast classics or Friskies pates; Wellness is also a popular choice, but there are several. Here's a link to the charts along with some other diet info: http://binkyspage.tripod.com/canfood.html

Some questions to ask your vet:
1. What insulin do they typically prescribe? We recommend a gentle, long lasting insulin, such as Lantus, Levemir, or ProZinc/PZI. The Humulin insulins are a poor choice for cats as they are harsh and don't last long. Also ask about starting dose, as many vets start with a dose that is scary high. If the vet recommends any more than 1 unit to start, ask why. Too much insulin can cause many issues, including keeping glucose numbers too high because of a chronic rebound condition. Also, until you know how your cat reacts to insulin, hypoglycemia is a risk and it can be fatal.

2. Will they support you doing most of the regulation process at home, including home testing of blood glucose? Readings done at home are absolutely vital to a diabetic cat's health, hey many vets discourage it! Numbers at the vet's are often inaccurate due to stress, which can affect glucose levels. Also, testing every day, before and after administering insulin, is critical to get the cat regulated while avoiding hypoglycemic episodes! INSIST on this, even if you do have some test curves done at the vet's office!

3. Ask them to look at your cat's dental health-bad teeth can actually contribute to diabetes, so see if a dental cleaning is necessary.

4. Ask how many FD cats thay have worked with and what the remission rate is for those cats. There are insulin protocols that produce very high remission rates, such as the Roomp-Rand http://felinediabetes.com/Roomp_Rand_2008 dosing_testing protocol.pdf which you can print out and bring to your vet.

I'm sure the great people here will have plenty of other suggestions, but those are some you can start with.

Here is another link with some great info. Dr. Lisa has tons of knowledge and posts here on the board sometimes. http://catinfo.org/?link=felinediabetes
 
Welcome Michelle & Extra Sweet Simba to the FDMB Family!

Okay first off take a deep breath, diabetes is a very easily managable disease. I'm sure you have friends, family members and co-workers that have the human form. And really diabetes in cats isn't much different. It requires the some 3 key ingredients as it does for a human.

1) Diet...First off you don't need the expensive prescription stuff, there is plenty out there sitting on your grocery store's shelf that will work just fine. You will find a really good chart here that we use to pick our food for our kitties http://www.felinediabetes.com/diabetic-cat-diets.htm. If you haven't already we suggest eliminating the dry food altogether and getting Simba on an all wet canned diet that is under 10% carbs. On those charts I gave you the link for the carbs are in the third column from the left.

2) Insulin, when your vet calls tomorrow ask what insulin she is starting him on...hopefully it will be one of the big three here...Lantus, Levermir or Prozinc/PZI if it is anything else you might want to ask if there is anyway you can start with one of the 3 I just mentioned...A lot of vet's start out with Humilin N/NPH which is not a great insulin for cats as it is too harsh and wears off too quickly in cats who metabolize insulin twice as fast as humans or dogs. Also you want a starting dose of no more than .5u to 1u twice a day. Insulin in cats needs to be dosed at least twice a day, most don't do well because of their high metabolism rate with only a single dose per day.

Now if your vet does start you on either Lantus or Levermir, as that the script be written for the Solostar pens rather than a vial. While the pens are a little more up front as far as cost goes, they last much longer than a vial so actually work out cheaper in the long run, since you get 5 pens with 3ml of insulin as opposed to a vial with 10ml of insulin, but the pens you open one at a time so you can use the pens up before they go bad, whereas, you end up throwing out quite a bit of the vial.

3) Testing Simba's blood sugar at home. This can be frustrating to start with, but once you find your groove it becomes as simple as brushing your teeth. We simply prick the edge of our kitty's ear just like a human diabetic pricks their fingertip. You don't need a fancy pet only meter either, just a regular human meter that takes a small sample will do just fine. In fact if you have a Wal-mart near you, they have an excellent meter called the Relion Micro for somewhere around $9 and 100 test strips (the strips are the most expensive part) for around $30. I think when I started out with my first diabetic cat I got the whole set up, Meter, strips, lancets and a lancing device for under $50. There is also a newbie kit program through this board that we can set you all up with everything you need for the price of shipping which is about $7.

Home testing has lots of advantages, first and foremost it is your best tool to make sure Simba is safe while he is on insulin by letting you know at a moment's notice where his blood sugar is at, and that he is high enough to safely give a shot to. It also keeps extra dollars in your wallet because you won't have to drag him to the vet all the time for testing, and it will also give you much truer numbers, since stress raises bloodsugar and just about every kitty is stressed out at the vets. (strange noises, strange smells, people who are not the momma etc).

Now just to give you a little peace of mind about how easy this disease is to manage...I have 11 happy and healthy non-diabetic cats, but I also adopted two more cats because they were diabetics...In October 2010 I adopted Maxwell and by November 2010 he was in remission and off Insulin...He just turned 13. I also this past June adopted Musette who is still insulin dependent but very happy and health and she just turned 12. Neither of my two diabetics could you tell apart from my other cats if you didn't know they were diabetics. Everyone here eats exactly what the diabetics eats just good old fashioned Friskies Pate style canned food, and even my non-diabetics are doing fabulous on the new diet.

Lastly remember not only to breathe, but to ask all the questions that you may think of, because here they only stupid question is the one that goes unasked. We have all been right in your shoes, overwhelmed, scared to death and in tears about what diabetes means for our babies...Then we found each other here, and those that have walked this path before took our hands and helped us learn, and now we reach back to help those like you that are just starting out.

