New Member — Marcello's Recent Diagnosis

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Trez

Member Since 2021
Hello, my name is Trez. My cat Marcello is an 8-year-old American Shorthair (just guessing on his breed.) I have attached a picture of him taken in March 2021.

This is a very long post, but I am feeling very anxious about this whole situation and want to write out everything. Thank you in advance for reading and any replies.

Some background on Marcello: He was abandoned as a kitten (probably just a few months old) at a PetSmart in late 2012. The person who found him intended to keep him, but they had two large dogs as well and decided they could not take care of him. They posted online that they were giving away a white kitten with pink ears and pink nose. I adopted Marcello in December 2012.

He has always been a big cat. When he became a full-grown adult, he towered over my other cats. He was always heavy, but never looked like a "fat cat" to me—like his weight was distributed evenly. I have always fed my cats dry food and considered wet food a "once in a while" treat. Lately, I was giving them each half of a Sheba cuts every day when I got home from work at 5:30, and they mostly just wanted to eat the gravy.

I moved into a studio apartment in September 2019, and eventually noticed that Marcello had gained weight. I believe it is because my old house was bigger and he got more exercise just from walking the expanse of the house, but his physical activity greatly diminished once we moved into my 629 sq. ft. studio apartment. At one point last year, he weighed 20 lbs—but my vet never seemed alarmed by this. When I lived in my old house, Marcello weighed around 17 lbs.

I had been feeding Marcello and my other cat Rachael Ray indoor cat food for a while. I wanted to switch to a better kibble anyway, and decided to try Science Diet weight loss kibble because I was concerned about his weight (looking back, I wish I had switched to wet food only back then). Marcello ate that for about a month or so. I never intended him to eat it forever anyway. Afterward, I transitioned he and my other cat to simply Science Diet indoor 7+. My other cat is only 3 years old and not overweight, but I have always employed the free-feeding method with a big bowl they can eat from throughout the day (more on this later).

Additionally, and I feel terrible that I can't remember when exactly, but at some point last year, (2020) I started noticing discharge in Marcello's eye (just one eye at the time). I initially didn't think much of it, because most cats get gunk in their eyes from time to time. But when it persisted, I eventually took him to the vet in October 2020 and he was prescribed an ointment to be applied twice a day. He also got his yearly vaccinations at that time.

It helped for a bit, but the discharge came back after I stopped applying the ointment. In recent weeks, I noticed the discharge in both of his eyes. It was usually dark in color, but sometimes just brown or yellow. And more recently, I became very anxious about him. I have lost cats before from sudden illnesses, and I guess they were on my mind. There was nothing urgent or immediately upsetting about his behavior, but little things set me on edge. But I was never sure if I was overthinking it or if it was something to actually worry about. I was worried about the discharge in his eyes, but thought maybe it was from spring allergies. He got some dried mucus around his nose, but I thought that was also from allergies. He's been shedding a little more than usual, but his white cat hair is all over my apartment all of the time anyway, and plus it's getting warmer so most cats are shedding a lot. Lastly, he was vomiting clear liquid—he has done this before, but it was happening more frequently. But none of it was immediately alarming, because he was otherwise his normal, happy self, still cuddling with me and purring and eating/drinking/using the litter box normally. If he's been drinking more water lately, I just figured it was because most cats drink more as they age (I have a 15-year-old cat still living at my old house who drinks a LOT of water). Marcello's not as playful as my younger cat, but he still likes casual playing (though he doesn't often get up for it).

But I knew I wouldn't stop thinking about it unless I got a clear answer. I finally decided to just take him to the vet for a nose-to-tail checkup just so I could ease my anxiety. For reference, I have always taken my cats for yearly checkups and vaccinations, and his last visit was October 2020. So this was only half a year after his last visit.

Also: Most notably, last Friday, Marcello had a strange moment I've never seen happen before. He was lying on my bed, and suddenly seemed a little uncomfortable. He was lifting one of his front legs like it was hurt. I thought maybe he was having a stomach ache, because he's a big baby and doesn't tolerate pain like most cats who just hide it. I pet him, and it only lasted about thirty seconds, and then he was fine. At the time, I didn't know what to think of it. I watched a video of a cat seizure, and I do not believe that's what it was. And, I am ashamed, but I actually forgot to mention this to my vet, because I had a laundry list of other things I told him at the appointment.

