kira913
Member
Hi all. I didn't really see a template for intros, just basic info needed, so I hope this post is okay. The links in the pinned posting guide to the "terms of use" and what to include in a signature are broken, maybe due to the recent site changes. 
My name is Christina, and my cat's name is Pants. He's a roughly 8yo fixed male, about 14.5lbs. I knew he was FIV+ and FeLV+ (regressive or nondetect by PCR, I can't remember which) at adoption. Leading into September 2025 he had documented allergies being treated by immunotherapy droplets (dust, cotton, and more) and had a history of poor dental hygiene no matter what supplements and brushing attempts we threw at him. He's gotten an extraction and cleaning roughly every 6-12 months.
September 2025 is where things got complicated. Pants has been on prednisolone since 9/15/2025 due to what we initially thought might be stomatitis. I can't remember initial dosage, but when we tried to taper after a week, Pants declined quickly. My primary vet sent us to the ER vet for a transfusion to buy us time to figure out what was going on -- fortunately the ER vet had a hunch and ultimately confirmed he had FIP. He had a bit of a reaction to the transfusion, so the ER vet sent us home with doxycycline, a higher dose of prednisolone, and an expedited prescription for GS-441524 to treat the FIP. At the rec of the FIP Global fb group, my vet tested for blood parasites too and found haemominutum. The doxycycline was extended to a full course, and the prednisolone is to be continued until further notice to combat the IMHA Pants seems to have developed with the FIP.
That's all background pre-diabetes dx.
I had mentioned to my vet 10/21 that Pants was doing so well on his meds that he was eating me out of house and home, and that plus high glucose made my vet worry about diabetes. I watched him over the course of the week, and sure enough, he was eating, drinking, and peeing much more than before. Vet formally diagnosed diabetes 10/27. Currently, he is on Libre 3 sensors with a handheld reader. He managed to disconnect his first sensor 36 hours early, so he's been sentenced to pajamas. We were on Bexacat starting 11/4, but after continued struggles with diarrhea, lower blood values as a result of the diarrhea, and 2 nights in a row of low glucose alarms, I cut that off 11/16. The first night he got as low as 53 with no symptoms, and I ran him to the ER vet, but thankfully his glucose quickly recovered and no ketones.
Unfortunately we are still on steroids (7.5mg twice a day) to combat the IMHA. My vet may be starting us on Atopica as well since his numbers declined again. The plan going into Pant's appointment today 11/18 is to look at our other treatment options, potentially insulin, but depending on my vet's thoughts I'd almost prefer to manage it with diet change only.
Pants was briefly on allergy shots, and he absolutely hated them, and I felt like an absolute monster giving them once a week. I've been told insulin shots are very easy, but I'm very anxious about trying them due to that past experience. His glucose seems to stay below 200 on fancy feast pate.
Current conditions, passive and active:
-FIV+
-FeLV+ (regressive or nondetect by PCR)
-Allergies (cotton, dust mites, storage mites)
-FIP
-IMHA (seems to be associated with the FIP)
-Haemominutum blood parasite (treatment complete but I've been told it's hard to clear fully)
-Steroid-induced diabetes
-Possibly allergic to an additive in his FIP meds but vet and I agreed to pretend we didn't see that rash
Current meds/rx:
-Prednisoline 7.5mg twice daily
-GS-441524 100mg once daily (day 48 of treatment)
-Allergy immunotherapy drops, 2 drops twice daily
-potential to add Atopica today 11/18
-recently discontinued 11/16: Bexacat 1 tablet daily
-recently discontinued 11/16: Proviable Forte 1 capsule daily and paste as needed (to help Bexacat side effects)
-Libre 3 sensor and reader
-no insulin currently, potential to add today 11/18
-no manual tester currently
Food:
-Fancy Feast Pate
-Recently switched over from Purina Pro Plan Adult Complete Essentials and Purina Pro Plan Hairball Control mixed 50/50 as of 11/16 (had stayed on it to try and prevent hypoglycemia during Bexacat trial)
-Recently dropped Purina EN prescription diet (to help Bexacat side effects, but he was refusing to eat it)
-A healthy dose of Churu every day so he cooperates with his meds
Questions:
-I do not have a manual tester. Do I need one? My vet hasn't really said anything about it yet and I don't know how to use one. Due to the cost of FIP treatments and all our vet visits, I'd like to avoid unnecessary costs, but if it's necessary then it's necessary.
