Sonny officially in remission! Only 12 days!

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SonnyB

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Saw our vet and he said it's the quickest remission he has EVER seen! We will continue to test, but not as frequently, unless we see his numbers creep up. We've had no spikes and he's been stable (even with a few pieces of dry -less than 10 - yesterday) holding mainly at 150 or less (typically under 100). Even after the dry, he was under 100!

He said the insulin basically gave his pancreas a rest, and all he needed, at least at this time, was those few days for his own to start back up. We won't free feed dry anymore, though we will see if we can get the low-carb (Evo, I believe?) And we'll experiment with small amounts of that.

There's a happy dance in our house and at our vet's office today!
 
AWESOME NEWS!!!!! Congratulations!!

:RAHCAT :RAHCAT :RAHCAT :RAHCAT :RAHCAT

Three cheers for Sonny's pancreas! And three cheers for Sonny's bean!

party_cat party_cat party_cat

Lori and Scout
 
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wonderful news.... Greylie was out fast as well. We bought the insulin which cost us 100 and dh put it in the side door in the fridge... opened the fridge door and it came flying out crashing on the floor.... then we bought another one immediately and we never used it,,, but somebody else did... so nothing was lost.. except 100 dollars. I read an article that said every 8th cat gets diet controlled. Sophia was diagnosed in July 2005 and was diet controlled in Oct 2005. She is under 100 whebn I test her at home but under 200 when she is at the vet.. she gets so upset there.

I am so glad things go well for you.
 
:RAHCAT :RAHCAT :RAHCAT dancing_cat flip_cat dancing_cat :RAHCAT :RAHCAT :RAHCAT
Fantastic news! Tunatini's all round!
Scout: your turn next!!!!
:mrgreen: :mrgreen:
 
A diabetic cat is considered to be in remission if they go a full 14 days in a normal range without insulin (60-120). Please continue to test at home daily for the next couple weeks because it's incredibly unusual for a cat to to go into remission on Humulin N and dry food. I'm worried that this may not be a true remission. If you haven't removed the dry food, now would be a very good time to do so while you're not giving insulin. Low carb canned food may just be what is needed for him to stay in a normal range.

One good way to determine if the pancreas is working correctly is to get a test right before he eats, a test an hour or two after, and then a test 4 hours after. The first number is a fasting number, and the second is a food-inflated number. If the third number is lower than second number, then the pancreas is likely producing insulin.

While the EVO dry is low carb, it's still dry food, which means it is a moisture depleted diet and can cause Urinary and Kidney problems. Also, some diabetic cats will still have inflated numbers on the EVO (my cat is one of them) because the starch used to bind the food can cause BG to rise. Even a cheap grain free canned food like Walmart's special kitty would be a lot better to feed.

Good luck, I really hope that you can keep Sonny in a normal range with just diet now!
 
Julia,

I'm sorry if you misunderstood - we are not feeding Sonny dry food. We let him have a few pieces here and there, typically in the later afternoon (between lunch and dinner) when he tends to get a little lower (usually in the 60's) just to tide him over since he's not ready to eat a meal but wants a little something. I left some out Monday because I had to be gone for several hours, he was 62 when I left at 1pm, and when my husband got home, and I KNOW Sonny had a little of the dry, he was only 90. An hour after eating, he was 119, and when I got home, about 3h after dinner, he was 88. He was able to metabolize the few pieces of dry properly. Even though I was home yesterday, we did the same and his numbers were all similar.

Our vet confirmed remission, but says remissions are just that - a reprise from symptoms of an underlying disease and it could recur at any time. We will continue testing, just not as frequently. We have tested similarly to as you mentioned (pre-food, 1 hour post, 2 hour post, etc) and based onseveral days of those numbers, he confirmed that the pancreas is functioning. We believe it was barely functioning when we were diagnosed, because he was having severe hypergylcemic symptoms (all of which he seems to have recovered from) and was in the high 550's and 600's+ (our meter doesn't get specific over 600, just registers "over 600." I know one of the readings at the vet was 640 when we were keeping him there during the daytime to stabilize. He responded quickly and positively to the Humulin (while I know this is not popular on this board, from the research I've read and what our vet has experienced, over 50% of cats can be regulated on it and I'm thankful that he was one of them - at least this time) and he is now holding great levels on his own. Our vet feels he was in crisis with the high numbers and the immediate administration of the higher-dose Humulin, which we tapered as he responded, gave his pancreas the help it needed. Maybe our vet's criteria for remission are different from some other vets, but at least for now, he feels he is in remission.

