New to Feline Diabetes - need guidance or maybe just an ear to listen..

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Nani777

Member Since 2020
Hello everyone,

My sweet 9 year old boy had been losing weight and drinking a lot of water for the past few months. I assumed it was the extreme heat we dealt with this summer. I deeply regret not picking up on the severity sooner and I will carry that guilt for the rest of my life. This cat has had a really tough life, his previous owner neglected him which included things like leaving him alone for days at a time, not providing sufficient food and water and having a filthy litter box. When his owner was moving to a new city, I was able to adopt him and my life goal quickly became to give this cat the best life possible.. but now here we are. :(

Let me apologize in advance - this is going to be a long post.

So this past weekend, I brought him in for a check up to look into the weight loss, dry skin and hair loss on his back legs. I have noticed he would do things like rip his hair out when the vacuum was on, etc. I'm quite sure he suffers from anxiety as he used to chew wires but has since almost completely stopped and uses chew toys occasionally instead.

A few hours after the check up, I got the horrifying call that he either has kidney disease, cancer or hyperthyroidism. As you can imagine, I lost it. They wanted to do some extra testing to which I of course agreed. Several hours later, I got the call that his liver enzymes are high, blood protein is high (which could be inflammation or dehydration), high cholesterol and that his urine is very concentrated which was apparently a great thing since it means kidneys are working. What they did discover was he is leaking glucose and protein in his urine which is apparently a sign of diabetes? (there was no mention of ketones... only that it was leaking glucose)..They were also very surprised to see there were no abnormalities in the electrolytes. He lost so much weight and is a very tiny 3.3KG :(

They sent me home advising they highly suspect he is diabetic and provided Hills MD wet and dry food (which he will NOT eat!) They advised that I will pick up a prescription for Glargine the next day, with 1 unit to be given every 12 hours. However the next day, I was asked to do another test (can't remember the name..) to determine if his levels had been abnormal for the last few weeks or not - which I guess confirms the diabetes? So I did that test. Bad news followed and the vet was shocked to see his results showing that he has Ketoacidosis :( They said his body is basically in starvation mode and I either must start insulin immediately that night - OR he stays in the hospital to be given a feeding tube and liquids... which seemed strange since he LOVES eating and drinks a ton.. so I took him home and began the shots. The vet said this might be a rare case of "Healthy Ketoacidosis.." because he is still eating lots and also not vomiting.

He is about to have his 5th shot in a few hours, so far so good. He does seem a bit sleepy after the big meals and the shot - but the vet said she is comfortable with that and just to keep a close eye. It's so hard... I mean he is a cat.. they sleep all the time.

I will be picking up a glucometer ASAP - I am just SO exhausted, I have barely slept since Sunday and I knew driving would be a bad idea in this condition. Covid19 is making everything so much more complicated too. I don't mean to whine or complain at all, I am so grateful that it seems we have a fighting chance. I was very fortunate to have an understanding boss who allowed me to use vacation time and take the week off - but I am terrified to sleep or not have him in my sight.

The other biggest worry I have right now is that he used to be a grazer.. he would always have dry food (Purina Naturals) available and then wet food (Tiki Cat, Core Wellness, Royal Canin, etc). 2x to 3x daily.. along with lots of treats (which is I why I cannot help but think I am the one who made him sick.) So now the vet has instructed to give him food 2x daily before the insulin - that's it. For now, any food is fine since he won't eat the vet food - she said it's just more important that he eats so he can get the insulin. He's been begging for food in between meals and I have been giving him really small amounts of Pure Bites chicken every couple hours as he is clearly very hungry and it's tearing me apart know that on top of him being so small.

I just don't know what to do :( I don't want to make him worse by giving snacks but I know he is hungry... :( I did call the vet with this question and they said they can get back to me tomorrow. I'm just really overwhelmed and feel like I'm falling apart.

Thank you for reading through that.. it means a lot.
 
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Hello and welcome - you've been through a lot lately. :bighug: First off, what is your sweet boy's name? Second, I (and others here) will disagree with what your vet said about food. Tiki Cat, Core Wellness, if wet food are both low carb and good options for diabetic cats. You absolutely do not need the m/d and your cat is smart in rejecting the dry food. The vast majority of dry foods - even the ones the vets push - are too high in carbs for diabetics. An all low carb wet or raw food diet is best. The second thing I don't agree with is the feeding schedule. We have plenty of grazers here, and small meals are much easier on their pancreas. So let him go ahead and snack. It's not bad for him. Many of us here get autofeeders, so we can portion out meals when we are out of the house, or asleep.

