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RyanAmy02

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Hi Im new here. My kitty Carl was diagnosed with diabetes in Januarary after a struggle with hepatic lipidosis ( I may have spelled that wrong). anyways we went through that and came out with flying colors, feeding tube and all and I had no issues. Now we are still working on regulating his blood glucose. He is almost 9yrs old and we have been struggling to get the insulin to work for 4 months now. Im worried because we cannot seem to get it under control. Im glad I have found a site for support though, Im getting very frustrated. I feel like im not doing something right, but I dont know how else to help him.
 
first, welcome to fdmb :-)

next, tell us more about your treatment plan and we'll see if there's any tweeks we can help you with.

what kind of insulin?
how much at each shot?
what kind of food are you feeding?
and are you now or would you be willing to hometest?

how's that for a start :-)
 
Hi RyanAmy02, and, of course, you too, sweet Carl,

I just have three things to add to Cindy and Mousie's purrfect post -- and, please do answer their questions, okay?

1. Breathe. It's okay to be frustrated. Sometimes this is a frustrating disease! Sometimes it sucks! But, it's do-able.

2. Perhaps if you tell us your general location (no specifics necessary), one of us might live close and can teach you how to home test.

3. Spelling is not mandatory, particularly when it's late and you're worried.



I'm in awe of what you've already conquered. You can do this, RyanAmy02, you can do this.

Welcome to the place you never wanted to be; but, will be blessed for having found.

Love and encouraging hugs for you and Carl,
Deb and Nikki -- and, Giz, forever dancing in my heart, and who truly taught me this disease is do-able...
 
yes, things can and will get better. please fill us in on the details asked.
insulin? what kind?
dose? how much?
testing blood at home yet?
what are you feeding your baby now?

looking forward to hearing more about you and your sweet, extra sweet kitty.
Lori
and tomtom too!
 
Thank you so much for the responses! And most of all support! :smile:

Ok to answer the questions and then fill you in more on his background info. He is on ProZinc, 3 units every 12hrs, he is eating friskies canned food until friday when we are switching to fancy feast classic and we will be blood testing soon to get a curve going. I went to buy a monitor and everything but the only ones I could find were like $40 so I ordered one online, once I get the stuff we will start home testing to get the vet that curve so we can see if we need to change anything. Im also picking up a new bottle of insulin since my husband and children informed me that they have ALL knocked it out of the fridge several times. The vet is afraid this could have damaged it and maybe thats why Carl isnt responding to it. When we got his initial diagnoses he was started on one unit, blood tests a month later, moved up to 1 1/2 units, tested a month later moved up to 2 units, tested a month later moved to 2 in the morning and 2 1/2 at night. Now there is a new Doc at the vet who has more experience with diabetic cats I guess and he took over our case. He said first off they should have been testing him sooner than a month, put him on 3units twice a day and then, for the first time ever, talked to me about home testing. This was all just last week. He also told me Fancy Feast Classic may be better than the friskies due to lower carbs? So that is why I am going to switch him as soon as we get paid. Hes also addicted to his dry food, which I have taken away, but our other cat Kitka will only eat dry food. So I have trouble with trying to keep Carl out of it. Im hoping once we regulate Carls levels he will also stop peeing on my floor lol. Okay I think I covered most everything, if not let me know :)
Thank you,
Amy and Carl
 
Hi Amy,

Don't feel alone. My cat, Kitty, has been on prozinc since early Feb. and is also up to 3 units twice a day--with no true regulation happening. In fact, I am probably getting ready to raise it to 3.25 today. We were at 3.5 and went down to 3.0 when we started a new vial. The old vial had lost some potency and the new vial did help with her numbers.

You are very lucky to have a vet that is advocating home testing and experienced in treating diabetes--you are one step ahead of most. My vet thinks Kitty is going to become anemic due to my testing (lol).

The PZI board listed above in the insulin support groups would be a good place to go and introduce yourself and Carl. There is a great group of people there, using prozinc, that can help you with dosing advice.

Come on over to our PZI board-- and take the dry food up!!!

