Unbelievable news!!

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LamontsMom

Member Since 2015
A lot of you here have been following my journey this week. Diagnosed with diabetes last Wednesday, switched to canned food, went through week from hell, educating myself, worrying about my little sugar baby, hating the vet and finally switching to a new vet who is great yesterday.

Lamont's blood glucose came in on the normal'ish side and I insisted on taking another fructosamine yesterday. Boy am I glad I did.

Lamont's diagnosis is no longer diabetes. It's on the high end of normal, but right now, all that's indicated is diet. We go back in 3 weeks for another fructosamine. Hopefully, things will remain the same.

Thank you thank you thank you for all the support, the knowledge and the hand-holding. I'm hoping for a great result for each and every one of your sugar babies. This is an awesome board!

I am SO relieved!
 
That is great news! :bighug:

Are you home testing BG? That will be the best way to monitor as you will be able to catch the problem quickly if the glucose begins to rise suddenly.
 
Wonderful!!! Great news. Home test to stay ontop of it and remember, going back to higher carb food could play havoc on his BG's . Keep up the good work Lamont! ;)
 
Looks like the diet was the trick! :-) I would keep up with the home testing (get some random spot checks in here and there, and maybe a curve (when you feel you can).

Remember, Lamont becoming diet controlled without needing insulin is fantastic, but keep in mind that he is still considered to be diabetic cat, so you'll need to continue to treat him as such. This means he needs to stay on the low carb, canned diet (I strongly recommend not re-introducing any dry food), and if he's carrying around a little extra weight, you'll want to try and get him down to his ideal weight. This will also help get his BG down into a normal range if he's currently a little higher than normal. Diabetic cats in remission also will see spikes in BG if they have an infection, dental problems, or are started on oral steroids, so you'll want to keep an eye on him and start insulin if needed in the future. The quicker you solve the underlying issue and treat the high BG with insulin, the faster he'll go back into remission.
 
Thank you! And thanks so much for the added info, Julia & Bandit! The good news is: his teeth/gums are in great shape. The new vet checked them. He's never eating dry food again. Ever. He'll be on Wellness and a little Tiki mixed in, especially since I found out his "beginning of renal failure" according to vet#1 was so minimal (less than a fraction of a percent), the new vet felt that it might reverse if I stick with the wet diet. I especially am mostly on a food that's not super high in protein. The Tiki is, but am only including a 1/2 of a 2.8 ounce can a day for flavor, etc. I will do the home testing from time to time. Returned the Relion kit, mostly cause the Walgreens (Team B backup) ended up being free (they had a rebate) . And will do Keta-Diastrix every once in a while too.

Also trying to get him into playing more (he's old so not so much into running.) Plus, he's been through a lot in the past few weeks. I suspect in a few weeks he'll be back playing (just bought him a new catnip toy.

We're going back in 3 weeks for another Fluctosamine test. Fingers crossed that things remain this way.

Thanks again!
 
Hi Everyone,

Even though Lamont's fructosamine was in the "good" range, since he is going back in 2 1/2 weeks, I've decided to, at least, take this time to practice home testing in the event we *do* have to start insulin. I bought a breeze system and keto-diastix and, it turns out, my Relion comes tomorrow. I finally was able to get a glucose number on the "team b" glucometer on myself, but am waiting til the Relion arrives tomorrow to start with Lamont. I did one test with the Keto-diastix and it came back normal. His urine is a little dilute so I'm waiting for the best time of day to take it (to check for ketones.)
So, Lamont is NOT a lap cat. He's not comfortable with me (or anyone) holding him in their lap for more than a minute or so. He likes to initiate petting, squirms otherwise. I already had vet #1 and Vet #2 tell me, "Do you think you'll be able to give him an insulin shot?" That, I'm pretty confident about. Because the home testing involves getting such a small/specific part of the ear, I'm not so sure.

Either way, I figure it doesn't hurt to take his glucose once in a while, even if his numbers are good after the 2nd fructosamine.

Is it ok to take it from the pad? If so, what's the best part of the pad to take it from?
Aside from bribing with a treat (which may or may not work), any other tips for getting blood from a "tough customer?"

Again, thank you guys!!
 
Instead of putting him in your lap, I would put him in a basket or container (something his size that he fits in snugly, enclosed on all sides but the top) while you're testing. You can also wrap him in a blanket if he struggles (I used to tuck it in over Bandit in the basket). If you give a treat after every test, and use the exact same routine for every test, over time he'll start to accept the tests. You can use the paw (some people here do), but I've found that for difficult cats (at the beginning...I've never known a cat that didn't accept the testing after a while) it's easier to try and get it from the ear because the blanket takes claws out of the equation.

