Newly Diagnosed 9/13/14

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Viznja

Member Since 2014
Hello,

My name is Lisa and my cat's name is Baybee Porkchop Kitty. He answers to each name separately or all. (His name was originally Porkchop but he was so cute when he was a baby, that he was called the other names too and they were added to his birth certificate, born 9/09, 5 years old).

Just to give you a little background:
He had appt at the vet in May 2014, he weighed approx 15 lbs. Even though this seems big, he was not fat ... he was very active and not an outdoor cat. Nothing out of the ordinary, other than he had worms, ugh .. which he was given a pill for and no longer has them.

At the beginning of August 2014, I noticed a few things that seemed a little off. I smelled cat urine (my previous cat hated leather and synthetic leathers and she chose to urinate on bean bag chairs as well as all of my nice shoes .. so, I knew when I walked into my apartment one day what the smell was). Since I had moved in here in February, every thing was fine. Kitty stopped chasing me in the morning and herding me to the kitchen to feed him and stopped sleeping at the end of my bed. He started sleeping on the floor in the bathroom next to the tub .. I thought maybe he was hot (at first) and made sure the A/C was on in my bedroom so he would be comfortable while I was at work. My son kitty-sat Kitty while I spent 2 weeks at my mother's out of state as my Grandmother passed not too long ago and she needed me. My son said he wasn't acting himself and he was urinating frequently, but in his box. He was changing the litter almost twice a day because Kitty would fill the entire box with urine. When I returned, I made an appointment as once he told me how much Kitty was urinating .. my first thought was "diabetes". I am familiar with diabetes as my 9 year old granddaughter was diagnosed just prior to turning 8 years old. (She's very upset that Kitty has diabetes and can't wait to "talk" to him to let him know he's going to be okay).

Kitty eats 1/4 can of Friskies wet food (he would eat most of them, flaked, bits, filets, shredded, pate, etc) in the morning and approx has 1 cup of 9 lives dry food in case he's hungry while I'm at work, which usually lasts all day and night before I go to bed. I replenish his bowl so he has something to eat during the night.

Fast Forward:
Kitty lost 3 lbs and on 9/13/14 since being diagnosed, I was told to continue feeding him as I was (and not to change his food .. silly me, didn't think about the wet food and the difference in carbs until I read up on it yesterday @-) ) and start with 2 units, schedule an appointment for a curve [which I don't understand the meaning of] the following week to see how he was doing. I know his blood sugar was in the 400's but I don't remember the exact number .. all the numbers are a blur right now, sorry. (all the abbreviations right now don't make sense to me either, until I have it down pat, I may ask stupid questions). When I brought him in, they never told me NOT to give him his insulin nor feed him at a specific time .. so that was a wasted trip. The follow Friday I was to leave him at the vet all day so they can check his sugar (this is what I call it as that is the term we use with my granddaughter) .. this time they asked that I feed him and give the insulin about an hour or more prior to me bringing him in. They had to up his units to 3 now.

Kitty is starting to act normal now .. although is still urinating more than usual. I will be calling the doctor to make an appointment again because I feel they should be checking in with me and they are not. (My old vet checked after an appointment and this just doesn't feel right to me). I don't test Kitty's sugar, although the doctor said I could and how but didn't get into any more detail than that. I have read Lisa Pierson's write up about Feline Diabetes which lead me here. It's easy to determine the amount of units of insulin for a human after counting carbs, etc. I was given papers to read, which weren't much help and not that I need a support system but I really don't want to call the doctor every day with questions. I would love to start Kitty on wet food diet as I know the dry is full of carbs ... I will be calling the doctor to have Kitty's insulin changed before doing this (and I'll make sure to get his numbers). My daughter has extra glucometers if I need one, I would just have to get a prescription for the strips or so she said .. I could be wrong but I thought I saw them in Wal-Mart over the counter.

