The party can start now. Flapjack is here!

Hi everyone. My name is Kacey and my cat Flapjack, who will be turning 6 on the 20th of this month, just got diagnosed with diabetes. I had him tested this past Tuesday because he had been showing all the symptoms. Now we're going back to the vet tomorrow.
The vet sent a prescription for his insulin to 1800-Petmeds, and while I'd looked up prices online, I wasn't expecting it to be as much as $130 for one vial, plus $20 for the overnight shipping. :/ I'm not currently working because we're in the process of moving, so I don't know how my husband is going to feel about these sudden new expenses. Where do you guys buy insulin from?
My dad has type 1 diabetes, so I have a pretty good knowledge about what diabetes is and how it's treated. My mom seems to think I should have FJ put to sleep because of the costs, but of course I can't imagine doing that. My cats are my sons.
Anyway, all the answered questions and advice you guys give on here is great. I'm glad there's a resource like this here for those of us with unlucky kitties.

 

Welcome to FDMB.
What insulin? The price suggest ProZinc or Vetsulin/Caninsulin. Of the 2, I'd get the ProZinc; Vetsulin does not last 12 hours in most cats.

 

What kind of insulin does your dad use? If he uses lantus or levimer, maybe he can share with you and save you money on having to buy it. Those are the only two human options that are good for cats, so if he uses something else, it won't work.

Here is the primer on treating feline diabetes:

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 their own.

Here is a link to a site by a vet "Dr. Lisa DVM" ... who also posts on this board from time to time ... http://www.catinfo.org

If you look on the right side of her site, she has a food comparison chart to help you figure out what food you want to get based on the carb %.

You want to keep the carb % below 10% and around 7% is great. (Personally, I stay between 0-6% carbs.)

While on her site, you can read about in-depth info. on nutrition and how to make raw food, etc.


Here is another link that will give more information about food/nutrition

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 home testing. 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. The top three we recommend are Lantus, Levimer or Prozinc all are great insulins. They are gentle insulin and given twice (BID) per day in 12 hour increments.

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 is 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's overall health and happiness. Ask all the questions you can think of – that is why we are here!

Now, you can do this on a budget. Here is a shopping to get started:

1. Meter ie Walmart Relion Confirm or Micro*

2. Matching strips

3. Lancets - little sticks to poke the ear to get blood . new members usually start with a larger gauge lancet such as 28g or 29g until the ear learns to bleed. Optional - lancing tool.

4. Neosporin or Polysporin ointment with pain relief to heal the wound (can use generic brand)

5. Mini flashlight (optional) - useful to help see the ear veins in dark cats, and to press against

7. Ketone urine test strips ie ketodiastix - Important to check ketones when blood is high

8. Treats for the cat - like freeze dried chicken, even rotisserie chicken, deli chicken, canned tuna will work

9. Karo syrup/table syrup, honey or any sugar product like jam, jelly, etc. if you dont have it at home - for hypo emergencies to bring blood sugar up fast -

10. A couple of cans of fancy feast gravy lovers or other high carb gravy food- for hypo emergencies to bring blood sugar up fast



• We suggest the Relion meter and matching strips from Walmart, as they are the most economically priced meter and strips. That is assuming you have a Walmart nearby. If not, then you can purchase any human glucometer except for Freestyle with butterfly strips or any meter with TRU in the name. People have had issues in the past with these meters and best to start off with something else.


Here is a link to questions that you can ask any vet:


http://www.indulgedfurries.com/petdiabetes/diabetes_questions.htm


OK, that's enough for the moment. What other questions do you have?

 

My vet prescribed Prozinc and put in the order from 1800-Petmeds for me. Also my dad uses Novalog, but it's for an insulin pump, not the injectable kind. Also, my husband and I are moving to Okinawa, so our choices may be limited there since lots of companies don't ship overseas. :/

 

Will you be staying at the military base? Do you have a way to see what kind of products the pharmacy offers? And what the vets over there have access to? You may find that it will be easier if you put him on Levimer or Lantus (with a preference towards Levimer) as that is a human insulin and will most likely be more readily available.

The other option you will have is to purchase more than you need and bring it with you. Just make sure to get the longest expiration date possible. As the insulin will remain viable unopened until the expiration date.

 

Hi Kacey (and Flapjack), and welcome to FDMB

If Flapjack is only 6 that's quite young to be diagnosed with diabetes. Has he had any steroid treatment recently?

Eliz

 

Yes, we will be at Kadena AB. I can ask the vet today at Fort Bragg if he knows what's available there.

 

Well, he used to weigh 21 pounds. I think that could have something to do with it. All he's had lately were rabies shots and a feline distemper vaccine.

 

Hi and welcome

Has he been on a weight loss food recently? This can be very high in carbohydrate.

 

Since my husband and I moved to South Korea, the cats got moved between 3 different foster homes due to people no longer being able to care for them. The first couple I suspect was feeding them cheap junk, the second gave them some sort of Blue Buffalo dry food. Now Flapjack is with me and I'm giving him canned low carb food. Unfortunately since our cats were away from us for 10 months, I have no definite knowledge of what they were eating the whole time. :/