Still in shock and emotionally frazzled

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Marvinmaher

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My "little" was just diagnosed today. I am in shock. I was not expecting this. I was expecting an IBD issue. He has IBD and I brought him in this past Weds. to our Vet because he had lost a few pounds. I figured we were just going through another rough patch with the IBD, boy was I wrong. He was lethargic since the Vets on Weds. and I called and asked to bring him back today. I did and the blood work results were in. He is diabetic, but no ketones in the urine, so he was allowed to come home with me. I am an emotional wreck. I just don't know how I am going to get through this. It seems overwhelming. I gave him his first shot of insulin tonight, I don't know what I was expecting, but he is still lethargic. Does it take time for him to come back to his normal self? I understand this is an ongoing and ever changing process...I just need to know what I should expect. We will be going back to the vet in two weeks for them to measure his BG every two hours, but the vet wants him to be on the insulin for two weeks first. Doe anybody have any input on any of this? I would greatly appreciate it. I have never used a forum before and feel it is a godsend I stumbled upon this one. If nothing else seeing these written words actually lessened the shock. My "little" has diabetes. Can anyone let me know what to expect? Any and all advice is welcome. Thanks
 
Dear Frazzled,

I'm sure the "gang" will begin helping you shortly. I am relatively new to FD (feline diabetes) to offer you advice, but I assure you that the folks here will help you through everything...including the "frazzled" part.

I would like to get the ball rolling with the IBD portion of this puzzle. I also have an IBD "victim" that I have had very little success with; though he is not one of my diabetics. Is "Little" on a special, or Rx diet for the IBD? What exactly do you feed him? Does it vary? Do you know what food content he is sensitive, or allergic to?

Although I have selfish reasons for asking the above questions, the folks who will eventually help you through this, might find this info helpful too! Relax, you are in good hands.

Deb
 
Hi Marvinmaher,
Yes, it is shocking to learn your kitty is diabetic, some people don't even realize cats can become diabetic!

First of all, take a deep breath. You are at the best place online to learn about diabetes in cats and how to control it. Cats can even go in to remission, but then we consider them "diet-controlled," since diet is often what made them diabetic in the first place.

To answer your question, yes, if a cat has been diabetic for a while before treatment they may still seem ill even after beginning insulin. If they tested OK for ketones, that is good but Little is not out of the woods yet, because ketones can develop quickly. Is Little eating OK? It i important that he eats and gets insulin to help prevent ketones. You can get ketone strips from any pharmacy to test urine for them and it is a good idea to do that soon.

The best site to learn about feeding all cats the best food is written by a CA vet, Dr. Lisa Pierson, you will see her here occasionally. http://www.catinfo.org We have food charts located at http://www.felinediabetes.com/diabetic-cat-diets.htm which will help you find foods under 10% kcal from carbohydrates that fit your budget. However, canned foods are better than dry, by far. Dr. Lisa explains why.

Next thing to get is a human glucometer - yes, you can test your kitty's blood sugar at home, just like humans do! We can help you learn how. Wal-Mart has a very good in-house brand called Reli-on and the strips are reasonably priced. You don't have to wait for the vet to do a curve, you can do that at home as well.

Please let us know which insulin you were given and what the dose is. We have members versed in the use of each insulin and each is different in some way, so we need to know to help you help your cat.

Hope this makes you feel better. We were all upset in the beginning too. The more you learn here, the easier it gets.
 
well you have come to the right place.

Could we get some more information from you":

1) what insulin are you using
2) how much are you injecting
3) how often are you giving insulin
4) did the vet discuss home testing
5) what type of food(s) are you feeding
6) did the vet discuss diet with you
7) where are you located? there may be a member close by who can help you in person.

Taking the cat for BG testing at the vet all day, isn't necessary if you are home testing. You can avoid a huge vet bill for one and more importantly, you can't regulate the cat at the vet office. The cat is dealing with the stress of being outside the home and the bg's won't be the same as if he were home.

Remember you are the voice for your cat and you are the one who must ask questions and be satisfied with the answers whether from us or the vet.

Now here is what I typically write to newbies, like you that should help you to get started on this journey:

WELCOME, this forum is a great place to gain knowledge and really learn how to manage feline diabetes. By doing just a few things each day (that really won't take up much of your time at all), you won't need to worry about losing your precious cat, not where feline diabetes is concerned.

