New member (4/15) my brain feels scrambled with all the information

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Pusheen

Member Since 2023
Hello, my Pusheen was diagnosed with feline diabetes yesterday. Her blood glucose in office was 520. I’m a bit concerned with how my vet is handling the diagnosis. Yesterday he sent us home and said she could continue to eat what she has been (kibble in the am and fancy feast pate in the pm) and that he’d call to set up an appointment for next week to go over insulin. I’m very new to this but shouldn’t I switch her to a low carb diet before just blindly starting her on insulin?

My vet also never mentioned home testing. Home testing would ease my worries so I’m very interested in starting to do so. With that said what meters are recommended? What gauge lancets work best for cats? Is their a site I can use other than her ears? I tried looking at her ears for a good vein without intending to test just to see if I could find a good spot. She hated me even looking at her ears. I wasn’t able to get a good look because she kept putting her ears down and wiggling away.
 
Welcome to FDMB!

We have tons of information to help you navigate Pusheen's feline diabetes (FD). And, if. your brain feels scrambled, that's pretty much where everyone who is starting out on this journey feels. You're in good company!

So, a few basics to help you get started. This is a link to a post on helping us to help you. There are instructions in the post on setting up your signature so we don't keep pestering you for the same information over and over again. There's also instructions for setting up a spreadsheet. We use the spreadsheets to track our kitty's progress and so othes can offer input on dosing, etc. There's also other information you'll need (e.g., putting together a "hypo" kit) once you start using insulin.

This is a link to information on home testing. There's general information, suggestions, and videos. One point -- you don't want to actually poke the vein otherwise, it will look like a murder scene. You prick along the outer edge of the ear next to the vein. It also takes a while for the capillary bed along the edge of the ear to get built up so don't get frustrated if it's more of a challenge to draw blood. There's also no one "best" meter. We do, however, suggest getting a human meter. Many people here use the Walmart Relion brand meter. The strips are the least expensive available. Many vets will tell people to get a pet meter because a human meter won't be accurate for a cat. They also rarely know that strips for a pet meter cost about $1.00 each (vs 17 cents for Relion strips). The vets perceptions about meters is odd since many vets are now recommending continuous glucose monitors (e.g., Freestyle Libre) that are human meters.

It will be helpful if you start to get Pusheen used to testing. Spend some time scratching her ears and giving her treats (low carb treats!) for letting you give her the attention.

Also, you are correct. Getting your kitty started on a low carb diet makes very good sense. This is a link to a food chart that has the carbohydrate information that you'll need to make choices. Fancy Feast pates (Classic) are good choices. You will have lots of options! We consider low carbohydrate to be less than 10% although, most members feed their cat a diet that's in the range of 5% (give or take). You'll want to have some medium carb (10 - 15%) and high carb food (over 15%) on hand once you start insulin.

As far as insulin, no matter what your vet suggests, you want to push for the insulins that are recommended by the American Animal Hospital Association guidelines. They recommend either Lantus (the generic is glargine) or Prozinc. Other insulins do not have the duration to compensate for a cat's fast metabolism. (Many vets like to recommend Vetsulin which is better for dogs and not so good for cats.)

Just one other question... How did your vet diagnose Pusheen? Was it by a glucose test in the office or on a lab test? Ideally, you want to have a fructosamine test. This test will give a result that is an average over the span of a few weeks and is reliable for diagnosing diabetes. The stress of being at the vet's office can easily raise blood glucose levels.

Please let us know if you have question. The members here are very generous with their information and help.
 
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Thank you so much for all the information especially the home testing information. I’ll have a look at that today.

I’m not 100% sure what the tests at the vet were called. Both tests were run in office. One was just a quick blood sugar check (I’m assuming it was done on a glucose meter) and the other he called a full panel blood test. The full panel also tested her kidney and liver values.
I know the in office tests can be inaccurate because of the cats stress. That’s one of the main reasons I want to start home testing before her next appointment with the vet.

Thank you again for all of the information. I appreciate it so much.
 
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Sienne already gave you all the information you need to get started!

I’d call the vet and ask if they ran a fructosamine test. It’s the only test that gives you a 3-week blood glucose average and what’s needed to 100% diagnose the diabetes. Ask them to email you the lab work.

This is the best place to be if you have a diabetic cat. keep asking questions!

here’s a diagram of the ear and where you want to sim when testing. It’s best to stay with a 28 gauge lancet since those poke a slightly larger hole than the 30 gauge. Once you have practice, the 30s will work fine.

upload_2023-4-15_9-5-49.jpeg
 

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