Question about fructosomine test and your thoughts.

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owlgal

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I got the results back from Copper's Fructo test and it was 428. So he said he was not as regulated as he would want him to be. What does that translate to in BG? I know i remember someone said in a post that their fructo test was 478 and this translate to about avg 300BG. How do you translate it to BG value?

He wants me to go up to 1.2 and wait a couple of days and then maybe go to 1.4 depending on how he does. What do you all think? He also wants me to go back on DM because that has the highest protein value. But isn't that about 12%carbs? Copper has lost a alot of muscle on his legs and needs some more protein. I've been giving him 11%protein food. What do you all suggest?


Thanks!

lori
 
Lori,
My thoughts are getting a fructosamine test done when you are hometesting: waste of money.
The test is basically the same thing as if you were to add up all those tests you get at home and then average them out. I believe some meters can do that calculation for you, so why waste your cash on the test?

If you want to go by your vet's decisions, print out a copy of the ss and give it to the vet. YOUR numbers are true.

I can't say a thing about dose as I am not familiar with your insulin.

Get your cat a nice scratching post instead of any fructosamine test.

ETA: missed the food part. You do NOT need to waste money on the vet food; just say your cat won't eat that food. If your vet wants more protein in the diet, what's wrong with plain old chicken?
I have always used raw or steamed chicken pieces for snacks and treats with my cats.

What about adding some B12 to your cat's diet? some grind pills and mix in food, or you can even get a vial of B12 from the vet to give shots. The B12 shots I started giving helped my two cats greatly.
 
I think Carl has the fructosamine/bg comparisons somewhere. Maybe he will check in.

DM is mainly liver. The common thought is that it isn't any better and may be worse than FF as far as ingredients. It is too expensive and cats get tired of the taste. My vet wanted me to feed DM and we agreed to disagree on diet. (the vet isn't there when you open the cats.....). You could take a few cans and bring them back and say he won't eat it.

I think 1.2 is reasonable. You are testing and you can keep track of the numbers. You have gotten nice yellows with the lower dose but no blues or greens so an increase shouldn't hurt.
 
Thanks Sue,

I told him that i didn't want to use the DM and that it was higher carbs then i wanted to give copper. He was surprised that it was higher carbs. I told him i would stick with the FF, but i thought i would ask everyone. I didn't pick up any and won't. What is the difference between boiled chicken vs baked chicken? I know the fructo was a waste of money, but it came in a package deal(lump blood work). Still waiting for all the other Bloodwork on him. He said should be in by tomorrow am. We shall see where he is. Had them do a thyroid too. I hope his numbers come in ok.

He originally wanted me to go to 1.5u and i said that was going too high too fast. I haven't been able to get him checked lately because i've been out. So i will probably stay on 1u one more day and check nadir and then go to 1.2.

I'm on the zobaline 3x/day also for neuro.

THANKS! Will let you know when i get the results from other bloodwork.

lori
 
Thanks Lisa,

That doesn't sound bad then. I'm close to the regulated dose i think . Does the fructo shows for the last 6wks?

How is Cassie today? Sounds like you had a night last night. Scary!

lori
 
http://www.sugarcats.com/articles/Fruct ... on-charts/

That is the chart someone sent me here. We just had one done to firm up that our Freestyle meter wasn’t true. Sure enough it came up 500, not regulated.
Our cost for the test at the vets was $70 here in rural Pennsylvania. I think it’s good to do if you don’t trust your meter numbers, but I wouldn’t spend the dough if you do trust your meter and have compared it to what your vet uses.

Our vet told us the Fruct test is not effected by stress, so if you go to the vet to have it done, it gives you an average of the last month.
 
Thanks for the info on the fructo. Don't think i will get one again unless comes in the package deal.

Lori
 
I believe fructosamine is a compound that forms in the blood when there is elevated glucose over a period of time.It is not identical to an average of BG tests. It tests a different substance. Whether is offers any advantage is another question.
 
Is this comparable to the a1 test for diabetics in humans? So how do they know if the BG is high. Like the vet said that his insulin needs to be twicked a little more up. His range for Fruto was something like this: 105-380. So his fructo was elevated @428.

Now i'm really confused about the fructo.

lori
 
Fructosamine is a protein that attaches to glucose in the bloodstream. If a patient’s fructosamine is elevated, then the patient's average glucose level over the previous 2 to 3 weeks has also been elevated.

If you do a google search for fructosamine, you'll get lots of info to read over...

http://www.isletsofhope.com/diabetes/tr ... 1.html#not

The fructosamine test is a simple blood test that measures glycated protein (a protein that has bonded with a glucose molecule). Because it measures the average glucose over the previous 2-3 weeks the test is not affected by food you may eat during the day of the test. Therefore, there is no need to perform a fasting fructosamine test; it can be done at any time during the day.
 
And like someone also mentioned, the fruct test takes "vet stress" out of the picture (unless your cat has been to the vet many times over that 2-3 week period!). But it isn't going to tell you anything you don't already know. You can average all the tests you've done at home if you want an average, and many meters can be set up to do that math for you.

Purina DM canned is only 7% carbs. There are two things I don't like about it.
1 - it only comes in one flavor, so many cats just burn out on it, eat it for a couple days, then won't eat it anymore.
2 - like any vet prescription food, it's grossly overpriced. If it was twice as good for kitty as say FF is, then the cost could be justified. But it just isn't any better, short of the higher protein. I always thought the D stood for Diabetic, but it doesn't. It's Dietetic Management
Dietary Considerations
Purina Veterinary Diets® DM Dietetic Management® feline formula provides complete and balanced nutrition for the adult cat and has been formulated to achieve the following characteristics:

High protein
Source of omega-3 and omega-6 fatty acids
Low carbohydrate
High level of Vitamin E

The reason it is so high in protein is because the top ingredient is liver. No wonder cats don't like it!
Liver, poultry by-products, meat by-products, water sufficient for processing, chicken, salmon, oat fiber, salmon meal, guar gum, potassium chloride, carrageenan, salt, Vitamin E supplement, calcium phosphate, taurine, thiamine mononitrate, zinc sulfate, ferrous sulfate, niacin, calcium pantothenate, copper sulfate, Vitamin A supplement, manganese sulfate, menadione sodium bisulfite complex (source of Vitamin K activity), pyridoxine hydrochloride, riboflavin supplement, Vitamin B-12 supplement, biotin, folic acid, Vitamin D-3 supplement, potassium iodide. I-4573

You can buy it by the case from Amazon, but it's still expensive. About $32 for a case of 24 cans. (And you might qualify for free shipping on orders over $25 but this one had an added $19 shipping fee!) You can buy two cases of Friskees Pates for that much money, and still have leftover change to buy yourself some chocolate!

Carl
 
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