Newly Diagnosed Tortoiseshell - A Tough Customer

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CaliAlli

Member Since 2017
THANK YOU TO SHARON14 for responding to my first post and suggesting I move it to this forum! Here's my first post. Updated info is at the bottom.

My 13 year old Tortoiseshell, Darla, was recently diagnosed with Diabetes. She has gained weight (great!) and is definitely drinking and urinating less (great!). I have had her into the vet for 2 BG curve tests and, well, let's just say, she's not cooperating and the vet does not feel she can get an accurate reading. Darla is miserable about it, wants no part of the testing, hisses at the vet, and has to be isolated from other animals. The vet has recommended that Darla come back in in 3 weeks for a Fructosamine test and, in the meantime, wants me to do BG testing at home where Darla's stress level will be lower. I am scared to death. We have had a difficult enough time giving her insulin. She is generally quite happy and content at home, and I don't want to her to be miserable at home like she is at the vet.

The vet started her at 2 units, then increased it to 3 units after her first BG curve test, then decreased it to 2 and a half units after her second BG curve test. During this time, we've been SLOWLY transitioning her to a wet food lower carb diet. The vet also wants me to try to make this transition to an even lower carb wet food (almost no carb) than I have been feeding her. I am afraid to do this too aggressively given that we still don't seem to have good numbers from her BG curve tests and are still changing around her insulin units. This is compounded by my fear of home testing, even though I know it is important.

Recommendations on glucometers and any tips that may make testing more tolerable for her would be appreciated. I would prefer whatever is the quickest and least painful for her (ie. there's a big difference between 5 seconds and 7 seconds). Affordable would be nice, but quick and painless is the priority. Has anyone had positive experiences with urine testing instead? I know it's not ideal, but right now I feel like it might be my best option.

If you have ever had a Tortoiseshell, you probably can empathize. I would really appreciate any advice!

UPDATED INFO:

Darla is receiving 2 and a half units of Lantus (U100) every 12 hours 30 minutes after she eats. We started at 2 units, went to 3 units after her first BG curve test, then went to 2 and a half units after her second BG curve test (yesterday).


Darla is a very small cat (she has teeny tiny short legs). She has gone from about 5 and a half pounds to just over 7 pounds since starting treatment a month ago. She started on 48 grams of Iams Grain Free Chicken and Turkey Recipe dry food. I am not able to find the nutritional content for this food. We then transitioned her to 36 grams of this food with 12 grams of Iams Grain Free White Meat Chicken Breast wet food (vet wanted us to start with something comparable to what she was already eating), nutritional values 43% protein, 49% fat (which I know is way too high), 8% carb. We successfully transitioned to 32 grams of the dry food with 16 grams of the wet food. When we tried to transition to 24 grams of each, she vomited (clear) the following 2 days about 1 – 2 hours before her dinner time (maybe too much fat for her pancreas?) and we moved her back to 32 grams dry food with 16 grams wet food and she’s been fine since. I know she needs a high protein, low fat, low carb diet. The chart the vet gave me showed that (surprisingly), some of the best options are Special Kitty (Walmart) Tuna and Shrimp Entrée (73% protein, 26% fat, 1% carb) and Trader Joe’s Tuna for Cats (72% protein, 26% fat, 2% carb). That seems like an awfully drastic change to me, since we also just changed how much insulin she is receiving, but I know it is the ultimate goal. Advice? Other suggestions?

Darla does not have any other health issues, but she has had episodes of vestibular disease in the past (more than 10 years ago) and she is VERY sensitive to noise.
 
Hi Darla's Mum!
Where are you located? Actually, if you could setup your Signature with some information about Darla, it will be helpful for when you make more posts: http://www.felinediabetes.com/FDMB/threads/editing-your-signature-profile-and-preferences.130340/

If you have Walmart, then the popular choice is ReliOn Confirm/Micro. It takes a tiny sample of blood 0.3µ and the results takes less than 5 seconds. You can also turn off all sounds the meter may make so it doesn't startle Darla. Most of us free-hand poke, as to not use the noisy clicker function the lancet device has. Some just hold the lancet to poke, others (like myself) use the device just to hold the lancet. ReliOn Confirm is also more budget friendly, strips are $0.36 each when you buy 100. Here is a list I made for new home tester's for supplies:
1. Meter ($15)
2. Test strips ($35.88 / 100)
3. 26 or 28 gauge lancets ($4)
4. Neosporin / triple antibiotic ointment (Polysporin if CAN) ($3)
5. Ketone test strips
6. A treat for yourself :cat:
HERE are the Spreadsheet template instructions. Just need a Google account and if you need help getting one set up, just ask.:smuggrin:

Unfortunately, testing glucose via urine is not a good way to monitor BG levels because glucose only spills over into urine above 225 - 250 (12.5 - 13.9 mmol/L) which is still above normal range for non-diabetic kitties.