Getting a glucometer and testing is also a good idea. You can go ahead and buy a human meter, the pet ones are just more expensive - sort of like the special vet food. You want a meter with low cost strips and small drop of blood required. If you let us know which country you live in, we can help with suggestions of which ones to get.

The good news is that your vet has you on Lantus, and 1 unit is a good starting dose. Blood sugar testing at home will help you determine if or how you need to change the dose.

Sorry this post took so long to appear, for some reason it was in moderation and I just got to it.
 
I agree with everything Wendy said and also please feed him more times and FEED HIM MORE. Diabetic cats eat and still lose weight and are always hungry because their bodies can’t process the nutrients in food efficiently. They also burn calories just by peeing since there’s sugar in their urine. A good rule of thumb for daily calorie intake is 20 times ideal weight so if he should be 10 pounds that’s 200 calories a day. However, if he needs to gain which he does, you should give at least 50% more than that. At this point, I’d let him eat as much and as often as he wants but not less that the number you get. Feeding the bulk of the meals around shot time is a good idea but also smaller meals throughout the day. If he’s hungry, let him eat.

I worry that he seems sleepy after the shot so I’d definitely encourage your to start home testing to really see where his numbers are throughout the day. We have lots of resources and tips for that and well help you.

welcome!!!:bighug::bighug::bighug:
 
Hello and welcome - you've been through a lot lately. :bighug: First off, what is your sweet boy's name? Second, I (and others here) will disagree with what your vet said about food. Tiki Cat, Core Wellness, if wet food are both low carb and good options for diabetic cats. You absolutely do not need the m/d and your cat is smart in rejecting the dry food. The vast majority of dry foods - even the ones the vets push - are too high in carbs for diabetics. An all low carb wet or raw food diet is best. The second thing I don't agree with is the feeding schedule. We have plenty of grazers here, and small meals are much easier on their pancreas. So let him go ahead and snack. It's not bad for him. Many of us here get autofeeders, so we can portion out meals when we are out of the house, or asleep.

Getting a glucometer and testing is also a good idea. You can go ahead and buy a human meter, the pet ones are just more expensive - sort of like the special vet food. You want a meter with low cost strips and small drop of blood required. If you let us know which country you live in, we can help with suggestions of which ones to get.

The good news is that your vet has you on Lantus, and 1 unit is a good starting dose. Blood sugar testing at home will help you determine if or how you need to change the dose.

Sorry this post took so long to appear, for some reason it was in moderation and I just got to it.
I also just saw it as new. Odd
 
Hello and welcome - you've been through a lot lately. :bighug: First off, what is your sweet boy's name? Second, I (and others here) will disagree with what your vet said about food. Tiki Cat, Core Wellness, if wet food are both low carb and good options for diabetic cats. You absolutely do not need the m/d and your cat is smart in rejecting the dry food. The vast majority of dry foods - even the ones the vets push - are too high in carbs for diabetics. An all low carb wet or raw food diet is best. The second thing I don't agree with is the feeding schedule. We have plenty of grazers here, and small meals are much easier on their pancreas. So let him go ahead and snack. It's not bad for him. Many of us here get autofeeders, so we can portion out meals when we are out of the house, or asleep.

Getting a glucometer and testing is also a good idea. You can go ahead and buy a human meter, the pet ones are just more expensive - sort of like the special vet food. You want a meter with low cost strips and small drop of blood required. If you let us know which country you live in, we can help with suggestions of which ones to get.

The good news is that your vet has you on Lantus, and 1 unit is a good starting dose. Blood sugar testing at home will help you determine if or how you need to change the dose.

Sorry this post took so long to appear, for some reason it was in moderation and I just got to it.


Thank you so much for the kind reply, it means a lot.
My cat's name is Nani and we are in Canada.
I did just speak with the vet again and they have an AlphaTrak (am I making a mistake with this?) And more wet food for me to pick up tonigh. They suggested trying to Royal Canin dry - but I will keep him going with the Hills MD Glucosupport for now if he will eat it.

