Just Diagnosed

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Deborah Mandel

Member Since 2015
Hey everyone,

I'm new to the forum, just came across it during my research. My cat was diagnosed today with feline diabetes. He's only 6 years old and was a pretty average weight. I took him to the vet because I noticed a significant weight loss lately. They said he's diabetic, his glucose level was 412 and I need to start insulin (they recommended Vetsulin) and put him on Science Diet W/D. I wanted to take the night to research it and told them I would let them know tomorrow.

Anywho, through my research I came upon this site and wanted to test the diet only method and put him on a low-carb wet food. I'm hoping this will drastically lower his glucose levels and we can manage his diabetes with diet. Can I safely test it for a week before going to insulin? I want to buy a meter and do home checks.
 
The vet supplied dry cat foods are not better than dry cat food that you can buy online (without any prescription), and possibly worse. If you must feed dry cat food look at Young Again Zero carbs. Wysong Epigen, and Evo. My diabetic cat eats Wysong Epigen venison when he eats dry food.

With a blood sugar of 412 you are going to need insulin for now. But go ahead try zero carb food and take blood sugar readings and report back anyway. Now if your cat has lost a lot of weight from untreated diabetes, then you probably need insulin ASAP.
 
Welcome to the message board, the best place you never wanted to be.

There are 4 things you'll need to manage your kitty's diabetes:
- You - without your commitment, the following won't work.
- Home blood glucose monitoring with an inexpensive human glucometer such as the WalMart Relion Confirm or Target Up and Up (the pet ones will break your budget!). This saves you the cost of going to the vet for curves and done regularly, removes the need for a fructosamine test. All of our insulin guidelines use human glucometer numbers for reference.
- Low carb over the counter canned or raw diet, such as many Friskies pates. See Cat Info for more info. If already on insulin, you must be home testing before changing the diet. Food changes should be gradual to avoid GI upsets - 20-25% different food each day until switched. There are 2 low carb, dry, over the counter foods in the US - Evo Cat and Kitten dry found at pet specialty stores and Young Again 0 Carb found online.
- A long-lasting insulin such as ProZinc, Lantus, BCP PZI, or Levemir. No insulin lasts 24 hours in the cat, so giving it every 12 hours is optimal for control.
 
You can switch him to low carb wet (many people here use a Fancy Feast classics or Friskies pates, you don't need to buy anything expensive or fancy). See the link BJ provided above for a list of other food options. Their numbers go up due to stress at the vet office and because of dry food. If you can get him between 50-120 with a food switch and testing him at home, that would be great.

If his numbers aren't down enough quickly though, you will want to start him on insulin so he doesn't keep losing weight. That doesn't necessarily mean he'll be on insulin forever, some cats just need help for a while then go into remission. If you do need to get insulin, we typically recommend insulins that last longer than Vetsulin, which tends not to last a full 12 hours in the cat. Most of us use Prozinc or Lantus and some use Levemir. We can help you find cheaper places to buy these than at the vet's office. :) good luck and let us know how it goes!
 
Welcome to the forum! I'm surprised they suggested the W/D. That used to be the Hill's diabetes prescription food, but now they usually push the M/D instead. W/D has high carbs, and they will often give you a spiel about the carbs being mostly fiber, but it's still too high carb. Anyway, as you and others mentioned, you're better off using the high protein FF foods or other <10% carb wet foods.
Glad you found the forum!
 
Welcome and here is additional information. I agree with with Shane regarding the insulin choice; best is Lantus, Levemir or Prozinc. I would definitely, as suggested above, try the Fancy Feast Classics or Friskies Pates first. So glad and smart to go home and do research first before purchasing anything from the vet. Below is additional information.

Good Reading: This is a must read. It is an excellent 18 page informative document that covers feline health and nutrition. Don't take short cuts and read it all. www.catinfo.org Also read other postings and their spreadsheets. You will learn a lot more from others.

Home Testing: Here, we all home test. It is mandatory to understand how your kitty is reacting to the insulin and the dose. You will want to test before each shot and some additional test in between the 12 hour cycle. Another reason to home test is to keep your kitty safe. Find a place in your home where you will always perform the test and give lots of hugs before and after testing. There are many videos showing you how to test. Hometesting Links and TipsHere is a picture of where you test on your kitty. http://s106.photobucket.com/user/chupie_2006/media/testingear/sweetspot.jpg.html

Here is another good link on Home Testing:http://www.felinediabetes.com/bg-home-test.htm

Meters: There are many meters. There is a pet meter called the Alpha Trak2 and human meters. Some use the pet meter because it is what the vets use so the numbers will match up. The meter and strips are expensive though. Most use human meters that can be purchased at any pharmacy. It typically reads a little lower than the pet meter but we have ways of compensating those lower numbers. Many use Walmart's brand, Relion Micro or Relion Confirm, because it only needs a tiny drop of blood. They cost around $15 and the strips are around 35 cents each.

Lancets: These are used to poke the ear to get blood. There are many different sizes (gauges). It is recommended when you are first starting out to use a 26-28 gauge. Also, it would be a good idea to pick up Neosporin WITH pain reliever to apply on the edge of the ears and don't forget to alternate ears.

Spreadsheets: Our spreadsheet instructions are here. If you look at the signatures of the members here, you will see a link to their kitty’s spreadsheets. We keep track of all our tests. This is basically a place to collect data and help you to determine patterns, doses, etc. It also aids those that may be helping you to better understand your kitty.