Kim and Kitty
 
Thanks Kim and kitty! Im glad, well not glad, but you know Im not the only one having this problem regulating his insulin and giving a high dose. My cat I had growing up became diabetic and never needed over 1 unit twice a day so I sort of panic with this new 3 unit dose. The dry food is up! He is MAD!!! lol. But its better. I was also never told anything about only feeding his twice a day. As Ive been reading I see that can be more beneficial. He begs all day for food and I feed him, but now Im going to try just at meal times. Hes going to get grumpy Im sure. Is your cat loosing weight? Since Feb. Carl has lost over 2lbs. This is one of the vets biggest concerns and another reason we need to get this regulated. In August he was 22lbs, we went through the hepatic lipidosis drama and he was down to around 14 after all of that and he was healthy again. Now he is at 11.9 as of last thursday. I just hope this meter and stuff comes fast so I can get started with home testing and get a curve.

Amy and Carl
 
Welcome Amy and Carl,

I can't help with the dosage part because my boy was a Lantus kitty,

But I can help with the food...It is actually better if you can to feed him and his sister several small meals a day. In fact until he is regulated he is literally starving to death because his body can't process the food he is eating.

I have 11 cats only one is a diabetic, and everyone here eats exactly what the diabetic eats...Friskies Pate flavors, the pate part is the critical the rest (stuff in gravy) are too high in carbs. And my fur-kids are basically free fed wet food, I just add about a 1/3 of a can of water to it when I set it out so that it says moist. Others here will used timed feeders or even freeze the canned food and let the kitties nibble on it all day as it thaws. In my case I'm home all day with mine so they are fed 4 times a day. but when I have to be gone for an extended period I also freeze some of their food, then frost it with fresh food so the can eat immediately and graze as the other thaws.

Mel, Max and The FurGang
 
You don't have to feed just at meal time. Actually, according to most here, it is better to feed small meals throughout the day. I feed Kitty one can of FF at meal time and two more small meals (1/4 to 1/3 can of FF a day). There are a lot more people here with more expertise than me--so I am repeating some of there thoughts! Many here will tell you to feed Carl what he wants (within reason) until he gets regulated, because he is not able to break down the food properly because of the Diabetes-- and he is actually starving!

Do you check for ketones? You might have already answered that--but if not, please consider doing it! It is cheap and until he gets more regulated, you want to be sure to catch any ketones early.

Yes, Kitty lost 2 pounds rather quickly. She only weighed 10 pounds initially and got down to 8. In the last month she has gain about a pound back. Carl will regain some weight also--I wouldn't withhold a lot of food from him. Just feed him low carb wet food. Have you checked out Janet and Binky's food chart? It has a breakdown of a lot of wet foods and the carb count--it is great for selecting foods.

Come on over to PZI land, you will get a lot of support and realize you are not alone.


Kim
 
Ok good, so now I dont feel guilty about the half of can I just gave him because he was tripping me and trying to get in the shower because he was hungry. I usually give him about 3/4can at shot time since he wont eat much more than that and he gets the rest a few hours later and then about half a can the next time he asks. Kitka has his food sitting upstairs on my desk so that he can eat at will, he isnt a big eater, but if I set a schedule he wont eat, he has to graze. Carl will not go upstairs so I figured this is the best place for the dry food. He had his ketones checked on thursday and there were none. The vet did mention checking at home, but I wasnt sure where to get those strips and all of that. Carl will be very happy that you let me know its ok to feed him more than at meal times.

Mel, Max and The FurGang,

Im interested in this freezing food that you do. Also I had patte for Carl from friskies and he just would not eat it. He was fine for awhile but then it was like "ok mom enough of this get me something else" So he has the flaked now, which he loves, but Im switching the Fancy Feast Classic. I forgot all about FF and I know he loves that, it actually used to be his treat and special meal on holidays. This freezing of the food sounds interesting though since every other weekend we leave for most of the day either sat or sunday and do a family day with our 3 kids. I always make sure we dont leave until after his shot and are home in time to give his next, but the feeding did concern me. If we ever go for more than the day he will be staying at the vet for sure.
 
Oh freezing it is easy. You know those neat little silicone muffin/cupcake pans? I just mix the water I normally add to their food, and fill up a couple of those muffin pans with it, stick it in the freezer and freeze. When frozen they pop right out and you can store them in a zip lock baggie in the freezer. Then when we are getting ready to head out, I take several of them out top them with the non-frozen cat food and set down.

