janeo said:
Leo diagnosed 4 weeks ago - diet only didn't work - now using 5 mg Glyburide daily - tests next week - hoping for best Glad to find this place
I think I would suggest insulin such as Lantus or Levemir, but first would be good to know how Leo was diagnosed and what diet did not work?
Home testing should be started so that you can know for sure how well this oral med is working and what sort of BG numbers Leo has.
For diet, the best working has been shown to be low carb wet food and NOT any of the vet foods.
on the old FDMB faq.....
Can I give oral medication instead of insulin?
A2.1. Possibly. You should discuss this with your vet. Oral medications such as glipizide or glyburide will allegedly work for about 30% of diabetic cats. However, because these drugs can cause liver damage (and even further damage to the pancreas), and because giving an injection is often easier than giving a pill, most people on this board prefer insulin. Several people who switched to insulin after using drugs have reported that they thought the oral medication only delayed regulation. Others believe that starting with drugs rather than insulin made it impossible for their cats' diabetes to be controlled with changes in diet alone. Another drug, acarbose, works by blocking or delaying the absorption of carbohydrates from food. It probably is not necessary for a cat who is on a low-carbohydrate diet.
Oral medications are not a good idea for cats with elevated liver values (due to the possibility of liver damage), or ketoacidosis or neuropathy (due to the need to bring glucose levels down immediately). See the Pets with Diabetes site for a more detailed explanation. If your cat shows uncharacteristic lack of appetite, vomiting, lethargy or jaundice, discontinue the medicine and call your vet. You should also have liver enzymes monitored frequently during the early months.