New to diabetes, BG testing, and mealtimes: advice welcome!

Status
Not open for further replies.

KRams

Member Since 2019
Hi all,

My 9 yo kitty Xena (female domestic longhair) was diagnosed with diabetes about a week and a half ago (My intro post here). My husband and I are also kitty parents to 5 yo Xander (~12 lbs, male) and 3 yo Deedee (~13 lbs, female), both domestic shorthairs.

I picked up a human glucometer today, the Freestyle Freedom Lite, mostly because it seemed to require the smallest amount of blood (0.3 ul!). I checked out both Xander and Deedee's BG levels (both under 100, phew!) and of course had the most difficult time with Xena- she kept shaking her ear every time a reasonable drop of blood formed! And of course I made the rookie mistake (twice) of touching the blood to the test strip before pushing the test strip all the way in. I actually ended up trying twice, not getting enough blood at the right time in the right place, letting her chill until her PMPS measurement, and the process was still not great. I'm a bit daunted by the idea of doing this every two hours to get a proper curve. I would love to hear that this gets better- anyone?

With respect to food, all three cats had been accustomed to free-feeding throughout the day, pawing out dry food from little tube feeders (like the one here). This method had been working well for Xena and Xander with respect to weight but since Deedee seemed to be getting a little heftier than necessary (I suspect she should be closer to 12 lbs), I was already thinking that we'd have to switch things up.

Xena's diagnosis accelerated that process- we moved to twice daily feedings immediately. I realize in retrospect that this was probably a bit too much for the other cats (there have been a number of upset stomachs, at least once looked a bit like a stomach that got too acidic). In addition to upset stomachs, there has been some serious variability in appetite. At first, everyone was hungry (Xena was getting dry Hills i/d because of diarrhea, while Xander and Deedee stayed on their original food, dry Purina One Indoor Advantage). But after the first few days, sometimes one cat or another (usually Xander or Deedee) will take a nibble or two and then just ignore the offered food. We'll leave it out for 1/2 - 1 hour at a time. Does anyone have experience with this switch and how to potentially ease the transition? I've been hesitant to add an extra proper mealtime because my husband and my working hours are not particularly consistent.

Also, I don't know if this is related to the stress of new mealtimes, but now all three cats have diarrhea! (Important note- parasites have been ruled out already). I was able to pick up a probiotic and wet Hills i/d to feed to all three cats today. I'm not quite as familiar with how much wet food they have to eat as with dry but the three of them didn't finish a can, so I'm still not thrilled with their appetite. Any suggestions or advice? Have other folks had issues with upset stomachs and intestines during this transition period? How do you manage to get through it? I'm also open to advice about air freshers... :(

TIA!
 
