OK, ready for the intro to feline diabetes?
There are three key factors to managing diabetes: food/nutrition, home testing and insulin
1) Feline Nutrition: Now, as far as diet - definitely dump the dry food (if you are feeding any) and if the vet recommends purchasing prescription food like DM just say "no thank you". ALL cats, and especially those with diabetes, do best on a species appropriate diet that is high in protein and low in carbs. Dry food DOES NOT fit that bill and DM food, even canned, just really isn't that great as far as quality. Most here on FDMB feed low carb/high protein canned, raw bought from a pet store or they make there own.
Here is a link to a site by a vet "Dr. Lisa DVM" ... who also posts on this board from time to time ... www.catinfo.org
If you look on the right side of her site, she has a food comparison chart to help you figure out what food you want to get based on the carb %.
You want to keep the carb % below 10% and around 7% is great. (Personally, I stay between 0-6% carbs.)
While on her site, you can read about in-depth info. on nutrition and how to make raw food, etc.
Here is another link that will give more information about food/nutrition
Nutrition/food info
The good thing with feeding your diabetic cat this way, is that it is ALSO good for any non-diabetic cat too. All your cats can safely eat the same food without worry and it may save you some costs and headaches of having to do separate feedings and keeping track of what they are eating.
2. Home testing: It is impossible to convey the value of testing your cat's BG (blood glucose) level at home. Some vets will "suggest" this, but most won't even mention it. They will send you home with insulin and an amount to shoot and maybe some instructions about hypoglycemia (blood sugar dropping to a dangerously low level).
Well, the thing is, human diabetics don't EVER give themselves insulin without checking there BG to make sure it is safe to do so, so why shouldn't it be the same for our kitties. Here on FDMB it is. You will notice that the vast majority of people here test their cat's BG at least 2x/day (before giving each shot to make sure the level is safe enough) and periodically at other times to see how the cat is responding to the current dose. We use a human glucometer, test strips and lancets - which are all very readily available and easy to use.
Our kitties get lots of love and treats for "putting up" with this and most of them actually come out to be tested on their own 'cause they want those treats . Here is a collection of great links that "Carolyn and Spot" pulled together about hometesting. See what you think ... it truly is the best way to not only keep Your cat safe but also really get a handle on this disease and help him to live a healthy life with FD (feline diabetes).
Home testing Links
Are you willing to learn how to home test? If you are, then we have plenty of resources to help you.
3. Insulin: Well you are already using Lantus (glargine) and that's an excellent insulin. I do suggest you visit the Lantus forum, so you can read up on the handling, dosing, usage of Lantus. And don't get scared when you see the posts there - eventually, you too will be posting on that forum. I promise.
Insulin Support Groups
Be sure to read the stickies (starred posts on the top of page)--
STICKY: LANTUS & LEVEMIR - NEW TO THE GROUP? PLEASE READ...
viewtopic.php?f=9&t=18139
STICKY: LANTUS & LEVEMIR - TIGHT REGULATION PROTOCOL
viewtopic.php?f=9&t=1581
STICKY: LANTUS & LEVEMIR - INFO, PROPER HANDLING, & STORAGE
viewtopic.php?f=9&t=151
STICKY: LANTUS & LEVEMIR - SHOOTING & HANDLING LOW NUMBERS
viewtopic.php?f=9&t=147
STICKY: LANTUS & LEVEMIR - WHAT IS THE INSULIN DEPOT?
viewtopic.php?f=9&t=150
However, one caveat and again this shows how these three things are inter-related:
If you are feeding dry food or even a high carb food, BEFORE removing these foods, please make sure of your insulin dose as it will most likely need to be reduced, so as to avoid a possible hypoglycemic situation due to the removal of the dry/high carb foods that will lower the BG’s and reduce the amount of insulin required. Again, another reason why home testing is important.
I know this all seems like a lot, and that's because it is ... there is a learning curve here. But as long as you are determined and keep at it, you will have it down before you know it and you'll be seeing the results in Your cat' overall health and happiness. Ask all the questions you can think of - that's why we are here!
Now, you can do this on a budget. Here is a shopping to get started:
1. Meter ie Walmart Relion Confirm or Micro*
2. Matching strips
3. Lancets - little sticks to poke the ear to get blood . new members usually start with a larger gauge lancet such as 28g or 29g until the ear learns to bleed. Optional - lancing tool.
4. Neosporin or Polysporin ointment with pain relief to heal the wound (can use generic brand)
5. Mini flashlight (optional) - useful to help see the ear veins in dark cats, and to press against
7. Ketone urine test strips ie ketodiastix - Important to check ketones when blood is high
8. Treats for the cat - like freeze dried chicken, even rotisserie chicken, deli chicken, canned tuna will work
9. Karo syrup/table syrup, honey or any sugar product like jam, jelly, etc. if you dont have it at home - for hypo emergencies to bring blood sugar up fast -
10. A couple of cans of fancy feast gravy lovers or other high carb gravy food- for hypo emergencies to bring blood sugar up fast
* We suggest the Relion meter and matching strips from Walmart, as they are the most economically priced meter and strips.
