New Member: Keeping track of changing habits through treatment

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Maria and Mouse

Member Since 2020
Hello! Mouse and I are excited to be joining this forum to get advice and hear about experiences others have had with feline diabetes! Mouse hasn't been part of our family very long, and with the unexpected diabetes and subsequent treatment, his behavior and health have been changing regularly, so I hope to use this forum to keep an eye out for which changes are normal and which we should watch out for.

My partner and I adopted Mouse in May to keep us company now that we're home all the time. His previous owner had passed away and didn't leave any vet records for him (in fact, the owner's sister thought Mouse was a girl). We fostered him for a month to determine if he was a good fit for us and got a clean bill of health from the vet in an initial check-up. They thought he was only about 2 years old, and that he was a bit underweight due to malnutrition. However, after months of feeding him several times a day, we realized he was actually losing weight, not gaining. The vet was booked a month out (due to COVID), so we set up an appointment, but he ended up having a ketoacidosis emergency a week before our appointment was scheduled, which is how we found out he's diabetic. So we got an surprise $2200 medical bill for a 2-night emergency stay, but luckily we caught it soon enough that he pulled through.

He's been getting twice-daily insulin since August, and his health has been improving. He went from 5.5lbs in August to 8.8lbs last week. But we've had to keep increasing the insulin dose (we're up to 6 units now) since his BG is still too high (we've been doing BG curves at home every few weeks, as recommended by our vet). The vet suspects there might be something else going on that's making his diabetes hard to control, possibly IBD or small cell lymphoma. The diagnostic tests are expensive (my partner and I are both graduate students living on just above minimum wage), so we're taking them one at a time as we're able and with an eye for his current health. Since his health and behavior has been changing so much with the increasing doses of insulin, though, it's hard to tell which changes are good signs, which might be signs of other problems, and which could still be normal developments since we've only had him 6 months. I'd love to hear about how other cats respond to new insulin treatment after being underweight!

Aside from his increased weight, Mouse has also gained more energy in the past month (around the time we got up to 4 or 5 units). He was never interested in playing for more than a few seconds for the first few months we had him, but now he initiates play on his own, which is great! He's been more affectionate and more likely to sleep in soft spots near us, while before he mostly slept on the hard floor or table. He always drinks and pees a lot.

The main thing I have questions about now is his eating habits. He was always desperate for food and ate everything in his bowl no matter what it was (so we gave him lots of small meals spread out through the day), and that didn't change after starting insulin, but in this past week, when we've gone up to 6 units, he suddenly is leaving food in his bowl and is getting picky. We've been giving him both dry and wet food, the DM varieties supplemented with Fancy Feast to reduce cost a bit and give him variety. This week he stopped wanting his DM wet food, though. He leaves most of it in the bowl unless we don't feed him anything else for several hours. He likes the Fancy Feast more, but still leaves some of that in the bowl as well. We're not sure if this is good (that he's not feeling like he's starving anymore) or bad (loss of appetite, not eating his prescription food). He throws up once every couple of days (sometimes his food, sometimes grass he eats while on walks, sometimes just stomach fluid), which we think could be a sign of IBD or something else, since he often has a gurgley stomach. So we're worried that he might stop eating if he feels sick and we don't realize, but it also might just be feeling less hungry because his treatment is working. We worry about everything! Does anyone have any experience with a case like this who could help us figure out whether we should be worried or not?

Thanks for reading my long post! I tried to offer plenty of background, and I do have more questions about other things, but I'm hoping to get feedback on his eating behavior this week. I'm sure Mouse would say thank you too, if he wasn't snoring contentedly next to my laptop right now! Thanks from both of us!
 
WELCOME TO FDMB! Maria and Mouse. THANK YOU for taking Mouse in to be your very own! First let me say that an unregulated diabetic kitty is ravenous! They arent processing their food properly and that, just makes them hungry., yet without all the things he needs from food he looses weight. I also have to say 6 units is a high dose. Not unheard of but the concerning thing is with that much insulin you really should be testing his BG levels DAILY. We can help you with that!! AND the added benefit is you wont need near as many Vet visits. Knowing BG levels give you more control and PEACE F MIND.

