New to FDMB. Cat diagnosed on Friday 05/03/24 Please help!

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EllieMaye

Member Since 2024
Hi fellow feline lovers!

Our story: My name is Ellie and over the span of 35+ years, all of our pets have been rescues. In fact, we cared for a diabetic cat that lived 9 yrs past his diagnosis. He passed in 2009 at the age of 16. So, it has been a while since we've dealt with feline diabetes and this one is different. I have so many questions buzzing around in my head. On Friday, our 5 year old cat (Rosie) was diagnosed with diabetes. Over the last 9 months, we noticed a bit of weight-loss happening since we'd brought home a new cat brother for her. What was supposed to be a playmate turned out to be a full-blown food hogging hoover. She tolerates (basically detests) him and on the rare occasion I see them near each other, I'll grab my camera because it is the fairy tale I'd like to believe. *sigh* Anyway, he's put on a whopping 7 pounds since then while she has lost 1.5 pounds. About a month ago, since feeding her separately from "Jabba The Hutt" she has gained a half pound back. She is completely obsessed with her private feeding times (about 5-6 x's a day), but ONLY with one specific brand of cat food. Sheba "Cuts In Gravy" is the only thing that will do for her. Since we are trying to get her to gain some weight back, we've obliged. We have tried many others, but she looks at us in disgust with our pitiful offerings. She has dry kibble available at all times. The simple explanation as to why we took her to the vet is we wanted to make sure she's actually OK, and that we're doing everything we can for her. We were thrown a curveball when the doctor came in the room and diagnosed her with diabetes. Since Rosie is younger and has never been overweight, that was a complete shock. He'd performed 6 lab tests + a T4 for thyroid. All were normal except for a high glucose reading. Since he was perplexed as well, I asked if there was another test that would confirm, or if this could be a stressed-induced false reading. By this point, I was desperate for any other possible explanation and asked if it could be because she'd eaten 3 Sheba's so far that day. He answered no to all questions and explained it might just be hereditary. His diagnosis is based on her weight-loss + her high BG reading. He prescribed her Vetsulin at 1 unit every 12 hours and for us to bring her back in a week for a recheck. Before we left, I did ask to see the glucometer they used and for them to perform another test which showed her BG at 344. Since then, I've done a tiny bit of research on the matter and I have some questions. Should she have had a urinalysis or a serum fructosamine test done to confirm his diagnosis? If so, should I take her back for one or go somewhere else for a second opinion? I am also concerned that if I give her insulin and she's not really diabetic, she could have an hypoglycemic episode. I have human glucometer at home, and before she got her first dose of insulin, I wanted to check her BG the next morning. That was a debacle. After 4 unsuccessful attempts from her paws, I tried her ears. I got enough blood after 3 tries there and it registered at 215. Feeling uncomfortable with those results (and terrible for doing that to her), I've yet to give her insulin. Is there a better food out there to help her gain weight without raising her BG? Is that much Sheba possibly raising her BG levels? Please help. I do not want to be doing the wrong thing here. I am going to take her somewhere tomorrow. Either back to the same vet, or another one. Any advice at all before we go would be helpful. TIA

Pics below to show glucometer reading at vet and one very stressed kitty.

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Welcome to FDMB!

It's certainly possible your kitty's blood glucose levels were elevated at the vets office due to stress. The other possibility is the food. While the carbohydrate count for the Sheba food is not horrible, it's still a bit over what we consider low carb. (It ranges from 11% for the turkey to 16% for the trout the latter being high carb.) We consider under 10% to be low carb food and most members feed their cat in the 5% range. So what you're feeding Ellie may be inflating her blood glucose numbers.

A fructosamine test is not a bad idea. It's the best way to confirm the diagnosis. I would not waste your money on a urine glucose test. It's unreliable other than as a test for ketones.

Also, an FYI. Many diabetic cats lose weight prior to diagnosis. If glucose is floating around in the blood, it's not getting in the cells. What that amounts to is that your cat is starving.

One final observation. Vetsulin is not a great insulin for cats. It is a faster acting insulin that tends to drop blood glucose numbers hard and fast. In addition, it does not have a long duration -- it doesn't last 12 hours. As a result, numbers tend to swing. The insulins that are recommended by the American Animal Hospital Assn are either Lantus (now in the generic/biosimilar, glargine) or Prozinc.

This is a post on helping us to help you. It contains some basic information for getting started here that you may find helpful. We do have information on home testing. Please let us know how we can help.
 
