Newly Diabetic Cat at Age 10... I'm at a Loss

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Ice

Member Since 2014
10 years ago (literally, almost 10 years ago), I adopted a grey and white with a tabby-striped long tail cat from my friend's unexpected litter of kittens. Though she has an 'official' name that I give to the vet, I more often than not call her by Mao-Mao.

I - along with the help of my family - have raised Mao since her kittenhood and to say that she is more 'one of us' than 'a cat' is oftentimes a major understatement.

Mao has always been a very 'people' cat (well, to her family anyways!) and a very territorial (when she was still outdoors) and perceptive and loving cat to boot. She always knew when anyone in the family was ill and would always do her best to make the sick person feel better and if someone got sick or hurt really really badly, she would somehow always know because that's when she would cry for us.

Recently, she got diagnosed with diabetes and I feel like my heart is breaking because I am struggling with coming to terms with how to care for her in the way she needs to be... but also in a way that I can afford.

I hate that.

The vet I saw was a real sweetheart and had so much compassion. After I spoke frankly with her about my financial situation, she gave me a giant list of wet foods I could transition Mao to to start getting the levels under control and told me to not feel bad if I couldn't afford the insulin injections... now or later given my particular situation.

But seriously, this is just killing me inside.

When I first got her, I was 10 years younger and healthier than I am now though yes, I was managing a lifelong chronic health condition (which, at the time, hadn't given me any too major of troubles and didn't look like it would). When I adopted her, I was a healthier almost-university graduate who had a lot of things going for them... or so I thought. Caring for a cat and its lifetime was something that - at the time - was doable which was the only reason I begged my mother to let me bring a kitten home.

But now isn't then and now, I struggle with multiple chronic health conditions - the lifelong one got worse in the last 5 years which caused something of a domino cascade of related problems - and because of these conditions, it affected my employability and ability to earn to the point I was only able to manage a flexible part-time position. Additionally, because of the same chronic conditions, I have been needing extensive exams and labs - exams and labs that I have continually put off again and again because even with good insurance, the cost is still astronomical (altogether, 1/5 of my yearly income). Then, bad became worse when I took a serious work injury. I was already only able to work part-time. The work-related injury was just icing on that cake.

So I'm sick AND on work comp TTD AND not earning my normal wages because of it.

My parents - one of them now disabled owing to stroke - are now retired and living on a modest and fixed income.

My siblings are already doing everything that they can (because of all of us pooling together, we managed to get the cat to the vet and got the workups done).

And now, my cat has diabetes... and maybe more (I'm still waiting for the lab to give the full results) and her parent and friend - myself and my family - are -very- financially strapped. We're trying not to panic and trying to be optimistic, but it's so hard - especially when we all know that -I myself- have delayed tests and treatment because of affordability issues.

Switching food is one thing, continuous vet visits plus insulin and supplies is another.

But she's Mao; she's sat on my tummy or by my side when the chronic health issues flare up and I'm doubled over in pain. She's sat next to my father's head when he came home from the hospital after emergency brain surgery. She's followed my mother around and about and has been especially gentle around her because somehow, she 'knows' that my mother's had a stroke and isn't completely her old self anymore. She smells everyone's faces and 'cries' in that plaintive mewl of hers when she knows we're sick (and she's always right).

This is such a horrible, horrible, HORRIBLE place to be; I'm bawling my eyes out and I hate it so so &%$#ing much.

What in the world am I supposed to do?!
 
A very warm welcome to you, and to Mao-Mao.

You write very frankly and movingly about your own situation, and about Mao-Mao's. You've had a lot of difficulties to contend with and it is clear that Mao-Mao is very dear to you indeed. She sounds like a truly extraordinary cat.

Please know that many of us felt overwhelmed when our cats were first diagnosed. So we do understand how that feels, even though we may not have the other issues that you are also having to deal with.

There are quite a few folks here managing their cats' diabetes on a tight budget. Thankfully, there are all sorts of ways to save money.
It was good of your vet to give you a list of wet cat foods. We have a list too! We recommend wet food that is less than 10% calories from carbohydrates. Are you in the US? If so, then I'm sure folks will be along with specific suggestions later.

Has Mao-Mao been on dry food? Switching to wet low carb food can reduce the blood glucose levels significantly in some cats.

Most cats do require insulin though to get their blood glucose levels under control. However, quite a number of cats go into remission (become diet-controlled diabetics) after a short time on insulin.