He went to the vet on Tuesday this week (two days ago). My vet told me he is a normal, healthy cat, but if I wanted my fears alleviated, he recommended having a blood profile done, especially since Marcello is considered a senior cat now (even if he's a baby in my eyes). I paid for the blood work, brought him home from the vet and saw he was normal and happy, and figured everything was fine. The vet also gave me eye drops for Marcello's eyes, and I believe it has helped.

Well, Wednesday morning as I drove to work, my vet called me with the results of Marcello's blood work and told me he is diabetic. I think my vet was a little surprised, because otherwise, Marcello seems healthy and fine (to be honest, as I was driving in the rain and in shock from what I was hearing, I can't remember a lot of what my vet said). I actually can't even remember if he mentioned what his blood sugar was at. He informed me some basics about caring for diabetic cats and said to call the office back to schedule him to get his first dose of insulin, as well as for me to learn how to administer it. Marcello's appointment is tomorrow morning.

When I hung up, I started crying and panicking. I did not know how I was going to do this. I have always free-fed my cats, and now I would need to do scheduled feedings, and have to learn how to give my cat a very serious shot every day. I know nothing about diabetes in general. I am terrified of injecting him with insulin and possibly messing up the dosage. I was definitely spiraling.

My family told me to remain calm, there is a lot of research and resources on cat diabetes and these days it is relatively easy to manage. But I am anxious by nature, and spent all day yesterday watching videos about cat diabetes. That is when I learned many of the things presented in this forum, website, and other sites. I am very very hopeful—desperately hoping—that if I switch my cats to scheduled feedings, a high-protein, low carb wet food diet, that Marcello will not have to be dependent on insulin indefinitely. I am very scared of the thought of buying these things for him long-term—I fortunate to have a full-time job with a set schedule, but I also live alone and only have one source of income. I'm never going to give up on my cat, but I'm terrified of not having enough money to pay for what he needs. Plus, the pandemic has made me anxious about supply lines, because I have seen that wet cat food is a little bare on the shelves lately.

Yesterday on my way home from work, I immediately stocked up on some wet cat foods. I intend to start taking Marcello on walks so he can lose weight, so I bought a kitty harness and leash. And I removed my cats' large, free-feeding bowl of dry food. I started last night with a feeding at 6:30 pm, mixing the wet food with just a little bit of their kibble so it wouldn't be completely new to them. As usual, they mostly wanted to lick the gravy and did not eat all of it. This morning, I fed them at 6:30 am, and my younger cat didn't want any at all. I'm afraid he is probably going to be very hungry until I get home from work today.

But my other fears include: how will I know what's working for Marcello if I change his diet at the same time I am applying insulin? What if the diet helps, so the insulin just makes it worse? What if I mess up the dosage? I've never given anyone shots before. I'm terrified of Marcello having an episode because of something I did wrong. What if I am suddenly away from home, and there's no one to feed him or give him his shot? I want to get some prescribed wet food—I will monitor them when they eat twice a day, but what if my younger cat gets into Marcello's prescribed food? I emailed as much to my vet prior to the appointment.

And, as I mentioned earlier, he is a big baby. He doesn't hide his pain like most cats. It's going to feel terrible having to prick his ear and give him shots twice a day.

Right now, he is normal, happy, and healthy. Part of me naively wants to believe maybe he doesn't even have it, maybe it was just high blood sugar but not necessarily diabetes. I am trying to have hope that because this was caught early, and because I am immediately switching him to the new diet (but not so fast as to upset his stomach), there's a chance of him going into remission so that he will not need insulin. I'm very scared and anxious and have been crying constantly. I'm overwhelmed and feel like it's going to be so much work and that I won't be able to do it. I don't ever want to give up on him, but it's hard. And I haven't even started any treatment yet. I'm even scared for the first dose of insulin he will get from the vet.

I would appreciate any advice. His appointment is tomorrow morning and I'm so nervous. I'm trying to stay calm and do research in the meantime. I decided to join this forum so I could talk to some other diabetic cat owners. He's my baby, and I don't want him to suffer or worse, to lose him.

Thank you for reading!
 

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Hello and welcome!

What a beautiful boy Marcello is! It's clear that he's a well-loved and happy kitty.