There are three key factors to managing diabetes: food/nutrition, home testing and insulin

1) Feline Nutrition: Now, as far as diet - definitely dump the dry food (if you are feeding any) and if the vet recommends purchasing prescription food like DM just say "no thank you". ALL cats, and especially those with diabetes, do best on a species appropriate diet that is high in protein and low in carbs. Dry food DOES NOT fit that bill and DM food, even canned, just really isn't that great as far as quality. Most here on FDMB feed low carb/high protein canned, raw bought from a pet store or they make there own.

Here great links, one is to a food chart put together by one of our board members that breaks down the carb % and protein % of most of the commercial brand foods. You want to keep the carb % below 10% and around 7% is great. The other link is to a site by a vet "Dr. Lisa DVM" ... who also posts on this board from time to time ... there is in-depth info. there about many things, including nutrition and how to make raw food.
Nutrition/food info

The good thing with feeding your diabetic cat this way, is that it is ALSO good for any non-diabetic cat too. All your cats can safely eat the same food without worry and it may save you some costs and headaches of having to do separate feedings and keeping track of what they are eating.


2. Home testing: It is impossible to convey the value of testing your cat's BG (blood glucose) level at home. Some vets will "suggest" this, but most won't even mention it. They will send you home with insulin and an amount to shoot and maybe some instructions about hypoglycemia (blood sugar dropping to a dangerously low level).

Well, the thing is, human diabetics don't EVER give themselves insulin without checking there BG to make sure it is safe to do so, so why shouldn't it be the same for our kitties. Here on FDMB it is. You will notice that the vast majority of people here test their cat's BG at least 2x/day (before giving each shot to make sure the level is safe enough) and periodically at other times to see how the cat is responding to the current dose. We use a human glucometer, test strips and lancets - which are all very readily available and easy to use.

Our kitties get lots of love and treats for "putting up" with this and most of them actually come out to be tested on their own 'cause they want those treats . Here is a collection of great links that "Carolyn and Spot" pulled together about hometesting. See what you think ... it truly is the best way to not only keep Your cat safe but also really get a handle on this disease and help him to live a healthy life with FD (feline diabetes).

Home testing Links

3. Insulin: There are several types of insulin available. Many people, myself included use Lantus or Levimer both of which are great insulins. They are gentle insulin and given twice (BID) per day in 12 hour increments. Or you could also choose PZI or the new version called Prozinc.

Please read up on the insulins available, here is a link to the Insulin Support Groups:

Insulin Support Groups


However, one caveat and again this shows how these three things are inter-related:

If you are feeding dry food or even a high carb food, BEFORE removing these foods, please make sure of your insulin dose as it will most likely need to be reduced, so as to avoid a possible hypoglycemic situation due to the removal of the dry/high carb foods that will lower the BG’s and reduce the amount of insulin required. Again, another reason why home testing is important.


I know this all seems like a lot, and that's because it is ... there is a learning curve here. But as long as you are determined and keep at it, you will have it down before you know it and you'll be seeing the results in Your cat' overall health and happiness. Ask all the questions you can think of - that's why we are here!
 
Hi and welcome to FDMB.

We all understand how a diagnosis of diabetes can be very overwhelming, but let me assure you that it is not as bad or difficult as you think that it is. Within a short time, you will develop a routine and wonder why you were so worried about it. :-D

Can you tell us a little more about your diagnosis and the treatment plan your vet gave to you.

1) Do you know what test the vet used to diagnosed his diabetes? Do you know if it was a fructosamine test? This is the most accurate test to diagnose diabetes.

2) What insulin and dose are you using?

3) What are you feeding him?

4) Did your vet talk to you about hometesting?

5) And last, please tell us a little more about you and your "little". Is that is name? Do you have any other cats?

The IBD will have some affect on treating the diabetes, but there are several members on this site that have IBD / diabetic cats and they will be able to guide you. With the proper diet, insulin and hometesting you can easily manage "little's" diabetes. It will not take long for you to develop a routine and you may find that the bond between the both of you will grow stronger. You will not need to feed your cat a prescription diet, just a low carb/high protein canned or raw food diet. Many of us feed our cats canned Friskies, Fancy Feast or Special Kitty cat food. Also if you have more than one cat, changing all of their diets will benefit all of them.

Hometesting means testing your cat's glucose level before every shot. There are several reasons for doing this. First, to make sure it is safe to give the insulin to prevent a hypo. Second, you will be able to do your own curves and do not need to take him back to the vet just for testing to make sure the dose is working. You will use a human glucose meter for testing and brand does not matter. Many of us use store brand meters and they work fine.