My goodness. Thank you! What a coincidence you mention the Sheba trout. We had just discovered that flavor a week prior and it has become her new absolute favorite. Is there a good low carb/high calorie cat food out there that you recommend? Also, would it be out of line to request a refund from the vet for prescribing a subpar insulin? That makes me quite upset as it could've seriously dropped her BG levels rapidly.
 
I suspect you will get a headache from asking your vet for a refund more so than you will get a positive response. The vet likely uses Vetsulin because it can be prescribed to both dogs and cats (it's a better insulin for dogs) and they make money from selling it at the practice. This is the link to the AAHA guidelines. I would suggest printing it out and bringing it with you or sending it to your vet and sweetly asking why the vet prescribed an insulin that's no longer recommended for treating feline diabetes. Also, so you're aware, Lantus (glargine) is a human insulin that is available at any pharmacy. @Diane Tyler's Mom can provide you with information on where/how to purchase it at a very reduced cost. Prozinc is a pet-specific insulin. Many vets will sell it to you or you can check prices at other sources such as Chewy's.

I would encourage you to scan the food chart. Wellness is generally higher in calories as is ZiwiPeak. The chart has both carbs and calories listed. With the calories, you need to be attentive to the size of the can which is also noted. Many of the members here feed their cats either Fancy Feast or Friskies pate style food. You need to read carefully because there are lots of varieties of these foods and not all are low carb.
 
Also, so you're aware, Lantus (glargine) is a human insulin that is available at any pharmacy. @Diane Tyler's Mom can provide you with information on where/how to purchase it at a very reduced cost.
A member said she followed this prescription info exactly and it worked perfectly. Hope this helps!
Then go to the Lantus site to generate the coupon as in second image.
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Most members get the generic you can get generic/biosimilar glargine at very reasonable prices using GoodRx coupon. Most members use the generic because Lantus is to expensive.
https://www.goodrx.com/lantus?label...d-pens-of-100-units-ml&quantity=1&slug=lantus
Make sure that the Match your prescription pull down menue says generic glargine 1carton of 5 3ml pens.

Lantus usually doesn't kick in until 2 hours after the shot

We buy the pens but use the syringes to draw out the insulin because if you use the pen you can only adjust by full units ,we adjust the doses by 0.25 units
If you do switch to lantus the generic you will need
U -100 SYRINGES WITH HALF UNIT MARKINGS
I can suggest a few if you would like


Also
The 5 pens will last about a year, we use the pens just like a vial, you would just insert the syringe it the gray rubber stopper on the pen and draw out your insulin
Its generic lantus

By the way almost all of us use a human meter. If you plan on sticking with a human can you please add that to your signature :cat:
 
Thank you for that information! If she truly has diabetes, I will definitely use the Lantus pens. I used human insulin (I think Humalog) with our diabetic cat for 9 yrs from 2000-2009, so I wouldn't have an issue using regular syringes at all. What is the best human glucometer to use? I've been using Livongo, but it requires alot of blood and is why I've had so many unsuccessful attempts. It stresses both of us out, and I'm pretty sure her readings haven't been accurate.
 
Thank you for mentioning the Freestyle lite. I have that one and totally forgot! I actually have 3 different ones. I took her BG 20 min after she ate and it is 149. On Saturday, I took it before bfast (after several attempts) and it was 249. Have you had any issues with the lite not being accurate? I have not tried the regular Freestyle yet.
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Thank you for that information! If she truly has diabetes, I will definitely use the Lantus pens. I used human insulin (I think Humalog) with our diabetic cat for 9 yrs from 2000-2009, so I wouldn't have an issue using regular syringes at all.
@EllieMaye
Hi if you do switch to Lantus I would still get the ones with the half unit markings, you won't need a doctors script for Amazon. Much more easier to use since we adjust by 0.25 units at a time
https://www.amazon.com/UltiCare-31-Gauge-Veterinary-Insulin-Syringes/dp/B009LTE0DO

  • Full and half-unit syringe scales:
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Or any of these ,but you will probably need a doctors script
Also, if you live in the US and have a Walmart, you can get U100 insulin syringes with half unit marks for $12.58/100.

Either of these 2 boxes are the ones you want (with a purple stripe) You will need to go to Walmart to get the, not available to purchase online
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Ask for Relion 3/10ml, 31 or 30 gauge insulin syringes. Don't mention "with half unit marks" because most of their employees don't know they even come with half unit marks and many times will assume you don't know what you want and will try to sell you 1/2ml syringes (which you don't want). As long as the ones you get look like one of the boxes above, they are the correct syringes and WILL have half unit marks.
 
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