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Discussion in 'Feline Health - (The Main Forum)' started by racn1320, Apr 1, 2017.

  1. Sharon14

    Sharon14 Well-Known Member

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  2. racn1320

    racn1320 Member

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    So vet called and will release her today but said i should only get accucheck meter for pets,not a human meter. now im confused lol
     
  3. Kris & Teasel

    Kris & Teasel Well-Known Member

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    Some people use a human meter day to day at home and a pet meter on the days when they're doing a curve for the vet. Would that work for you?
     
  4. racn1320

    racn1320 Member

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    Id prefer to have one today,so i can start today. so it would have to be human meter. where would a buy a pet meter? petco? also said i should buy a certain litter that turns colors for ketones,not strips
     
  5. Nan & Amber

    Nan & Amber Well-Known Member

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    Lots of vets say that-- it's hard to compare numbers between human and pet meters, so they really prefer you use the ones with numbers they understand.

    Problem is, the strips for pet meters are expensive! And usually you can only buy supplies through a vet or online, which makes them inconvenient. That's why a lot of us use human meters-- the numbers don't have a one-to-one correspondence with the pet meters, but as long as you know the normal cat range as well as the very important cutoff for "too low", you're fine. As Kris says, some people compromise by having both on hand, one meter for everyday use, and one for communication with the vet.

    I don't know anything about the litter-- sounds convenient for the short term, but might be expensive.
     
  6. racn1320

    racn1320 Member

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    Ok,ill go witj human meter. so what numbers should she be around with the human meter
     
  7. Meya14

    Meya14 Well-Known Member

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    Initially after DKA you want to keep the blood sugar around 150-220 on a human meter. This is a little higher than what we like to see when a cat is well or about 70-120. It's very important that while she is recovering that insulin is not skipped or reduced too much. It's better to increase food or even add honey to food every time you syringe if she starts going below 150 consistently. If she's going under 150 at this point it probably means she not getting enough calories.

    I've never heard of ketone testing cat litter, I think that your vet is confusing a different product. There is cat litter that detects blood and changes color in the case of UTI. This has nothing to do with ketones though. Most vets only get a day or two of training regarding diabetes, so if they don't treat a lot of diabetic cats, they may not really be up to speed on current treatments.
     
  8. Meya14

    Meya14 Well-Known Member

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    Also, what insulin are you going to be sent home with?
     
  9. racn1320

    racn1320 Member

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    Nov 20, 2014
    Same,lantus. im assuming i can get the human ketone strips at walmart to use?
     
  10. Meya14

    Meya14 Well-Known Member

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    Yea most pharmacies have them.
     
  11. Yong

    Yong Well-Known Member

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  12. racn1320

    racn1320 Member

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    I bought turkey and gibletsvfriskies almost 200 cal
     
  13. racn1320

    racn1320 Member

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    Well she is back,lots better. they told me not to feed her friskies or ff. just purina dm dry or wet food
     
  14. Kris & Teasel

    Kris & Teasel Well-Known Member

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    I beg to differ! The DM wet is low carb if it's the pate version. The dry is low-ish as dry food goes but too high for a diabetic cat. I choose to feed DM pate to Teasel but mix it with Friskies or Fancy Feast to vary the flavour and keep the average carb level down a bit (DM is lower in carbs than some of the Friskies/FF pates I feed him).

    The prescription food is $$ and not really better. Many cats tire of eating the same flavour day in and day out too.
     
    Last edited: Apr 4, 2017
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  15. racn1320

    racn1320 Member

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    Im gonna try there food and then mine and see if numbers change, we just did oir first test. wanted to make sure i can do it. she was good about it thank god. little high but her insulin is past its time...
     
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  16. Yong

    Yong Well-Known Member

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    I know every cat is different but the DM dry kept Maury at higher BG. Just a personal experience I thought I would share :)
     
  17. racn1320

    racn1320 Member

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    Ill try it for a day or two then go back to my ff classic and friskies pates and see where the numbers are.
     
  18. racn1320

    racn1320 Member

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    Nov 20, 2014
    She still wont eat wet food for now,hmmm
     
  19. Meya14

    Meya14 Well-Known Member

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    If she'll eat the dry thats ok for now. You might have to adjust the insulin up if blood sugars go up. Also, you'll have to monitor her water intake closely. Have you attempted to get a blood sugar yet?
     
  20. racn1320

    racn1320 Member

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    Yea she wont touch wet yet,hope she changes. i did our first test when we got home,numbers were high bc insulin wore off and she was still excited from car ride,ill do it again tomorrow in the prime of her shot around 6 or 7 hrs into it. the hardest part is the pricking.
     