Anyway .. Kitty doesn't mind the insulin injections and I use a pen. He's on Lantus Solostar/Insulin Glargine. Apparently, it didn't come in a pen form before, the pharmacist also has a cat with diabetes and was able to request it, so they carry them that way now.

Not sure what I'm doing but figured I'd start here and see what help/words of advice, if any, and go from there. (My apologies in advance if this is a little long or I talk in circles, I have a habit of doing that even though I proof-read ;-) )

Thanks,
Lisa and Kitty
 
Welcome to FDMB, Lisa & Baybee Porkchop Kitty!

My cat's name is Jersey...or Jerz....or Fluff-Fluff....or "my evil, plotting kitty," so I understand the multiple names completely! :lol:

I'm so sorry to hear that Porkchop has diabetes, but you've definitely come to a great place to get help. I know it's overwhelming right now, but we'll help you with each step. When new members arrive here, we typically stress three things:

1. Good Insulin: The best insulin for cats is Lantus, Levemir, and Prozinc. So it's great that your vet prescribed Lantus. You mentioned that you were going to ask for a change in insulin. Can you give further info there? Which insulin are you wanting to switch to?

2. Home Testing: This one is an important one. Just like you would never give your granddaughter insulin without knowing what her blood sugar is first, you don't want to give your kitty insulin without knowing the numbers. We really recommend testing before each shot; that's the pre-shot number - AMPS (the number you get before giving the morning shot) and PMPS - (the number you get before giving the evening shot). We also recommend testing at least once in between each shot (what we call a "mid-cycle" test). We base the Lantus dose on how low that dose takes the kitty's numbers. The low point in the cycle is the "nadir." We don't want a dose to take a cat below 50 on a human meter; that's getting into hypoglycemia territory. If a dose does take the cat below 50, then we know we need to reduce the dose. Usually, a cat reaches the low point on Lantus (the nadir) about 5 to 7 hours after the shot. However, every cat is different. Some cats reach nadir earlier; some reach nadir later. When you start testing, you'll be able to figure out Porkchop's patterns. We all understand that you have to work (and sleep), so you may not be able to always test 5 to 7 hours after the shot. That's okay; we can work around it and give you some tips on how to juggle it all.

Most people here use the ReliOn brand meters from Wal-Mart. They're pretty cheap, and the test strips are much cheaper than pet-specific meters. Although it may be different in other states, I have never heard of anyone needing a prescription for meters or test strips. You can just buy them over-the-counter. I know home testing sounds frightening and it can be frustrating to get the hang of it in the beginning, but it really is the best way to keep our cats safe. We have tons of testing tips, and even a shopping list, to help you get started. Just let us know when you're ready for that information.

3. Low-Carb Food: This is a big one, too. Diabetic cats do best on a low-carb diet, and most dry foods are way too high in carbs for our cats. Ideally, you want to feed foods that are less than 10% carbs. You mentioned that you had looked at Dr. Pierson's site. Did you see the food chart she has posted there? It provides the % carbs for a lot of different foods. Look in the third column of that chart for the carb %.

Here's the catch: You don't want to switch to low-carb food until you start home testing. Sometimes a switch to low-carb foods can drastically reduce the need for insulin. You want to make sure you're testing so that you catch any low numbers and reduce the insulin appropriately.

I'm going to stop there and see what questions you have. Then we'll take it from there.

By the way, I was terrified of all of the jargon, abbreviations, and spreadsheets when I first joined FDMB. It was like looking at Greek; it made no sense to me at all. But the people here are great, and they were extremely patient with me. Just make sure you ask all of the questions you have. None of them are stupid. We all remember how confusing it is in the beginning. (And a curve is just getting readings every 2 hours after a shot. So you give the shot, test 2 hours later, then 4 hours after the shot, then 6 hours after the shot, etc.)

Shelly
 
The Food Chart from Cat Info.

Welcome to FDMB.

