My boots just diagnosed

My furry kid boots was just diagnosed, got the call this morning, meeting with the vet this afternoon to set up a game plan

 

Sorry Boots is a diabetic, but you'll find that, on the list of possible diseases, it isn't such a bad one. There is treatment that works (we advocate a mild long lasting insulin, wet low carb food and home testing) and a chance for remission. It is also a disease that can be managed easily and fairly inexpensively at home.

Do some reading - the FAQs are a good place to start. And ask lots of questions. Everyone here was overwhelmed and scared at first but soon learned knowledge is powerful and builds confidence. Everyone who replies to your post is paying it forward for help they received.

 

Welcome Boots and Kim. Could you tell us a little bit about Boots? How old is he/she? Any other illnesses? What are you feeding Boots now? How much does he/she weigh? Below, I am going to give you a whole bunch of information. The good thing is that you can start now with helping out Boots. There is some homework (reading) that you can start on today before you meet with your vet. You can also start him (transitioning if currently on dry) on some low carb, wet food. If you can get him on some low carb, wet food now before giving him insulin, that would help. There is a list of food to choose from. Holler if you have any questions.

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Good Reading: This is a must read. It is an excellent 18 page informative document that covers feline health and nutrition. Don't take short cuts and read it all. www.catinfo.org

Also read other postings and their spreadsheets. You will learn a lot more from others.

Home Testing: Here, we all home test. It is mandatory to understand how your kitty is reacting to the insulin and the dose. You will want to test before each shot and some additional test in between the 12 hour cycle. Another reason to home test is to keep your kitty safe. Find a place in your home where you will always perform the test and give lots of hugs before and after testing. There are many videos showing you how to test. Here is a picture of where you test on your kitty. http://s106.photobucket.com/user/chupie_2006/media/testingear/sweetspot.jpg.html

Here is another good link on Home Testing:http://www.felinediabetes.com/bg-home-test.htm

Meters: There are many meters. There is a pet meter called the Alpha Trak2 and human meters. Some use the pet meter because it is what the vets use so the numbers will match up. The meter and strips are expensive though. Most use human meters that can be purchased at any pharmacy. It typically reads a little lower than the pet meter but we have ways of compensating those lower numbers. Many use Walmart's brand, Relion Micro or Relion Confirm, because it only needs a tiny drop of blood. They cost around $15 and the strips are around 35 cents each.

Lancets: These are used to poke the ear to get blood. There are many different sizes (gauges). It is recommended when you are first starting out to use a 26-28 gauge. Also, it would be a good idea to pick up Neosporin WITH pain reliever to apply on the edge of the ears and don't forget to alternate ears.

Spreadsheets: Our spreadsheet instructions are here. If you look at the signatures of the members here, you will see a link to their kitty’s spreadsheets. We keep track of all our tests. This is basically a place to collect data and help you to determine patterns, doses, etc. It also aids those that may be helping you to better understand your kitty.

Food: There are many reasons why we are here but one is due to feeding dry cat food which is high in carbs. You will want to consider changing your food to wet, low carb food. It is recommended to feed food that is under 10% carbs. Here is a list of cat food to choose from food chart you will note that the food with fish are lower in carbs however it is recommended that you only give fish once a week due to its mercury content. Many use Fancy Feast, 9 Lives, Friskies, etc. This list can also be found in www.catinfo.org If you are already giving insulin and you have not transitioned to wet, low carb cat food, be sure to test while you are transitioning. This is because by changing to low carb food, it could decrease your kitty’s number by 100 points or more. One last thing, many of us add water to the wet food so your kitty is getting plenty of water to flush out the toxins and to keep them hydrated.

Hypo Kit: Always good to be prepared for possible hypo events which means that your cat has reached dangerously low numbers. It can be fatal, hence, the importance of home testing and collecting data in a spreadsheet. In each of the Insulin Forums are stickie’s labeled Hypo Links. Please print and post on your refrigerator so everyone in your household is aware of hypo symptoms. You will want to create your hypo kit that would include and not limited to; extra testing strips, honey/karo/maple syrup, high carb food, medium carb food, vet information, etc. How to Handle a Hypo

Ketones: Diabetic cats are susceptible to diabetic ketoacidosis (DKA). It is best to buy testing strips that will measure (if any) ketones in the urine. One brand is Ketostix which can be found at Walmart or any pharmacy. You will want to test periodically unless you continue to get high numbers, then it is suggested to test more frequently. Ketostix typically costs around $10.

Treats: It is always nice to have treats available for your kitty. Some use it after they have tested to reward. I like using Pure Bites. I have found it at Petsmart and other pet stores. It is freeze dried and the only ingredient is the meat i.e. chicken, duck, etc. If your cat likes it, then I would go to the dog section where it is cheaper than the cat package. It is bigger chunks but no problem in breaking it up. Another option is to use Bonita Flakes. There is a link here somewhere that has a list of low carb treats but I don't have it right now.

Injections: Most folks here use one of these main insulins; Lantus, Levemir and Prozinc. Two hours prior to your insulin shot, you will not want your kitty to eat. Then you will test and then feed. It is best for your kitty to eat a little before your shoot. I shoot while he is eating. The reason why you do not want your kitty to eat two hours prior to your test is because food elevates BG numbers. So you do not want to dose based on a food influenced number. Here is a link on how to give injections.http://www.felinediabetes.com/injections.htm

Note: Please check your insulins as there are some (the harsher ones like Humulin, Novolin, Vetsulin, etc.) that would be best to allow some time after your kitty has eaten before you shoot.

If you have any questions, please be sure to post in the Health Forum.

 

Welcome to FDMB.
If your cat was ever diagnosed with diabetic ketoacidosis (DKA), you'll want to get a blood ketone meter as that can detect ketones before they make it out in the urine.
All the insulin guidelines here, which help you keep your cat safe, use reference values for human glucometers.