  21. Meya14

    Meya14 Well-Known Member

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    Also try to get a ketone test when you can. Try at least daily. DKA can reoccur when they are recovering.
     
  22. racn1320

    racn1320 Member

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    Nov 20, 2014
    Yep got them too,when i picked her up they said she testd at 15. was lot higher yesterday
     
  23. Nan & Amber

    Nan & Amber Well-Known Member

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    She may be "off" her regular food for a while, since she might associate it with when she was feeling really yucky. I agree, for right now, if it's dry she'll eat, let her eat dry. Hopefully eventually you'll be able to get her back on the old wet food, or at least something similarly low-carb.
     
  24. racn1320

    racn1320 Member

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    That makes sense. yea hope she comes around or i may have to buy diffrent wet food.
     
  25. racn1320

    racn1320 Member

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    Nov 20, 2014
    Tried a diffrent wet food and she is eating some,not like normal but she is eating wet again. im going out today to getbsome more diffrent kinds of wet food and hope she eats more!
     
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  26. racn1320

    racn1320 Member

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    How often do you have to clean the meters,with a solution. im not sure where to buy this solution,i didnt see it at walmart
     
  27. racn1320

    racn1320 Member

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    Still getting some high numbers,should their be any adjustments with this being a human meter. as it not being a pet meter or are the numbers exactly the same as if it would be a pet monitor
     
  28. Kris & Teasel

    Kris & Teasel Well-Known Member

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    If you're referring to the control solution as it's called, it isn't for cleaning the meter. It's used to check that the test strips are reading in the correct range that 's printed on the strip bottle. I think you can call the meter manufacturer to get the control solution. There's probably a phone number in the instruction book for the meter.
     
  29. racn1320

    racn1320 Member

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    Thx for info,did call them!
     
  30. Yong

    Yong Well-Known Member

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    Unfortunately, numbers are not exactly the same; even if you had 2 of the same pet meter. All glucose meters are allowed a 20% variance. Only adjustment you need to make with using a human meter is that if you get a reading of 50 OR LESS, it is time to take action. For newer members, give a little bit of Higher carb food with gravy and just give like 1 nice tablespoon of mostly gravy. You will probably get a couple pieces on the spoon, which is ok :).

    More information about what to do: http://www.felinediabetes.com/FDMB/threads/how-to-treat-hypos-they-can-kill-print-this-out.15887/
     
  31. racn1320

    racn1320 Member

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    Just did ketone test,still at 15 small. same as when she left vet
     
  32. Nan & Amber

    Nan & Amber Well-Known Member

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    Did they send you home with subQ fluids and instructions on how to give them? If not, can you call the vet to see if they will do so? It will help flush out those ketones-- you don't want them to get out of hand. You can also add as much water as she'll tolerate to her wet food-- mix it up to make a kind of soup-- to get more fluids into her, but subQ would be better.

    What kinds of numbers are you getting?
     
  33. racn1320

    racn1320 Member

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    Nov 20, 2014
    No fluids were sent home with me,i even asked. said not needed,she has been drinking plenty of water. toward the end of her 8hrs of lantus was in mid 300' s
     
  34. Nan & Amber

    Nan & Amber Well-Known Member

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    Was this the ER vet or your regular vet? I'd call either or both vets and tell them she's still throwing "small" ketones. Even if they aren't willing to send you home with a kit, maybe you could bring her in, not (hopefully) for another extended stay, just for a dose of fluids on an inpatient basis.

    Normally we say that anything above "trace" ketones is an automatic trip to the vet, though I know that, after the past few days, you'd really like to keep it to home care, which is why I asked first about subQ at home. She's eating well, she's getting her insulin, and she seems to be feeling better, so she's got most of what she needs for recovery happening, but recent DKA kitties can be very delicate. Getting some extra fluids into her now could make a big difference in where she goes from here.

    @Meya14 , your thoughts?
     
  35. racn1320

    racn1320 Member

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    Nov 20, 2014
    It was the er. ill do another test tomorrow and call and see what they say,if they say bring her in ill take to my reg vet and see if they can do this. god i hope not tho
     
  36. Nan & Amber

    Nan & Amber Well-Known Member

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    She's still eating and drinking well, and acting like she is feeling better?

    Please keep a very close eye on her-- as you know, a ketone situation can deteriorate rapidly.
     
  37. racn1320

    racn1320 Member

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    She is def drinking well,now eating new wet food,just notveating as much. her ketones have not got worse and no 3rd eyelid. we playd string earlier. she just seems tired
     
  38. Nan & Amber

    Nan & Amber Well-Known Member

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    The eating makes me nervous, but the rest sounds good (tiredness is to be expected after a bout of DKA-- it really hammers them, it often takes a couple weeks before they get their normal energy back).