You know the strange this is I was told 1 can of the wet food per meal but those cans are approximately 70 calories. I just expressed to the vet that I'm concerned he is starving.. So they said he can eat about 3 and 1/2 cans per day. It still doesn't add up to me though. I was just told to maintain his current weight (3.3kg) he needs 489 cal daily and to gain - 550 cal daily. How does that make sense if the cans are only around 70 cals? Sorry if this is a dumb question. Just really panicked and confused :(

They said ideally no food between meals but I have stocked up on Pure Bites chicken, duck and shrimp and I will give him snacks when needed, can't let the poor guy go hungry.

Thanks again for your reply..I already feel the warmth of this community.. Thank you.
 
Thank you so much for the kind reply, it means a lot.
My cat's name is Nani and we are in Canada.
I did just speak with the vet again and they have an AlphaTrak (am I making a mistake with this?) And more wet food for me to pick up tonigh. They suggested trying to Royal Canin dry - but I will keep him going with the Hills MD Glucosupport for now if he will eat it.

You know the strange this is I was told 1 can of the wet food per meal but those cans are approximately 70 calories. I just expressed to the vet that I'm concerned he is starving.. So they said he can eat about 3 and 1/2 cans per day. It still doesn't add up to me though. I was just told to maintain his current weight (3.3kg) he needs 489 cal daily and to gain - 550 cal daily. How does that make sense if the cans are only around 70 cals? Sorry if this is a dumb question. Just really panicked and confused :(

They said ideally no food between meals but I have stocked up on Pure Bites chicken, duck and shrimp and I will give him snacks when needed, can't let the poor guy go hungry.

Thanks again for your reply..I already feel the warmth of this community.. Thank you.
I wouldn’t listen to your vet on this. Seriously. I listened to a vet about restricting food and Minnie lost 7 pounds in a month it was horrible. Give him the 550 calories a day however many cans of doo that equals too. He needs to gain weight.
 
Thank you so much for the kind reply, it means a lot.
My cat's name is Nani and we are in Canada.
I did just speak with the vet again and they have an AlphaTrak (am I making a mistake with this?) And more wet food for me to pick up tonigh. They suggested trying to Royal Canin dry - but I will keep him going with the Hills MD Glucosupport for now if he will eat it.

You know the strange this is I was told 1 can of the wet food per meal but those cans are approximately 70 calories. I just expressed to the vet that I'm concerned he is starving.. So they said he can eat about 3 and 1/2 cans per day. It still doesn't add up to me though. I was just told to maintain his current weight (3.3kg) he needs 489 cal daily and to gain - 550 cal daily. How does that make sense if the cans are only around 70 cals? Sorry if this is a dumb question. Just really panicked and confused :(

They said ideally no food between meals but I have stocked up on Pure Bites chicken, duck and shrimp and I will give him snacks when needed, can't let the poor guy go hungry.

Thanks again for your reply..I already feel the warmth of this community.. Thank you.
It’s vey old fashioned and simply incorrect to think a diabetic cat can’t have food in between the shots. It works for dogs not for cats who have higher metabolism.
 
I also disagree with your vet about only feeding twice a day. That is old thinking. Diabetic cats do much better on a snack before the shot and a couple of extra snacks during the first half of all cycles. ie in the first 6 hours after the shot.

The alphatrak meter is a pet meter and is very expensive to run. A human meter which most of us use here is absolutely fine and is much cheaper to run ( the price of the test strips.) before getting the alphatrak from the vet I would get more information on the costs.
 
I wouldn’t listen to your vet on this. Seriously. I listened to a vet about restricting food and Minnie lost 7 pounds in a month it was horrible. Give him the 550 calories a day however many cans of doo that equals too. He needs to gain weight.

Thank you, I really appreciate your feedback and I agree - he really needs to gain weight. I did mention it to the vet as well and they said the priority right now is to regulate him first - which I understand but I think the priority also should be getting him out of starvation mode.
 
I also disagree with your vet about only feeding twice a day. That is old thinking. Diabetic cats do much better on a snack before the shot and a couple of extra snacks during the first half of all cycles. ie in the first 6 hours after the shot.

The alphatrak meter is a pet meter and is very expensive to run. A human meter which most of us use here is absolutely fine and is much cheaper to run ( the price of the test strips.) before getting the alphatrak from the vet I would get more information on the costs.

Thank you for the feedback. The AlphaTrak starter kit is about $94 CAD including tax. The strips are approx $100 for 100 strips. It is quite expensive.

I did ask the vet if I could start with the alpha trak for now and convert to a human one later if needed, they said ideally no because human ones are not properly calibrated for animals. But I do see a lot of people on this forum using human ones?

