Newly diagnosed

Elliott&Kym

Member Since 2026
Hi everyone, my cat Elliott was just diagnosed with diabetes today. His BG was in the 400s. If anyone has any newbie tips as I try and wrap my head around this I would greatly appreciate it. He is one of 4 cats in my house so my first worry is how to get him to be a meal cat (vets wording) and onto diabetic moist with 3 other hungry cats and multiple bowls. He is 12 and most of his life there has been dry food hanging around to snack on. I lifted that tonight and of course now every cat is like the world is ending.

Do I slowly transition him to DM and leave the other bowls (the dry) out? I don’t want him not to eat enough.
 
Hi everyone, my cat Elliott was just diagnosed with diabetes today. His BG was in the 400s. If anyone has any newbie tips as I try and wrap my head around this I would greatly appreciate it. He is one of 4 cats in my house so my first worry is how to get him to be a meal cat (vets wording) and onto diabetic moist with 3 other hungry cats and multiple bowls. He is 12 and most of his life there has been dry food hanging around to snack on. I lifted that tonight and of course now every cat is like the world is ending.

Do I slowly transition him to DM and leave the other bowls (the dry) out? I don’t want him not to eat enough.
Most of us do not feed diabetic canned food as it's too high in carbs (I know. It seems like it wouldn't be, but it is.). You want to find a lower carb canned food, with carb values under 10%. Here is a list of foods prepared for chronic kidney disease kitties, but I like it (and it works for FD kitties) because it is updated frequently: https://www.bizave.com/foodlists/Combined_Food_Lists_Feeding_Guide.pdf. Look at the third column from the left, carbs % of cals. Many people here feed Fancy Feast Classic Pates because they are both cost-efficient and low carb. My cat eats the FF Classic pate beef and the Savory Centers chicken--both low carb. When making the food switch, do it slowly to avoid tummy upsets. Here is another list of pointers for switching to lower carb canned foods from dry: Transitioning your cat from dry to wet food

I'm not sure what the vet means by "meal cat." Can you elaborate?

What insulin is Elliott on?
 
Sorry, my vet means meal cat is when the cat only eats at designated times. We feed 2x a day, but that pesky dry bowl is out all day. I covered it tonight and they are all a little pissed.

Elliott isn’t on insulin just yet. The vet only called me today with his test result, so I am trying to get my head wrapped around what all I will need and what I need to do. I am just seeing $$ for strips and $$$ for food and freaking a little.

Thanks for the info, I will check that, so your saying I may not have to feed him the pricey DM Purina?
 
Nope. There's nothing in Purina DM that helps blood glucose levels. It's poor quality ingredients that you pay $$$ for. Food is one thing you can agree to disagree with the vet about.

If you can feed all the cats the same low carb canned food as the diabetic that would make life easier. If you need tips on how to afford a canned food only diet for multiple cats, members have suggestions.

If some dry has to be fed, the only suggested ones that are ok if a diabetic eats some is Young Again and Dr Elsey. Try to keep the diabetic out of the dry as much as possible. A microchip feeder works well.

Diabetics do best with multiple small meals spread throughout the day, kind of like how Human diabetics often eat small healthy snacks to keep their blood glucose levels stable. A programmable timed feeder works great for this and there are some that are microchip activated so you can program it only for the diabetic.

Try to get your diabetic onto low carb canned food now while your cat isn't on insulin. Did the vet say which insulin? ProZinc or Lantus are best. Avoid Vetsulin and other insulins.

A Human blood glucose meter and supplies are all you need. Walmart's Relion brand is affordable. If you don't have a Walmart, any brand name sold at a pharmacy will work. Or buy online. You just need a basic no frills meter.

If the vet mentions a CGM, know that it only lasts 2 weeks and is known to fall off or malfunction. A replacement is expensive and you'll need to keep a few on hand just in case.
 