Well done on starting to change food. You are correct that it can be a problem to change food while giving insulin-- once they get on low-carb food, sometimes the insulin needs drop dramatically. It's possible to do it safely, but you have to be monitoring blood glucose throughout the food transition. Most of us here home-test blood glucose, and we have lots of tips and tricks to get you started if you are willing to do it. Another bonus: it's a lot cheaper to do that and monitor your kitty's diabetes at home than to take him in to the vet for regular BG curves!

In the meantime, there are a couple of things you should keep in mind before the vet visit tomorrow.

1) did the vet do a fructosamine test or just a spot-check of blood glucose in the office? Many cats get really stressed at the vet, which can raise BG (another reason to test at home-- you get a much more accurate picture of where they are). The fructosamine test is better for an initial diagnosis because it averages sugars over a couple weeks, so if he's high on that, you can be fairly certain he's truly diabetic, whereas a spot BG test can fool you.

2) has the vet mentioned the type of insulin they want to use? "Good" insulins for cats are the longer-lasting ones, and include Prozinc (developed specifically for pets) and Lantus (a human insulin, but one that works very well for cats). If at all possible, try to get one of those for Marcello. They can be more expensive, but we have some cost-saving tips for that, particularly for Lantus (many people order from Canada, you just need to have a prescription). I'm less familiar with Prozinc, but I think it can be gotten more cheaply than in a vet's office from online retailers like Chewy (still not super-cheap, though).

Some vets will only prescribe the shorter-acting insulins they are familiar with, such as Vetsulin/Caninsulin (pet insulins) or Novalin/NPH (human). They're not ideal in cats with their fast metabolisms, but some caregivers have used them successfully with their cats so don't despair if your vet insists on one of them.

Hope this helps, welcome again to you and Marcello!
 
Oh, and if you get a chance, could you edit the "GA" prefix on your post? We use that to mean a kitty that has passed ("Gone Ahead" or "Guardian Angel"). It always makes a heart skip a beat to see it on a post...
 
Hello and welcome!

What a beautiful boy Marcello is! It's clear that he's a well-loved and happy kitty.

Well done on starting to change food. You are correct that it can be a problem to change food while giving insulin-- once they get on low-carb food, sometimes the insulin needs drop dramatically. It's possible to do it safely, but you have to be monitoring blood glucose throughout the food transition. Most of us here home-test blood glucose, and we have lots of tips and tricks to get you started if you are willing to do it. Another bonus: it's a lot cheaper to do that and monitor your kitty's diabetes at home than to take him in to the vet for regular BG curves!

In the meantime, there are a couple of things you should keep in mind before the vet visit tomorrow.

1) did the vet do a fructosamine test or just a spot-check of blood glucose in the office? Many cats get really stressed at the vet, which can raise BG (another reason to test at home-- you get a much more accurate picture of where they are). The fructosamine test is better for an initial diagnosis because it averages sugars over a couple weeks, so if he's high on that, you can be fairly certain he's truly diabetic, whereas a spot BG test can fool you.

2) has the vet mentioned the type of insulin they want to use? "Good" insulins for cats are the longer-lasting ones, and include Prozinc (developed specifically for pets) and Lantus (a human insulin, but one that works very well for cats). If at all possible, try to get one of those for Marcello. They can be more expensive, but we have some cost-saving tips for that, particularly for Lantus (many people order from Canada, you just need to have a prescription). I'm less familiar with Prozinc, but I think it can be gotten more cheaply than in a vet's office from online retailers like Chewy (still not super-cheap, though).

Some vets will only prescribe the shorter-acting insulins they are familiar with, such as Vetsulin/Caninsulin (pet insulins) or Novalin/NPH (human). They're not ideal in cats with their fast metabolisms, but some caregivers have used them successfully with their cats so don't despair if your vet insists on one of them.

Hope this helps, welcome again to you and Marcello!


Thank you so much for the response. I am wondering if my vet will provide a blood glucose tester for me to purchase, or if I should go ahead and buy my own, but I did ask that in my email to them as well.

I am not sure if they performed a fructosamine or spot-check but will be sure to ask. Marcello in particular gets so stressed, that his ears turn red at the vet—but he's a white cat so it's probably just easier to see on him. But he cries the whole time he's there too.