    Encourage her to eat anything she is willing to eat-- dry food is fine, tuna, treats, whatever. What you don't want happening is for the ketones to take hold and make her lose her appetite entirely again, it's a vicious cycle and it can move fast. Food+insulin+fluids are what is needed to keep them down.

    Keeping my fingers crossed that she keeps improving!
     
  39. racn1320

    racn1320 Member

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    So with the dry food eating does it matter it puts the numbers up? she is eating more wet than dry but not as much as she used to. i hope i dont have to get her to vet tomorrow $. iv fluids wouldnt be that expensive i hope not. she doesnt seem dehydrated
     
  40. Kris & Teasel

    Kris & Teasel Well-Known Member

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    After DKA when kitty is still in a touch and go state, worry less about carbs and the effect on BG and more about calories and a high enough dose of insulin to keep ketones down. Higher carb food will allow you to give more insulin. Add warm water to all wet meals, as much as she will tolerate.
     
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  41. racn1320

    racn1320 Member

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    Nov 20, 2014
    Ok ,i went and bought some food today, more diabetic than regular but i can give her some more regular wet food as long as its fine
     
  42. racn1320

    racn1320 Member

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    Looks like i shoulf get some gravy sensations friskies, if im correct? around 19 calories
     
  43. Nan & Amber

    Nan & Amber Well-Known Member

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    Fluids are relatively inexpensive-- I don't know off the top of my head (someone else might have recent experience) but I'd say it would probably be somewhere in the low-mid tens of $$$, especially if you were just getting the supplies and doing it yourself at home. It's a really common at-home treatment, lots of folks around here do it.
     
  44. racn1320

    racn1320 Member

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    How do you give it to them at home
     
  45. Nan & Amber

    Nan & Amber Well-Known Member

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  46. racn1320

    racn1320 Member

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    Is gravy sensations ok for temp food?
     
  47. Nan & Amber

    Nan & Amber Well-Known Member

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    If she'll eat it, go ahead. The carbs are mostly in the gravy, so if you want to try to limit carbs but still giving her something tasty you could try to squeeze out some of the gravy first (save it, just in case you have to add it back in later!).
     
  48. racn1320

    racn1320 Member

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    Nov 20, 2014
    Back to the store again in a few lol
     
  49. racn1320

    racn1320 Member

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    She ate alot of new food i just got tnight,prime filets beef gravy
     
  50. Meya14

    Meya14 Well-Known Member

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    If she is eating well, that is good. I would ask about the fluids at your normal vet the whole setup cost me about $20 when my cat had DKA. Usually you do them once a day for a couple days, and one bag will last a few days. If you can, keep track of the time you gave the insulin and times you took the blood sugars and results, and list them here. This will help people here better understand what is happening with the blood sugars.

    How much insulin are you currently giving? If you take blood sugar before the shot, then 3 hours, then 8 hours, then before the next shot and they are all above 300, then you should raise the insulin by 0.5 units and keep that dose for at least 4 shots. Since she still has a small amount of ketones, it means she's not getting quite enough food and insulin. Don't worry if the dry food raises the numbers for now, you can always adjust the insulin. She needs the food.
     
  51. racn1320

    racn1320 Member

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    Nov 20, 2014
    I am keeping a log for sure. she is getting two units of lantus every 12 hrs. Ill do the 3hr tomorrow and then 7 hr and report it back here. How long do you normally keep her on fluids with the bag included when she is at vet? How long have any of your kittes stayed awaybfrom home with dka? she was at er for almost three days on that and anti nausea meds.
     
  52. Yong

    Yong Well-Known Member

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    Sorry if this is a repeat, you can also add 1 or 2 Tablespoons of warm/ room temp water to each meal to help give her some extra fluids :). I consider Friskies prime filets a medium carb food so it might not impact her numbers too much, but every cat is different :rolleyes:.
     
  53. racn1320

    racn1320 Member

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    Ill give her some more before bed in 2hrs with warm water. she bathed herself for first time tnight since she has been home,a good sign for sure
     
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  54. Meya14

    Meya14 Well-Known Member

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    When my cat got sick with DKA, with my vet's OK, we chose to get everything we needed from the vet and take care of him at home. My husband and I are both RNs and have experience taking care of people with DKA, so I kinda knew the drill. I used the subQ fluids for 1 week, and had to syringe feed completely for 1 week around the clock. By the second week, he was eating, but still tired. He was pretty much back to normal by 3 weeks. He hasn't had any episodes of DKA since and it's been about 2 year or so.
     