Thanks for the info, I will check that, so your saying I may not have to feed him the pricey DM Purina?
That's correct. Here is a little info from one of our senior members about DM: "The DM is again, not good quality and not specific to diabetes. It is called dietetic management - not diabetes management. The ingredients are frankly, not very good quality." And this from another senior member: "Most vets are not well trained in nutrition. Beyond the couple of hours (if that) that they get during vet school, most of their information comes from the pet food manufacturer's sales people. As a result, they tend to think that the prescription foods meet the dietary needs of a cat's particular condition, like diabetes. This is not the case. The pet food manufacturers lost a class action suit for misrepresenting the nature of the prescription food. If you look at the label for the DM, there's nothing in it that even vaguely resembles anything 'prescriptive.'" There are a few dry foods low in carbs (let me know if you want their names), but if you can get your FD kitty off kibble, that will be best for Elliott.

As the vet is deciding which insulin, please consider two insulins that are the gold standard for kitties: Lantus (glargine) or Prozinc, which are both recommended by the American Animal Hospital Association. The other insulins. (e.g., Novolin, Vetsulin/Caninsulin) do not have a 12-hour duration which results in swings in the blood glucose numbers. They also tend to be rather harsh, meaning that they can drop numbers quickly. Lantus and Prozinc have a longer duration and are gentler. Because they are gentler, they require more patience on the caregiver's part, meaning that it can take longer to get a cat's numbers down. I initially started my cat on Vetsulin/Caninsulin, which is actually an insulin made for dogs, but I quickly switched him to Lantus, and I saw much better results in his blood glucose numbers.

Since you don't know which insulin Elliott will be on, let me suggest some basics. You'll definitely need to plan on home testing, at least once before each 12-hour shot and, ideally, at least one other time during the 12-hour cycle. Here is an index of guides the forum has for getting started: Sticky - INDEX: Health Links/FAQs. We have A LOT of information on the forum, and I don't want to overwhelm you, but home testing is absolutely essential in keeping Elliott safe, as you always want to know what his bg is before a shot and what his bg is through a cycle.

As you're pulling things together, you're going to need a monitor for testing. Most of us use a monitor for humans. I use the ReLion monitor from Wal-Mart. It's cost efficient; it and the test strips are readily available at Wal-Mart; and it's what most of us here use and what most of the information related to numbers is based on. The testing strips are relatively cheap. Some vets try to encourage caregivers to purchase an animal monitor, but that isn't necessary and they are costly. We have volumes of information on the forum that guide you with learning how to home test.

Again, I don't want to overwhelm (because FD can be quite overwhelming). Let us know what you need, and we'll do our best to guide you.
 
You all are amazing. I have my appt Thursday with the vet to get started, but all your advice is already helpful. My vet is a small rural vet that I have never found to be very pushy. She has been my vet for 14 years. She sent me to Diabetes Mellitus: Introduction and said to read up. The site said I needed an animal monitor so I will push back on Thursday if she says I have to have an animal monitor.

The test strips are crazy pricey on chewy and I am a paranoid pet parent and living in a rural area means I have to keep supplies on hand for the weekend because no vet is open and any ER is almost an hour away.

I will likely need a little dry, but will grab some FF, the other cats are on Gems and Petites so he won’t feel excluded if everyone makes a slight shift.

You have all made me feel a little better. Wish I had a forum like this when I was diagnosed with Afib a few months ago. It’s been a year of medical and it’s only April, lol.
 
I started with the Alpha Track monitor, but when I saw how much I was spending on testing strips (you will USE A LOT OF TESTING STRIPS), not to mention what an inconvenience it was to have to order those strips from Amazon, I made the switch and never looked back.

Invite your vet to the forum! We love our vets, and if you have found one that you can work well with, that's incredible. I think the most beneficial aspect of our website is that we have folks on here who have navigated FD with their kitties for years, and they have stayed around to offer their valuable years of experience and assistance to those of us navigating it now. This place has been a life saver for Jude and I.
 
Hey Mary I clicked on Jude’s Sugar Sheet is that what everyone uses for recording BG? Again, this is all new.

I gotta ask what did everyone use before there were specific animal glucose monitors? Googling gives me use animal only because of human and feline red blood cell density…then more digging and I see the Relion. I can’t ration strips but at $59 a box I wouldn’t make it month with one box.
 