My vet did not mention the type of insulin, but in researching I've already learned of the different types. I will be sure to ask tomorrow.

Thank you again!
 
Oh, and if you get a chance, could you edit the "GA" prefix on your post? We use that to mean a kitty that has passed ("Gone Ahead" or "Guardian Angel"). It always makes a heart skip a beat to see it on a post...

Oh no! I'm so sorry! I should have checked first. I just assumed it stood for "General Advice." When I go to edit my post, I don't see an option to remove the prefix. Am I missing something?

EDIT: Found it.
 
I want to get some prescribed wet food—I will monitor them when they eat twice a day,

I'll let other members expand on this since I usually just lurk here but you do NOT need to feed prescribed wet food. You can feed normal wet food; most members here feed Fancy Feast wet food. I too fell victim to the prescribed wet food from my vet but learned from here it's totally unnecessary and not helpful.

Second, they do not need to only eat two times a day! Some members free feed here but a lot of others feed many mini meals throughout the day so their cats aren't hungry and to help the curve. I'll let others expand on this. But I just wanted to say they can eat more than twice a day!! :)

Good luck and everything will be fine. I freaked out when I learned of my cat's diagnosis too but it all worked out and we are in a great routine now. :)
 
I'll let other members expand on this since I usually just lurk here but you do NOT need to feed prescribed wet food. You can feed normal wet food; most members here feed Fancy Feast wet food.

Great point! Additionally, if you bought some of the expensive "prescription" food from your vet, you may be able to return it for a refund (it's often guaranteed by the manufacturer). Just say your cats didn't like it (which it seems like they don't...).

Second, they do not need to only eat two times a day! Some members free feed here but a lot of others feed many mini meals throughout the day so their cats aren't hungry and to help the curve.

Another great point. The "feed only a couple times a day" advice is a bit old-fashioned, and never really worked well for cats (vs. dogs). There are a couple of rules for feeding times we use here:

1) for short-acting insulins, it's very important that they have a good meal "on board" before you shoot. For the longer-acting insulins like lantus, it's enough if they seem willing to eat before the insulin takes action a couple hours after the shot.

2) when doing a pre-shot BG test (to make sure it's safe to shoot), you don't want there to be a food influence, so we try to withhold food for two hours prior to that test. (this "rule" can often be relaxed once you know your cat's patterns well, and can take his typical "food bump" into account when getting a pre-shot BG).
 
I'll let other members expand on this since I usually just lurk here but you do NOT need to feed prescribed wet food. You can feed normal wet food; most members here feed Fancy Feast wet food. I too fell victim to the prescribed wet food from my vet but learned from here it's totally unnecessary and not helpful.

Second, they do not need to only eat two times a day! Some members free feed here but a lot of others feed many mini meals throughout the day so their cats aren't hungry and to help the curve. I'll let others expand on this. But I just wanted to say they can eat more than twice a day!! :)

Good luck and everything will be fine. I freaked out when I learned of my cat's diagnosis too but it all worked out and we are in a great routine now. :)

I see! Thanks so much! I bought a big 24 pack of Science Diet tender tuna entree, but I also have some other science diet flavors, a few Sheba cuts (those are the ones I mostly have trouble finding right now), some Fancy Feasts, and a new brand I can't recall right now but in a package exactly like Shebas. if I try anything new, I will do so in small amounts and mixed with whatever they've been eating.

In that case, I definitely want to feed them more than twice a day. It's hard because I am at work all day and the office is not close to home, but I may be able to come home during my lunch breaks.

Thank you. My family is telling me the same, that I just need to adjust to it and it will be okay. I just overthink everything.
 
Great point! Additionally, if you bought some of the expensive "prescription" food from your vet, you may be able to return it for a refund (it's often guaranteed by the manufacturer). Just say your cats didn't like it (which it seems like they don't...).



Another great point. The "feed only a couple times a day" advice is a bit old-fashioned, and never really worked well for cats (vs. dogs). There are a couple of rules for feeding times we use here:

1) for short-acting insulins, it's very important that they have a good meal "on board" before you shoot. For the longer-acting insulins like lantus, it's enough if they seem willing to eat before the insulin takes action a couple hours after the shot.

