Newbie - Meters, Sheets, and Food

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kphmitten

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Manny (avatar) is an 8-9 year old "fake" maine coon. He was bought at a pet store, labeled as a maine coon and while he has some traits he doesn't have some of the most obvious ones (ear tufts for one) so I call him my "fake." I rescued him in fall '06 from a couple who also had another cat that they wanted to get rid of because they were afraid Manny (named Fluffy) would suffocate their child. The mom was a nutritionist and Manny weighed a whopping 36lbs when I brought him home - now see why I say we rescued him? I'm almost positive the real reason is because the cat he came with is slightly crazy in that stereotypical calico way.

Through a very slow process of diet, exercise, ups and downs he is now down to 16lbs as of December '10. In November we had a cat suddenly become ill - he ate in the morning, wasn't keen on night, and refused to eat entirely the next day. Taking him to the vet they said it could be multiple things - one was diabetes but he was also fighting possible organ failure; he had rotting teeth when I found him, we had them pulled, but it's also very likely the tartar finally caught up in the bloodstream. Unfortunately, Boo didn't make it but having seen the signs the vet looked at for him we realized Manny displayed quite a few of the signs. We took him in and surely enough Manny is diabetic! Really, considering he was past ridiculously obese four years prior it wasn't a surprise.

We initially started 1u Humulin 2x daily. After the second testing we've bumped him to 1.5u 2x daily. We still have a few weeks until the next blood test. I've recently learned about this site and home testing. I'm wondering if I should start now or wait until after the next appointment to talk to the vet. I know some vets are hesitant on home testing and I'm not sure if my vet does or doesn't fall in that category but I doubt she'll be entirely surprised. I think since we get the insulin at WalMart that the ReliOn meters seem like a good fit for us since we can get everything in one stop then. A lot of people here seem to like them, so we'll give it a whirl. Opinions are certainly welcome though!

I've glanced at peoples spreadsheets but they look like a bunch of colors and numbers. Where do I start? What values am I looking at/for? Will those values pop right up on the glucose meter or is there a formula?

Manny has been on Hill's W/D for about 2 years now for a few reasons. It helped get his weight down and he has always had problems with runny, stinky poo and this is one of the only foods we've found to work at somewhat solidifying. He does not have coccidia or any other bacterias; I vet assisted for a few years so I took multiple random samples to test and had colleagues test them and nothing out of the ordinary came of it. Trust me, I've been wanting to switch his food to something at least "decent" since all my other cats are on good quality (cats eat Taste of the Wild mostly, dog eats Taste of the Wild/Wellness mix). My cats do eat dry food primarily. At this time it's simply not economical for six cats to eat wet food and I personally don't trust fancy feast/friskies as regular diets. One cat is feasible (he'd be on Wellness most likely) but the huge concern with Manny is keeping his weight low (a cat his stature should be ~18lbs) and his stool relatively solid. Has anyone had these types of problems in their diabetic cat and what worked? I know we tried FitaFlora or whatever the "bacteria powder" food supplement is when we first had him but I can't remember if it worked or not.

I know this is long and I appreciate everyone that has taken the time to read and definitely everyone who replies!
No worries, I won't do the food switching until I've figured out the meter and spreadsheet.
 
Welcome to the FDMB Family.

First off congrats on wanting to home test. I personally use the Relion Micro to test my own Sugarcat Max. It works great. And yes you use the numbers that just pop up on the meter.

I will tell you that Humulin is a very old school insulin and doesn't work very well in felines. It hits very hard and wears off far to quickly. Better choices while more pricey are Lantus, Levermir or even PZI, which have a more gentle onset and a longer duration.

I also feed 11 cats of which only one is a diabetic who is now in remission. I feed everyone here exactly what my diabetic eats which is Friskies Pate flavors. With 11 this works for us, and has far better ingredients than the prescription stuff. Even my non-diabetics are doing fantastic on it. They are sleek, soft and shiny with more energy than before when they were on all dry food. My one that had food allergies also had those clear up once he came off the dry food, sadly he passed a few months ago due to a brain tumor.