We have no intention of free-feeding dry food, even lower-carb dry. But, as with any diabetic, feline or otherwise, whether diet or insulin controlled, to completely restrict loved foods becomes a quality of life issue. While Sonny has only been with us 4 years, for over a decade with my late mom and stepfather the only thing he ate was dry food (though their other cats did eat wet, he chose not to and both were available.) One of our other two cats, who has been with us for a year and was offered wet food as soon as he entered our house still wants some dry. Not a lot, but some. As long as their bodies can handle it, not spike and then plummet with it, we will allow them a little here and there. Not a whole bowl - but I think the one-layer covering the bottom of a small cereal bowl amongst 3 cats is acceptable. If it seems like it starts shooting Sonny's BG up, we will re-evaluate.

Sonny seems to be like my husband - who is technically diabetic but not on insulin - morning BG tends to be higher, will spike about 20 after eating, then come down to lower than the fasting within a few hours. But, even his AM fastings have been mostly under 150 (once we got him out of the critical range those first few days) and have been running under 135 the last 3 days. After almost losing him to the hyperglycemia last week, it's amazing to look at him now.
 
Great--if he's maintaining numbers like that on a low carb diet then that makes much more sense. Some cats automatically go into diet-controlled remission when the dry food is removed, regardless of insulin. It sounds like Sonny is one of those lucky cats! His numbers after eating seem to indicate that his pancreas is indeed producing insulin--it probably never stopped, but just could no longer compensate for the high carb diet.

Leaving any access to the dry food can be a recipe for disaster--I would really urge you to get rid of all of it. Bandit can't even have a handful of the lower-carb dry or his numbers will shoot upwards. If your cat is not on insulin, he can't go hypoglycemic, so you don't have to worry about a number going too low.

Don't worry about the the cat "loving" the dry food more than the wet--a diabetic child may love ice cream but you wouldn't say that their quality of life is less just because they can't have it. There are plenty of healthy foods to give as a substitute. Similarly, a diabetic cat is going to have a better quality of life on a healthy diet than an unhealthy one. Just find a canned food and treats that the cats love just as much (if not more) as the dry and you're all set. For treats, you can get 100% freeze dried chicken and/or salmon at petsmart for a very reasonably price.

If your cats are crying for food like crazy and that's why you think it's lowering their quality of life not having the dry food, feed smaller, more frequent meals. If I feed Bandit any less than 4 times a day, he begs like crazy. You can freeze portions of food and leave them out for when you're not home, or add water to some canned and leave it out for free-feeding. Bandit's a gobbler, so I have an automatic feeder that I put his frozen chunk of food in and time it to release in the middle of the night while I'm sleeping for his 4th meal.

You've mentioned a few times that you almost lost your cat to hyperglycemia--I'm not sure how the vet explained it to you, but that's not quite how diabetes works. High numbers kill, but long and slow and over a significant period of time. The cat literally starves to death because its cells can't process the sugar. Diabetic ketoacidosis, which can be a deadly complication of diabetes, can also occur with a combination of high numbers, infection, and dehydration. However, high numbers alone are not deadly--and since Sonny seems to be going diet controlled so quickly, he could not have been living with diabetes long enough to put him in either of those situations. The quick remission would indicate that his diabetes was sub-clinical, and likely would have resolved with diet-change even if no insulin had been given.
 
Julia,

Yes, hyperglycemia and it's complications can kill, or, less severely, leave devastating after-effects that may or may not go away. It is possible he could have made it without the insulin, but at what cost to his already extremely weakened body? The diabetes developed sometime since his last full bloodwork, a year ago. We knew he had hyperthyroid and both we and the vet assumed, incorrectly, that was the cause of the weight loss. Had we not used the insulin, it is extremely possible we would have lost him (we almost did last Tuesday even with the insulin) and he likely would not have regained the use of his back legs and his vision so quickly, if at all. His back legs are weak, but it's improving, and his vision, though not perfect given his age, is once again normal (his normal).

I'm not sure why you want to be so argumentative when we are rejoicing that our cat got through this. I'm not sure who you are to second guess us or our vet who were all with him and all clearly thought we were losing him. And yes, if my child were diabetic, I would cautiously allow them to have an occasional ice cream cone if it were something of quality to them. Not every day, or even every week, but occasional. Human diabetics indulge occasionally, and as long as they are otherwise controlled, it's typically not a big cause for concern.
 
I'm merely trying to help educate you as you move ahead...I'm not trying to be argumentative. A diabetic cat in remission can go out of remission at any time for various reasons, so understanding how the disease works and how to treat it correctly and maintain remission is very important. I'm just trying to help. However, if you're not here to educate yourself or receive advice about Sonny (which is why most people show up here), then I'll no longer comment. He's your cat, and of course you can choose whatever treatment path you wish.
 
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