Newly Diagnosed

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MomtoValla

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Hi, My 9 year old baby Valhalla (Valla) was diagnosed last Wednesday. His vet said that this would be a great resource. I'm feeling extremely overwhelmed right now reading up on everything. He has been having regular senior check ups every 6 months but we noticed that he had dropped weight really quickly so back to the Vet we went and blood work was done. We caught it early as 6 months ago he was fine. We're currently switching him to a low carb diet and will be starting insulin soon. I will be doing home monitoring as we have some financial constraints. I would welcome any hints, tips, and mostly support in our new journey.
 
Hi and Welcome to the FDMB Family.

Okay breathe, you are now in the best place you never wanted to be, but will be so glad you found. First off sounds like you have a terrific vet if he recommend this site! We can definitely help you help Valla (love the name btw).

Wonderful that you are going to be home testing, that is probably one of the single best things you can do to help him on his road to recovery and keep him safe in the process.

I'm sure others will be along shortly with all kinds of tips and links, and questions.

But to give the bare bone basics. We test our cats with a regular human meter (no need for fancy pet only one). I personally use the Relion Micro from Walmart, Cost about $9 and 50 test strips for about $20. We prick the edge of their ears to get a small sample of blood to test, and once everyone gets the hang of the routine most cats don't mind it at all, I know my Max purrs through the whole thing. Now it can be frustrating at first but it soon becomes as easy as brushing your teeth.

You are going to want to test at the very least before each insulin shot. Speaking of insulin has your vet told you which insulin you will be using for Valla? And what your beginning dose is going to be? We recommend that you start low and go slow. A normal starting dose is between .5 to 1u twice a day unless other health issues dictate otherwise.

A low carb/high protein diet is definitely the way to go, again you don't need the fancy prescription stuff, there is plenty out there on the commercial market that is actually better in ingredients and just as good for a diabetic kitty. Now I have 11 cats, only one a diabetic, so I feed everyone the exact same thing , just good old fashioned Friskies Pate flavors. You'll want to stay away from anything in gravy or grilled. But Fancy Feast Classics, 9-lives Pate, Friskies Pate and even Wal-mart's Special Kitty are fine. Just depends on what Valla likes and fits into the budget.

Hang in there and welcome to the SugarDance!

Just remember the only stupid question is the one that goes unasked, so post any and all questions you have as they come up and we will do our best to answer them and help hold your hand and paw along the way.

Mel, Max & The Fur Gang
 
Welcome! You are in the best place you hoped to never be in. My boy Willie was diagnosed in early December, and I can promise you that it does get so much easier. I see you are on board for home testing and low carb foods... you're already two steps ahead! Which insulin is your vet prescribing? We have insulin support groups for the various insulins that have valuable information as well, so be sure to read up there!

Couple newbie tips:

1. You don't need a vet prescribed food or even a fancy pants brand. Most folks here use Fancy Feast Classics, Friskies, Special Kitty (Walmart) and Sophisticat (PetSmart), all of which are significantly cheaper and are better quality than what you would get from the vet.

2. You don't need a fancy meter either. Lots of people here use the Relion Micro or Confirm. It is a Walmart product. The meter costs $9, and strips are $12 for 20 or $20 for 50, so they are quite affordable. Target and the drugstores also have house brand meters that are relatively inexpensive. It is good to have a meter where you can get inexpensive strips in the middle of the night if needed!

3. When doing home testing, you'll be poking the ears alot. It takes time to "train" them to bleed well, so don't get discouraged. You'll need lancets (some will come with your meter, along with a lancet pen you can use for poking). The higher the gauge number on the lancet, the thinner the needle. I'd suggest getting some lancets that are 30 gauge or lower... I'd even start with a 28. The thicker needle end will give you better blood flow. Also, the rice sock trick in the stickies was a big help for us.

4. You'll want to get a test before giving each shot, before you give food. You should also be withholding food 2 hours before the shot so that your preshot number isn't inflated by food. You need to know that it is safe to give the dose, and having food out of that equation will let you do that. You should also try to get in periodic spot checks so you can begin to see how the insulin is affecting your cat. Where they hit their low point in the cycle will depend on the insulin and the cat. As we say, ECID (every cat is different). Eventually, you'll want to get in a curve as well, which is generally testing preshot, then every two hours until the next preshot. I'd focus on figuring things out and letting the insulin settle in before worrying too much about getting one in.