-How do I fill out the recommended spreadsheets if we are not on insulin (yet)?
-Is there anybody else out there with a similar experience?
-If we do go on insulin, what does that look like? Should I prepare to take time off? If so, for how long? What if I can't immediately schedule time off, how critical is it to begin ASAP?
Please please please be as patient and gentle with me as you can, I have zero experience with feline diabetes, let alone human diabetes. I'm not even confident I fully understand the basics. My vet has been very supportive and I trust them completely, but everything going on with Pants has been overwhelming for everyone involved. One facebook group I sought advice from immediately bashed my vet for the decision to try Bexacat while Pants has FIP (and frankly made me cry), but he seemed a good candidate and at this point my vet is making treatment decisions for us considering my own mental health. They know Pants has a history not taking injections well. If some of my vet's approach seems unusual or missing information, I would not doubt that it was intentional to avoid me losing my marbles... I do understand remission is achievable with feline diabetes, but I have not found a lot of hope in that with all the other hurdles we're dealing with.
I'll openly admit I've had trouble reading things clearly and finding what I need due to how overwhelmed I've been, so please forgive me if I've overlooked something I should have done first on this forum. I do understand many people are able to manage working full time and in-person and still manage to administer/monitor insulin. I just don't know what a "day in the life" first starting with insulin is like, especially starting while working full time, as I'm running low on PTO -- your anecdotes would really help bring me peace of mind.
Sorry for the long and probably overdramatic sounding post. I tried writing a shorter post, but I've truly been at my wit's end, and so far my attempts to find emotional support in other groups have either been met mostly with criticism, especially of my vet's approach so far and without any regard for the FIP situation, which hurts. That's partly why I didn't want to leave anything out. It's just not as simple as "stop steroids now, get your act together, and get him on insulin."
tl;dr: apparently my cat loves collecting acronyms, I would greatly appreciate an explain-like-I'm-5 walkthrough of the first few days of giving insulin and monitoring keeping in mind that he's already on a lot of meds and actively fighting FIP, as well as whether or not we need a manual reader on top of his sensor and if we might be able to manage this diabetes with diet alone
My name is Christina, and my cat's name is Pants. He's a roughly 8yo fixed male, about 14.5lbs. I knew he was FIV+ and FeLV+ (regressive or nondetect by PCR, I can't remember which) at adoption. Leading into September 2025 he had documented allergies being treated by immunotherapy droplets (dust, cotton, and more) and had a history of poor dental hygiene no matter what supplements and brushing attempts we threw at him. He's gotten an extraction and cleaning roughly every 6-12 months.
September 2025 is where things got complicated. Pants has been on prednisolone since 9/15/2025 due to what we initially thought might be stomatitis. I can't remember initial dosage, but when we tried to taper after a week, Pants declined quickly. My primary vet sent us to the ER vet for a transfusion to buy us time to figure out what was going on -- fortunately the ER vet had a hunch and ultimately confirmed he had FIP. He had a bit of a reaction to the transfusion, so the ER vet sent us home with doxycycline, a higher dose of prednisolone, and an expedited prescription for GS-441524 to treat the FIP. At the rec of the FIP Global fb group, my vet tested for blood parasites too and found haemominutum. The doxycycline was extended to a full course, and the prednisolone is to be continued until further notice to combat the IMHA Pants seems to have developed with the FIP.
That's all background pre-diabetes dx.
I had mentioned to my vet 10/21 that Pants was doing so well on his meds that he was eating me out of house and home, and that plus high glucose made my vet worry about diabetes. I watched him over the course of the week, and sure enough, he was eating, drinking, and peeing much more than before. Vet formally diagnosed diabetes 10/27. Currently, he is on Libre 3 sensors with a handheld reader. He managed to disconnect his first sensor 36 hours early, so he's been sentenced to pajamas. We were on Bexacat starting 11/4, but after continued struggles with diarrhea, lower blood values as a result of the diarrhea, and 2 nights in a row of low glucose alarms, I cut that off 11/16. The first night he got as low as 53 with no symptoms, and I ran him to the ER vet, but thankfully his glucose quickly recovered and no ketones.
