Welcome to FDMB!
First, the beginning of this process is completely overwhelming for everyone. I was fairly knowledgable about diabetes and was still a wreak! So, a few deep breaths. It's just as important that you take care of yourself as it much as it is that you take care of Bluebell because if you're not in a good place, she won't be either! Just as important is that this is an incredible community of caregivers and we'll help in whatever way we can.
It looks like you figured out how to set up your signature and spreadsheet. Those are great first steps.
Have you started to home test? We are very numbers dependent and, frankly, testing your cat's blood glucose (BG) is the best way to keep your kitty safe and for you to know when and how to change the dose. Very few people here rely on their vets for making dose changes. Many people here use Walmart's Relion meter. The most expensive aspect of home testing are the test strips and the Relion meter strips are among the least expensive around. We have lots of resources around home testing so let us know if you need that information.
If the information in your signature is correct, it looks like you've been prescribed Vetsulin. The American Animal Hospital Association no longer recommends Vetsulin for the treatment of feline diabetes. The insulin was originally developed for dogs (it's called Caninsulin outside of the US). Cats have a much faster metabolism and the effects of Vetsulin wear off sooner than what's desirable. It also works fast and it can drop numbers quickly. The AAHA recommends either Lantus (or one of the biosimilar/generic forms of glargine) or Prozinc for treating feline diabetes. This is a
link to the paper with the AAHA guidelines. You may want to see how Bluebell does on Vetsulin but I suspect you will ultimately want to switch insulins. This is a link to our
beginner's guide to Vetsulin.
It also looks like you're feeding Bluebell a dry food diet. There are only a few dry foods that are low in carbohydrates -- and the prescription dry diabetic foods are not in low in carbs. We encourage members to transition their cats to a low carb canned food diet. This is a website that discusses
feline nutrition that is authored by a vet. Dr. Pierson also has a
chart listing most of the canned foods that are available in the US along with nutritional information including the percent of carbs. You have a wealth of choices of foods that are less than 10% carb. Many people here feed their cat Fancy Feast pate style food (Classics). There are also Friskies varieties that are low in carbs as well as other foods that are more pricey. Most caregivers feed their cat foods that are around 5% carb.
If you switch to a canned food or any low carb food for that matter, please transition Bluebell slowly. Switching to low carb can cause a drop in blood glucose numbers. It would be helpful if you were able to home test so you can make sure Bluebell is in safe numbers.
If you've been reading on FDMB, I'm hoping you also put together a "hypo kit." This is
information on hypoglycemia.
I've probably completely overwhelmed you! The one truth I can share is that this all becomes a lot easier. In fact, it will become routine.
The people here are very generous with their time and knowledge. Please let us know how we can help.