Several weeks in and poor results

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Tbobaggins

Member Since 2017
Hey there,
My girlfriends cat Pax was recently diagnosed as a diabetic. He's approximately 9 years old and weight 16.2lbs at the visit of his diagnosis. He was originally on a strict dry food diet and we originally brought him because he started laying by his water bowl and urinating a LOT.

It has been about a month and the first thing we did was we slowly weened him off dry food and on to a wet food with a feeding, with a small scoop of evo dry food in the morning and at night with his shots. He first tested in the low 400s and the vet started him on 1U of Lantus. After two weeks we brought him in for a curve testing he was in the low 300s. The vet had us bring him to 2U. His curve testing didn't go that great at the vet so we bought an Advocate Pettest unit and tried it out about a week after being on 2U. Unfortunately our testing showed him to be in the 400s again at what should have been his lowest point. We tried doing a few tests at the lowest point of a few different days, but kept seeing similar results. I decided to invest in an Alphatrak, since the Pet test didn't have the best reviews, but again he tested at 455 approximately 4 hours after his shot tonight. I also want to add he has dropped approximately 1-1.5 lbs in the last month or so on his diet.

Any thoughts as to what is going on? We really don't want to take him in for another curve testing because he handled it very poorly..though it doesn't make sense why his numbers haven't changed. He no longer sits by the water bowl nor does he urinate large amounts. He seems to be less lethargic and is out playing again, too.


Thanks for any help that can be given!
 
How about doing your own curve at home? Noah's curves are erratic so maybe on a weekend (assuming you're both working) you could do a Saturday and a Sunday curve. More information for your vet to work with.
 
Yes, doing a curve at home is good for your cat and you. You'll save money in the process. I also recommend starting an online spreadsheet.
instructions here

You did the right thing to get Pax on wet food. The key is wet food with low carbs. Leo gets Fancy Feast Classics. Not a lot of variety, but not many carbs either.

Some cats don't have great nadirs. I can safely get Leo to nadir around 150, but usually he stays around 200 for the nadir (low point). Lantus is a depot insulin. There is good info at the top of the Lantus sub-forum which describes its lasting effects.
 
Hi!
I am so happy that you are home testing:cat:
I am going to bump this up for more experienced eyes.

Sometimes the dose may actually be too much and if that is the case it will cause a consistent "bouncing" cycle.
When a cat "bounces" it is because they will go low enough for the liver to spill out sugar as the body is not used to being in a more normal or sometimes too low of a bg....
If you can do a curve at home every few hours you may be able to catch the lowest bg which will help to make dosing adjustments if needed.
Since you Pax has been fairly high even a high end normal bg may cause the liver to react.
Congratulations on the weight loss!
:cat:
@Wendy&Neko
 
Which wet food? It needs to be pate style with NO gravy... Fancy Feast classic or Friskies pate foods are common choices here.



So glad you are testing at home. Folks here can get you going with a spreadsheet like the one in our signature to help us see a clearer picture of what's going on and to help with dosing advice.
 
I wanted to add that it sometimes takes a while to find the right dose and get regulated. Two months after my cat was diagnosed she was still getting numbers in the 400's.
 
Good for you for testing at home. Stress can really increase numbers at the vet. The non diabetic cat on my lap has tested over 220 at the vet and mid 50's the next day at home. Keep trying to get mid cycle tests to see how this dose is working. We dose Lantus based on how low it takes kitty.
 
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