Vet testing vs. home testing and dry vs. wet food

Status
Not open for further replies.

mrkxplrer

Member Since 2013
We are going through the process of getting Monty's glucose levels regulated. We have achieved positive signs that his urine has leveled off and he isn't drinking a lot of water. A problem that we are having though is that he was at a good level but the last two times he has been really stressed when we took him to the vet and his levels were higher than the one really good time even though we had increased his insulin level and as I said his urine production and water levels seemed under control. He also is relatively calm at home other than when there are loud noises and he tenses up or when I try to hold him too long.

We wonder whether testing him at home might be a better option but when I asked the vet how much the supplies cost, they said $185. We are concerned about the added costs of home testing as it only costs us $43 to get it done at the vet. We have already spent over $1,000 in the past three months and although we were aware of some of the costs, are concerned about how we are going to need to get insulin quicker as his levels go up and even the food issue we will discuss later. Other questions, if we do test at home what is the testing cycle? Every 2-3 or 3-4 weeks like out vet? Daily, like a human being? Are there places where we can get cheaper supplies, rebates, or coupons for testing supplies.

Another issue is that we have read that we are still feeding Monty dry food but mainly because he is allergic to most other foods. It has been suggested that we get Fancy Feast Classic which Monty has handled in limited amount but we do have another cat and it has been financially helpful to feed both of them the same food. Also we have developed a system with feeding him and giving him shots in a cycle and am not sure how switching to canned food would work with this schedule. Also are there any places to get coupons or ways of saving on canned food if we go that way? Also how much do people feed their cats per day if they do feed canned food.

I know that it seems like this email is financially focused but we were worried about whether we were going to keep him initially after his diagnosis due to having three other animals two of whom are older and have health issues of their own. I guess the key now is trying to get Monty's glucose regulated, figuring out whether to home test or vet test and whether stress, his food or other issues are causing his still slightly elevated glucose levels.

Has anyone run into any of these same issues and what suggestions do you have? Thanks for any help that you can provide us.

Regards,

Mark, Holly and Monty
 
We wonder whether testing him at home might be a better option but when I asked the vet how much the supplies cost, they said $185. We are concerned about the added costs of home testing as it only costs us $43 to get it done at the vet.

I'm on my way out the door for work but wanted to answer this part quickly.

Not sure where the $185 comes from but my guess is that's how much a vet pet specific meter and strips cost? Not needed. Almost all of us use human glucometers that cost less than $20. It's a one time expense. The only cost after that is the test strips.
I have a Relion Micro that cost me ten dollars two years ago. The strips are about 40 cents each? We test daily. If I test four times a day, that's $1.60. $48 bucks a month. Your vet is charging $43 for one day of testing. Maybe six tests. Even with their super duper meter, the strips might cost a dollar each. So you're paying $37 in "labor" for them to get six drops of blood out of your kitty. I can test my cat every day of the month four times a day for just a little more than your vet charges for one day...
That's just one reason why we all test at home. :-).
 
Hello and welcome :-D

I have the ReliOn Confirm. I found a link for the Bayer Contour Next for a coupon for a free meter if you buy the strips. The strips for this meter are a bit more, so I only keep it as a spare.

The lancets are very inexpensive. ReliOn is the WalMart brand, and they carry a full line of diabetic supplies. Their syringes have the 1/2 unit markings which is what is recommended.

I usually test about 4-6 times a day myself. Sometimes Ebay has the strips for my meter, and I did hit it lucky one time.

I can't speak for your kitty, but mine stresses in the car, so going to the vet is not an option I like to take. Plus, stress tends to up the BG numbers, so a true reading might be disguised by stress.

Testing at home also gives you the reassurance you need when it's time for the shot. Knowing that kitty is not in low numbers before you shoot is comforting and if thats the case, you know and can avoid a possible hypo.

Dry food is very high in carbs, a no no for FD, but know that transitioning can be tough. There is a guide that greatly assists in transitioning from dry to wet. Poe was a dry food kitty, but when I found he had diabetes and started reading up on it, I dumped the dry (keep in mind that I had NOT started insulin when I did this, and if your kitty is on insulin, a drastic diet change is not recommended, a slow transition is best). He also got wet 2x's a day, but it was not low carb wet.

There is also a shopping list of canned/wet foods that are FD appropriate, and include Friskees Pates, which are more economical than Fancy Feast.

I'm pretty new here myself, and I am sure others will be along soon to answer any questions you have.
 
The WalMart ReliOn Confirm & Confirm Micro take the smallest drops of blood and are actually branded versions of the Arkray USA Glucocard 01 and 01 micro which are available from ADW (shopping partner link at top of page)
The WalMart ReliOn Prime uses a slightly larger drop of blood and the strips are less expensive than the Confirm.