Thanks again, really appreciate your time and feedback.
 
Thank you, I really appreciate your feedback and I agree - he really needs to gain weight. I did mention it to the vet as well and they said the priority right now is to regulate him first - which I understand but I think the priority also should be getting him out of starvation mode.
Absolutely, your instincts are spot on! It can take months to get a cat regulated and withholding food is not what does it. Home testing and low carb foods however, do. I’d also look into some of the other food options Wendy mentioned. Vets love to prescribe “prescription” pet food and most of them are high in carbs and have nothing special about them other than the price tag. They’re not even human grade.
 
Thank you for the feedback. The AlphaTrak starter kit is about $94 CAD including tax. The strips are approx $100 for 100 strips. It is quite expensive.

I did ask the vet if I could start with the alpha trak for now and convert to a human one later if needed, they said ideally no because human ones are not properly calibrated for animals. But I do see a lot of people on this forum using human ones?

Thanks again, really appreciate your time and feedback.
Again, your vet is very old fashioned when it comes to feline diabetes. Pet meters are rather new and until they were created, everyone used human meters. No calibration needed. We use human meter numbers here and that’s what most members are used to seeing. Do not get the alphatrack. It’s a waste of your money. You should be ideally testing 3-4 times a day and sometimes, like this morning, it took me 4 strips to get one reading from Minnie. 100 strips lasts me about 2-3 weeks. Sometimes less.
 
I did just speak with the vet again and they have an AlphaTrak (am I making a mistake with this?) And more wet food for me to pick up tonigh. They suggested trying to Royal Canin dry - but I will keep him going with the Hills MD Glucosupport for now if he will eat it.
Tell your vet no thanks on the food - your cat won't eat it. And no thanks on the Alphatrak, the test strips are major expensive. I'm in Canada too, waving from the west coast, there are a couple popular meters, the Freestyle is one, Accucheck another. I think the Freestyle has the smallest blood drop requirement - been a while since I had to shop for one. A number of the major pharmacies will give you a free meter when you buy 100 test strips. And as a matter of fact, everyone used human meters before Abbott made and started marketing the AT heavily. Save your money, there are more important things to spend it on. Your vet has already shown to be a little out of date with feline diabetes.

And Ale - Bron is in Australia, not part of Canada, though we'd like it to be. :)
 
Tell your vet no thanks on the food - your cat won't eat it. And no thanks on the Alphatrak, the test strips are major expensive. I'm in Canada too, waving from the west coast, there are a couple popular meters, the Freestyle is one, Accucheck another. I think the Freestyle has the smallest blood drop requirement - been a while since I had to shop for one. A number of the major pharmacies will give you a free meter when you buy 100 test strips. And as a matter of fact, everyone used human meters before Abbott made and started marketing the AT heavily. Save your money, there are more important things to spend it on. Your vet has already shown to be a little out of date with feline diabetes.

And Ale - Bron is in Australia, not part of Canada, though we'd like it to be. :)
Ha! :D
 
The great news is you’re using Lantus which is a very good insulin for cats and affordable in Canada. The other great news is you found us just in time. Don’t worry, it will get better. Diabetes is a very manageable condition. Minnie went back up from 12 to 16 pounds and is doing great now so will Nani!
 
Thank you for the feedback. The AlphaTrak starter kit is about $94 CAD including tax. The strips are approx $100 for 100 strips. It is quite expensive.

I did ask the vet if I could start with the alpha trak for now and convert to a human one later if needed, they said ideally no because human ones are not properly calibrated for animals. But I do see a lot of people on this forum using human ones?

Thanks again, really appreciate your time and feedback.
The human meter just reads a bit lower than the alphatrak meter. Until the alphatrak came into being a few years ago all vets used human meters. Human test strips are much cheaper and Strips will be your biggest expense moving forward.
you will be perfectly safe using a human meter and can save the extra money for other things.... not trying to make you do this, just want to give you the facts.
So glad you have joined us. It’s a great community
 
@Red & Rover (GA) @Bron and Sheba (GA) one of you two is Canadian I can’t remember which sorry!

I am so grateful that it seems we have a fighting chance.

I'm the Canadian one. Welcome. Waving from Ontario. And yes, you certainly do have a fighting chance. Feline diabetes can be managed and is not a death sentence.

Yes, AlphaTrak strips are crazy expensive. Strips are expensive in Canada – period, compared to the US. But our insulin is much cheaper.