2) when doing a pre-shot BG test (to make sure it's safe to shoot), you don't want there to be a food influence, so we try to withhold food for two hours prior to that test. (this "rule" can often be relaxed once you know your cat's patterns well, and can take his typical "food bump" into account when getting a pre-shot BG).


I haven't purchased any prescription food yet, thankfully. My vet simply called me with the news and I will see them in-office tomorrow. But my cats actually do like some of their wet foods, I think they just don't understand that they won't have the kibble to pick at anymore so they don't eat it all. But I only did one day. When I get home today, I'll see how much they are willing to eat.

I have seen many people say they give the shots during a meal. My vet recommended the same as you say, however, to feed him before giving the shot. I'm concerned about this, because given how sensitive he is to pain, I feel he would be distracted by his food during the shot.

Thank you.
 
In that case, I definitely want to feed them more than twice a day. It's hard because I am at work all day and the office is not close to home, but I may be able to come home during my lunch breaks.

Thank you. My family is telling me the same, that I just need to adjust to it and it will be okay. I just overthink everything.

I'm the same - overthinking everything!

Yes, you can definitely feed more than twice a day. I hope you saw Nan & Amber's post above mine that talks a little more specifically. Also, you can get a cheap automatic feeder so that you don't have to come home during your lunch break. That's what I did since I can't get home during my lunch break and they still get to eat while I'm gone. I think the one I have cost like $20 on Amazon.
 
I'm the same - overthinking everything!

Yes, you can definitely feed more than twice a day. I hope you saw Nan & Amber's post above mine that talks a little more specifically. Also, you can get a cheap automatic feeder so that you don't have to come home during your lunch break. That's what I did since I can't get home during my lunch break and they still get to eat while I'm gone. I think the one I have cost like $20 on Amazon.

Yes, I saw it!

My sister recommended the automatic feeders too, but I think some of the research I did made me afraid of anymore dry foods that would go in the automatic feeder. I have even seen as much saying the glucose support dry foods are not as good as wet foods, so I'm afraid to buy any more kibble. May I ask what you put in your automatic feeder?
 
Yes, I saw it!

My sister recommended the automatic feeders too, but I think some of the research I did made me afraid of anymore dry foods that would go in the automatic feeder. I have even seen as much saying the glucose support dry foods are not as good as wet foods, so I'm afraid to buy any more kibble. May I ask what you put in your automatic feeder?

Yes! I only feed wet food! So I do put the wet food in the automatic feeder and they eat it up! So you definitely don't have to give dry.
 
Yes! I only feed wet food! So I do put the wet food in the automatic feeder and they eat it up! So you definitely don't have to give dry.

Oh wow, I didn't even know you could put wet food in the automatic feeders. Thank you so much. This all gives me hope.
 
Hi! Welcome :bighug: For food, you want to find some food <10% carbs (most of us do <5% but ECID). There is a good food list here - https://catinfo.org/docs/CatFoodProteinFatCarbPhosphorusChart.pdf Per this chart, Science Diet Tender Tuna is 24-25% carbs - too high for a diabetic - perhaps you can find other choices on there that your kitties like the are lower carb.

With that said, before you start insulin, it is a good idea to have Medium Carb (11-15%) and High Carb (>15%) food on hand - as well as the rest of the contents of Jojo's Hypo Tool box (just to be prepared, lists what to have on hand in case of an emergency).

And I'm not sure where you are located but a lot (most) of us use human glucometer; if in the US, the ReliOn Prime from Walmart is popular and test strips are cheap. Not to overwhelm, but once you start testing, input your data into the spreadsheet available here (link). Here is also a link on Hometesting Tips.

There is A LOT to take in - the learning curve is very steep in the beginning so hang in there :bighug:
 
Hi! Welcome :bighug: For food, you want to find some food <10% carbs (most of us do <5% but ECID). There is a good food list here - https://catinfo.org/docs/CatFoodProteinFatCarbPhosphorusChart.pdf Per this chart, Science Diet Tender Tuna is 24-25% carbs - too high for a diabetic - perhaps you can find other choices on there that your kitties like the are lower carb.

With that said, before you start insulin, it is a good idea to have Medium Carb (11-15%) and High Carb (>15%) food on hand - as well as the rest of the contents of Jojo's Hypo Tool box (just to be prepared, lists what to have on hand in case of an emergency).

