New Diagnosis, No Money For Vet's Recommendations, He Won't Support Homecare, HELP?

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TedB1

Member Since 2018
My Wife and I are full time missionaries that have spent the last 20 plus years leading groups of volunteers in charitable projects around the world. We are completely unpaid, but do receive housing, food, and most basic needs from the agency we serve with.

We are educated professional people who chose this lifestyle freely based on our personal convictions, and out of a passion to help people in need. We have no regrets and, although the lifestyle necessitates some sacrifices, we've never felt like we were lacking anything we needed. Actually, we've always felt quite blessed.

We were unable to have children (our greatest sorrow), but we have found great comfort from the companionship of our two rescue kitties, Mocha and 'Spresso. Mocha, a tortoise shell, has always been "puffy", overweight even, until about 6 or 7 months ago.

We changed the food, trying to find something that might be healthier and, at first, it seemed to be good for them both. Mocha appeared to have lost some weight, but when we took her in for her annual hair cut and grooming, we realized she had actually lost quite a bit.

At first, we thought that was a good thing. But as time went on, it was clear she was continuing to lose and we started to wonder. Finally, about a couple weeks ago, we took her to the vet. "Just to be safe".

The frustration started before the actual diagnosis. The vet had expressed a small amount of concern when he really paid attention to the weight lost. But he was vague and offered no specific idea of what the concern could be. He took some basic tests and told us he'd call in about a week. A week came and went, though, with no call.

In the meantime, Mocha started acting strangely. Being very withdrawn, hiding in her box, drinking a CRAZY amount of water and eventually, not interacting hardly at all. I became concerned and tried to call the vet for the results of the test and to ask if we should be concerned. Unfortunately, the staff kept putting us off, saying the doctor was busy. The test results were in, but they wouldn't tell us what they were, saying the doctor would have to call. It was several days before he did, though. That's when we found out Mocha had Diabetes, with the tests revealing her blood sugar over 600.

We were devastated, of course. We had friends who had had a cat with Diabetes and they had told us that the costs were about 300 dollars a month plus vet visits. In light of the lifestyle we lead, there is no way we could do anything even close to half that. Probably not even a quarter.

I tried to call back and get more clarity, hoping I would hear of some way to save money or get help. The staff were all I got through to again, and they were not very helpful, other than confirming that the costs were likely starting at 300 dollars a vial. (Although they could not tell me how many vials I'd need in a month). We set an appointment for the next day, the earliest they would see us, even though they said Mocha might be enteringKetoacidosis. (A terrifying thought once we discovered what it was.)

In desperation, I searched for answers online and found this site. I was so encouraged to hear about possible home treatment options, and it seemed like we might have at least a prayer of being able to do that on the 50 dollars a month we might be able to squeak out.

At the appointment the next day, we were glad to find out that Mocha was NOT in Ketoacidosis, but rather, just dehydrated. They gave her some sort of hydration therapy and had us buy some expensive dry diabetic food from them. We fed her that for a week, as they instructed and, with some help from friends, took her back for another appointment. 130 dollars bought us two tests of her blood sugar and a 2 dose shot of insulin. By the end of the day, her blood sugar was down to 118 and seemed stable.

When the doctor insisted we buy a vial of insulin from him at 170 dollars, we asked him how long it would last. He said it wasn't certain. Could be 2 weeks, could be 2 months. When we asked about buying insulin elsewhere, he said we couldn't without a prescription and that he would not write a prescription for it as it is often fatal to use human insulin on cats, and not usually effective anyway. We asked about testing at home and he told us that was ill advised as well, stating that the testing was not reliable and that she could die since the tests could be wrong.

We explained our financial situation to him and he informed us that there was no way we could treat her on our budget. He stopped just short of telling us to give up and seemed to suggest we spend untilwe couldn't, and then look for agencies that might help with the bill. That seemed like strange advice, and counter what I've read on here.

So, here I am.

Confused. Discouraged. Overwhelmed.
Perhaps a bit desperate.

