Questions for possible cat out of remission

[Tyleete]

I'll try to make this short.
My cat has lost weight and then started throwing up some for 2 days.
Took her in, but not before checking get BG at home. My vet doesn't believe in using human meters anymore, so I actually tested her on both my Pet Test one (94) & the Relion Platinum (70). The reason is because I took her in a cross-country trip near 10yrs ago and she's never forgotten it. Now cat trips include diarrhea, throwing up peeing, and frothing at the mouth. Every time she goes to the vet, her BG is over 300. She's taken a urine test too twice (one yesterday & other at original diagnosis), will try to attach those results. I believe my cat suffers so bad from the stress, she's spiking everything. Though my vet 'assures' me I am wrong , because she's never seen both tests go so high unless it's truly diabetes.
My girl has lost 1.5lbs in just under 3mo, and I just felt something was off, though everything else seems ok. She first suspected kidney failure till she saw the urine stick results. She claims she calibrates her eq regularly, and believes BOTH of my home testers to be inaccurate.
In the chance it is diabetes (I insisted on the fructosamine test after asking on the Facebook page -should get results today), she really wants her to try Senvelgo. I'm very leary of new 'miracle' drugs. I liked at the page here for new meds and it really didn't seem to help my feelings. And there's not a lot of users on the Senvelgo. I can't help but think we're the guinea pigs when it comes to new meds.
My girl was originally diagnosed around 4yrs ago, due to only BG and urine test then. She immediately put her on Prozinc and told me not to test at home. Just wait a month and beting her back for a curve. Said she looked to be in remission after month, but KEEP her on same 1u for additional month. Just in case.
I now know how dangerous and stupid that was. But she has been on insulin in the past. Senvelgo says not to use if insulin was given, she's says that's back-to-back. And years ago and discontinued isn't the same thing.
Anyone know of this is true? And how safe if really is?
And the fructosamine test. She told me 'It's not used to show if a cat is diabetic or not. More for regulated cats'. To me that doesn't sound right.
Does anyone know what the average test results would be if she's NOT diabetic? I've read a lot of mixed answers and want to be prepared when she calls.
Add much as I don't want her to have come out of remission, I find myself hoping for that. Verses kidney failure.
Thanks in advance.

 

[CORKY]

@Wendy&Neko

 

[Tyleete]

Whelp! Her tests came back.
On the diabetes Facebook page, I was given a chart. That reads for the Fructosamine test. 190-365 is a normal cat.
My girl's numbers were 224.
She did tell me she has a bag UTI though with those numbers. But even at 224 (she said 250 on the phone), she's saying that's she and the specialist she spoke to from where the labs were done, is saying they believe she either IS diabetic, or pre-diabetic.
Am I missing something? There is something wrong with my cat, but looking at this and her numbers at home, I don't think diabetes is the problem.
She thought at first kidneys. But said the test came back as fine with liver and kidneys.
After all I've read, I told her I do not want her on Senvelgo. If nothing else, the pamphlet she gave me states if the cat is vomiting at time of diagnosis or is not eating well, they're not a good candidate. That and weight are why I brought her in. She argued and said Lantus packs too powerful a punch and that even on 1u, it will be too much for her.:/
Does this look like diabetes to anyone else?
And yes, she started a round of antibiotics and is going in next week to have some exploratory ultrasounds done to see if she's got any masses. Within the bladder, gi tract, or pancreas.

 

[Karolina & Nestle]

@Suzanne & Darcy
@Christie & Maverick
@tiffmaxee

 

[Bron and Sheba (GA)]

If your kitty has been on insulin before she is NOT a candidate for senvelgo. No not give it.
If she had a UTI it is very possible that her BG went up to over 300, either from stress or the UTI.
If you took 2 tests at home from 2 different meters and they were similar, I would believe them. Try testing your BG and see if it’s normal. Then test your kitty’s.
I would test your kittys BG daily for a week and see what it is. If it is normal you do not need insulin.
Are you still feeding a low carb diet?
As far as the weight loss is concerned, has the vet done any thyroid tests?

 

[Tyleete]

If your kitty has been on insulin before she is NOT a candidate for senvelgo. No not give it.
If she had a UTI it is very possible that her BG went up to over 300, either from stress or the UTI.
If you took 2 tests at home from 2 different meters and they were similar, I would believe them. Try testing your BG and see if it’s normal. Then test your kitty’s.
I would test your kittys BG daily for a week and see what it is. If it is normal you do not need insulin.
Are you still feeding a low carb diet?
As far as the weight loss is concerned, has the vet done any thyroid tests?