I see you have changed quite a few things at once (rather Vet is suggesting multiple changes), generally we like to change 1 thing at a time and see how it effects kitty's BG. Changing too many at once while not starting to home test can be dangerous territory. But don't be afraid of home testing, think of it as you are poking her to keep her safe, not to hurt her :).

Two final things:
http://www.felinediabetes.com/FDMB/threads/how-to-treat-hypos-they-can-kill-print-this-out.15887/
Dr. Pierson's Food Chart - We try to keep under 10% carbs

Keep asking any questions :bighug:
 
Glad you made it here! What would you like us to call you? Yong gave you some great info on meters. As for food, the dry is probably way too high in carbs, but before you eliminate it, please be sure you can reliably get a blood test from Darla. HERE is some info on testing. 2u is a pretty high starting dose especially for a small cat, so when you lower her carbs with the food change, she may need less insulin and home testing is the only way to keep her safe. HERE is a food chart that lists carb content. Try to keep it below 10carbs.
 
Welcome to you and Darla! :) You're not alone in your fear of testing. Many people have arrived here in the same state, learned to do it and trained their kitty to accept it. There's a lot of help and support for you here.
 
Hello to you both!

My cats have stomachs like tanks, and can eat about anything, so I don't know I can give you good advice about the transition. Just before Fabby was diagnosed she was very food aggressive all the time - because her body was starving her. So when we switched to low carb wet she just ate it all with no problems with the transition. Once she began getting insulin she wasn't hungry all the time and the aggressiveness has subsided. Now I chase her around just to get enough food in her to maintain her weight.
I did go with the lowest carb food I could get. I used Dr. Lisa's list linked above to pick out the flavors and then saved them to my grocery list. I also picked up Fancy Feast one ingredient treats because they would be zero carb and individually wrapped so I keep them in her testing kit. Like suggested above we do our testing all in the spot. When I sit down and grab the kit she comes running. I pick her up in my lap and she literally drools on me (seriously - I took a photo for evidence today, lol) because she loves her treats. I had such an easy time with the learning curve on testing because of all the tips, but especially the videos they have posted here on the how to. I also went with the cheapest meter that used the smallest blood sample, the ReLiOn Confirm that is recommended here.
The change of diabetes is stressful and expensive. Everything feels a lot like the end of the world. Breathe, and take care of yourself. Cats are really resilient and forgiving. So hang in there, and jump in with both feet to get started learning how to best provide care at home. You can do it, and we're here for any questions or support. The people here have been amazingly comforting to have on hand as my house has gone through this transition.
Welcome!
 
Usually they vomit clear when their belly is too empty. I would encourage you to feed her a bit at night. Just two feedings often isn't enough for cats. Feed in the morning and evening and at least once in between. Some here even use automatic timed feeders for these extra meals or freeze small snacks that gradually defrost and are available mid night. Or you can just put out extra just before you go to bed.
 
Hi everyone! Just wanted to start by saying thanks so much for all the advice and encouragement! I've added some info in my signature (and will continue to add more), as well as a picture of Darla in her pretty new coat! This was taken right after she was diagnosed, so she's a little chubbier now! YAY! I live in Northern California, and my name is Alli (but Darla's Mum is also fine).

I took your advice and purchased the ReliOn Micro and all of the supplies that were recommended. I have not done any testing yet, but have set it up, read the instructions and watched the videos that were suggested. I think I am starting to understand how to go about it. I am still not confident that Darla will cooperate, but I'm going to give it a try. I am not sure if I should start testing now or next week, as my household is going to be stressful for Darla over the coming week. My dog is not well (to the point that I'm not sure if he'll be coming home from the vet tomorrow with us). My husband and I both have very hectic schedules next week, requiring us to be out of the house more frequently than usual. My house is generally very calm and quiet, as we both work from home. I'm kind of thinking that it will be a good time to start working on establishing her testing spot in the house and getting her comfortable with that, then starting the testing when things are back to normal. Thoughts?

I also took your advice about not changing too many things at once, which I was afraid of in the first place. I'm not changing her food until I get a good solid base of readings from her testing on her current food and with her recently modified insulin dosage.

Sharon recommended giving Darla a treat when getting her acquainted with her new testing area in the house, which has helped us in getting her SOMEWHAT more cooperative with her insulin shots. I just want to make sure I'm not messing up her levels by feeding her too many treats or modifying her feeding schedule.

I'm wondering if anyone has suggestions about calming aids that may help her in this process. There's a billion of them out there, but they all seem to be more for problematic behavior, which she does not have. The Thundershirt made me laugh. It would scare the hell out of Darla.

Also, can you advise me on whether it is safe for Darla to have catnip when she has diabetes?

