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Newly diagnosed Kitty

Discussion in 'Feline Health - (The Main Forum)' started by Jessica86, Oct 9, 2019.

  1. Jessica86

    Jessica86 New Member

    Joined:
    Oct 9, 2019
    Hi everyone. Someone suggested this forum for me. I have a 14 1/2 year old male domestic shorthair cat Taqui. He has end stage kidney disease. He is also anemic. This week been diagnosed with diabetes. Starting insulin on Friday. We're trying Glargine insulin and it is super expensive. Does anyone have any advice about insulin prices? This boy has taken all my money hehe. I'm sure y'all understand. I ordered Pet Wellbeing Blood Sugar Gold supplement from Chewy. It has amazing reviews. I know my vet has not recommended this or said anything about it but I'm willing to try it because of the good reviews. Thanks!
    -Jessica &Taqui

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  2. Sarah&Soph

    Sarah&Soph Member

    Joined:
    Jun 18, 2019
    I’ve seen a few posts on here now about the blood sugar gold, and I think the general consensus seems to be that it’s just a scam. I think most people gave it to their cats in addition to changing them to a low carb diet and starting insulin, and those two things are actually what helps, not the product.

    As for glargine, the cheapest place to get it is from Canada, which many members here do. Here’s a link about it

    http://www.felinediabetes.com/FDMB/threads/buying-insulin-from-canada.203498/

    There’s also a Lantus savings card, but it seems to be hit or miss as to whether or not the pharmacist will take it since it’s for a cat
     
  3. Jessica86

    Jessica86 New Member

    Joined:
    Oct 9, 2019
    Wow thank you so much for your advice. The diets going to be tricky for me because he needs to be on a kidney diet and diabetic diet and they're sort of incompatible. Plus he's very picky right now and only wants junk Kitty food and at the time the vet told me just to give him whatever he would eat. So I'm trying to figure out how I'm going to do this. I'm definitely going to check into ordering insulin from Canada thank you so much!!
     
    Sarah&Soph likes this.
  4. Sarah&Soph

    Sarah&Soph Member

    Joined:
    Jun 18, 2019
    There are several cats here with kidney problems and diabetes, so you should be able to get some help there as well if you want :cat: You could also do a search through the forum and there should be older threads that might help too. It’s definitely a lot to handle at first, but junk food is better than no food for now!

    If you check out the lantus forum, there’s lot of info there for you to read to help you get familiar with the insulin :)
     
  5. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

    Joined:
    May 18, 2016
    The anemia is the most important thing to address right now. That and the other kidney support issues. You can manage the diabetes around the kidneys.

    Here is a list of low carb, low phosphorus foods. It's a balancing act but it can be done.
    https://docs.google.com/spreadsheets/d/1nMBzt57Zi0PcAJ-gSt0NxrTyc3Twi7A0L8o2H2gGkoM/edit#gid=0

    For kidney disease, https://www.felinecrf.org/ is the bible.
    Are you giving subq fluids?
    A phosphorus binder? The gel that the vet sells is full of sugar. Most of us here use aluminum hydroxide powder. A small amount is mixed with food. It can be bought here.
    https://www.thrivingpets.com/aluminum-hydroxide-powder-usp-200-gram-jar.html
    What are you currently feeding? and what will he eat?

    If you post your lab reports, we have a few people who understand and interpret them quite well.
     
  6. Jessica86

    Jessica86 New Member

    Joined:
    Oct 9, 2019
    The vet did say kidneys trump pancreas for the diet. He is getting fluids daily and has been for several months. His kidneys are bad, but he hasn't thrown up. I've been giving him pepsid ac for nausea. He is not on a phosphorus binder. Vet hasn't recommended that yet, not sure why. I'll check into the aluminum hydroxide I haven't even heard of that.
    I've tried the kidney diets and still go back and forth with them mixing them when whatever he'll eat.It's tricky, definitely touch and go and I hate wasting money on this expensive food when he won't even try it. Any kidney diets that y'all have has success? I know every cat is different though. I give him dry and wet food daily. I give him Friskies dry food mostly because he'll gobble it up. I put some Hills k/d prescription dry food on it but he'll eat around it I'm not sure if he eats any of it. At times he'll eat just a bit of the Hills k/d pate but not every day. He likes Fancy feast, 9 lives, Friskies canned food so I just alternate whatever he'll eat. He loves Temptations treats but I try only to give a little a day because I'm sure they're not the best. I can post a photo of his latest lab work later on tonight. I will say the vet has told me he is trying to get in the record books for how high his levels are and how his body has compensated for certain deficiencies.
    Right now he's in kidney stage 4, he has anemia, an infection (UTI maybe) and now diabetes. I guess I'm pretty overwhelmed with it all. I felt like giving up on him and saying no more for my poor guy. The vet seems more hopeful that I do about the injections since I already give him fluids she says it's not that hard. I want to at least give this a try to help him feel better. He's done really well so far. Believe me, I can't stand to see them suffer if they don't have to do I'm looking for all kinds of advice. Thanks!
     
  7. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

    Joined:
    May 18, 2016
    If I remember correctly, this food is one of the highest dry food in carbs that there is: 35% carbs. The k/d canned is 27% carbs. The only acceptable low carb prescription kidney cat food is the Purina DM canned.
    Most people here feed low phos canned food and add aluminum hydroxide powder to it.
    You can read about it here: http://www.felinecrf.org/phosphorus_binders.htm#aluminium_hydroxide

    Both kidney disease and feline diabetes are steep learning curves. It will all become second nature quickly.

    Do check out buying Lantus from Canada. A lot of people here do. It is much cheaper.