That's definitely what I'm doing. Checking get numbers daily. The doc wanted me to do it 3x a day but I'm not. Her numbers on the AT3 remain between 90-94, so she's good.
She was given a thyroid monitoring panel, or some such as I'd requested something to check. 2,4 there so not that either. Kidneys and liver looked perfect according to the test she said. She is taking Clavamox for a week, and then scheduled to repeat her blood tests in 2, as well as have 'exploratory' ultrasound to look for any masses. Said she will be checking get pancreas, bladder, & gi tract. He's mother had 2 different forms of cancer as well as hyperthyroidism.
I am going to bring both the human & AT3 monitors I use here at home, to let her compare them when she dies it there in 2 weeks. If they match hers, she can be quiet already.
I did tell her IF she needs to go on meds for diabetes, I would not be using Senvelgo. she was upset I didn't believe her. But I quoted articles such as the pamphlet she sent me home with (saying if cat wasn't eating well or throwing up. NOT a candidate), and FDA said this can absolutely kill her if she doesn't need insulin. This doc, though I love her, just seems to believe whatever hogwash the rx companies dish out and never looks herself. Then argued when a client actually does the research.
Oh! And my girl has been on only Young Again Zero (less than 1% carbs) since she originally said she was diabetic over 2yrs ago
Part of me thinks she's only fighting this hard, because 1-She'll have to admit she probably misdiagnosed my cat to begin with and she Never had diabetes. Or 2-She's going to have to rethink what she's been taught, that cats CAN spike like this dude to stress.

 

[Wendy&Neko]

Once a diabetic, always a diabetic. But Nico is in remission and it sounds like she still is. One time we had a kitty here who was on his OTJ trial, and had to go on a car ride. He absolutely hated them, even though he did them every week. He hit over 400 when tested at the destination, and back to normal the next day. Yes, stress can be crazy.

You are correct that you don't want to go to Senvelgo. More details and links to papers here: New Treatments for Feline Diabetes

The GI ultrasound is a good idea. If she is still eating well but losing weight, the three common causes are diabetes (ruled out), hyperthyroidism (ruled out), and a GI issue. Not necessarily a mass either.

Did Nico have a urine culture done? You do want to make sure she is getting the right antibiotic to combat any UTI bacteria.

 

[Sienne and Gabby (GA)]

Did the vet happen to check your cat's teeth? One of the big reasons a cat drops out of remission is due to dental reasons.

 

[Tyleete]

Once a diabetic, always a diabetic. But Nico is in remission and it sounds like she still is. One time we had a kitty here who was on his OTJ trial, and had to go on a car ride. He absolutely hated them, even though he did them every week. He hit over 400 when tested at the destination, and back to normal the next day. Yes, stress can be crazy.

You are correct that you don't want to go to Senvelgo. More details and links to papers here: New Treatments for Feline Diabetes

The GI ultrasound is a good idea. If she is still eating well but losing weight, the three common causes are diabetes (ruled out), hyperthyroidism (ruled out), and a GI issue. Not necessarily a mass either.

Did Nico have a urine culture done? You do want to make sure she is getting the right antibiotic to combat any UTI bacteria.

Thank you on the input. I did read that thread first, just wanted further info if possible. My vet actually sounded disappointed in me for rejecting the thought I did not want to use it even after all her wonderful endorsements.
I'm not sure what she had done with the pee, but think she said it was a pee stick test? It's from the test shown above. I think that's why she wanted to use Clavamox, as she said it was a broad spectrum. I'm guessing it will show if it didn't work in her next lab work on the 15th?
She was probably just trying to save me in the purse. That day was already over a $500 bill, and that was for her giving me the office visit free. So not sending it one out. The 15th she has to go back for more blood and the ultrasound are going to cost me a lot over again. And I've lost 5 seniors over the last 1.5yrs, visiting me over 20 grand in the fight to save them. So she takes that into her doing things.
I just wish I could get my doctor to believe me. She actually told me Nico's not in remission if they don't test to see.

@Sienne and Gabby (GA) she just had her dental done just in April. She gets it about every 2yrs as needed but what the doc says.

 

[Wendy&Neko]

Your vet is right that a lot of the common UTI bacterias can be successfully treated with Clavamox. However, my recent experience shows it doesn't handle all of them. My vet started my cat on Clavamox right away and sent off urine for a culture to confirm it. It came back with a different bacteria than she was expecting, but one that often can be treated with Clavamox. Except this variation wasn't and needed a different antibiotic. The pee stick test can show that there is some bacteria present, just not what kind. That needs a culture. Paws crossed she responds well to the Clavamox.

We've seen enough sad results here with people using Senvelgo when they shouldn't, so safety first. It can work great in cats for whom it is not contraindicated.