Welcome to the Sugarcat Dance!

Mel, Maxwell, Musette & The Fur Gang
 
Welcome Michelle and Simba!

I understand the tears. Being told your kitty has diabetes is scary stuff. One of the most helpful beginning suggestions I received here was to breathe! ohmygod_smile

It is not the end of the world, just a new view. :smile: With the help of the super friendly folks here, it's easy to learn how to give the best care to our kitties so they continue to thrive and love us. The folks here live with this day in and day out. They have become knowledgeable through life experience, at the least.

One of the most frustrating things I've gone through is conflicting information from the vets' office. It didn't take much for me to realize the vets have to know about a lot of things and rarely know a bunch about one or another illness. It's not like they specialize like human doctors. :sad: Finding out how many other cats they see with diabetes helps to know how informed they may be. If they encourage or tolerate home testing is a plus! Many do not. :cry: In my searching on the web, I actually found one vet discourages it because of his loss of income! :o

I grew up with 2 diabetic brothers. Learning Poopy also has diabetes, it made perfect sense to me to home test. How on earth was I going to know how the insulin was effecting Poopy without home testing? My vet was adamantly against it. I changed vets. What is best for Poopy is what is best for Poopy. cat_pet_icon Our new vet is thrilled we home test, as home testing gives much more accurate BG (blood glucose) readings.

There's already been great advice shared about diet, insulin, and home testing. I just wanted to add a tidbit based on your post. You mentioned Simba's diet has been reduced drastically. While Poopy was first getting started on insulin (we started immediately after diagnoses) he would eat anything not nailed down. He was always hungry but still had lost weight prior to diagnoses because the lack of insulin prevented him from absorbing the food as nutrition. In other words, the food was just going through him so he was always hungry. Feeding our fuzzies all they can eat is not a bad thing, especially if we are feeding them low carb foods. The hunger will abate as they are able to absorb the nutrients, and insulin helps them with the absorption. For some cats, a change to low carb made all the difference and they are not on insulin! Diet makes a huge difference for our sugar kitties. :smile:

Don't hesitate to ask questions. Breathe. It will get better. :-D
 
hi Everyone,

I'm sorry i didnt realize so many people responded until i got a private message! i will make sure to check back more often.

ok, so the dr did call back today. she said it his #'s were over 500 then we would need to do insulin right away. he was at 438. she said it was up to me whether or not to do the insulin but she would try to keep him on the rx food for a month and see what happens.

what would you do? part of me wants to do the insulin...b/c i think it might make him feel better, but i dont know if that is the right choice. she said that we needed to monitor him closely b/c he could change at any minute. she scared the hell out of me b/c he could die in an instant she said. do i need to go buy baby monitors to keep an eye on him while at work?
i will do whatever i need to, to ensure simba is fine while i'm gone. but does any one else do that?

i don't know what all types of tests she did except checking the sugar and then did a panel of checking his kidneys and other stuff b/c of his age. all that stuff came back fine...so that is good.

she never brought up oral meds. just the special food and the insulin. she gave me a pamphlet on it, but i left it at home and cant remember the name of the insulin for the life of me now.

thank you all for your welcomes. i'm so glad i found this site. i have printed off your posts to show my husband so we can review them. i'm at work now and havent had a chance to read each one as thoroughly as i want, but i will the minute i can get home.

thank you all again!
 
First things first, if you aren't on insulin, we recommend a canned, low carb diet, and usually find that the prescription diets don't hold interest and/or aren't as good nutritionally as what may be purchased over the counter. Check out Binky's Page for tables of info on various canned and dry foods.

Second, if you are using insulin, hold off on changing diet until you are able to home test and know it is safe to give it. Then work on diet adjustments.

Third, yes, I'd start insulin with those glucose levels - Lantus, Levemir, ProZinc, and PZI are all long acting insulins with good results at control. Lantus in particular if used according to the Tilly Protocol, is able to allow the pancreas to heal enough that the kitty may become diet-regulated and not need additional insulin. The starting dose should be low, usually around 0.5 to 1.0 units of insulin. (U-100 insulin has 100 units in 1 milliliter. U-40 insulin has 40 units in 1 mL. And U-50 insulin has 50 units in 1 mL.)

Fourth - until you're using insulin, pop over to the pharmacy and pick up some urine testing strips, to check for ketones, or both ketones and glucose. This will give you a clue on how your kitty is doing, PLUS if you see high levels of ketones, that is a medical emergency.
 
hi!
the urine strips is a wonderful idea!
but i have a stupid question. how do i get the urine? can i put it in a clump of the litter after he has peed? or do i have to have an actual urine sample?
i don't know how to go about that w/simba.
 
Oh there are lots of ways to check urine...Most include stalking Simba to the litter box...Some folks use a long handled ladle and sit it under the cat while he is peeing, or you can put plastic over the litter so the urine will pool and dip into that...Or my favorite, replace the litter with aquarium gravel and wait him out.

With Musette since I have multiple cats I will give her a clean litter box filled with aquarium gravel and then put her by herself in the bathroom with the litterbox and go sit with her and read a book until she uses the box.

Mel, Maxwell, Musette & The Fur Gang
 
Status
Not open for further replies.
Back
Top