And I'm not sure where you are located but a lot (most) of us use human glucometer; if in the US, the ReliOn Prime from Walmart is popular and test strips are cheap. Not to overwhelm, but once you start testing, input your data into the spreadsheet available here (link). Here is also a link on Hometesting Tips.

There is A LOT to take in - the learning curve is very steep in the beginning so hang in there :bighug:

Oh no. Maybe I can still find my receipt on the Science diet to take it back. But I already opened it :(

Thank you so much for all the advice. I noting all of it. I am indeed in the US. I'm trying hard not to be overwhelmed.
 
Hi Trez and Marcello, everyone has given you good advice
I would stick with the Fancy Feast Classic Pates or the Friskies Pates wet food
Susanne already gave you the link for the food chart,

For your hypo kit you can get the following and also look at the food chart


med and high carb food on hand in case he drops too low and you need to bring his BG up to safe numbers
Fancy Feast Gravy Lovers Gourmet Beef Feast in Gravy 20% High Carbs



Fancy Feast Gravy Lovers Gourmet Chicken Feast in Gravy. 15% Med Carbs




Fancy Feast Gravy Lovers Turkey Feast in Gravy. 15% Med Carbs


Fancy Feast Gravy Lovers Chicken and Beef Feast in Gravy 15% Med Carbs
 
If your vet suggests getting the Alpha Trak pet meter forget about it
Tell her you wouldn't be able to afford the text strips, they are around 54 dollars for 50

You said you live in the US. Go to Walmart and get the
Relion Prime 9 dollars. Human meter
17.88 for 100 test strips
26 or 28 gauge lancets
Some cotton rounds to hold behind the ear when testing

Our numbers are based upon n human meters, don't let the vet tell you they are no
good, before the pet meter came out they used human meters

It does sound overwhelming but we will help you , if it wasn't for this wonderful , knowledgeable members I probably would never got Tyler into remission

If you can come home during your lunch breaks for a quick text that would be great, so would the automatic feeders

We always add some water to their wet food

Depending what insulin your vet prescribes will depend on when you can give the insulin
We will help you. Most of us use Lantus and buy it from Canada , so much cheaper , we can talk about that later on where to buy it

I will post a video that one of our members made testing her cat

VIDEO: How to test your cat's blood sugar
 
Always aim for the sweet spot warm the ears up first, you can put rice in a sock and put it in the microwave, test it on the inside of your wrist to be sure it's not to hot, like you would test a babies bottle. You can fill a pill bottle with warm water and roll it on the ears also.Just keep rubbing the ears with your fingers to warm them up
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fec17d29-5ab4-44a8-912b-3a91944c3954-jpeg.57073

6. As the ears get used to bleeding and grow more capilares, it gets easier to get the amount of blood you need on the first try. If he won’t stand still, you can get the blood onto a clean finger nail and test from there.
When you do get some blood you can try milking the ear.
Get you finger and gently push up toward the blood , more will appear
 
When testing you can give them a treat so they will associate after testing they will get a reward, any freeze dried treats are ok such as
PureBites Freeze-Dried Cat Treats with Chicken Breast 2.3 oz ()https://www.amazon.com/dp/B071P7M2HG/?tag=felinediabetesfdmb-20. I


The freeze dried treats you can get at petsmart, petco and order from chewy. Purebites is popular (cheaper if you buy the dog food ones). My crew like vital essentials it's dehydrated freeze dried raw comes in flavors

freeze dried minnows, made by Vital Essentials. I also buy the ones made for dogs. They're the same as the freeze dried minnows for cats. just cheaper. They also carry other freeze dried treats. I ordered mine through Amazon.

I think the vital essentials are more of a crunchy texture than the purebites

If you cat likes any of these you can buy the bigger bags for dogs they are the same , you will get more for your money just break then up into smaller pieces
 
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By the way Marcello sure is a handsome boy :cat:

Thank you so much for all of the advice you posted. I feel like I need to do a test myself first, but I keep thinking I should see what happens at the vet tomorrow first. But since many have told me the vet tests are not always accurate, I'm conflicted. I'm just scared to do anything without talking to the vet first. I actually heard about the Alpha Trak test meter in a youtube video, but multiple people have told me to try the human meters from Walmart. Thank you.

I think he's handsome too :cat:
 
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