New Member - At the end of my rope, insulin resistance

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Faryn

Member Since 2024
I decided to finally make an account today after using this forum for a year to get great advice.

My cat Cash was diagnosed in T2 April of last year and nearly hit remission in December, but now his numbers are out of control despite everything I'm doing. Attached are his curves from the past year. He's on ProZinc, started at 2 units and got down to 0.5 before his glucose started to rise and hasn't stopped.

Cash is a Maine Coon mix, about 18lbs. 14 years old.
Glucose is home tested on the Alphatrak and Contour meters

He was just seen by the vet on Friday. Teeth are good, temp normal, not concerned with dehydration.

I now have him on 3.5 units, increasing 0.5 almost weekly. He's on 0.5 cup of wet food twice a day, Tiki mixed with a little Wellness (lowest carb Beef & Chicken). He was on Wellness up until December when my vet switched him to Royal Canin kidney support wet food (CKD stage III). I believe this is where things went wrong. He was on it for about a month before his glucose started rising. Twice I tested him and he has been over 720 the past two weeks.

At this point his legs have significant neuropathy and he's drinking a lot, generally lethargic. No vomiting, appetite still good. No ketones in the urine. I'm looking for any advice or insight. I'll be taking him to see a specialist late this week or next week, but it's been heartbreaking to see him suffering in the meantime. My vet basically said he's too complicated and they don't know what to do anymore. I'm intimately familiar with the workings of diabetes because my brother is a T1.

This community has been a life-saver this past year so BIG thank you for all the people who contribute here!
 
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It would be extremely helpful if you could use our spreadsheet to track your cat's numbers.

All of the Royal Canin kidney support foods are high carb. If you've not found it, Tanya's chronic kidney disease webpage is an excellent resource. You might want to do some reading on phosphorus binders and discuss this with your vet. Basically, you can use any canned food and add a phosphorus binder. Having out of control diabetes isn't helping your cat's kidneys. The phos binder will let you go back to what your cat was eating without being worried that the food is contributing to the kidney problem.
 
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