    You will also need a glucometer to do readings before giving insulin and getting a few tests in mid cycle. Takes just a minute. There is no need to buy a pet glucometer. A human glucometer works just fine and it is what the majority of people here use. I do not know what country you are in. I'm in Canada so I'll let others suggest which glucometer takes the smallest amount of blood and has the cheapest strips in the US (presuming you are in the US).
     
  8. Chris & China (GA)

    Chris & China (GA) Well-Known Member

    Joined:
    May 10, 2013
    Fancy Feast Classics, Friskies pates and 9-Lives pates are all low carb which is good for the diabetes, but they're higher in phosphorus than we like for CKD kitties. But if he'll eat them, that's the most important thing so you can use the phosphorus binder (it's tasteless so you just mix it into the food) There are some commercial cat foods that are both low in carbs and phosphorus too. Ones I can think of right off hand are Weruva, BFF and Cats In the Kitchen.

    The "prescription" foods are basically worthless and the ingredients are pretty lousy too. There's absolutely nothing in "prescription" foods that help or cure disease. The whole prescription food industry is nothing but a clever marketing tool between the pet food manufacturers and the veterinary profession.

    The Temptations are unfortunately too high in carbs (most cats go crazy for them too!)….but you can try any freeze dried treat or even just bake chicken and use that for treats. As long as the only ingredient in the treats is a protein source, it's fine. I used to bake a piece of chicken for China, cut it into little pieces, put most in the freezer and leave some in the fridge for treats.

    Tanya's Comprehensive Guide to CKD is the CKD Bible …..lots of great information there on kidney disease.
     
  9. Jessica86

    Jessica86 New Member

    Joined:
    Oct 9, 2019
    Lab test results
     

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  10. Jessica86

    Jessica86 New Member

    Joined:
    Oct 9, 2019
    you can use the phosphorus binder (it's tasteless so you just mix it into the food) There are some commercial cat foods that are both low in carbs and phosphorus too. Ones I can think of right off hand are Weruva, BFF and Cats In the Kitchen.

    The "prescription" foods are basically worthless and the ingredients are pretty lousy too. There's absolutely nothing in "prescription" foods that help or cure disease. The whole prescription food industry is nothing but a clever marketing tool between the pet food manufacturers and the veterinary profession.

    The Temptations are unfortunately too high in carbs (most cats go crazy for them too!)….but you can try any freeze dried treat or even just bake chicken and use that for treats. As long as the only ingredient in the treats is a protein source, it's fine. I used to bake a piece of chicken for China, cut it into little pieces, put most in the freezer and leave some in the fridge for treats.

    Thank you! I like specific instructions so I appreciate your input! I do check on Tanya's website from time to time to refresh my memory. I'll try the baked chicken or freeze dried treats. I do hate the prescription foods too, but I also hate telling my vet I'm not doing what she recommends. But anyways he doesn't eat the dry prescription and hardly eats the canned anyway. Fingers crossed he'll eat the food you recommend. Thank you!!
     
  11. Jessica86

    Jessica86 New Member

    Joined:
    Oct 9, 2019
    There are so many posts about Lantus to sift through and I just don't have the time. Can anyone post a link to a post here about basic or beginners guide to Lantus? I've never had to deal with diabetes before so I'm completely lost and overwhelmed with all this information and spreadsheets. I'm sure my vet will help me out tomorrow when he goes for his first dose and I'm sure I'm making it more complicated than it will be, but I'd like to have a basic knowledge before diving in. Thanks again, this forum is a wonderful resource!!
     
  12. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

    Joined:
    May 18, 2016
    If you click on the Lantus page, you will see yellow stickies at the top. Read through them, starting with this one: The Basics
     
  13. Larry and Kitties

    Larry and Kitties Well-Known Member

    Joined:
    Dec 28, 2009
    The high neutrophils could indicate an infection.
    The bottom of the blood test report says that a urine culture and sensitivity was ordered. Please report the results when available.
    Was a regular urine analysis (dipstick and microscopic analysius done?
     
  14. Jessica86

    Jessica86 New Member

    Joined:
    Oct 9, 2019
    Yes he has an infection. They found lots of white blood cells and red blood cells in his urine. He's getting a Convenia injection today.
     
  15. Larry and Kitties

    Larry and Kitties Well-Known Member

    Joined:
    Dec 28, 2009
    Did they measure the urine specific gravity? That is an excellent indication of kidney function.
     
  16. Jessica86

    Jessica86 New Member

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    Oct 9, 2019
    I'm not sure. He has end stage kidney disease though and has struggled with the infections for a few years
     
  17. Jessica86

    Jessica86 New Member

    Joined:
    Oct 9, 2019
    Just an update. He got his Convenia injection yesterday along with his first 2 shots of insulin. We opted for the cat insulin that the vet provides instead of Glargine (Lantus) mainly because my vet and I agree that he probably doesn't have that much time left anyway (with the CKD). I'm heartbroken, he's hanging on. But he's definitely been affected by something. I'm not really sure exactly what's bringing him down specifically or it could be a combination of it all. His back legs are very weak. He can still walk wobbly and he will jump on the bed but when he jumps off its disturbing how his back legs just collapse into the floor. I wish he wouldn't but I can't stop him since he loves it on the bed I hate to ban him. I'm trying all different kinds of canned food to see what he'll eat. It's still touch and go. I'm still giving him Cerenia and Pepsid although he hasn't thrown up yet still. I still don't feel like he's eating enough especially for the insulin and I got some chicken baby food (without any extra ingredients) to syringe feed so I can give insulin. That's not fun either. I'm hoping he has some improvement over the next couple of days because I CANNOT bear seeing him look so weak for much longer. :( I'm trying to not stress out but it's hard when your baby doesn't feel well and you don't know if it's the end or not. Pray for my sweet boy and me. The pic was last night, he was a bit more perky than today.
     

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