New to this, want to hear your thoughts

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beckyd13

Member Since 2015
My big kitty cat Oliver was diagnosed with diabetes this past January. We caught it pretty quickly, just as his glucose numbers were climbing over 10. Oliver is a big, indoor, male cat. He is overweight, weighing 28 pounds. The vet claims he is meant to be a bigger cat, but his weight should be between 20-23 pounds. Other than his high sugars, and weight, he is otherwise healthy (or so the vet claims). We feed him twice a day---a half a cup of expensive-supposed-to-be-good-for-him dry food and a quarter of a can of store brand wet food. We give him insulin shots twice a day, every 12 hours. The current dose is 3.5 units.

Now that you have some background information, I need some help! Oliver was doing really well at first. His sugars were consistently under 10 the first two weeks he was on insulin at a dose of 1.5 units. His water intake decreased and he was using the litter box at a normal rate---small pees, one or two poops a day. When it came time to do the third curve, his numbers were really high---all consistently above 15 and sometimes even in the 20s. And of course the symptoms returned. Now, it's March and his numbers are still consistently above 15, and sometimes in the 20s even though we're now at a dose of 3.5 units.

Oliver also, annoyingly, no longer wants to poop in his box. He has become an extremely dirty cat, and it has become exasperating keeping my apartment clean. He doesn't even poop near his box. He poops wherever he wants. He also likes to scoot now after he poops, and about once a week he becomes extremely uncomfortable and ends up getting diarrhea. The diarrhea usually only lasts that day, and disappears again only to pop up in another week or so. I told my vet, and she suggested that I put another litter box in a different part of the house. That didn't work. He would just poop where he wanted. She suggested that I clean his bum since he may be having trouble reaching that area since he's so big, and to put vasaline on the area. Even though I religiously do this every day, it isn't working either. The scooting is still continuing.

My vet knows all this, and just keeps insisting on increasing the dosage of his insulin, and I'm starting to get frustrated because I'm not seeing the results I initially did. I'm trying to stay positive though... just wondering if anyone else has had similar experiences. I'm starting to think he might have a thyroid problem...

I'm also worried that I'm not feeding him enough, or feeding him too much. He seems happy and doesn't beg for food. I've asked the vet how much I should give, but they just throw calorie numbers at me, and of course, they don't list calories on cat food cans or bags... so I'd really like some advice on this too.
 
Hi Becky and welcome to you and Oliver.

I'm sorry to hear that you're both having such a time of it at the moment.

It would help if you could let us know:

- the type of dry food Oliver is eating.

- the type of insulin you're treating him with, and also in what steps the dose was raised from his initial 1.5 units to his current 3.5 units. (sometimes too much insulin can cause high numbers).

- do you home test his blood glucose or were the BG numbers above recorded during a curve at the vet's?

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This "He also likes to scoot now after he poops," can be an indications of anal gland problems.
I would start home testing his BG because maybe his BGs are not under control. Testing at the vet can rise BG by 6 points or more because of vet stress.
The dry food is not best an a commercial canned, low-carb food is best and less expensive. If you switch to a low-carb canned then the insulin needs will likely be reduce and thus home testing is highly recommended.
Where are you located so we can recommend low-carb commercial foods since bu your BG values yo are not in the USA
What insulin are you using?
 
I have done home testing from the beginning (none of the curves were ever done at the vet's), so no obscured sugar readings from that. The dose was increased by half units each time. I keep a journal, and for about 3 weeks everything was going great, and then the symptoms came back quickly, right out of the blue and the dose was increased basically every 2 weeks by half units. The insulin brand is Lantus.

The brand of dry food that I feed Oliver is called Wellness Complete Health. Wet food is Friskie's Chicken Pate. He seems to get diarrhea immediately if I switch the flavours of wet food, so I've been sticking with one kind. I live in Nova Scotia, Canada, and we do have most of the same brand names as the US. Luckily there's a specialty pet store in town so they carry a lot of obscure supposedly higher quality brand names, too, if you think he should be on a different kind of food.

