Should I take my diabetic off medication?

Status
Not open for further replies.

gamosa

New Member
Good day everyone,

My male cat was diagnosed with diabetes back in Oct 2007 (he was 14 at the time). We had just moved to a new province so I was seeing a new vet for the first time. Luckily she said she had some knowledge of diabetes and came up with a treatment plan. First, was to run a serious of blood tests -- all confirmed high blood sugar. Two, rather than insulin try an oral medication called Glyburide. Third, switch food from dry to wet. Fourth, monitor progress and report back on litter box issues, food/water intake, general health issues, and follow up with additional blood work.

Stimpy has been on wet food since Oct 2007 - Fancy Feast to be exact - and we only give him 4 flavors, all of which have less than 10g of carbs. Once he was on his medication for a few weeks, we noticed a big improvement. The next few blood tests varied - most were within the range, and one was above. We moved again in 2009 back to our home town, and returned to see our vet that we've known forever. He did a blood test and the results showed that his count was within the range but above mid-level. He did say that because Stimpy has diabetes, his numbers may never be consistent. The vet renewed his prescription for Glyburide.

So Stimpy has now been on this medication since 2007. His hind legs are weakening quite a bit, actually more so in the last few months. Before 2007 we had noticed he was having problems getting up to the bed or sofa, so we started placing stools everywhere. Is it age, maybe? Is it a side effect of being on the medication for this long? Possibly, but I don't know for sure. I've also noticed a slight change in his demeanor -- he moves around a lot like he can't get comfy at times (from floor to bed to sofa, to other areas on the floor). No issues with food. He urinates anywhere from 2-4 times a day -- this has been his norm for a very long time now. Regular bowel movements every 1-2 days. Still gets us up at 5am to eat, and knows when it's treat time!

We recently moved about a 1 hour drive from our old vet so we thought we'd try someone local. That appointment was a disaster - the vet was very inexperienced and had little to no knowledge of diabetes. In the end we left the appointment mid-way through.

I've re-read all the material and revisited all the diabetes websites to see what I could make of everything on my own to help me figure out next steps. My gut tells me to get Stimpy off the Glyburide and see what happens. So much of what I've read says that once the diabetes is under control with insulin or medication, and if you've altered the diet to wet food, things should be okay for most felines.

My gut feelings are usually 99% accurate, and I want to follow the feeling now. I would just like to hear from others who have had experience with Glyburide or other oral meds, or who can share helpful info about managing diabetes once your feline has come off medication.

Thanks
Gammy
 
The oral med Glip is not very effective for most cats ---- so it is very possible that your careful diet control has helped MORE than the medicine.

Yes - it would be good to try stopping the Glip pill.

Learn to test blood sugar at home --- if your kitty can stay below 150 all the time, no insulin is needed.

Start giving "METHYL B12" (a vitamin) to help with the hind leg weakness. This takes a long time to improve (weeks to months), but the vitamin will help over time.

most people crush up a vitamin and mix it with the canned food every day.

So -- pick up a human glucometer and learn to prick the edge of the ear for a tiny blood sample -- your kitty may not need the medicine anymore.
 
You can get Methyl B12 at local health food stores, it's for humans. Just be sure to get Methyl B12, not regular B12 (Methylcobalamin B12).

I'd agree, start hometesting, see what the BGs are and then go from there.

Diabetic neuropathy can be caused by unregulated diabetes, so if it were my cat, I'd want to hometest sooner, rather than later.
 
I think you meant not Cyanocobalamin since Cyanocobalamin is the standard injectable for GI problems while methylcobalamin is for neuropathy.

tuckers mom said:
You can get Methyl B12 at local health food stores, it's for humans. Just be sure to get Methyl B12, not regular B12 (Methylcobalamin B12).

I'd agree, start hometesting, see what the BGs are and then go from there.

Diabetic neuropathy can be caused by unregulated diabetes, so if it were my cat, I'd want to hometest sooner, rather than later.
 
Hi there

I agree that you should speak with your old vet about stopping the medication while frequently checking his blood sugar. I also think it is extremely likely that your 17 year old cat is suffering with arthritis. I'd consider immediately starting Cosequin or Dasuquin, and ask your vet about a trial of a pain medication (such as tramadol or Buprenex) to see if this helps his symptoms. An injectable supplement for arthritis, Adequan, has also helped many kitties.
 
Larry and Kitties said:
I think you meant not Cyanocobalamin since Cyanocobalamin is the standard injectable for GI problems while methylcobalamin is for neuropathy.

tuckers mom said:
You can get Methyl B12 at local health food stores, it's for humans. Just be sure to get Methyl B12, not regular B12 (Methylcobalamin B12).

I'd agree, start hometesting, see what the BGs are and then go from there.

Diabetic neuropathy can be caused by unregulated diabetes, so if it were my cat, I'd want to hometest sooner, rather than later.


Larry, I was simply agreeing with Phoebe about the MethylB12 and expanding on the fact that it can be mixed up with regular B12 so I wrote out the long name, for the possible neuropathy, hind leg weakness. I don't see any GI problmens noted, but now that Jess mentioned athritis, that's another possibility to look into.
 
gamosa said:
Stimpy has been on wet food since Oct 2007 - Fancy Feast to be exact - and we only give him 4 flavors, all of which have less than 10g of carbs. Gammy

I think you mean less than 10% of calories from carbs.....not the same thing as 10g of carbs.
 
Status
Not open for further replies.
Back
Top