You will be going through more strips than you can imagine. For starters, you will need to keep an extra bottle in your hypo kit, switching them out whenever you buy more strips. Like Wendy said, you want a meter that takes the smallest drop of blood. The FreeStyle Lite is one of them. Most meters fall between 0.3 and 0.6 microlitres. 0.6 is twice a blood drop size.

Here is a diagram showing blood drop sizes.

blood drop size.png


Quite a few Canucks use the FreeStyle Lite. Strips run aprox $80/100.
A coupon for a free meter is here. Just don't tell them that the meter is for a cat.
There is a coupon for a free meter here. Just don't tell them that the meter is for a cat.
https://www.freestyle.abbott/ca/en/order/lite.html

To save money, some people bid on strips on ebay. Just be watchful of the expiry date.
You can also save up PC points and use them to buy strips.

And speaking of hypo kits, read these links. Print them off so you have them handy.

How to treat HYPOS - THEY CAN KILL! Print this Out!!
I don't want to make him worse by giving snacks but I know he is hungry... :(
And yes to snacks.

Feline diabetes is a steep learning curve. It will become second nature rather quickly. There are years and years of research, dedication, and the knowledge of people having lived FD 24/7 here at your disposal. We can help you help your sweet boy.
 

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I'm the Canadian one. Welcome. Waving from Ontario. And yes, you certainly do have a fighting chance. Feline diabetes can be managed and is not a death sentence.

Yes, AlphaTrak strips are crazy expensive. Strips are expensive in Canada – period, compared to the US. But our insulin is much cheaper.

You will be going through more strips than you can imagine. For starters, you will need to keep an extra bottle in your hypo kit, switching them out whenever you buy more strips. Like Wendy said, you want a meter that takes the smallest drop of blood. The FreeStyle Lite is one of them. Most meters fall between 0.3 and 0.6 microlitres. 0.6 is twice a blood drop size.

Here is a diagram showing blood drop sizes.

View attachment 56578

Quite a few Canucks use the FreeStyle Lite. Strips run aprox $80/100.
A coupon for a free meter is here. Just don't tell them that the meter is for a cat.
There is a coupon for a free meter here. Just don't tell them that the meter is for a cat.
https://www.freestyle.abbott/ca/en/order/lite.html

To save money, some people bid on strips on ebay. Just be watchful of the expiry date.
You can also save up PC points and use them to buy strips.

And speaking of hypo kits, read these links. Print them off so you have them handy.

How to treat HYPOS - THEY CAN KILL! Print this Out!!

And yes to snacks.

Feline diabetes is a steep learning curve. It will become second nature rather quickly. There are years and years of research, dedication, and the knowledge of people having lived FD 24/7 here at your disposal. We can help you help your sweet boy.
I won’t forget!!!
 
Hello everyone,

My sweet 9 year old boy had been losing weight and drinking a lot of water for the past few months. I assumed it was the extreme heat we dealt with this summer. I deeply regret not picking up on the severity sooner and I will carry that guilt for the rest of my life. This cat has had a really tough life, his previous owner neglected him which included things like leaving him alone for days at a time, not providing sufficient food and water and having a filthy litter box. When his owner was moving to a new city, I was able to adopt him and my life goal quickly became to give this cat the best life possible.. but now here we are. :(

Let me apologize in advance - this is going to be a long post.

So this past weekend, I brought him in for a check up to look into the weight loss, dry skin and hair loss on his back legs. I have noticed he would do things like rip his hair out when the vacuum was on, etc. I'm quite sure he suffers from anxiety as he used to chew wires but has since almost completely stopped and uses chew toys occasionally instead.

A few hours after the check up, I got the horrifying call that he either has kidney disease, cancer or hyperthyroidism. As you can imagine, I lost it. They wanted to do some extra testing to which I of course agreed. Several hours later, I got the call that his liver enzymes are high, blood protein is high (which could be inflammation or dehydration), high cholesterol and that his urine is very concentrated which was apparently a great thing since it means kidneys are working. What they did discover was he is leaking glucose and protein in his urine which is apparently a sign of diabetes? (there was no mention of ketones... only that it was leaking glucose)..They were also very surprised to see there were no abnormalities in the electrolytes. He lost so much weight and is a very tiny 3.3KG :(

They sent me home advising they highly suspect he is diabetic and provided Hills MD wet and dry food (which he will NOT eat!) They advised that I will pick up a prescription for Glargine the next day, with 1 unit to be given every 12 hours. However the next day, I was asked to do another test (can't remember the name..) to determine if his levels had been abnormal for the last few weeks or not - which I guess confirms the diabetes? So I did that test. Bad news followed and the vet was shocked to see his results showing that he has Ketoacidosis :( They said his body is basically in starvation mode and I either must start insulin immediately that night - OR he stays in the hospital to be given a feeding tube and liquids... which seemed strange since he LOVES eating and drinks a ton.. so I took him home and began the shots. The vet said this might be a rare case of "Healthy Ketoacidosis.." because he is still eating lots and also not vomiting.