See my signature link Secondary Monitoring Tools for some of the supplemental assessments that will help you evaluate his health. You've already identified several of them - intake and output of solids and liquids.

See my signature link Glucometer Notes to understand a bit more about glucometers and what the numbers may mean. I use the reference ranges in there to guide dosing.

I use the WalMart ReliOn Confirm Micro glucometer. It fits easily into my hand.

I use 26-28 gauge lancets to make a small prick to get a blood droplet. Once the ear learns to bleed (develops more capillaries), you may use 30-31 gauge lancets.

Can we get you started using our grid to record your glucose tests? It will help us give you better feedback. Instructions are here.

Understanding the spreadsheet/grid:

The colored headings at the top are the ranges of glucose values. They are color-coded to clue you in as to meaning.

Each day is 1 row. Each column stores different data for the day.

From left to right, you enter
the Date in the first column
the AMPS (morning pre-shot test) in the 2nd column
the Units given (turquoise column)

Then, there are 11 columns labeled +1 through +11
If you test at +5 (5 hours after the shot), you enter the test number in the +5 column
If you test at +7 (7 hours after the shot), you enter the test number in the +7 column
and so on.

Halfway across the page is the column for PMPS (evening pre-shot)
To the right is another turquoise column for Units given at the evening shot.

There is second set of columns labeled +1 through +11
If you snag a before bed test at +3, you enter the test number in the +3 column.

We separate day and night numbers like that because many cats go lower at night.

It is merely a grid for storing the info; no math required.
 
Thanks for your replies.

Shelly, I didn't mean "change" the insulin .. I meant if I were changing his wet food from the ones that contain gravies/juices to only the pate as they have the lower carbs and then start to wean him off the "nibbles" aka hard foods, I would have to lower the units he receives, right now he gets 3. This is because he has the gravies/juices as well as hard food, no wonder his sugars are so high!

It wouldn't be a problem to wean him off nibbles as he goes bananas for wet food and would rather have that. I did see that there is an autofeeder and that may be something I need to get as well.

I am overwhelmed by all of this. I read that you should check ketones and my vet NEVER mentioned this. I also read not to "roll" the pen of insulin .. which he also told me to do (ugh), I thought it was odd because I don't do that with my granddaughter's pens.

The good thing is that Kitty knows when I'm going to give him his insulin and he will come to me. He'll lay on the floor so I can grab his scruff (or wherever) .. at this point he likes to roll around after I have the needle in him, which I know he's comfortable .. lol.

He is still sleeping on the floor in the bathroom and urinating more that he used to but not as much when he was first diagnosed.

So, I'm back to work (break is over) and I have A LOT of reading to do!!

Thanks again!
Lisa
 
Shelly, I didn't mean "change" the insulin .. I meant if I were changing his wet food from the ones that contain gravies/juices to only the pate as they have the lower carbs and then start to wean him off the "nibbles" aka hard foods, I would have to lower the units he receives, right now he gets 3.

Ahh...I'm with ya now. Thanks for clarifying.

We actually did buy and use the PetSafe 5 feeder. It helped a lot when we had to leave for work and were afraid Jersey might go too low while we were gone. It didn't take away all of the worry, but it did help. We don't have a local pet store that carried automatic feeders, so I bought mine online.

I am overwhelmed by all of this.

I know you are. Just take a deep breath, and take one step at a time. :YMHUG: You can absolutely do this. It's so hard to get started, but it really does get easier with time. There's just a lot to learn in the beginning.

In terms of rolling - with the older insulins (like Humulin) that most vets are used to working with, you do need to roll it first. With Lantus, you definitely don't need to roll it. Many vets simply don't understand these new insulins very well.

Yep, definitely check for ketones. You can pick up the test strips at Wal-Mart (or a pharmacy). Fortunately, Jersey never had ketones, but I've seen several kitties that have had them. Some cats are just prone to them. My vet never mentioned ketones to me, either. (Actually, neither of the vets we saw mentioned ketones.) I hadn't ever heard of ketones until I joined this site.