Yeah all mine love Fancy Feast as well...but with ELEVEN I'm just not opening that many cans of cat food a day to feed little 3 oz cans....lol

Mel, Max & The Fur Gang
 
What are your thoughts on talking to your vet about changing insulin? I haven't seen any cats do well on ProZinc.

If it were my cat, I'd talk to the vet about Lantus (Glargine).
 
Dear Amy, and, of course, you too, sweet Carl,

RyanAmy02 said:
I went to buy a monitor and everything but the only ones I could find were like $40 so I ordered one online, once I get the stuff we will start home testing to get the vet that curve so we can see if we need to change anything.
Do you have a Wal-Mart, Target, CVS, or Walgreens near you? Many times they offer meter kits basically free after rebate. The kits usually come with 10 strips and lancets to get you going until the meter and strips you ordered online arrive. Do have Vaseline around (helps bead that tiny precious drop of blood on that wafer thin ear) and a sock with maybe a handful of uncooked rice (not instant) that you can nuke for maybe 20 seconds (depends on the sock and your microwave). (I usually knot the sock a bit above the rice bulge...) Just remember, Amy, a warm ear is a giving ear...


RyanAmy02 said:
Im also picking up a new bottle of insulin since my husband and children informed me that they have ALL knocked it out of the fridge several times. The vet is afraid this could have damaged it and maybe thats why Carl isnt responding to it.
This could definitely be a problem, although I admire their honesty...

Tip: Don't put the insulin vial on the fridge door. Keep it in its box (with maybe a little bubble wrap around the vial for padding) and stick it way back on a shelf in the fridge. It's been my experience with a husband, my dad, and a live-in beau, that anything way back on a shelf in the fridge will probably never be found, and, is therefore safe. I imagine it's the same with children... ;o)

(This phenomenon also works with cupboard shelves, in case you want to stash some chocolate or cookies you just don't feel like sharing... You know, when it's late and they're all asleep...)

I'm liking the new vet at Carl's vet office, by the way...


RyanAmy02 said:
Hes also addicted to his dry food, which I have taken away, but our other cat Kitka will only eat dry food. So I have trouble with trying to keep Carl out of it.
Hmmm... Cat food harmony... You could try weaning both Carl and Kitka off the dry food by mixing in a little canned food. Every meal or so, add a little more wet food to a little less dry food. It can take a couple of weeks or so depending on the size of the spoon you use (teaspoon vs tablespoon), and, of course, the cats!


RyanAmy02 said:
I was also never told anything about only feeding his twice a day. As Ive been reading I see that can be more beneficial. He begs all day for food and I feed him, but now Im going to try just at meal times. Hes going to get grumpy Im sure. Is your cat loosing weight? Since Feb. Carl has lost over 2lbs. This is one of the vets biggest concerns and another reason we need to get this regulated. In August he was 22lbs, we went through the hepatic lipidosis drama and he was down to around 14 after all of that and he was healthy again. Now he is at 11.9 as of last thursday. I just hope this meter and stuff comes fast so I can get started with home testing and get a curve.
Yes, "timed" feedings can be more beneficial. However, I'm going to humbly suggest, given his dramatic weight loss and HL drama, that you let him free feed for a while. Especially given his diet change... Carl's got a lot going on right now with changing insulin doses and food... You'll know more, Amy, when you start home testing; and, can then make better informed judgment calls regarding what feeding schedule would be best for Carl.

Love and continued encouraging hugs for you and Carl -- and Kitka, hubby, and children too!
Deb and Nikki -- and, Giz, forever dancing in my heart...



Dear Kim, and, of course, you too, sweet Kitty,
kse said:
My vet thinks Kitty is going to become anemic due to my testing (lol).
ROFLMAO!!!!! Long ago and far away, I took my meter and test strips for Gizzie's weekly Sunday +6 BG test with her wonderful ER vet, who I will forever love and be grateful for. (But, we'd had our home testing dialogue moments... It was 2003, after all...) She did the dreaded leg draw and I just whipped out my meter, stuck in a test strip, and asked for a bead of blood. She looked at me like I was nuts. Told her, I'm only asking for one bead of blood. What are you going to do with the rest of that tube you just filled? She responded by dropping one bead of blood on the examining table. Her meter read 495. Mine read 487. That was such a HUGE day dancing with Giz... HUGE!