Most of us here test our cat's blood glucose at home. This helps our cats enormously, but also saves us money in vet's bills. 'Hometesting' (with ordinary human glucose meters) means that we don't need to have 'glucose curves' done at the vet's clinic. We can do that ourselves.

There are initial costs, certainly. But managing the condition can be done on a budget. There are plenty of folks here who are proof of that.

Do you have any idea what Mao's blood glucose levels were at the vet's?
Has she had any other health problems recently? Infections?
Has she had steroid treatment recently?
Is she overweight?
What was she eating, and what is she eating now?
(Sorry for all the questions!)

And would you like to share your first name with us?

Chin up, sweetie. We will help if we can.

Eliz
 
Ice I am so sorry to read all your sad news of health problems and of course money is always an issue. First off putting your kitty on can pate no gravy foods getting rid of dry carbs can often get Mao Mao numbers down that is the first step. You vet must be awesome to do diet first and not push dry. One step at a time do not get yourself in such a state my dear you have so much on your plate.
This is the best site to get your girl help so ask questions and read lots....sending you tons of prayers and healing green light to Mao and all your family. Hugssss Kath

You will find the help you need here!!!!!
 
Hello and welcome to FDMB, the best place you never wanted to be!

First off, here's the food list: http://www.catinfo.org/docs/FoodChartPublic9-22-12.pdf

I use friskies myself...others use fancy feast. Those options are cheaper but still good. Look for under 10% carbs. I like friskies due to bigger cans since I have several cats! Do you have a pet store you go to? Most offer rewards programs. I use petsmart...the reward program is free and I get my food for 10 cents less per can plus coupons and things. Might check into pet stores near you.

Home testing keeps costs down. Don't get the pet meter...many of us use relion from Walmart. Strips are super cheap (pet meter strips are way too expensive!).

You CAN do this! Once initial costs are done, it's not that bad. We will help you!!! Don't give up!
 
Hello. . . I am so sorry to hear about Mao-Mao's diagnosis and to hear of your health problems.

You have definitely come to the right place for advise and support ! You CAN do this ....I know @ first it seems like such an uphill battle, but it will get easier. Trust what you read from the people here and keep the faith..
 
I am so with you in this. I have cried so much in the last 10 days. Kitkat was already pretty sick by the time we discovered the diabetes. I still don't know if she is going to make it - or if I will - or how I am going to afford all this...
 
Testing at the vet may elevate glucose levels from 100 to 180 mg/dL, plus it can get expensive fast. Doing your own home testing with an inexpensive human glucometer and pet-specific reference numbers will cut that cost considerably. The WalMart ReliOn Prime has the least expensive test strips and requires about a 5 microliter droplet to test. The ReliOn Confirm uses a .3 microliter droplet and the test strips are slightly more expensive.

If you're not a fan of WalMart, click on our shopping link above and go to American Diabetes Wholesale and locate the Arkray USA Glucocard 01/01 Mini, which is an unbranded version of the Confirm/ Confirm Micro.

Insulin: Ask your vet to get a trial vial of PZI from BCP. They have one of the least expensive insulins that still lasts about 12 hours in the cat. If you get the U-40 concentration, we have a conversion chart to let you use inexpensive U-100 syringes with that.
 
A big HUGE thank you to everyone. I've had a lot on my plate; this was just another thing that I was really hoping wouldn't happen because I was JUST -in the middle- of planning some medical procedures that I have been putting off... when I noticed that Mao suddenly lost weight, started drinking more, started peeing more, and her coat got duller (all of which strangely has stopped as suddenly as it started).

I am willing to share my name in PM but would rather not share it publicly because of Work Comp issues (I really ought not be mentioning Work Comp online and identifying myself at the same time - even if I am only talking about cats!). I will be more than happy to PM those who wish to know (and you may confirm I said the same name if you'd like). Just please call me Ice in the forums, though? :smile:

Before I ask my questions, let me see if I can answer these questions, first:

Do you have any idea what Mao's blood glucose levels were at the vet's?

In the shock, I have forgotten what Mao's numbers were but maybe they weren't so life-threatening otherwise the vet wouldn't have allowed me to bring her home to try a dietary change, first. Between 200 and 300something (I hesitate to say 300something because that was the cost of the vet visit and I KNOW that that number has been stuck in my mind) but that isn't much help. The vet DID say it seems that we caught it fairly early, though.

Has she had any other health problems recently? Infections?

Minor gingivitis, nothing else. She has done a bit of excessive grooming, however - a habit that might have started when the entire family experienced a whole domino cascade of health issues.