That's great that he's so good about getting shots. Hopefully that means he'll do really well with the blood sugar testing, too. Of course, low-carb treats always help with that, too. ;-)

Shelly
 
I was able to take a reading once, the other day .. he does not like it whatsoever .. so right now I have pet him and play with his ears hoping that he'll let me take another reading.

I also have been using the needle tips with the pen because that's easier for me and him .. I'm sure I'll have to get syringes at some point in case his units change to 1/2 unit measurements [those actually scare me because he likes to roll around when the pen is in him, I can't imagine what he'll do with a syringe].

I signed up for the Lantus savings card so instead of paying $82, it would be $25 ... no idea if the pharmacy will accept the card but at least the company will pay me the difference if I submit a rebate form. I will find this out tomorrow when I pick up his prescription for another pen/needle tips.

I called the vet's office again today and let them know my frustrations, especially since my vet hasn't called to check up on Kitty since doing the curve. He was not available and should be calling me on Thursday. I told the receptionist that I wasn't happy that he hasn't called to check in and knew that I wanted to change Kitty's diet to wet food. She tried to sell me on the DM & told me that it is a little on the expensive side but would help .. too which I let her know that I'd rather stick with the Friskies pate as I know that is low in carbs and he likes it. (there was a long pause .. but, I'm not buying expensive foods when he loves Friskies and there is no reason to change) He would eat wet food all day long if I let him .. lol

I've tried to find the post where it tells you when to test, how often as well as how long before/after eating to give the insulin and maybe I'm losing my mind .. is there such a post?

Thanks again for your help!

Lisa and Kitty
 
I won't make you search for that info.

You want to test with Lantus at the very least before every shot just like you would with your grand-daughter. As well as getting random spot checks whenever possible throughout the day. Usually we recommend 4 a day, both preshots, one somewhere in the middle of the day/night at about +6 (6 hours after injection) and then a Light's out test right before heading for bed at night. Then when you have a free day run a curve where you test every 2 hours between one shot to the next or a mini curve where you test every 3 hours between shots. Unless of course you are getting multiple spot checks throughout the day.

You want to test right before giving the insulin. You want to pick up any food 2 hours before shot time so that when you do test you have a true number that isn't inflated by food, then feel free to test anytime after that, no one will every yell at you for testing too much. :lol: Most of us give our cats their shots while their heads are in their food, but normally you want to test, feed and shoot all in about 15 minutes.

A key to making them not only tolerate testing, but come to love it and look forward to it, is TREATS!!! any good high protein low carb meat based treat will work. Many folks like the store bought freeze dried kind personally with my herd (if one kid gets a treat they all want one) I just boil up plain chicken breasts, chop them into bite size pieces and keep about a day or two worth in an air tight container and freeze the rest for later. Every test I fork over a bite of chicken, not only does my Autumn not mind being tested she will actually race me to her testing spot or come looking for me if I'm busy and running late for a test. Now my guy that has been in remission and insulin free for 4 years still comes trotting when he hears the meter turn on, although he isn't food driven he loves to be brushed, so if I need to test him just to keep an eye on things I break out his favorite brush and we have a nice long brushing session. In the beginning use the 3 and out rule, after 3 pokes if you don't get blood, hand over the treat and let the cat go, try again later.

Find something your kitty really loves and make that his treat for his tests and only for his tests. Cats are smart, they quickly learn that a small poke to an ear nets them a yummy treat or some other special attention from their person and before you know it, they are waiting and begging to be tested. Same with the insulin shots, they put 2 and 2 together and come up with 4 very quickly. Mom pokes me while I'm eating and I feel better...I like those pokes.

And if you have problems just yell here, we are always happy to share all the tips and tricks we've used to get that precious drop of blood.

Mel and The Fur Gang
 
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