Hey Mary I clicked on Jude’s Sugar Sheet is that what everyone uses for recording BG? Again, this is all new.

I gotta ask what did everyone use before there were specific animal glucose monitors? Googling gives me use animal only because of human and feline red blood cell density…then more digging and I see the Relion. I can’t ration strips but at $59 a box I wouldn’t make it month with one box.
Yes! If you plan on sticking around with us, you'll want to set up a spreadsheet. It's an excellent tool to help you keep track of Elliott's blood glucose, AND when you post on the forum, we can see what's happening with Elliott and can offer guidance, if necessary. You'll also want to set up a signature. Instructions for setting up both are here: Sticky - New? How You Can Help Us Help You!. If you run into any problems, let us know, and we'll be glad to help you with any of this.

Before there were specific animal glucose monitors, people used human monitors! You'll see some of the veterans here on the site talk about that. Then a company came along and decided to market an animal monitor and made a lot of money on it, but you're fine with a human monitor, trust me. The Relion is about $10. The testing strips are about $17 for a box of 100. If you find you need an animal monitor, you can get one later (and use the human monitor as a backup), but most people find it's not necessary. Sometimes, vets like their patients to use animal monitors because that's what they (the vets) use, but the numbers are not that far off, and most vets do fine with patients using human monitors. Go with the human monitor.
 
Thanks Mary, I found the spreadsheet how-to!

Yeah Afib is new for me, thankfully mostly asymptomatic and meds to help. I figure this is going to be similar to Afib, there will be a lot in the beginning and a TON of questions as my house adjusts to the new normal. I am sure I will get this down, but glad I found this forum, everyone is so helpful. I feel horrible for Elliott, I am sure he hasn’t been feeling great. I noticed an increase in drinking water in the last month and took him in early for his annual and here we are.
 
A CGM is made for Humans and vets seem to be fine using that on cats but apparently when it comes to hand held meters, they'll insist on only AlphaTrak or other pet only meter 🤷‍♀️ A Human blood glucose meter is all you need if you don't want the expense or hassle of a CGM falling off or malfunctioning. Relion is fine and affordable if you have a Walmart store. The Premier Classic is the basic one you want. But you can use any brand of meter you want. There are lots of brands available. I use AccuChek which is on the expensive side.
 
Thanks, do I need some sort of solution or is that just for certain ones. I have a Walmart, but Walmart isn’t listing the solution for the Relion Premiere. If there is one that doesn’t need solution that might be easier. Does any lancet thingy work? Boy, this is so much to take in.
 
The control solution? You only use that if you think there may be something wrong with the meter and the numbers you get don't seem right (hard for a newbie with little data to know). Some people like to use the control solution when starting a new container of test strips.

I don't use the Relion lancet device but many people here do and like it. You can search the board for posts about using the Relion lancet device. Any brand of lancet device works. Sometimes what works for one person doesn't work for another. Some people don't even use the device at all. They freehand the lancet.
 
Thanks! I asked because I see it when searching for meters. Just want to make sure I order all that I need, I live in a more rural area so I mostly order online.
 
Thanks, do I need some sort of solution or is that just for certain ones. I have a Walmart, but Walmart isn’t listing the solution for the Relion Premiere. If there is one that doesn’t need solution that might be easier. Does any lancet thingy work? Boy, this is so much to take in.
You can get the control solution free from Relion. I think I just went to their website and ordered it.

Squeem3 mentioned the lancet device...I freehand Jude's tests rather than using a lancet device because he is startled by the *click* of the device. I also feel that I have more control over where I poke when I freehand. Again, what works for some doesn't work for others, but that's how we get it done.
 
Got it. My vet is going to impressed by my 48 education on cat diabetes! Thanks to all of you.

Have his SS started, so will see what insulin and things the vet has to say tomorrow.

On a positive side Elliott seems to be eating the moist prescription (which of course I will change) with very little qualms about not having a dry food bowl available. So 🤞that shifting his diet won’t be as hard as I thought, helps that he is super hungry.
 
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