Love and hugs for you and Kitty...
 
or equally wonderful...levemir.
but if your useing pro zinc our group there will be happy to walk you thru every step.
some kitties do better than others.
 
I dont know what is with the area I am in or what, I looked at our base BX and they had nothing so I went to target, walmart and walgreens. Walgreens was less than helpful and I left mad because they thought it was hysterical that I wanted it for my cat and walmart and target just didnt have the kits like you are talking about and only had more expensive meters. Im just hoping what I ordered doesnt take long. Thank you for the tips on getting the blood out too, there is a tech at the vet who does all of the testing there and I believe on her own cat so I was told once I get it to call and she can show me real quick. So thats good.

I could knock my husband upside the head for dropping the bottle as he said "more than a few times". He wasnt here when Carl was sick though and I really got attached to him when I had to do tube feedings every 2hrs on the dot and he was getting medicine 6 different times a day. It was a struggle that my husband only listened to through crappy phone lines in Afghanistan and he doesnt seem to see how important it is to get the diabetes on track. Anyhow Im going to be keeping it in the drawer with the lunch meat now since Im the only one usually in there. Not sure why I didnt think of it before. And I do hide my Milano cookies inside my crock pot :cool:

He doesnt mind the wet food but seems to want both. When he was not wanting the patte I was putting a few pieces of dry food on top, like sprinkles on ice cream. Seemed to help a bit. Im feeding him on demand I guess you could say. When he start meowing at me or trying to eat food out of my hand I feed him. Already today he has had 1 1/2 cans and is napping happily behind me. Im sure when he wakes up he will want to chase the laser pointer then eat again.

Thanks so much for the input!
Amy and Carl :-D
 
Oh and on changing the Insulin, I have mentioned that. Even told them the specific brand my mom used (which was also a good bit cheaper) but they seem to only want to use the ProZinc. I think if the new bottle isnt helping Im going to demand we try a change.

Amy and Carl.
 
Making wet food tasty. Some add parmesian cheese, I use shredded cheedar, I also use catnip. Vinney was the holdout in my family about switching to wet, found he likes wet best when diluted pretty much to gravy consistency. Maisey did fine on ProZinc and once we got the dose right, wasn't on long.
Wal-mart's around here have the diabetic supplies on a small free standing unit near the drop off area of the Prescriptions section. Don't ask for help, most of the workers are clueless. It was also save for me to leave dry for him, because he's the only cat who likes high places, so his dishes are up high.
We do the freeze in silicon cupcake forms. I mix canned and water and sometimes chunks/chopped chicken or fish.
You've gotten over the biggest hurdle. Everyone here will help you.
 
Kathyh, I wasnt sure if It was ok to be letting him have some pieces of chicken, turkey and fish, but he tries to litterally take them off of my plate when I eat, which is unusual for him. So before I add anything to it Ive been taking a little and letting him have it or tossing it down with his food. I will try the parmesan cheese if he is still giving me a hard time with the patte and adding water as well, I think some of the issue is how thick it is.
 
Dear Amy,

Army brat here, long ago and far away, so was used to PXs... It's a completely different world, isn't it?

RyanAmy02 said:
I dont know what is with the area I am in or what, I looked at our base BX and they had nothing so I went to target, walmart and walgreens. Walgreens was less than helpful and I left mad because they thought it was hysterical that I wanted it for my cat and walmart and target just didnt have the kits like you are talking about and only had more expensive meters.
Back in Gizzie's early dancing days, dear Amy, NJ didn't require a scrip for the insulin she was on, just the syringes... Had a scrip from her ER vet for insulin so the pharmacy would understand the need for syringes. Welcome to a metropolitan civilian area!

Anyway, the pharmacist looked at me strangely when I was picking up her syringes; and, actually asked, "Why wasn't Gizmo (last name) picking up her own prescription?" Well, Amy, there were a lot of potential things to say: she's my cat; she's just been diagnosed diabetic; I'm an emotional train wreck; did you not notice the DVM on the scrip... But, you know what I said and I swear I said it? "She's too short to see over the steering wheel." It just popped right out of my mouth...

Emotional overload can cause one to cut right to the chase...

On behalf of other pharmacists in Northern NJ, when Giz's insulin was discontinued, had more than a few who would hold those precious vials for her, because they knew I was making the rounds. Better yet, they knew she was a cat!