Lets get you set up with a spreadsheet. This will help you track all of Mouse's bg numbers and give all our helpers an at a glance look to help you quicker and more efficiently :

FDMB SPREADSHEET INSTRUCTIONS

Once you have this set up you will be on your way!

Youve landed in a safe place for Mouse and we will do everything we can to make ths a positive experience for you both!

WELCOME TO OUT FAMILY:bighug:

FDMB is the best site on this planet to learn everything you need to know about feline diabetes and beyond!;)
jeanne
 
Thanks for directing me to the spreadsheet! I'll take a look at it.

We know 6 units is high, especially for his low weight, but after a month on 5 units, we did a curve last week and his lowest reading was 294, so the vet reluctantly suggested going up to 6. We're hoping that treating some of his other problems might lower the necessary insulin dosage eventually. Our vet says she doesn't recommend daily BG testing, I think because she's worried that taking too many readings might cause us to worry and cause him stress. What are the benefits of doing daily readings?
 
Welcome to FDMB.

First, there is nothing magical or even helpful with most "diabetic" cat foods. In fact, some -- especially the dry food -- are not low carb and the ingredients are usually not great. You're better off with Fancy Feast. This is a list of foods, along with carb counts, for most of the available canned cat foods. We consider low carb to be under 10% although most of the people here use foods that are around 5% or so. Fancy Feast and Friskies -- the pate varieties -- are popular because they are the lower cost foods. Lots of cats end up not liking the diabetic food. In fact, it has a return policy. If your cat stops eating the prescription stuff, the vet should take it back.

If you plan on transitioning Mouse to a low carb diet, please do so carefully. You will need to test diligently since a change in diet can drop numbers quickly. You may need to reduce Mouse's dose if you get him on an exclusively low carb diet.

Cats with IBD typically have issues with vomiting and/or diarrhea. One thing you can do is switch to a diet of novel proteins and see it that helps. Consider foods such as rabbit, lamb, duck (unless you've been feeding a lot of poultry varieties), or venison. This site has great information on IBD and they have a sister Facebook site.
 
Thanks for directing me to the spreadsheet! I'll take a look at it.

We know 6 units is high, especially for his low weight, but after a month on 5 units, we did a curve last week and his lowest reading was 294, so the vet reluctantly suggested going up to 6. We're hoping that treating some of his other problems might lower the necessary insulin dosage eventually. Our vet says she doesn't recommend daily BG testing, I think because she's worried that taking too many readings might cause us to worry and cause him stress. What are the benefits of doing daily readings?

The first benefit to daily testing is testing before each injection lets you know if it's safe to give the insulin. If you're giving insulin without testing blood glucose first, you're risking hypoglycemia every time because you just can't know for certain if their blood glucose is high enough for insulin without testing. Hypoglycemia can be fatal if untreated, so it's really important to be testing!

Testing in between injections let you know how well the insulin is working.

Testing at the vet's office is unreliable because stress alone can cause significant increases in cat blood glucose. So dosing based on those numbers can be pretty dangerous.
 
Our vet says she doesn't recommend daily BG testing, I think because she's worried that taking too many readings might cause us to worry and cause him stress. What are the benefits of doing daily readings?
Daily reading will keep Mouse safe. They will also help you find a better insulin dose for him. And important for you as students, buying test strips for a blood glucose meter is cheaper than taking him into the vet for testing and deciding what his dose should be. And don't worry about the tests stressing him. We have plenty of tips to help you learn to home test him. Hometesting Links and Tips One of the most important tips is rewarding them with a treat for that test. Pretty soon Mouse will either be purring through tests (like my girl did), or come running when you get out the test kit.

On a related topic of testing, are you testing regularly for ketones? You can test his urine for ketones with Ketostix. For a cat with recent DKA, it's important to keep on top of ketones.

My girl also had either small cell lymphoma or IBD (couldn't test due to a heart condition). It didn't impact her blood sugar numbers. Nor did treating it. There are several conditions that can impact blood sugars, and some types of inflammation are amongst them.
 
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