Food: There are many reasons why we are here but one is due to feeding dry cat food which is high in carbs. You will want to consider changing your food to wet, low carb food. It is recommended to feed food that is under 10% carbs. Here is a list of cat food to choose from food chartyou will note that the food with fish are lower in carbs however it is recommended that you only give fish once a week due to its mercury content. Many use Fancy Feast, 9 Lives, Friskies, etc. This list can also be found in www.catinfo.org If you are already giving insulin and you have not transitioned to wet, low carb cat food, be sure to test while you are transitioning. This is because by changing to low carb food, it could decrease your kitty’s number by 100 points or more. One last thing, many of us add water to the wet food so your kitty is getting plenty of water to flush out the toxins and to keep them hydrated.

Hypo Kit: Always good to be prepared for possible hypo events which means that your cat has reached dangerously low numbers. It can be fatal, hence, the importance of home testing and collecting data in a spreadsheet. In each of the Insulin Forums are stickie’s labeled Hypo Links. Here is one: How to Handle a Hypo. Please print and post on your refrigerator so everyone in your household is aware of hypo symptoms. You will want to create your hypo kit that would include and not limited to; extra testing strips, honey/karo/maple syrup, high carb food, medium carb food, vet information, etc.

Ketones: Diabetic cats are susceptible to diabetic ketoacidosis (DKA). It is best to buy testing strips that will measure (if any) ketones in the urine. One brand is Ketostix which can be found at Walmart or any pharmacy. You will want to test periodically unless you continue to get high numbers, then it is suggested to test more frequently. Ketostix typically costs around $10.

Treats: It is always nice to have treats available for your kitty. Some use it after they have tested to reward. I like using Pure Bites. I have found it at Petsmart and other pet stores. It is freeze dried and the only ingredient is the meat i.e. chicken, duck, etc. If your cat likes it, then I would go to the dog section where it is cheaper than the cat package. It is bigger chunks but no problem in breaking it up. Another option is to use Bonita Flakes. There is a link here somewhere that has a list of low carb treats but I don't have it right now.

Injections: Most folks here use one of these main insulins; Lantus, Levemir and Prozinc. Two hours prior to your insulin shot, you will not want your kitty to eat. Then you will test and then feed. It is best for your kitty to eat a little before your shoot. I shoot while he is eating. The reason why you do not want your kitty to eat two hours prior to your test is because food elevates BG numbers. So you do not want to dose based on a food influenced number. Here is a link on how to give injections.http://www.felinediabetes.com/injections.htm

Note: Please check your insulins as there are some (the harsher ones like Humulin, Novolin, Vetsulin, etc.) that would be best to allow some time after your kitty has eaten before you shoot.
 
Hey everyone,

I'm new to the forum, just came across it during my research. My cat was diagnosed today with feline diabetes. He's only 6 years old and was a pretty average weight. I took him to the vet because I noticed a significant weight loss lately. They said he's diabetic, his glucose level was 412 and I need to start insulin (they recommended Vetsulin) and put him on Science Diet W/D. I wanted to take the night to research it and told them I would let them know tomorrow.

Anywho, through my research I came upon this site and wanted to test the diet only method and put him on a low-carb wet food. I'm hoping this will drastically lower his glucose levels and we can manage his diabetes with diet. Can I safely test it for a week before going to insulin? I want to buy a meter and do home checks.

W/D dry is the worst for diabetics. It has some of the highest carb content of all the prescription foods. I strongly believe this food is what caused my cat's first bout of triaditis and subsequent diabetes.

Now is a great time to make the switch to canned! There's a list of foods here: http://catinfo.org/docs/FoodChartPublic9-22-12.pdf. Just choose one less than 10% carbs (preferably less than 6%). I'd give a week or so after going completely canned, and then think about starting insulin.

If your cat will eat canned food readily, I would strongly suggest just ditching the dry, period. While the lower carb ones can used to transistion some cats that are resistant to trying canned food, unless you have one of those cats, it's best to just ditch it all. Diabetic cats need as much moisture as they can get to help their kidneys and urinary tract (and low carb dry food is still dehydrating), and carb-senstive cats still see BG spikes on even the lower carb dry foods because it's not low glycemic like canned food is.

The three recommended insulins for cats are Lantus, Levemir, and Prozinc. Vetsulin does not work very well with cats. and while the Lantus or Levemir may be a bit more expensive up front, it has the advantage of giving you better odds of remission. You can get a Lantus or Levemir script from your vet and order from a Canadian pharmacy online to help bring down costs. A 5 pack of Lantus pens costs about $170 online, but they'll last you 10-15 months. That's only $11-$17 a month for insulin. And you'll have much better odds getting your cat in remission and not having to buy insulin again.

And of course, pick up a home glucose meter at any big box or drug store, so you can learn to test your cat at home. This will save you a lot of money because you won't have to pay to bring him in for vet testing, and it will give you much better control over his blood sugar and help keep your kitty safe!

Good luck! Diabetes is a super treatable condition, and with the right treatment the large majority of cats go into remission. Don't be afraid to take charge and question your vet if their recommendations don't quite mesh with what you'll see here. Treatment for feline diabetes has changed quite a lot over the past few years, and not all vets have kept up to date.
 
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