5. When picking up your meter, also pick up some ketone sticks. Testing for ketones is important, as their presence can indicate a risk of DKA, diabetic ketoacidosis, which is a very dangerous, and often deadly condition. Surviving a DKA attack is an extremely expensive endeavor, so the $15 for the bottle of strips is money very well spent. It is best to get some fresh urine on the stick... there are tips here in the stickies on how to do that. When starting out, you should test for ketones regularly and if you get any sort of ketone reading, call your vet and ask questions here as well.

The folks here have been angels to us... we've had some really negative vet experiences, and I've placed Willie's well-being in their hands more than once. I literally trust our family here with his life.

Let us know what insulin you're using and we can give you some more specific advice as well... and most of all, welcome!
 
Welcome!

The first 2 posts said pretty much everything I was going to say, but I still wanted to say welcome. :-D

It sounds like you're off to a great start! Once you get a meter (I use the Relion from Walmart) to start home testing, and begin insulin, feel free to ask as many specific questions that you can think of.
 
Thanks for all the info so far. We are starting with Lantus - a very conservative dose until we figure out how he reacts. I haven't gotten a monitor yet so I would welcome recommendations. There actually isn't a Walmart near us (if you can believe that!) so running to Walmart is not super convenient.
 
You can always order online at walmart. What costs so much with other meters are the test strips.
So whatever you get, see how much the test strips and Lancets are first.

Since you will be using Lantus, go to the Lantus forum in the Insulin Support Groups and read the sticky's. They are very informative on the use of Lantus, the protocol, explaining the cats insulin shed, etc.

There are video's on youtube that show how to test a diabetic cat on their ears.
Here is one of them thats pretty good. http://www.youtube.com/watch?v=_zE12-4fVn8

You will want to get a prescription for the pens or cartridges rather than the vials. You still will use an insulin syringe, but since they hold less insulin, you have less waste. This sticky in the Lantus forum explains all about them. viewtopic.php?f=9&t=151
 
One thing that might be confusing: Meter and test strips have to match (same brand), with very, very, very few exceptions. Lancets and lancet device (if you choose to use a lancet device - some people do, some don't) do *not* have to be the same brand as the meter. Also, some lancet devices can take a lot of different brands of lancets, but some need their "own" lancets. The box will tell you which sort you have.

Sometimes a lancet device and a few lancets come in the package with the meter, in which case you might as well start with that type, but always know that you can get a different one if you want. When you first start testing, you won't know *what* you want, so just pick one and try it. You'll begin to realize what works well for you and your kitty and what doesn't. After you start to get some preferences, come here and ask what specific lancets and/or lancet devices have the features you want but not the features you don't want. (Lancets and lancet devices are relatively cheap, so you're not bound by the cost to stick with what you buy the first time.)
 
There is another meter called True Result that you can get from Walgreens and some other pharmacy chains. There are four chains in my area that carry this meter and strips. Each chain has their name on the meter and strips. However, I have found out the Publix or Good Neighbor strips also work in the Walgreens True Result meter. CVS may also have the true result meters. At the factory they just stamp different chain names on them but they are the same meters and strips.

It sounds like you have a vet who is up to date on Feline Diabetes. That is hard to find!! Everyone before me has done a good job of explaining the basics. I just wanted to also stress the importance of also testing for ketones. My cat has had DKA twice. IIt is a very expensive difficult ordeal I hope I can help others avoid.

Welcome! You may feel overwhelmed now but it does get easier!
 
You have all made me feel so welcome and not as scared anymore. Thank you! Tomorrow is the first shot of Lantus. We did a test run today. I did a glucometer test and he was so good and we went to the Vet and learned how to give shots. He got a shot of saline and he didn't flinch. I CAN DO THIS!!

I'm just a little concerned about the Ketone tests - I have 2 cats so how do you do this? Do I just have to stalk him until he goes potty?
 
Yeah, you pretty much have to follow the kitty around until he does his business because the urine needs to be fresh. :) Here's how I do it: I have a small litter box that's just for ketostix testing. The regular box has clumping litter, so the urine will immediately absorb. I put non-absorbant litter in the little box and put it next to his regular box. Then I put a piece of plastic over his regular box because he won't go in it with the plastic (you could also just remove the regular box). He usually pees right after dinner, so I set it up then and hopefully won't have to wait too long. Once he does his business I just tip the box slightly so the urine pools at the edge and dip the strip in.

You could also use fish gravel as litter, and I've even heard that lentils will work! Some people are able to "catch" the urine with spoons or small cups, but my cat doesn't want me near him during his "private time". You may want to experiment with a few different methods to see what works best for you.
 
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