Newbie - controlling with diet

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researchnerd

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Hi all. I was really delighted to find this site with real info from real people. I've been reading for a while but finally decided to jump in and say hello. ~O)

Our diabetic cat is Chelby. He's a rescue, so we know very little about his past, but the vet thinks he's 12-15 years old. He's missing a few teeth, he has the classic plantigrade stance, and he's had a couple of falling-down episodes that may have been seizures, but I never really connected these things until he suddenly became obsessed with water -- he started glaring at me in the shower, and lurking below the ice dispenser on the refrigerator. I also noticed that his pupils were so dilated that I couldn't see his beautiful blue eyes any more. Off we went to the vet, who tested his BG and did a fructosamine test, both of which showed very elevated sugar (in the 300s). We went back a few weeks later for a recheck, and it was in the 400s.

My husband and I have been eating lowcarb for several years, and it reversed his Type II diabetes (he is OTJ!), so I asked the vet if we could try controlling Chelby's diabetes with diet. I am OK with home testing and injections if that's what it takes to make him healthy again, but if I don't have to poke my kitty with sharp things twice a day, we will all be less stressed. The vet thought it was worth a try before getting on the insulin rollercoaster.

We began with the DM dry food, which did nothing. We switched over to the DM canned food, and that helped some. He's no longer water-obsessed and is back to drinking normal amounts, and his eyes look better. However, he now has awful diarrhea and he's constantly hungry. I feed him 3-5 times a day but he's losing weight, so I suspect the food is moving through him so fast that he's not getting nutrition. I took him back to the vet last week and they tested him for giardia and other parasites, but everything came back negative. They retested his BG and did another fructosamine test -- and this time, they were both LOW (in the 70s). So the DM food may be working in terms of controlling the diabetes, but I suspect our Chelby can't tolerate it.

I have read through the food lists here, and this weekend I'll get some LC Fancy Feast and Friskies to see if we can find something better quality (and less expen$ive) than the DM. Chelby's not a picky eater, so we just need to find something that keeps his sugar levels low and doesn't give him diarrhea. If anyone has recommendations I would welcome them.
 
Chelby is a very handsome fellow! Good for you - doing your homework and finding this board. What a resource you've stumbled into! And even better if you're one of the lucky ones that never even has to go ON the juice!

Grayson has only been on the board for ~ 2 months, and we changed to canned before starting insulin. Still trying to work the bugs out w/ his doses...I keep reminding myself Rome wasn't built in a day... but you know how that can go!

Anyways, welcome! Feel free to post questions as they come up or jump in if you see something on someone else's thread. It's great to have all these folks "in the trenches" that have wisdom to share!

Lu-Ann
 
Hi, you are doing a wonderful job with Chelby! I definitely recommend learning how to test him at home. It's very easy, and I was able to do it with my former feral, Seasaidh, who had frost-bitten ears. Even if you are able to manage Chelby's diabetes with diet, you will want to check him periodically. Seasaidh was a persnickety dry-food addict, but when I finally got him eating FF canned I got his bg down to where he didn't need insulin anymore.

Definitely dump the DM from Chelby's diet. Seasaidh tried it per the vet's advice, and it naturally it didn't work. Fancy Feast is a yummier and less expensive alternative, and we've gotten lots of cats off insulin with that.

I wish you all the best. Keep up the good work!
 
Thanks so much for the encouragement. It really helps to have so many experienced people as a resource!

Lu, Chelby is indeed a handsome boy, and he knows it. He's skinnier now than he was in my avatar pic (poor boy is down to 6.5 lbs) but hopefully we'll get him back to his old 8-9-pound self again soon.

Heather, I think you are right about learning to test him at home. Thank you for the suggestion!
 
Chelby is certainly a cutie!

Good luck with the diet change. Beauregard started insulin immediately upon diagnosis, and I often wonder what the results would have been if we had tried diet change first. He only needed insulin support for six weeks, and I'm convinced it was that long because it took nearly three weeks weeks to get him completely switched over from the kitty crack...err...dry food. But, with that slow diet change we thankfully avoided problems with diarrhea (he had a history of those kinds of problems and it was my biggest fear).

Definitely start home testing as soon as practical. If you do need go with some insulin support, home testing will keep Chelby safe, and will save you a lot of money because the weekly trips to the vet for testing won't be necessary. I don't think testing ever really becomes "fun" but after a few days it becomes just another part of the daily routine and is very manageable.

Good luck!
 
Hello! You're definitely taking things in the right order. Diet change is an important first step. Some lucky kitties don't end up needing insulin with diet change alone, but most need some for a short time to give their pancreas a little time to rest and heal. You mention that Chelby has the "plantigrade" stance, and some falling down, which indicates diabetic neuropathy. If he's showing neuropathy, he's most likely going to need insulin. There is a supplement, Methyl B-12, that does wonders with cats with neuropathy. Just make sure you get Methylcobalamin B-12, and not the regular B-12. Here's a link where you can purchase it: http://www.amazon.com/Vitacost-Vita...TY/ref=sr_1_13?ie=UTF8&qid=1321902675&sr=8-13. Recommended dose is 3000-5000mcg (3-5mg) a day, and you can't overdose it, so these capsules once a day work out great. You just open one up and mix it with his food. Here's more information about neuropathy: http://www.laurieulrich.com/jasper/

Learning to hometest is your next step--while it seems hard the first week, if you give a low carb treat after each test, most cats learn to tolerate or even enjoy it. Here's some links for home testing: http://felinediabetes.com/FDMB/viewtopic.php?f=14&t=287. You just need to get a glucometer that takes a small sample of blood--many people here use the Relion Confirm or Micro from Walmart because they are inexpensive and pretty reliable. They have the cheapest strips you can get in a store, and you go through a lot of strips so that's a great bonus.

Finally insulin--there are three insulins that are great for cats: Lantus, Levemir, and PZI/Prozinc. Lantus and Levemir are two human analog insulins that you would need a prescription from your vet to get, and PZI you would purchase directly from the vet. Personally, I would recommend Lantus or Levemir because they have a higher remission rate (84% in newly diagnosed cats), but PZI might be better if you can't shoot consistently 12 hrs apart. I've attached an article that discusses the remission rate and treatment guidelines with Lantus (Levemir works the same way).

Good luck! I would start insulin sooner than later. If the diet change is going to work, you'll see a significant drop in numbers within the next few days (which is why you might want to run out and grab a meter). If not, you want to start insulin therapy as soon as possible--studies have shown that the faster you begin treatment with an insulin like Lantus, the more likely are your cat's chances of becoming diet controlled.

Here's a link also the the AAHA diabetes guidelines--it's also a great document to give to your vet if they don't have it already: http://www.aahanet.org/PublicDocuments/AAHADiabetesGuidelines.pdf
 

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