As far as the ranges go for blood sugar in a cat. Normal for a non-diabetic is between 40 and 120, my diabetic averages in the mid 60s.

Others will be along shortly I'm sure with a ton of links and questions for you. So hang in there. Just want to pop in before I head off to bed to welcome you to the family.

Mel, Max & The Fur Gang
 
Hi, just wanted to say "hi" and welcome. Others will be along to advise you, but for what it's worth, my Tessie Lou is obese and newly diabetic, and I've been struggling with finding a good wet low carb food for her that works. She was on Royal Canin High Fiber for two years (probably what got her obese and diabetic). It DID, however, control her runny stinky poop. Now, the best thing I've learned here to help provide fiber in her diet is pure canned pumpkin. Tessie loves it, and gets a scant teaspoon daily after a meal. Right now she's on Merrick brand canned, which is about 5% carbs and not as high in fat as Wellness, but I know lots of people here really have good luck with Wellness. The vet has Tessie on a 10 oz per day diet but so far she hasn't lost a bit. I think that's amazing that you got Manny down from 36 lbs to 16--wow!

Good luck, and glad you're here. It's a great place for advice and support.
 
Thank you!

How much do the other insulins run approximately? So far I've been lucky enough to use our healthcare card for everything.

It took four years (4 years doesn't sound long but 48 months sure does!) to get Manny down 20lbs. There was nothing more frustrating than putting him on the scale to see it hadn't even budged! All the cats are on feed schedules and separated so that definitely helped keep him from stealing. It was hard to find something he would play with - for a long time we'd just pick him up, put him on the other side of the house so he'd have to waddle back to his favorite sleeping spot. We did find out he liked laser lights and cat nip. Still, I'm paranoid that he'll creep back up on the scale but I'll look at the Merrick since I know my pet store carries it.

Manny and I definitely empathize with Tessie Lou and you (hoo hoo! - couldn't resist).
 
Lantus with is what Max was on ran I think in the neighborhood of $125 for 5 cartridges but each cartridges should last you about 2-3 months as you can use it to the last drop. Not sure since I adopted Max from DCIN (Diabetic Cats In Need) and they supplied his insulin, which he only used for about 2 weeks before going into remission.

Mel, Max & The Fur Gang.
 
That's great that you want to start home testing. You don't have to wait to get your vets approval to start home testing, it's your cat right? :) I use the Relion and love it - cheap and easy.

I would highly recommend beginning to transfer all of your cats to an all-wet food diet, but be aware that switching to wet food will decrease the need for insulin so you should get comfortable with home testing first so you can keep an eye on the blood sugar levels. Sure, dry food is cheaper - because it's filled with garbage. Wet food may cost a couple extra bucks a week, but it will save you money in the long run with less trips to the vet because your cats will be healthier. Many cats (mine included) even go into remission simply by switching to a low-carb wet food diet, which means no more expensive insulin, needles, vet trips every few months for glucose curves and fructosamine tests. And actually, if you're feeding your cat Hill's food it would probably be cheaper. Fancy Feast "classic" varieties and Friskies pate varieties are a good economical choice (that's what I feed). Or you could get the more expensive Wellness or EVO foods. Hill's isn't a very high-quality food, I still don't understand why they sell it at vet hospitals.
 
When I was a vet assistant I was "encouraged" to push Royan Canin and Hills prescription food..

I was really bad about recommending Wellness, Taste of the Wild, Evo, Innova, etc. :-D
 
kphmitten said:
Thank you!

How much do the other insulins run approximately? So far I've been lucky enough to use our healthcare card for everything.

