Hi again,
Here is a link that I just found by doing a search on Fructosamine Test in cats.
http://www.vcahospitals.com/main/pe.../diabetes-in-cats-testing-and-monitoring/1082.
I think it gives a good explanation on the differences between at home testing and Fructosamine testing as well as other tests performed by a vet with a diabetic kitty.
I feed both kitties, Purina DM wet. I have seen hear that Fancy Feast Classic Pate's and Friskies are ok too. Under 10% carbs is the rule here and no dry.
Jack is still having some DM chows but ONLY as a treat. He has snubbed his nose at the Freeze dried, shrimp, salmon and turkey. I have the chicken left but I doubt he will go for that either.
On the other hand, Samantha now has enough treats for 6 months. I will still search for a treat that Jack will eat, but if I have to give him the DM chows as ONLY a treat, then that is what I will have to do. It is just not fair for Samantha to have some and not him. He deserves it more than her, he is a class A Trooper and she whines. She was only in the mid 300's and I knew before I took her to the vet that she had diabetes. How did I know? I used Jack's meter.
As far as a Vet's advice goes, this is my experience. While my vet supported at home testing (a blessing), she wanted to do a urinalysis with culture $250. A regular urine test along with blood work tells the tale of Diabetes. I was told the culture would tell if he had a urinary infection that would not respond to regular antibiotics. His urine was do diluted that they ended up not doing a urinalysis. Although he presented no symptoms (urinating outside the box, straining, or blood in the urine), I did opt for the Antibiotics. IMO a needless $54.51 but I was panicked as it was with the DX.
So as you will learn, Each Cat is Different (ECID), so are vets. Some have more experience with Diabetes than others. In their defense, each of us are different too, and they do not know how much we can handle and how far we will go with treatment. My vets's goal was 175-250. Mine is 80-100.
As Shelly put it (I do hope you meet her, she is "Da Bomb"), A vet has to be a generalist just by nature of dealing with Cats, Dogs and what ever other furry creatures we humans have. But that aside, if you have heart problem, you most likely would not want a generalist handling that. You go to a Cardiologist who eats, sleeps and drinks heart issues. Does that make sense?
Since I am not aware of Diabetes specific Vets (I am sure there are ones who are), this forum is one of the ways that you can connect with the people who have ate, slept and drank kitties with diabetes.
You wrote
Initially she wants to see Jake a few times a week but right now, his numbers are too high that the amount of insulin won't be too much
Home testing will tell you that and more at a substantially reduced cost and stress on both you and kitty.
You also wrote
she just doesn't want any more stress introduced
. Is that for you, your kitty or her paying her staff and overhead ? Either way, if you are like me, I stress out when I have to take them to the vet for ANY reason. It is known that a visit to the vets induces stress and causes their BG level to be raised. So what better way to provide less stress, than to do at home testing?
My Jack was 634 at the vets office upon DX. I am thoroughly convinced that, I had not opted for at home testing, that he would have been at a higher level and for longer than he had to. The key is to get his numbers down to 200, where Glucose is no longer spilling into the urine. From there it is a fine tuning process to lower the numbers to a better range for a healthier for kitty. That takes patience and persistence and without home testing, I feel it would not be possible.
All the best to you and yours.
Kevin