Mocha seems to be doing much better. Acting like herself, if a bit ravenous. Friendly. Purring. I can't imagine giving up on her.

But I don't know what to do.

I'm hoping y'all can help.

Here are the questions I hope will lead to an answer that will save the day.

I can try to raise support to buy the 5pak of pens you recommend from Canada. How long might that last the average cat? (Keep in mind, my cat was a 2 dose 1 shot a day to start. The vet thought she might end up a 3 or 4 dose a day cat.)

Is it true that the human insulin and test devices you recommend can work?

Do you need prescriptions for them?

What do I do as my vet will not prescribe them?

How can I learn how to test or properly dose if my vet won't help?

Are most vets like this, or do I just have a bad vet?

Why did my vet prescribe this dry cat food, 1/3 a cup, twice a day, if wet food is better?

Should I ignore and go to the wet food you recommend? How much per day? Still twice a day, 12 hours apart?

The vet said we could just do the food, but her life expectancy would be shorter. What are we talking? Months, Years?

Sorry for all the questions. We hardly know where to begin. I appreciate you taking the time to read this.

I gratefully await thoughts and advice.

I attached a picture of our dear friend, Mocha.
 
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Picture of Mocha in better days.
 

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Mocha is beautiful. You will get lots of great help and advice here from more experienced members.

You can do this! And this the best place to learn how to care for your cat. I would not give up until there is no other alternative.

It sounds to me like you need a new vet. You don't say where you're located - are you in the US? Most vets don't know very much about feline nutrition or about diabetes. Nearly all dry food is much too high in carbs for a diabetic cat.

You don't need a prescription for test meter, strips, lancets or syringes. Or for good quality food for a diabetic cat. You only need a prescription for the insulin.
 
What type of insulin does your vet prescribe for Mocha? Is it Lantus?

The test meter, strips, lancets and syringes are all available at Walmart and Amazon and many other places.

You may qualify for help from Diabetic Cats in Need. I believe @Chris & China is the contact here. Y'all correct me if I'm wrong about that.
 
To answer some more of your questions -

Your vet does not sound very good at all.

You can learn how to treat and dose your cat here and how to care for it too.

Many of us free feed our diabetic kitty and test for BG level twice a day - morning and evening. Pick up the food 2 hours prior to testing so you get a more true number when testing.
 
please feel free to contact me

I have to leave for a few hours to deal with my mom with alzheimers, but I'll be back later.

You CAN do this....and yes, DCIN CAN help

Real quick...a 5 pack of pens is 1500 units...that's enough to last most cats at least a year!
 
I can try to raise support to buy the 5pak of pens you recommend from Canada. How long might that last the average cat? (Keep in mind, my cat was a 2 dose 1 shot a day to start. The vet thought she might end up a 3 or 4 dose a day cat.)
Lantus is designed to be given twice a day - morning and evening - in equal amounts.

Did your vet recommend 2 units? At twice a day?

We asked about testing at home and he told us that was ill advised as well, stating that the testing was not reliable and that she could die since the tests could be wrong.
This is 100% wrong. Home testing is the only way to know what's going on with your cat's BG levels on a daily/twice daily basis. You will get more accurate numbers because your cat won't be stressed out by being at the vet.
 
What a gorgeous girl. You need to get them off dry food. That food from vet is crap and exspensive. Are you in the US? Type of insulin the vet is suggesting? Your vet sounds like he doesn't have much exsperience with diabetes in ccats.
 
Ok, we have a new winner for "Most Irresponsible And Incorrect Thing A Vet Has Ever Said"!!!

In first place:"that she could die since the tests could be wrong". That is insanely ludicrous.

And it's a doubleheader, the runner up from the same vet, in second place (although it was hard to decide): "it is often fatal to use human insulin on cats, and not usually effective anyway". Don't tell Whispy and thousands of other cats here that they should be dead!

Seriously, this is insane. The other folks above have you on the right track and @Chris & China will help get you sorted. I just wanted to say Welcome, and Mocha is gorgeous!