Testing - When and Why
1) We test before giving insulin (pre-shot) to make sure it is safe to give the shot
2) We may test at +2 hours after giving insulin to see how fast the glucose is dropping. If the numbers suggest the drop may be too big, we'll continue testing every 2 hours (or sooner if it looks like it'll get below 50 mg/dL) to identify if we need to intervene.3) We test around the expected low point to see how low the glucose goes. For Novolin, this is around +3 to +4 hours after the shot. For Prozinc, this is about +5 to +6 hours after the shot. For Lantus, this is +5 to +7 hours after the shot. For Levemir, this is around +6 to +8 hours after the shot.
4) If the glucose goes below 50 mg/dL, we'll start a testing/feeding/15 minute wait and repeat process until the numbers come up to a safe level.
5) When we have stable dose management, we'll do a curve - testing from pre-shot to pre-shot, every 2 hours.
 
Food:

There are very few low carb dry foods. These include Young Again 0 carb (internet only), Wellness Core Original in the gold and tan bag, Evo Cat and Kitten (be sure its not a bag from their recall) Stella And Chewy's freeze dried (may be helpful in a transition to wet foods; otherwise, watch out for constipation due to lack of hydration)

For a terrific web site for nutrition info, tips on switching safely to low carb canned or raw food, how to safely reduce weight, and the impact of dry foods on renal status, diabetes, and more, go to Cat Info, written by Dr Lisa Pierson.
 
You can always do an online search for coupons. I just found $1 off 24 cans of fancy feast.
I get that one in the sunday paper often.
I often do a google search for anything I am buying looking for coupon codes like free shipping.

Petsmart tends to be my cheapest place to buy fancy feast or friskies. Once you learn the cost of the can you can keep looking for who has it cheaper.
 
Thanks to all who responded to my posting. It gave me a lot of food for thought of how the process works.

Mark
 
I guess the key now is trying to get Monty's glucose regulated, figuring out whether to home test or vet test and whether stress, his food or other issues are causing his still slightly elevated glucose levels.

How 'slightly elevated' are the glucose levels? Would you share a few numbers with us, with dates and times?


Another issue is that we have read that we are still feeding Monty dry food but mainly because he is allergic to most other foods.
What food allergies so we can suggest work arounds that do not include ingredients Monty is allergic to.

Beef? Chicken? Turkey? Fish? Corn? Soy? Wheat? Gluten? or something other?

Allergy symptoms are what? skin rashes? vomiting? something else?

How was it determined that Monty was "allergic to most other foods"?

What is the current dry food that Monty is eating?

Sometimes, you raise the insulin dose to work around other health issues.
 
mrkxplrer said:
We are going through the process of getting Monty's glucose levels regulated. We have achieved positive signs that his urine has leveled off and he isn't drinking a lot of water. A problem that we are having though is that he was at a good level but the last two times he has been really stressed when we took him to the vet and his levels were higher than the one really good time even though we had increased his insulin level and as I said his urine production and water levels seemed under control. He also is relatively calm at home other than when there are loud noises and he tenses up or when I try to hold him too long.

We wonder whether testing him at home might be a better option but when I asked the vet how much the supplies cost, they said $185. We are concerned about the added costs of home testing as it only costs us $43 to get it done at the vet. We have already spent over $1,000 in the past three months and although we were aware of some of the costs, are concerned about how we are going to need to get insulin quicker as his levels go up and even the food issue we will discuss later. Other questions, if we do test at home what is the testing cycle? Every 2-3 or 3-4 weeks like out vet? Daily, like a human being? Are there places where we can get cheaper supplies, rebates, or coupons for testing supplies.

Another issue is that we have read that we are still feeding Monty dry food but mainly because he is allergic to most other foods. It has been suggested that we get Fancy Feast Classic which Monty has handled in limited amount but we do have another cat and it has been financially helpful to feed both of them the same food. Also we have developed a system with feeding him and giving him shots in a cycle and am not sure how switching to canned food would work with this schedule. Also are there any places to get coupons or ways of saving on canned food if we go that way? Also how much do people feed their cats per day if they do feed canned food.

I know that it seems like this email is financially focused but we were worried about whether we were going to keep him initially after his diagnosis due to having three other animals two of whom are older and have health issues of their own. I guess the key now is trying to get Monty's glucose regulated, figuring out whether to home test or vet test and whether stress, his food or other issues are causing his still slightly elevated glucose levels.

Has anyone run into any of these same issues and what suggestions do you have? Thanks for any help that you can provide us.

Regards,

Mark, Holly and Monty

Test at home, it's way cheaper and easier on the animal. One of my cats always tested higher when at the vet, so why go through the effort to pack up the cat, travel to the vet, drop off the cat to stay and be stressed all day, go back and pick up the cat, and come home. AND you paid for that waste of time.
Just test at home, before each shot and a few other tests, then do your own curve on the weekend.
Pick up a Relion meter, if you are in the US, the test strips, lancets and lancet device, and start testing.

The food, switch all over to low carb wet food.... I don't think you would like to find out that your other animals are diabetic and that's more cost. For all you know, you may not need to give any or very little insulin once you have switched to all wet.
Find some economical foods from Dr. Lisa's list.... stick to under 10% carbs and you will be fine.
catinfo.org/docs/FoodChartPublic9-22-12.pdf

I fed mine Friskies pates as they were cheaper than Fancy Feast.

Gayle
 
Status
Not open for further replies.
Back
Top