RyanAmy02 said:
there is a tech at the vet who does all of the testing there and I believe on her own cat so I was told once I get it to call and she can show me real quick. So thats good.
Bonus! There's nothing like hands on and holding to help you on your way to being proactive... Call her when you're ready!



RyanAmy02 said:
I could knock my husband upside the head for dropping the bottle as he said "more than a few times". He wasnt here when Carl was sick though and I really got attached to him when I had to do tube feedings every 2hrs on the dot and he was getting medicine 6 different times a day. It was a struggle that my husband only listened to through crappy phone lines in Afghanistan and he doesnt seem to see how important it is to get the diabetes on track. Anyhow Im going to be keeping it in the drawer with the lunch meat now since Im the only one usually in there. Not sure why I didnt think of it before.
Dearest Amy, your husband has a lot on his mind, like keeping safe... Please cut him some slack, although I think it's good that you're reminding him of the real world... Where he is, is probably unimaginable to most of us so the real world comes to have new meaning... It's a reminder of home...

Personally? I think it's brilliant you chose the lunch meat drawer! Safe. Out of sight.



RyanAmy02 said:
And I do hide my Milano cookies inside my crock pot :cool:
You are a cookie goddess!



RyanAmy02 said:
Im feeding him on demand I guess you could say. When he start meowing at me or trying to eat food out of my hand I feed him. Already today he has had 1 1/2 cans and is napping happily behind me. Im sure when he wakes up he will want to chase the laser pointer then eat again.
He's eating? He's playing? YAY!!!!!!!!!!




Dearest Amy, I feel your stress. But (and sometimes buts are good!), you are managing this better than you ever imagined. Now, just imagine when you're home testing? Insulin will be stashed. Milanos are already stashed (crock pot? sheer genius!!!). You are so good to dance!

It'll be okay, Amy. It'll be okay. Once you're home testing, you, who knows Carl best, will have the knowledge to make proper dosing and insulin choices. And, this Board will help you help Carl.

Love and continuing encouraging hugs for you all,
Deb and Nikki -- and, Giz...
 
The military is a whole separate world. I havent even left base since Sunday lol. Sometimes I forget I can go farther since I dont need much I cant get at the BX and commy. Anyways onto Carl, he is playing a bit and eating like its going out of style. I cant wait for the insulin or something to give and fix this so he can finally feel full and good again. With HL he was lethargic all the time. After about a week he jumped up on the couch with me and I cried bc I knew it took effort for him to do that. Then a few weeks after the tube came out he took off out the door after a squirrel and when I was done screaming and chasing him I hugged him and hugged him because I knew it meant he felt good! So I know his energy is a positive thing. Or walmart Pharmacy was helpful all be it a bit confused as to why I would be going through the trouble for a cat (he clearly doesnt have one). But he was very helpful and told me the syringes can be bought there and they are $12 cheaper than the vet so that is good. My mom got her insulin from walmart as well, but thats up in ohio. Oh and the hubby is home, he gets no slack now lol. He gets to go on a trip just to jump out of planes with foreign military soon, Im jealous of his travels. But state side he repairs generators and jumps out of planes so I cut him no slack. His assignment here is pretty laid back, I only cut slack on deployment ;)

Thank you so much for the kind words, they are really what I need to be "hearing" right now :smile:
 
I also posted a hello and welcome on your PZI post. Just wanted to add...

It's great that your vet advocates home testing and that your vet tech can help you learn. Be sure to come back and ask if you have any questions. We all have different tricks that were worked for us and our kitties. A low carb treat right after the test helped me with Max. Here's a link to some low carb treats good for diabetics. Max loves Beefeaters.
http://felinediabetes.com/FDMB/viewtopi ... =14&t=9172
 
Hi and welcome to FDMB.

You have already received some great advice, so I am not going to repeat it. I do have a suggestion for protecting your insulin though. Place the vial in an empty pill bottle and keep it stored in it. Wrap either a cotton ball or napkin around the vial before placing it in the bottle to make it very snug. When you draw the insulin, you only need to pop off the top.

This way the vial is protected and will not break if dropped. I also keep my insulin in the top crisper drawer to keep it from accidentally being knocked out of the refridgerator.
 
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