With the ear, a little neosporin + Pain relief ointment on the poke spot helped us quite a bit. Also, make sure you're using the thicker lancets (26-28g) to start--don't use the ultra-thin ones (30-33g). It's more important that you learn to get the drop of blood quickly than worry about hurting his ear. Cats have very few nerve endings in their ears, and the pokes don't hurt them at all. They just don't like that you're doing something new and strange to them, and they can sense your nervousness and frustration. Once you are confident and calm, the cat will calm down, too. And once they get used to the routine, well, Bandit now comes running to me when he hears the meter beep on, and he sits patiently and purrs through his test, even if I mess up and don't get the test on the first try. This is the same cat that would growl and claw at me the first two weeks of testing. Do not underestimate the power of treats and routine!!! Cats LOVE routines, and if you can get them to associate the routine with something positive, you'd be surprised what you can get them to do.

I always give Bandit his shots while he's eating. He's into his food, and the insulin syringe needles are so small (31g), that he doesn't even notice he's getting an injection. The shots were way easier to do in the beginning than the testing, for sure.

There's all sorts of great tips here: http://www.felinediabetes.com/FDMB/threads/hometesting-links-and-tips.287/

Most importantly, practice makes perfect! the more you try testing, the easier you'll figure out what works best for you and Lamont. Good luck! Don't be afraid to as for advice if you're having trouble at first...we all were in your shoes!
 
Thanks again, Julia & Bandit. I'll try it. I'm trying just playing with his ears when he's in his favorite scoop chair (when he's more inclined to let me do that). Vs taking the blood right now, I'm just pressing on the ear for a while with a cotton ball, then giving him the treat. I'll do that for another day, then try and sneak the test. He's ADDICTED to the freeze-dried chicken so hopefully that'll work.
I bought the neosporin (as part of my first "diabetes pack"). And I bought the 26 lancets to start (they're coming tomorrow). One great thing about the new vet is, they said I can come there as much as I want to have somebody help me with the insulin shot (if he ends up needing it) and the home testing (I can't bring Lamont, but they'll help me/show me).

Also, if his glucose remains between 150-200 (or even 300), if he's not on insulin is he considered "regulated" (meaning I don't need to give him insulin?) Kind of like the way type 2 diabetes works in humans (who can regulate it many times just via diet?)
 
I've found that warming the ear really helps, too! I skipped that part the first few times (part out of nervousness/forgetfulness, partly out of "Does it really need to be done? That's just another step in this tortuous process."), but it really does make a difference.
 
I've found that warming the ear really helps, too! I skipped that part the first few times (part out of nervousness/forgetfulness, partly out of "Does it really need to be done? That's just another step in this tortuous process."), but it really does make a difference.

This is so important in the beginning! After a while, you won't need to do this once the cat's ears "learn" to bleed, but when you're first starting out it makes a huge difference in getting the drop to come out easily. I used to use a pill bottle with warm water, or if I was lucky, I'd snag him after he'd been sleeping (and his ears were super warm).
 
Also, if his glucose remains between 150-200 (or even 300), if he's not on insulin is he considered "regulated" (meaning I don't need to give him insulin?) Kind of like the way type 2 diabetes works in humans (who can regulate it many times just via diet?)

I would wait and see what he gives you at home, when you're home testing. That will determine whether he needs a very small dose of insulin for a short time or not. I would say if he's staying largely in the 180-220 range, I would start a small dose of insulin. If he's hanging out in the mid-low 100s, then I would continue with diet/weight loss as needed. I can't remember, is Lamont carrying around a little extra weight? Just like type 2 human diabetics, getting him down to his ideal weight is crucial, so you'll want to be scaling back his food as needed for safe weight loss. Wellness is much higher in calories than Tiki or Weruva, so you'll need to feed less of it and keep a careful eye on his weight. I'd buy a baby scale for weighing him, or at the very least weigh him regularly with you if you have a pretty accurate scale (by taking him on the scale with you and subtracting your weight).
 
If he needs to lose weight, that is. If he's at his ideal weight already, you'll just want to keep an eye that he doesn't start to gain too much on the higher calorie Wellness and adjust the food amount as needed. To give you an idea, bandit's ideal weight is 11.5 lbs. I easily maintained him at 11.5 lbs with 1 5.5 oz can of wellness a day.
 
Thanks, Julia! He's about a half pound overweight. Maybe. Not too much. He's not exercising as much as he used to--probably cause of the all the adjustments his body's been going through, his age and his hyperglycemia.

He's eating (roughly) the amount he should each day (yesterday he ate less, today he'll probably eat more--which is normal for him). Today I didn't give him much lunch just to get him adjusted to the two bigger meals (if he goes to insulin or not, I'm aiming for a larger breakfast/dinner--when he'd hypothetically have insulin--and two smaller snacks).