He is about to have his 5th shot in a few hours, so far so good. He does seem a bit sleepy after the big meals and the shot - but the vet said she is comfortable with that and just to keep a close eye. It's so hard... I mean he is a cat.. they sleep all the time.

I will be picking up a glucometer ASAP - I am just SO exhausted, I have barely slept since Sunday and I knew driving would be a bad idea in this condition. Covid19 is making everything so much more complicated too. I don't mean to whine or complain at all, I am so grateful that it seems we have a fighting chance. I was very fortunate to have an understanding boss who allowed me to use vacation time and take the week off - but I am terrified to sleep or not have him in my sight.

The other biggest worry I have right now is that he used to be a grazer.. he would always have dry food (Purina Naturals) available and then wet food (Tiki Cat, Core Wellness, Royal Canin, etc). 2x to 3x daily.. along with lots of treats (which is I why I cannot help but think I am the one who made him sick.) So now the vet has instructed to give him food 2x daily before the insulin - that's it. For now, any food is fine since he won't eat the vet food - she said it's just more important that he eats so he can get the insulin. He's been begging for food in between meals and I have been giving him really small amounts of Pure Bites chicken every couple hours as he is clearly very hungry and it's tearing me apart know that on top of him being so small.

I just don't know what to do :( I don't want to make him worse by giving snacks but I know he is hungry... :( I did call the vet with this question and they said they can get back to me tomorrow. I'm just really overwhelmed and feel like I'm falling apart.

Thank you for reading through that.. it means a lot.

I think I can safely say for all of us who never had a diabetic cat before that it comes as a great shock and all the stuff you have to learn is overwhelming, especially for one who has never liked needles. It's great that you found this site so quickly (I believe it took me a few months). I took Chloe in because she had lost a lot of weight and was drinking a lot of water. To this day, I let her eat as much as she wants and she's now at a good weight. I will give her a can of low-carb wet food (What ever happened to that food chart? I know I saw it somewhere on here. I think it's under 'Food'.) I've been feeding her 9-Lives pate. Even though it's a cheap food, it's low carb and Chloe's done well on it. She's a bit of a diva (Siamese mix) and I have to feed her on my bed, but if I don't, my other cats will push her out of the way. I give her a can and then come back after awhile to see how much she ate. By then, the food has dried out, so I swish some water in the can and pour it over, cutting it up with the lid because it's usually schmushed against the side of the bowl. Then I present it to her again (on the bed) and she goes at it. If she doesn't finish it after this, I give it to my fat bulimic cat who eats anything and sticks his face in my food when I'm eating, especially when it's ice cream. My other cat will only eat dry food and my 4th cat gobbles up any left-overs. Do you have multiple cats?
 
Thank you, I really appreciate your feedback and I agree - he really needs to gain weight. I did mention it to the vet as well and they said the priority right now is to regulate him first - which I understand but I think the priority also should be getting him out of starvation mode.
Let him eat as much as he can until he gets back to a healthy weight. 9-Lives and Fancy Feast are low carb. Check out Lisa's Food List when you have time. I can't wait to see a picture of Nani!
 
Thank you, I really appreciate your feedback and I agree - he really needs to gain weight. I did mention it to the vet as well and they said the priority right now is to regulate him first - which I understand but I think the priority also should be getting him out of starvation mode.
Let him eat, let him eat, let him eat. oh, and btw, some cats never get regulated (like my Chloe who's been diabetic for over 3 years already. She went down to 7 lbs (about 3 kg) when she was diagnosed, and a couple months later, she was back up to about 12 lbs. (5 kg). She only became "regulated in the past month". Eating is good. I even feed her on my bed so the other cats won't shove her away.
I just realized that I said all of this in an earlier post. I'm getting senile. Sorry.
 
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