Newly diagnosed - semi-social cat

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Mandarin'sMom

Member Since 2014
New to this board and new to taking care of a diabetic cat. Here’s the brief background: My Mandarin was diagnosed on November 15, 2014. His initial blood work (done at the vet’s office) showed a Glucose level of 520 – but he’s also a very scared cat and was extremely stressed which probably resulted in higher than normal numbers. I bought a Relion meter and started testing at home over the weekend and his numbers were consistently in the mid- to high 300s. My vet started him on ProZinc on Monday, Nov. 17 (2 units every 12 hours).

Here’s the problem: I life trapped Mandarin as a teenage kitten two years ago. He is somewhat social with me, but still a very scared cat. He will come up to me for attention when I sit on the floor, but hates to be picked up or confined in any way. Whenever I try to pick him up or, even worse, put him in a carrier, he pees in a panic. I had him in a dog crate for the first few days after being diagnosed to make sure that I could monitor his Glucose levels and give his Insulin injections. His numbers were still high (mid 200s to low 300s). But since he became increasingly stressed, I let him out of the crate and he is now in my bedroom.

Luckily, he was already used to eating canned food and loves it. I can give Insulin injections fairly easily while he is eating. However, testing his Glucose when he is out and about is a different story. I’ve been able to check his levels about once a day since I let him out, but not necessarily right before I give the Insulin. I am really nervous that I will ruin the little trust he has in me and that I won’t be able to give him his injections if I keep pestering him with the Glucose meter. But, at the same time, I want to make sure that his numbers are not too low.

The vet recommended doing a curve at home after ten days (and I will just put him back in a crate for 12 hours and get it done). I am trying very hard to continue socializing him and getting him used to being held (without being poked for now – just for brief periods of time with food rewards). But what do I do until I reach a point where I can do more regular checks?
 
Stuffing Madarin in a crate for 12 hours for the curve will likely result in elevated BGs because of the stress/different environment than normal.
I would try to get a BG before the shot and then at 5-6 hours after the shots. Getting the next preshot would also be nice.
What you want is to see if you can get consistent BGs at the same time.
 
Welcome! Good job getting your kitty on a nice mild insulin and starting home testing! There are several ways. The most successful seems to be finding a snack he loves and giving it only when you poke for the test. There are lots of low carb snacks available:

Lo carb treats

My Oliver loved Bonito flakes; my non diabetic Niko likes PureBites.

You might start from scratch. Take him where you plan to test. Praise, a few treats and mess with his ears. Do that several times and then add heating his ears. Just praise, treats and let him go. Then finally, add the poke again.

People with very difficult cats have tried the kitty burrito. You wrap him in a towel with only his ears showing. Still be sure to give the treats.

The protocol we put together for ProZinc is in my signature in blue type.
 
Thank you! I have ordered a variety of low carb treats and should hopefully get them today (our local PetSmart had nothing that was on the list). I’ve been using canned food as a reward, but soft treats would probably be even better. I just need to find something he really likes and can easily chew.

The added complication in all of this is that Mandarin is in desperate need of a dental with extractions. I originally took him to the vet because he had lost some weight and had a really inflamed looking mouth. The pre-surgical blood work revealed that he had diabetes and his dental surgery was postponed until we can get him regulated. So, unfortunately, on top of everything else, his mouth is really painful and he does not really want to be touched around his head.

I am trying to make all of this a positive experience for him as much as possible… but it’s hard to find a good balance between not freaking him out and still getting the checks done.
 
The dental issue does complicate things, including probably increasing the blood glucose levels. The soft wet food would be easier for him to eat. You can add a little bit of warm water to the food and mix it up so it makes a gravy.

Lots of people here are able to get their cat in regulated numbers and get a dental done although they are still diabetic. So that could be your first goal!

We have a spreadsheet that you can keep track of his numbers on. It is a google doc so you can attach it to your signature; it will up date each time you add data. It is a great tool to share his numbers with your vet and with us and especially helpful for us to see his history of numbers and doses if you want dosing advice.

The directions are here:

http://www.felinediabetes.com/FDMB/viewtopic.php?f=6&t=18207

It's a little tricky so if you need help, just ask.
 
You have already gotten great advice so I just wanted to say - bless your heart for helping him with learning to trust people and for treating him! So many people would make excuses that he is hard to give insulin to or too hard to test because of his fears but you are getting in there and finding ways to get it done. Mandarin is one lucky kitty!
 
Thank you, Melanie. I wasn’t so sure initially if I could do this at all and my other (much more social and easy going) cats got to be the guinea pigs for a few days until I felt confident that I knew what I was doing and could test fairly quickly. Mandarin has come such a long way over the last two years and it just really sucks that he is experiencing all of these medical issues.

Sue: I just checked out the Google Doc and will start adding numbers once I get them. Great idea!
 
Hi there and Welcome,I have a couple very skittish cats that were strays,one has to be drugged just to groom him,so I do know how you feel.i don't know how I would manage if he was my diabetic one.very hard to pick him up for any reason. As far as the dental goes,I urge you to address that a.s.a.p. My vet put off addressing it when my Whitey was diagnosed a couple months ago,and before long his gums were so inflamed ( a couple weeks ago actually,)tartar was soooo built up and he even lost a tooth,just happened one morning!had to get him right into the vet.Well they scheduled him on the 18 th a week ago,gave him a shot of Convenia.He was always running in the 200's at preshot until a few days ago. All of a sudden it looks like he is possibly having a spontaneous remission..his numbers have been too low to shoot now,this is the third day OTJ. Take a look at my S.S( bottom left corner on this post)and you can see for yourself. Just sayin' , it could be that the dental work did the trick! Best of luck with everything! This is a great forum..the people here have helped advise me so much more than anywhere else! Glad to see you are using prozinc! I think it is a great choice!
 
While you work with the positive reinforcement to do blood testing, see my signature link Secondary Monitoring Tools. These will help you evaluate how he is doing, too, although less precise.
 
BOY DO I KNOW! I have eight cats, seven of whom are feral. Your Mandarin sounds like my Rosalee. I always say she's "the feralest of them all."

On this board it's Long John Silver who's the diabetic; however, Rosalee was diagnosed borderline several years ago. We just used the DM food on her because, believe me, there was NO WAY we were going to be able to test her or give her shots.

In fact, today we're testing some of the other cats just to see what their BG is, because many of them have been drinking a lot of water (that'll be another post though). My husband and I are discussing strategy with Rosalee because it'll definitely be an ordeal. But since she actually has a previous diagnosis we both feel it's important to get a test on her.

As for your sweetee Mandarin, a lot of the other advice was good, like giving treats and such. From the standpoint of socializing a feral, though, my biggest success was always using purring. If you can make a purring sound that would probably help the most. Also don't look them straight in the eye - always look a little off to the side. That way you don't come across as challenging them. That's what you can do in between tests.

Hope this helps - it's the one thing on this board I actually have a lot of experience in!
Linda
 
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