On the positive side, so far the urine is testing negative for ketones and glucose (though I wonder if it's too dilute). Do you know how long I can wait after he's urinated to test? I know when I go the doctor and give a urine sample, they typically don't test it for many hours (at least) after. Does the same hold true for cats? I got him the Tidy Cats Breeze litter system which is GREAT, btw--instead of using the pads below, a tray just collects urine and I empty it in the toilet and wash it after. No smell and he loves it.
 
Thanks, Julia! He's about a half pound overweight. Maybe. Not too much. He's not exercising as much as he used to--probably cause of the all the adjustments his body's been going through, his age and his hyperglycemia.

He's eating (roughly) the amount he should each day (yesterday he ate less, today he'll probably eat more--which is normal for him). Today I didn't give him much lunch just to get him adjusted to the two bigger meals (if he goes to insulin or not, I'm aiming for a larger breakfast/dinner--when he'd hypothetically have insulin--and two smaller snacks).

On the positive side, so far the urine is testing negative for ketones and glucose (though I wonder if it's too dilute). Do you know how long I can wait after he's urinated to test? I know when I go the doctor and give a urine sample, they typically don't test it for many hours (at least) after. Does the same hold true for cats? I got him the Tidy Cats Breeze litter system which is GREAT, btw--instead of using the pads below, a tray just collects urine and I empty it in the toilet and wash it after. No smell and he loves it.

I wouldn't worry about focusing on excercise to lose weight (especially if he's an older, indoor cat). You'll want to focus mainly on diet and making sure he's eating the right amount to maintain a good weight. Don't get me wrong, excercise is great and you should engage and play with him as much as he allows you to, but as a weight loss measure, it's not going to be enough for an older cat.

If he doesn't have glucose in his urine, that's great, and a very good sign. Diabetic cats don't have glucose in their urine until their BG reaches the renal threshold (the point with high BG where their kidneys start to spill it into the urine), which can be anywhere between 180-250 depending on the cat.

I have three Breeze boxes in my house, and I love them! I've been using them for about 5 years now. So much easier than regular litter, and so much less waste. And yes, easy to get a urine sample if you take the pad out for a bit. However, I don't think you'll need to worry about ketones really if his BG is testing at home in a normal-normal high range, as you're suspecting.

We found that the pellets tended to stick to the cat's poo too much to flush down the toilet unless we waited a day to let it dry out. This wasn't an issue in the old place when the litter boxes were in the basement and the downstairs half bath so we didn't mind waiting to scoop it out, but was a huge issue in our current place where the boxes are in our only bathroom, the bedroom, and off to the side of the downstairs dining room. Needless to say, we scoop immediately now, and we don't like to flush the pellets so we use a couple litter genies, and they work awesome. No smell at all.

The other thing you'll find is that if your cat ever has a case of runny poo, the pellets are absolutely the worst thing ever. If you find yourself in that situation, you can swap out the clay Breeze pellets and pad for some Feline Pine pellets. The pine turns to sawdust with the urine and you can sift it down into the tray and empty it (and it's compostable), and poop is very easy to scoop out, and you don't have to worry about wasting the pellets because they're pretty cheap. I've had to do the switch with the litter boxes a few times when Bandit had IBD flares and when Orpheus first came home to live with us, and it's pretty painless. After Bandit's issues in March, I just left the downstairs box full of the Feline Pine because it's not that much less convenient than the Breeze Pellets (I have to empty the tray 2-3 times a week instead of once, but you don't really ever have to change the pellets out unless you need to clean the box), and it's nice to have the extra option there. The cats use both of them (although Bandit seems to prefer the pine downstairs, and Orpheus the Breeze boxes upstairs, but that could also just be that they prefer those specific litter box locations).
 
Thanks for the tips! So far, I haven't had a problem with the poo--it's not really sticking (I tend to only clean the poo out once a day, in the morning, and so far, it's dried out enough by then for nothing to stick). I'm planning on buying an additional few bags of the pellets to replace them in case it does stick.

And thanks for the exercise tips. Keep your fingers crossed for me re: the home testing. I suspect it's not going to happen overnight. Hoping to get, at least, one reading this weekend...
 
Meanwhile, you know that time you realize, "Boy, did I make the right decision?" This is that time.

Just heard back from vet#1 (whose last words to me Saturday were, "I'll call you Monday and we'll start insulin Tuesday". ) She sent me an email informing me she's still "researching the Solostar pen." REALLY????????? And she wanted to know the "formulations" of the food I'm feeding Lamont.

OMG! What planet is this lady living on?! And amazingly, that practice is really highly regarded in my neighborhood.

Needless to say, I wrote her a note telling her the results the of the new fructosamine, thanked her for her time and told her I wouldn't be needing her services anymore. Sheesh!
 
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