Best,
Sandi & Whisper.
 
First of all Welcome!! we can help you don't give up hope.

I can try to raise support to buy the 5pak of pens you recommend from Canada. How long might that last the average cat? (Keep in mind, my cat was a 2 dose 1 shot a day to start. The vet thought she might end up a 3 or 4 dose a day cat.)

You will have to give insulin to your cat one shoot every 12 hours so it won't be more than 2 doses a day (dose can vary but it will be every 12 hours) and the 5 pack of pens can last as Chris said almost a year or more if your cat ends up using just a tiny amount.

Is it true that the human insulin and test devices you recommend can work?
YES they totally work!!! the photo in my avatar is from my diabetic kitty, Babu-Chiri he is currently on remission which means he is having normal blood glucose and not longer using insulin just diet controlled and we used human insulin and human test devices, actually there's no other choise where I live there are no pet insulins and no pet meters

Do you need prescriptions for them? What do I do as my vet will not prescribe them?

You do not need prescriptions for the glucose meter and regarding the insulin it depends on where you live, I do not need a prescription but is different in other parts let us know where you live and probably some people here can help you with that


How can I learn how to test or properly dose if my vet won't help?
We can help you here with that there is a lot of very experienced people that will guide you with the testing and the dosing, we are not vets but we deal with the diabetic cats 24/7

Are most vets like this, or do I just have a bad vet?
I think you just got a vet that does not know much about feline diabetes (he may be good in other areas though) and is not really very sympathetic

Why did my vet prescribe this dry cat food, 1/3 a cup, twice a day, if wet food is better?
Should I ignore and go to the wet food you recommend? How much per day? Still twice a day, 12 hours apart?

Ditch the expensive dry food, wet food is the best you can give him, it doesn't have to be a prescription food you can do just fine with comercial less expensive food the important thing is that you get one that is low in carbohydrates, diabetic people have to stop eating sugar and bread,etc well cats have to stop eating carbohydrates (for example grains, gravy in their case) but not to worry you don't have to go crazy trying to figure out which food is good for him there's a list that we have just pick one that is under 10% carbs that suits you and that he likes, since is very important that he eats (here's the link http://catinfo.org/docs/CatFoodProteinFatCarbPhosphorusChart.pdf)

Most of us give several meals during the day

The vet said we could just do the food, but her life expectancy would be shorter. What are we talking? Months, Years?
Life expectancy of a diabetic cat can be the same as with a normal cat you just have to get his diabetes regulated, some can become regulated just by food like Babu but that's not always the case ( he did used insulin for several months before going into remission) but giving him the right kind of food will help him a lot


Again welcome and keep asking all you need or want
 
A grocery store has friskies pates & fancy feast classics along with other flavors on the food chart that are low carb. I also purchased the relion (Walmart) human meter & test strips for a very small amt. of money. Most vets do not have any extensive study on diabetes, my vet will admit to that! She is fine that I got most of my great info on this forum. I also have purchased insulin from our supply closet, Alan H. Please learn to home test & you won’t need the vet visits. Start low & go slow! We recommend not to start with anything over 1 unit to begin & you can raise as your learn to test. Good luck & just know that the info here is really top notch!
 
Mocha is gorgeous, and it sounds like your vet sucks. I'd be looking for another one immediately. If it sounded like he was willing to work with you, I'd say stick with him, but he sounds obnoxious. My own vet is probably not as knowledgeable as she could be on Feline Diabetes, but she's already told me she will write me ANY prescription I need and is 100% on board with me trying different protocols as recommended by this site.
 
You've already received a bunch of fantastic feedback from others here so I'll just share a couple of things that have helped me tremendously.

First, you can also feed your other kitty the same food. (Wet, canned.) Here's a link to the cat food data base, where you can choose based on protein, fat, phosphorus, flavor, etc.
http://catinfo.org/chart/index.php

As for learning how to test, give injections, etc., there are numerous videos on utube that can show you, step by step and if you have any questions, come back here and ask.

Best of luck to you all!
 
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