Most of the other insulins are more expensive than Humulin, but there are ways to cut the cost. If your vet prescribes either Lantus or Levemir, ask for the prescription for either the pens or cartridges. The initial cost is about 1 1/2 - 2 times a single vial, but you get 5 pens/cartridges in the package. With a vial, you end up throwing a lot of it away because it becomes ineffective long before you will use it up - average use is 2-3 months per vial. The pen & cartridges last the same amount of time, but because it is a smaller quantity in each pen & cartridge, you will use almost every drop. One prescription of the pens or cartridges will be enough insulin for most cats for almost a year or possibly more. There is also a discount card in the Supply Closet that will save you $25 on your first prescription of Lantus if you live in the US.

As for food, I have 8 cats with one of them diabetic. I also feed them Friskies pate flavors. Several of my cats were overweight when I switched to all canned food. Now all of them have nice sleek bodies. :mrgreen:

I also use the Relion meters. I have had several diabetic cats over the year and highly recommend this meter. I have always been please with the way it works.
 
kphmitten said:
I've glanced at peoples spreadsheets but they look like a bunch of colors and numbers. Where do I start? What values am I looking at/for? Will those values pop right up on the glucose meter or is there a formula?


The spreadsheets are used to track blood glucose levels. The color of the cell corresponds with the code key: black is for blood glucose levels over 500, red for levels between 400 and 499, etc. When you type a number into a cell, the cell automatically changes color according to the code key via the color rule settings that have been "built in" to the template.

Instructions on how to set up your own spreadsheet are here: viewtopic.php?f=6&t=18207

If you test your cat's blood glucose levels at home with a meter, the meter will give you the blood glucose number. Put that number into your spreadsheet.

You ideally want to get your diabetic cat's blood glucose numbers into a more healthy normal range of about 60 to 150 mg/dl. This will take time to achieve with insulin and diet so don't get frustrated. When you get your spreadsheet going, you'll be able to see how well the insulin and dose is working or not. You can share the link to the spreadsheet with your vet and make treatment decisions based on that.
 
kphmitten said:
Thank you!

It took four years (4 years doesn't sound long but 48 months sure does!) to get Manny down 20lbs. It was hard to find something he would play with - for a long time we'd just pick him up, put him on the other side of the house so he'd have to waddle back to his favorite sleeping spot. We did find out he liked laser lights and cat nip. Still, I'm paranoid that he'll creep back up on the scale but I'll look at the Merrick since I know my pet store carries it.

Just to let you know, two other people told me Merrick caused their cat's numbers to rise, and one cat had an allergic reaction (itching), but so far that hasn't happened with Tessie Lou. She loves it, esp. Grammy's Pot Pie and Cowboy Cookout and Surf and Turf.

kphmitten said:
Manny and I definitely empathize with Tessie Lou and you (hoo hoo! - couldn't resist).

:lol: :lol: :lol: Ok, since you opened the door to this rhyming thing...One of our songs goes something like, "Tessie Lou, Tessie Lou, How's your Poo?" to the tune of "If You're Happy and You Know It, Clap Your Hands." Only my version goes, "If it's runny and you know it, then your paws are gonna show it..." You get the drift--yep, we're a weird bunch alright! :lol: :lol: Poop is serious business though, really.... ;-)

Just so you know, we call our daily posts here our "condos." Come and visit our condo anytime and we'll do the same for yours!
 
Welcome! You have a gorgeous cat, fake or otherwise! Kudos on getting him to lose all that weight. Home testing is very important. It is the only way to really keep him safe. Otherwise you don't know how low the insulin is taking him. You will need a human glucometer, lancets, test strips, and something to warm the ear with (to help the blood flow). Many people here use a sock with rice in it, which they warm in the microwave. I found that cumbersome and used a small medicine vial which I would fill with hot water. There is lots of info on this site about home testing. Post with any questions.
 
Thank you everyone for all your help, information, and support!

I have Manny's spreadsheet made but I'll attach it once I start taking our readings. I'm hoping to get the supplies tomorrow. Once I start getting readings and find out where he is and the "normal" I'll start to switch his food.
 
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