Unfortunately we are still on steroids (7.5mg twice a day) to combat the IMHA. My vet may be starting us on Atopica as well since his numbers declined again. The plan going into Pant's appointment today 11/18 is to look at our other treatment options, potentially insulin, but depending on my vet's thoughts I'd almost prefer to manage it with diet change only.
Pants was briefly on allergy shots, and he absolutely hated them, and I felt like an absolute monster giving them once a week. I've been told insulin shots are very easy, but I'm very anxious about trying them due to that past experience. His glucose seems to stay below 200 on fancy feast pate.
Current conditions, passive and active:
-FIV+
-FeLV+ (regressive or nondetect by PCR)
-Allergies (cotton, dust mites, storage mites)
-FIP
-IMHA (seems to be associated with the FIP)
-Haemominutum blood parasite (treatment complete but I've been told it's hard to clear fully)
-Steroid-induced diabetes
-Possibly allergic to an additive in his FIP meds but vet and I agreed to pretend we didn't see that rash
Current meds/rx:
-Prednisoline 7.5mg twice daily
-GS-441524 100mg once daily (day 48 of treatment)
-Allergy immunotherapy drops, 2 drops twice daily
-potential to add Atopica today 11/18
-recently discontinued 11/16: Bexacat 1 tablet daily
-recently discontinued 11/16: Proviable Forte 1 capsule daily and paste as needed (to help Bexacat side effects)
-Libre 3 sensor and reader
-no insulin currently, potential to add today 11/18
-no manual tester currently
Food:
-Fancy Feast Pate
-Recently switched over from Purina Pro Plan Adult Complete Essentials and Purina Pro Plan Hairball Control mixed 50/50 as of 11/16 (had stayed on it to try and prevent hypoglycemia during Bexacat trial)
-Recently dropped Purina EN prescription diet (to help Bexacat side effects, but he was refusing to eat it)
-A healthy dose of Churu every day so he cooperates with his meds
Questions:
-I do not have a manual tester. Do I need one? My vet hasn't really said anything about it yet and I don't know how to use one. Due to the cost of FIP treatments and all our vet visits, I'd like to avoid unnecessary costs, but if it's necessary then it's necessary.
-How do I fill out the recommended spreadsheets if we are not on insulin (yet)?
-Is there anybody else out there with a similar experience?
-If we do go on insulin, what does that look like? Should I prepare to take time off? If so, for how long? What if I can't immediately schedule time off, how critical is it to begin ASAP?
Please please please be as patient and gentle with me as you can, I have zero experience with feline diabetes, let alone human diabetes. I'm not even confident I fully understand the basics. My vet has been very supportive and I trust them completely, but everything going on with Pants has been overwhelming for everyone involved. One facebook group I sought advice from immediately bashed my vet for the decision to try Bexacat while Pants has FIP (and frankly made me cry), but he seemed a good candidate and at this point my vet is making treatment decisions for us considering my own mental health. They know Pants has a history not taking injections well. If some of my vet's approach seems unusual or missing information, I would not doubt that it was intentional to avoid me losing my marbles... I do understand remission is achievable with feline diabetes, but I have not found a lot of hope in that with all the other hurdles we're dealing with.
I'll openly admit I've had trouble reading things clearly and finding what I need due to how overwhelmed I've been, so please forgive me if I've overlooked something I should have done first on this forum. I do understand many people are able to manage working full time and in-person and still manage to administer/monitor insulin. I just don't know what a "day in the life" first starting with insulin is like, especially starting while working full time, as I'm running low on PTO -- your anecdotes would really help bring me peace of mind.
Sorry for the long and probably overdramatic sounding post. I tried writing a shorter post, but I've truly been at my wit's end, and so far my attempts to find emotional support in other groups have either been met mostly with criticism, especially of my vet's approach so far and without any regard for the FIP situation, which hurts. That's partly why I didn't want to leave anything out. It's just not as simple as "stop steroids now, get your act together, and get him on insulin."
tl;dr: apparently my cat loves collecting acronyms, I would greatly appreciate an explain-like-I'm-5 walkthrough of the first few days of giving insulin and monitoring keeping in mind that he's already on a lot of meds and actively fighting FIP, as well as whether or not we need a manual reader on top of his sensor and if we might be able to manage this diabetes with diet alone
), but it was the only adhesive option I found with a turnaround time less than a full week or more.