Has she had steroid treatment recently?

No, never.

Is she overweight?

Before the episode, she might have been getting a bit chubby (within this last year at most), but she's medium-haired and because of the weather, her coat was REALLY thick this last cold spell we had and so it was difficult to tell 'fat' from well... 'fluffy'.

She's 10 pounds, even, now, and though I hate to say it because I know she's diabetic, she seems a healthier figure... but obviously can't afford to lose more weight.

What was she eating, and what is she eating now?

Unfortunately, she was a dry food fan - even as a kitten (which I now realize belatedly might have contributed to her current issue) and eating Purina's Indoor Formula dry food and right now, I am in the process of trying to transition her to better food. We're using a sample of Hills in the meantime because the vet is concerned about the rapid weight loss we noticed.

And now, my own questions:

I'm furiously crunching numbers here to see if I can budget (and Care Credit/more credit is out of the question as I'm on a fixed income right now re: Work Comp though my credit is good and I have a bit of wiggle room re: debt, but I'm ALREADY IN DEBT from my own medical expenses so this is a very VERY slippery slope) and I'd super duper appreciate it if people can give me some real life numbers to work with if possible.

I have been reading through the forums and reading online and I'm honestly getting a humongous information/sensory overload from it all.

My vet is willing to try and work with me using conservative non-insulin measures first... but with the knowledge that insulin is probably going to be inevitable and that I need to be able to make the best decision at that time.

Thanks again to everyone in advance!

1) Blood Glucose Meter: $15-$25

I was just thinking about Reli-On myself. Does anyone have recommendations for a particular model? I am aiming for meters that use the tiniest amount of blood necessary - like 0.3.

Also, I know it isn't mentioned much, but are paw pricks okay and if so, how do you prick a paw correctly? My cat has super sensitive ears; she loves being scritched there but they're also very sensitive to pain, too. If I have to prick her all the time, I'd much rather do so in a place she won't be hurting as much.

2) Lancets: ???

What kinds? How much?

3) Testing Strips: ???

What kinds? How much?

4) Wet Cat Food: Currently, I can guy Friskies Special Diet Turkey and Giblets Dinner for $0.47 a can and I can buy the low carb Fancy Feasts small cans at around $0.55 a can.

Is this a reasonable price?

Are the feeding instructions correct?

How much ought I be feeding Mao?

Since she was a free-feeder before, do I need to set a strict feeding schedule for her?

Anyone have an idea on what a 'good' schedule would be for someone like her who's used to grazing whenever she wants to?

Obviously, this will possibly later affect insulin shots and their dosing and timing - ARGH! So much information!

Again, thank you to everyone!
 
Ice good morning and happy 4th of July just reading your info and it does not sound all that bad. Once you get her off the dry food ...that will be the big step. Every one of our babies are different so its all trial and error. This time I found Trey needed lots of small meals like every 3 hours and he is 15lbs was 18 loved his dry. Anyway to get things under control I had to feed small meals now that he is doing better I am moving towards 4-5 hours pre meal. He gets FF & Friskies but only the pate and any can food with out gravy is better then dry,at least that is what I understand. Sending you tons of healing green light to your ((Mao)) for a fast and full recovery.
Teeth problems is how we found Trey`s was diabetic 4 years ago after 4 months here and 2 months on Lantus insulin he came off it (OTJ ) for almost 4 years and doing great till he got an (Infection).
I did try testing on the pads but too much chance of infection I thought with using the litter....the ear is a piece of cake and they don`t mind it at all I use the left ear all the time he don`t like me doing the right ear. Sorry this is so long but you are doing great and wanted to help .
The angels here do so much FDMB is AWESOME!!!!! <3
 
Meter: ReliOn Confirm

Test strips: must match the meter

Lancets: any 26-28 gauge

Urine ketone test strips: KetoStix or generic, or KetoDiaStix or generic

Food: Friskies Special Diet pates are fine

Feeding: free feeding is fine. Just pick it up 2 hours before the next pre-shot test (ie leave food down for 10 hour stretches is OK.

Name: something you want us to call you, besides 'hey, you'. Mao's Mom works.
 
I add water to food (sort of an applesauce consistency now) to help it last. That way I can leave it out all day. Plus gets more water in the cat which is important for diabetics.
 
Yes, those are good prices on the Fancy Feast and Friskies Special Diet foods you mentioned.

Where do you live Ice? Would you be willing to share with us what country, state/province, general location of nearest city with us? There may be someone near you that can help out.
 
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