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  55. racn1320

    racn1320 Member

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    Thats good!! im surprised she is eating more,just hope she keeps it up. i just started home testing,wonder what her numbers were all this time ?
     
  56. racn1320

    racn1320 Member

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    Nov 20, 2014
    Ok i tested her 4hrs after her lantus shot,lantus doesnt really hit untill 6 to 8 hrs from what i understand. she read 423. but she seems to be feeling well. i pricked her good,still bleeding after 5 min,grrr
     
  57. Nan & Amber

    Nan & Amber Well-Known Member

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    So glad you've found a food she likes so much! And that she seems to be feeling well!

    Ouch! Sounds like you probably hit the big vein-- it happens occasionally. Maybe avoid that ear for a little while if you can, it'll take a bit longer than usual to heal and might bruise a bit-- if you haven't already, it'd be good to dab a bit of neosporin/polysporin ointment on the spot to help it alone. And, generally, on every poke, applying a little pressure (with a tissue) to the poke helps stop bleeding and reduce bruising.

    Hope you guys had an uneventful night and that she's continuing to improve! When you get a chance, it would be good at this point to start setting up a spreadsheet for her numbers-- it will help to figure out whether her insulin dose is the right one for her and to try to get her into consistently good numbers. Instructions here: http://www.felinediabetes.com/FDMB/threads/fdmb-spreadsheet-instructions.130337/ , just holler if you need help!
     
  58. Yong

    Yong Well-Known Member

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    Jan 11, 2017
    Great job on first test! :bighug:Might have accidentally hit the vein. Just firmly hold the poked spot for as long as you can to stop the bleeding and reduce bruising.
     
  59. racn1320

    racn1320 Member

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    Nov 20, 2014
    It stopped bleeding,put neosporin on it. woke up this am snd she is hungry,eating now. think she is getting better!
     
  60. racn1320

    racn1320 Member

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    Nov 20, 2014
    She seems to be eating a little more,her pee spots in litter are smaller. just did a ketone test,yeserday was small amount today just now is a trace. we are headed in right direction!
     
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  61. Nan & Amber

    Nan & Amber Well-Known Member

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    Whoo-hoo! So nice to hear that!!!
     
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  62. racn1320

    racn1320 Member

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    Looking so much better!
     

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  63. Djamila

    Djamila Well-Known Member

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    I'm so glad to hear she's feeling better!

    How is the bite? Is that healing well too?
     
  64. racn1320

    racn1320 Member

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    Nov 20, 2014
    Very slowly. im so glad she is starting to feel better,she jumped on mu lap earlier today.
     
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  65. Meya14

    Meya14 Well-Known Member

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    Great to hear!
     
  66. Ozzy Pawzbourne

    Ozzy Pawzbourne Well-Known Member

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    Dec 4, 2016
    So sorry to hear about your kitty and glad to hear that she is feeling better. With DKA, the calories are of utmost importance to help reverse the condition (with insulin and fluids). If kitty is still not eating enough calories, you should consider syringe feeding the rest. My Ozzy had a bad case of DKA and was hospitalized for 4 days and almost didn't make it. He barely ate at all in the hospital and ate very little when he came home. The folks on this site taught me the importance of syringe feeding to make sure he got enough calories. We would let him eat what he would on his own and then syringed him the rest. I can't stress how important getting the right amount of calories in is. Please make sure your kitty is eating enough.

    I'm so happy to hear you are home testing and ketone testing. The ear pokes definitely get easier over time and you and your kitty will get used to it. When I ketone test Ozzy, I just sneak up on him in the litter box and stick the strip under his bum. I recall the first time I did it (even posted a funny post about it) and was so surprised how easy it was. It was like my first little victory of something finally being 'easy' because everything up to this point had been so difficult.

    We always add extra water to both our kitties food now. Ozzy for the most part has had negative ketone tests but every once in awhile we get a 'trace' result and we up the water and it goes back to negative. Ozzy just had DKA at the end of November so just a few months ago. We tested for ketones frequently in the beginning and now try to get in at least 1 test a week to make sure all is well.

    Praying for you and your kitty and hoping she gets better soon! It took Ozzy about 2 whole weeks to look like he was feeling better again, but he was a very very sick kitty!
     
  67. racn1320

    racn1320 Member

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    Nov 20, 2014
    Thx! yes she is eating alot more now,diffrent food with higher calories,like to get her back on pates soon. i do add some water to her food,plus she drinks alot still. we played earlier today,was nice to see her running around. i just performed a ketone test and it came back negative!!
     