If you have not already started doing so, start reading the information on this site. Start on the information about diet, hometesting, and hypoglycemia first. You probably will have a lot of questions so please don't be afraid to ask any of them. We have all been where you are now and are here to help you.
 
Welcome Marvin and Little to the FDMB Family!

You have already been given tons of great information, so I won't overload you with anymore. If it helps all of us arrived here right where you are now, overwhelmed, scared to death and in a state of shock at the words "Your Cat Has Diabetes."

But it does get better thanks to the wonderful folks on this board. It actually got so easy that since I lost my first diabetic kitty Muse (non-diabetes related), that I have adopted 2 more diabetic cats. Now that in and of itself may not seem that impressive until I tell you that before I adopted those two extra sweet cats, that I already had 11 other healthy and happy non-diabetic cats. If this was a hard disease to manage at home, I certainly wouldn't have taken on the challenge to caring for two more. :-D

Mel, Maxwell, Musette & The FurGang
 
Is your kitty on steroids for the IBD ? (Prednisone or Prednisolone or another steroid )

If so, then possibly steroid-induced diabetes.

My Smokey became diabetic that way. We could not wean him off the steroids,
so just managed both. The diabetes was not that hard, once you get the hang of it.

My Smokey live to 17-1/2 years and died of cancer.
 
Dear 'Little's' Family
I packed you an extra sweet newbie kit and my only sad is that the post office here in town is closed on saturday...are they all? Anyway it will go out Monday morning and should arrive by Wed.
You will be getting a brand new freestyle lite meter with about 50 strips. And everything else you need to test Little. Including a rice sockie to warm his little ear with.
And don't tell Little but he's getting 3 simply irrestible homemade catnip toys...you know, for when he's feeling better.
All this comes from the people here and their continual donations. And thank you for yours Little's family.
Things will get better.
They really really really will
Lori and Tom (GA)
 
Wow,
Thank you all so much. I am getting concerned about Little, he is still lethargic and seems in a daze, but it does seem to be getting better (or maybe its wishful thinking, I am second guessing everything now)
Little is 9 years old and he is one of 3 cats in the household. Our vet prescribed 1 cc? (the 1 hash mark on a U-100 needle) of Lantus twice a day. He is eating fine and is not throwing up. He is on Science Diet WD for his IBD. I have only fed them dry food in the past with an occasional can of WD for a treat every now and then. I noticed Little was not eating much dry food so I started feeding him the wet. He is eating fine.
The vet diagnosed the diabetes through blood and urine analysis. I don't know the specifics she just said he showed a high sugar count in his blood and in his urine. She did not mention testing his sugar at home. She wants me to continue this dosage for the next two weeks and then bring him in so they can do a BG test every two hours or so.

I am concerned because he is still lethargic and has a glazed look in his eyes. BUT he was this way before I started him on the insulin. When I brought him in on Weds. for them to look into the weight loss he received two vaccines along with them drawing his blood, he has been lethargic ever since. I called them and brought him back in yesterday and that is when we discovered he is diabetic, but he also had a slight fever. The blood work did not show any signs of infections so the Doc attributed the fever to the vaccines and gave him Sub Q fluids to help with the fever. He was much better when we got home yesterday for a while, but now seems very lethargic again. I am not sure what to do. After looking into some of the syptoms of hypoglycemia, tired, lethargic, glazed eyes, I am wondering if the insulin is causing this BUT he was this way before. Thanks for the support. Still frazzled.
 
If you can start testing him at home(we have taught hundreds of people how over the Internet) you will have a clear picture of how the insulin is working and whether he is high or low. It is amazing how much more in control you will feel about this whole thing.

We figure if we had a diabetic child, we would never get a dose of insulin and go home and dose the same amount for two weeks without checking their blood glucose levels. We do the same for our 4 legged kids.
 
That would be 1 unit of insulin (not 1cc).

I assume you have 3/10cc capacity syringes ? The biggest numbered mark would be "30".
Or perhaps your have the larger 1/2cc capacity syringes (the biggest numbered mark would be "50".

1 unit of insulin would be very close to the needle. The first mark closest to the needle
is 'zero', then 1,2,3,4,5 (first numbered mark). Those are units of insulin.

There are 100 units of U-100 insulin in one milliliter of liquid.
 
How is Little today? And how are you doing? A little less frazzled?

Carl
 
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