I am sure I will have a lot more questions as things progress. Thanks so much, everyone, for all your advice and encouragement. Darla says "thanks" too!
 
Hi everyone! Just wanted to start by saying thanks so much for all the advice and encouragement! I've added some info in my signature (and will continue to add more), as well as a picture of Darla in her pretty new coat! This was taken right after she was diagnosed, so she's a little chubbier now! YAY! I live in Northern California, and my name is Alli (but Darla's Mum is also fine).

I took your advice and purchased the ReliOn Micro and all of the supplies that were recommended. I have not done any testing yet, but have set it up, read the instructions and watched the videos that were suggested. I think I am starting to understand how to go about it. I am still not confident that Darla will cooperate, but I'm going to give it a try. I am not sure if I should start testing now or next week, as my household is going to be stressful for Darla over the coming week. My dog is not well (to the point that I'm not sure if he'll be coming home from the vet tomorrow with us). My husband and I both have very hectic schedules next week, requiring us to be out of the house more frequently than usual. My house is generally very calm and quiet, as we both work from home. I'm kind of thinking that it will be a good time to start working on establishing her testing spot in the house and getting her comfortable with that, then starting the testing when things are back to normal. Thoughts?

I also took your advice about not changing too many things at once, which I was afraid of in the first place. I'm not changing her food until I get a good solid base of readings from her testing on her current food and with her recently modified insulin dosage.

Sharon recommended giving Darla a treat when getting her acquainted with her new testing area in the house, which has helped us in getting her SOMEWHAT more cooperative with her insulin shots. I just want to make sure I'm not messing up her levels by feeding her too many treats or modifying her feeding schedule.

I'm wondering if anyone has suggestions about calming aids that may help her in this process. There's a billion of them out there, but they all seem to be more for problematic behavior, which she does not have. The Thundershirt made me laugh. It would scare the hell out of Darla.

Also, can you advise me on whether it is safe for Darla to have catnip when she has diabetes?

I am sure I will have a lot more questions as things progress. Thanks so much, everyone, for all your advice and encouragement. Darla says "thanks" too!
Catnip is fine! Make sure the treats you give are low carb.... No temptations or party mix.... Better treats are freeze dried meat, deli meats (turkey, ham (not honey ham obviously), roast beef), fresh chicken.... Stuff like that.

And tests you can collect the better. So start whenever you can.

So so sorry to hear your dog is so sick! :(
 
I like your idea of working on the testing spot/desensitization for now so you can get down to business when things are back to normal. Freeze dried meat treats work well and are very low to zero carbs. I buy Orijen brand treats and many here use Pure Bites brand. I use treats liberally.

Re calming aids: many people like the Feliway pheromone sprays/wipes/diffusers. They work better for some cats than others.

I'm sorry your dog is ill. This part of having pets is so hard. :(
 
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Oh yeah... I second the feliway diffuser. I have tried the collars and spray workout success, but the diffusers make a big difference in my multi cat home.
 
When I sit down and grab the kit she comes running. I pick her up in my lap and she literally drools on me (seriously - I took a photo for evidence today, lol) because she loves her treats.
I have to comment on this, because I have a tortie (my profile picture), in remission almost two years. I worried so much when I started testing her that she would hate me, but within a couple of days, as soon as she heard the click of the lancet device, she would start drooling. Now, being tested about once a month, she still drools as soon as she hears the click! LOL
 
I'm sorry to hear about your dog, Alli. That is such a hard spot to be.
As for testing, it doesn't hurt to start even if it's sporadic due to your schedule. What I'm told by the wonderful people here is "more info is always better". So go ahead and do testing before shots just to get used to it.
Here's my Fabby drooling to offer you encouragement! Link...
You got this!
 
I don't post much over here on the main board - but just thought I would give you some encouragement. I don't give Gizmo treats when I test (or shot). Just never have. I do (or did in the beginning) use a firm hand and voice with him but he is fairly well trained so that worked.

You might try these treats (I do give treats every so often, just not at test/shoot time). Gizmo absolutely goes nuts for these.

http://www.purebites.com/en/products/cat/freeze-dried/duck/

They are low carb, very stinky and, apparently, very delicious - :D

I have seen them at regular pet stores. You can get the "dog" bag - it is a bit bigger and more economical but the same as the cats. I order mine from Chewy or Amazon.

You will get the hang of testing (and so will Darla).

Another suggestion is to go through the routine without actually testing. Pick one place that you will test and test there every time. Pick her up. Place her in the testing spot. Rub her ears, give a treat, rub ears and lots of praise and repeat for a week or so. Then start attempting the testing (slowly). Try and test once every three "treat" times or so. Lots of kitty voice and lovins.

Darla is adorable! I love torties - especially long haired torts.
 
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