I picked up a human glucometer today, the Freestyle Freedom Lite, mostly because it seemed to require the smallest amount of blood (0.3 ul!). I checked out both Xander and Deedee's BG levels (both under 100, phew!) and of course had the most difficult time with Xena- she kept shaking her ear every time a reasonable drop of blood formed! And of course I made the rookie mistake (twice) of touching the blood to the test strip before pushing the test strip all the way in. I actually ended up trying twice, not getting enough blood at the right time in the right place, letting her chill until her PMPS measurement, and the process was still not great. I'm a bit daunted by the idea of doing this every two hours to get a proper curve. I would love to hear that this gets better- anyone?
It does get easier. One thing you might do is get the blood bead on a clean fingernail and then push in the strip and get the reading. It has worked well with some. Warming her ear with a rice sock (a cotton sock with about a 1/4 cup uncooked rice, knotted, warmed in microwave for 15-20 seconds, test on your wrist to be sure it's not too warm) or a warm wet washcloth will help the blood flow. A low carb treat for every test/attempt is a good conditioner. You can desensitize her by going through the process: taking her to the testing station, warm her ears, touch her ears, hugs, lovies, give a treat and let her go.
The more you test, the more capillaries grow and it's so much easier to get that blood sample. It's early days yet. Be patient, it will happen. If you test before each injection and at least once during the day cycle, then try to get a before bed test, perhaps you could wait to try the curve. That is a test every two hours, or over a couple of days get the tests you can (sometimes kitty is sleeping or you are busy) and the second day, get the other tests at the missed times. Fill in the puzzle. Let her get used to the process, this is all new for her too.
The food, I am no expert, but I do know that dry food is not good for sugar cats, well, any cats really. A low carb wet diet is best for all. When we transitioned Idjit from dry and high carb canned to a low carb canned his BG really went down. I would think if there is diarrhea that more moisture in the diet would help replace what's going out. I see that you are now trying the Hills canned I/D. The I/D has 23% carbs, you aren't going to want to keep Xena on that. We try to keep carbs lower than 10% and many members feed Fancy Feast classics and Friskies pates. There are many other brands that fit the criteria.
Please visit www.catinfo.org for information on feline nutrition. We have a food chart here that gives % of protein, fat, phos, carbs and calories: http://www.felinediabetes.com/FDMB/threads/dr-pierson-new-food-chart.174147/
and here is some info about transitioning from dry to wet:
http://www.felinediabetes.com/FDMB/threads/transitioning-your-cat-from-dry-to-wet-food.956/
It is a dilemma when you aren't home to serve meals, many of us use timed feeders to help with that issue. Some also just freeze the canned food in ice trays, and leave out food cubes to thaw and be available when they can't be there.
I was advised that 20 calories per pound of ideal weight is the norm, however unregulated cats can't process food efficiently and will be hungry, need to eat more often and smaller meals.
Best wishes going forward! :cat:
 
Welcome! I was all stressed the first month/six weeks after M'row's diagnosis: it does get much easier. I rub M'row's ear gently several times before bleeding; above ideas are also all fine. I didn't know dry food was bad for cats, even, until M'row got diabetes. Stay around, ask questions, read, and all will settle down and be fine. I took M'row off the kibble and put him onto fancy feast classic pate as everyone here said it was fine and I felt too stressed to do a lot of research about this. He loves it, too. Have digestive upsets settled down yet? Hope so. There's so much kind help and support here; thanks to all! PS: I just free feed M'row, so there's always food out. He's never been obese, so I guess I'll think about that later, if at all. I measure how much water he drinks every 24 hours (postal scale; I with the bowl in the evening, see how far down it is from the initial 8oz, and feel a record of this. To me, this is handier than measuring urine output, which I keep a crude eye on by noting how many/size of urine clumps in the litter box at bedtime. He drinks 1-3.5 oz of water a day; was diagnosed end-december 2018. Al first his water consumption bounced around a lot, but has been stable within the above limits for the past six weeks. M'row and I guarantee it gets easier, especially if U like your vet. Most, I read here, are fine, but a few have been fired. How's yours?
 
Last edited:
Welcome!!

And it does get easier you just need some time and a LOT of patience

Having like you other cats besides the diabetic one ( we call them cyvies) my recommendation is that you switch all of them to the same food that is wet, low carb and as high in protein as possible, they will all benefit from this kind of diet since it is more species appropriate, in my experience the healthy ones even got better coats after the food change, became more active and actually lost some weight and they all pretty much free feed

You can leave the wet food out for a few hours without any problem, also you could use a time feeder so that it won't get dry for the times when you are out or add a bit of water to the food ( I found it freezes and thaws better if you do ) and freeze a bit ( I bought some silicone molds I think they worked better than the ice cubes since I got the size I needed and are pretty easy to just unmold one or two ) so that when you leave you can put the ice cubes on their plates so that they can eat it when it thaws, using the ice cubes or time feeders helps with them not eating everything at once.

Transitions are usually best done if you do them slowly do take a look at Dr. Lisa's tips on transitioning from dry to wet http://www.catinfo.org/
 
Thanks all, I appreciate the advice and comments- I've got a more urgent question now, so I'll start a new thread.
 
Status
Not open for further replies.
Back
Top