  68. Ozzy Pawzbourne

    Ozzy Pawzbourne Well-Known Member

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    Wonderful wonderful update!!! Thank you for sharing! Sounds like you took great care of her! We love hearing success stories after DKA and this is a true success! :bighug::bighug:
     
  69. racn1320

    racn1320 Member

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    Thank you all so much that provided me with great help. ill continue with updates!
     
  70. Djamila

    Djamila Well-Known Member

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    That's great news!
     
  71. racn1320

    racn1320 Member

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    Nov 20, 2014
    Bought a few insect ,spider repellants,so hopefully this doesnt happen again
     

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  72. racn1320

    racn1320 Member

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    I was thinking of going to my vet this week and getting some hills or purina hard food just to have on hand,im going to try to get her back on pates and ff classics this week also. she is so picky lol. what brand would you all recommend,hills or purina kibble?
     
  73. Phoebes

    Phoebes Well-Known Member

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    Jan 16, 2017
    I just bought a bag of fluids a setup tubing and 10 needles total 23 dollars.
     
  74. Nan & Amber

    Nan & Amber Well-Known Member

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    Mar 19, 2016
    Neither of those would be good options for diabetic cats-- they are too high in carbs. The only two kibbles that are low enough in carbs are Evo cat+kitten and Young Again Zero (only available online, but they will send you a free sample to try before you commit). We don't generally recommend dry food for a variety of health reasons (see here for why), but those two can be very helpful backups to have around and use as a supplement to the everyday diet of pates!

    Good luck getting rid of spiders! What a crazy thing to happen...
     
  75. racn1320

    racn1320 Member

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    I hate spiders lol. what website do i go to for the free sample,as she is very picky. thx
     
  76. Nan & Amber

    Nan & Amber Well-Known Member

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  77. racn1320

    racn1320 Member

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    thx ill call them tomorrow to see if they can send me a sample. just fed her pm wet food,she threw up lol. guess i wont be getting that kind .
     
  78. Djamila

    Djamila Well-Known Member

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    Aug 1, 2015
    Is there a wet food that she will eat? You might try just giving her just a couple teaspoons of a new food instead of letting her make a meal of it. Then let her meal be whatever she is used to eating. Then if she seems to like the new food, you can slowly start giving her more at subsequent feedings. Some kitties have very sensitive stomachs when it comes to change.
     
  79. racn1320

    racn1320 Member

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    Yea she is eating high calorie wet food now,im trying to get her back on her diabetic diet. she does have a sensative stomach
     
  80. racn1320

    racn1320 Member

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    Nov 20, 2014
    Getting her back on her regular food. wonder if i should get a dm bag of dry food incase we have an eating incedent again?
     
  81. Yong

    Yong Well-Known Member

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    Jan 11, 2017
    If you want a dry food for her, the popular one's here are Young Again Zero / Zero mature and EVO Kitten (purple bag).
     
  82. racn1320

    racn1320 Member

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    Nov 20, 2014
    Can i buy them myself or do i need a script from dr if i buy online? she really gobbled up some new food tnight. she even begged for it lol.
     
  83. Yong

    Yong Well-Known Member

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    Jan 11, 2017
    Young Again is only available online. I think EVO kitten is available at PetSmart. No Rx required. YA will even send a free sample about the size of an average treat packet. :)
     
  84. racn1320

    racn1320 Member

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    I looked on the website for a free sample,or is that something you have to call in and ask for?
     
  85. Yong

    Yong Well-Known Member

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    Jan 11, 2017
    Click on "contact us" and fill out the form. :) They're very nice.
     
  86. racn1320

    racn1320 Member

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    Nov 20, 2014
    I just emailed them,gonna get some evo kitten too. does it have to be kitten? purple bag? ill go today
     
  87. Yong

    Yong Well-Known Member

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    Jan 11, 2017
    Yes, that is the lowest carb one by them. I think it's around 8%. Purina ProPlan DM is 18% which is a bit high for diabetic kitties. :)
     
  88. Larry and Kitties

    Larry and Kitties Well-Known Member

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  89. racn1320

    racn1320 Member

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    Have any of you had any luck finding this at the store? if you ship it,whats easier,ship to store or your home?
     
  90. Yong

    Yong Well-Known Member

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    Jan 11, 2017
    @Cherish Gallagher Found EVO at a store. Online said PetSmart carries it. If they'll ship it to your house for same price, just do that :)
     
  91. Cherish Gallagher

    Cherish Gallagher Member

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    Mar 27, 2017
    I found it at pet supplies plus in my city! Kitties like it :)
     
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  92. racn1320

    racn1320 Member

    Joined:
    Nov 20, 2014
    Found some evo food after going to 4 diffrent places lol
     
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