Before Oliver was diagnosed, he was on a completely dry food diet and free fed. At the time I had no idea how absolutely horrible this could be for cats. I did try to switch him cold turkey to just wet food, and honestly this would have been around the time his numbers were good. I felt like I wasn't feeding him enough though. He would beg for food, or just simply be bad to get my attention, and would run to his food dish. Both my boyfriend and I work shift work, so it's really difficult to feed him consistently more than twice a day. I thought it would be better if he had some dry food to free feed from throughout the day. My vet insists that dry food isn't completely bad for cats, but I honestly think that this has caused his higher sugar levels. My vet says that I shouldn't be switching around his food a lot, and that I should be consistent, so I've hesitated going back to wet food, and have just hoped his body will get used to having some dry food. Even when he was just eating dry food his sugar levels weren't as high as they are now.

I'd be really happy to go just to wet food. It's so much cheaper. I spend almost $30 every couple of weeks on dry food. If I do switch to wet food, how much wet food should I give him if I feed him twice a day?

Thank you so much for your quick responses. I feel better just talking about all of this!
 
I recommend that you create and use a spreadsheet to record your BG and other information and publish in your signature using these instruction
http://www.felinediabetes.com/FDMB/...ate-a-ss-and-link-it-in-your-signature.130337
That way we can see what is happening and thus make suggestions.
The rule-of-thumb amount of food is about one 6 oz can a days. However, since Oliver is a big cat more is likely required. he test is to periodically weigh Oliver and see if the weight is doing what you want. Increase to gain weight and decrease to lose weight.
 
I don't know if you can find the Evo brand cat food, but they have a dry ( my cat Goof will vomit wet food every time, too rich maybe?) that is 12% carbs. I order mine from a site called chewy.com, I don't know if they ship to Canada, but it cant hurt to check. A cat that isn't feeling well will very often show it by pottying wherever they feel like it, and that can be a hard habit to break! Maybe for some reason he no longer likes his litter, sometime companies start adding more deodorizers and it gets too strong for the kitty. if you're using a new litter, he just might not be happy with it."
 
No new litter... using the same litter since he was a kitten. I will definitely check out that chewy.com site! Thanks!
 
I had a cat that was having "accidents" outside of the box, and not the pee kind. I went through the whole trying to see if it was something in her diet thing as her stools were really loose. Also took her for diagnostic testing and they couldn't find anything. I added a litter box with Cat Attract litter and there's been nothing going on outside the box since. Don't know if it would help you, just letting you know what helped me.
 
Hi Becky,

I'm glad you feel a little better for having someone to talk to about your worries over Oliver. :bighug:

Both my boyfriend and I work shift work, so it's really difficult to feed him consistently more than twice a day. I thought it would be better if he had some dry food to free feed from throughout the day.

A timed feeder could really help you to develop a consistent feeding schedule. Lots of members here recommend the Petsafe 5 feeder. (Can be used with both wet and dry food.)

Is there anything that coincided with the deterioration in Oliver's numbers after the first few weeks of good numbers (e.g. different food, different feeding pattern?).

BTW, has your vet physically examined Oliver since the inappropriate pooping and scooting behaviour started? It's such a huge behaviour change. If my cat were doing similar, I'd want to get her thoroughly checked over physically to be on the safe side.
 
I've used Fresh Step litter forever, and I've noticed in the last year that its sooooo much more dusty. I've tried the new, light weight dust free
stuff, but it tracks everywhere...even in my bed! Sometimes they'll change something in it that make not desirable to the kitty anymore. I
hope you can figure it out soon, I know what a nightmare that can be.
 
If it is an anal gland problem, as possibly indicated by the scooting, I've found that using a warm wet compress on the area to loosen up any stuck/dried material can be helpful. I usually just do the compress for as long as the cat will allow. Cats do not appreciate warm wet compresses, but it is something to try that doesn't cost anything and won't do any harm if it doesn't work. If it does allow the anal glands to discharge you can just wipe the output with some tissue until it stops.
 
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