Confused for my Holly

mts1960

Member
Hi all it’s been a while since I posted

my Hollys been through ups/downs and all around since I rescued her 1/1/2019

she is on 2.5 units of vetsulin since Dec

her issue is she’s always starving and all of a sudden gaining weight my vet and I are trying to get her glucose level 400 back under control

I thought dry food was a huge no no for diabetic cats , but my vet wants me to try
“ hills dry gluco suport “

the canned is way to expensive especially when I have 4 other kitty mouths to feed !
Please some guidance before I purchase the food

Thank You on behalf of myself and my Holly
 
Hi all it’s been a while since I posted

my Hollys been through ups/downs and all around since I rescued her 1/1/2019

she is on 2.5 units of vetsulin since Dec

her issue is she’s always starving and all of a sudden gaining weight my vet and I are trying to get her glucose level 400 back under control

I thought dry food was a huge no no for diabetic cats , but my vet wants me to try
“ hills dry gluco suport “

the canned is way to expensive especially when I have 4 other kitty mouths to feed !
Please some guidance before I purchase the food

Thank You on behalf of myself and my Holly
I am going to post for a more experienced person to help you. You need to be posting more often for help, I can tell you 1 thing you do not want the Hills Dry Gluco Support. What canned food is so expensive, have you tried Friskies they have a lot of canned food that has low carbs. I am sure the Hills Dry Gluco support is not cheap. I hope someone answers right away, to get help for you & Holly.
@Sienne and Gabby (GA)
@Diane Tyler's Mom GA
@Bron and Sheba (GA)
Wishing you the Best
Teresa & Kit Kat
 
I am going to post for a more experienced person to help you. You need to be posting more often for help, I can tell you 1 thing you do not want the Hills Dry Gluco Support. What canned food is so expensive, have you tried Friskies they have a lot of canned food that has low carbs. I am sure the Hills Dry Gluco support is not cheap. I hope someone answers right away, to get help for you & Holly.
@Sienne and Gabby (GA)
@Diane Tyler's Mom GA
@Bron and Sheba (GA)
Wishing you the Best
Teresa & Kit Kat
@Suzanne & Darcy
 
mts1960, You will need to post for directions on how to set up your signature and spread sheet if you have not already done that. I am not very experienced but you would be better off to buy friskies canned food with lower carbs. If you look at the very beginning it will say Dr.Lisa's New Food Chart, it will tell you different brands of canned food and their carbs. Also, my cat was started by our vet on vetsulin, having had a diabetic cat before I knew that was not a good insulin for cats. Your cat needs to be on Prozinc or Lantus. Vetsulin is not a long lasting insulin, the other two are given twice a day and are a longer lasting insulin. There is a lot of things that I do not know, however this is 2 things that I know.
 
Hi all it’s been a while since I posted

my Hollys been through ups/downs and all around since I rescued her 1/1/2019

she is on 2.5 units of vetsulin since Dec

her issue is she’s always starving and all of a sudden gaining weight my vet and I are trying to get her glucose level 400 back under control

I thought dry food was a huge no no for diabetic cats , but my vet wants me to try
“ hills dry gluco suport “

the canned is way to expensive especially when I have 4 other kitty mouths to feed !
Please some guidance before I purchase the food

Thank You on behalf of myself and my Holly
That glycobalance is awful for diabetic cats. Go get some friskies classic pates like Poultry Platter or get some Fancy Feast Classic Pates. Those are appropriate for diabetic cats. More later. …
 
@mts1960

Here is the information we need for your signature
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    • Caregiver & kitty's name
    • DX: Date
    • Name of Insulin (do not include dose or frequency)
    • Name of your meter
    • Diet: "LC wet" or "dry food" or "combo"
    • Dosing: TR or SLGS or Custom (if applicable)
    • DKA or other recent health issue (if applicable)
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Link to set up your spreadsheet
https://felinediabetes.com/FDMB/threads/how-to-create-a-spreadsheet.241706/


How to use the spreadsheet
https://www.felinediabetes.com/FDMB/threads/how-to-use-the-spreadsheet.241653/
 
What food are you feeding Holly, do you know the amount of carbs this food contains. If you are feeding the wrong food with over 10% carbs that could be your problem.
 
Good to see you back. The prescription diabetic food your vet suggested is 23% carbohydrate. That's a food that's very high in carbs and you would need to give Holly a whopping dose of insulin to get her numbers even close to a more normal range. Vets receive very little education regarding nutrition. I bet if you asked him what the percent of carbs in the food he's recommending, he wouldn't have a clue. You're also correct -- dry food is not preferred. First, because it's high in carbs. Second, cats have a very limited thirst drive. They typically get their moisture from their prey -- at least in the wild. Canned food has way more moisture than dry food. Between the lack of moisture which is hard on the kidneys and diabetes which is also hard on the kidneys, there's no good reason to feed a cat a dry food diet. This is a link to information on feline nutrition.

I looked back at your previous posts and I think you were feeding Holly Fancy Feast. As long as it's an under 10% carb variety, Fancy Feast (e.g., Classics and a few of the other varieties) is fine. You may want to look for low carb foods that are higher in calories since you need Holly to gain weight. You can also feed her more in quantity. This is a chart that has information on both carbs and calories.

I'm going to repeat (and emphasize) what a few other members have noted. It will be very helpful to us if you could put together your signature and spreadsheet. We can't be of help without that information. We don't want to make suggestions that could endanger Holly. That's why we keep asking about a spreadsheet. The information on doing this in in this link on helping us to help you.

The other issue is the insulin you're using. The American Animal Hospital Assn has not recommended Vetsulin for the treatment of feline diabetes since 2018. The insulins that are recommended are either Prozinc or glargine. (Glargine is the generic/biosimilar and is much less expensive than Lantus which is the name brand.) This is a link to the AAHA guidelines. I'd encourage you to share the paper with your vet and discuss switching Holly to an insulin that has a longer duration than Vetsulin (i.e., it lasts at least 12 hours) and is less harsh.

I know you are working hard to do what's best for Holly. At least from your posts, it doesn't sound like your vet is up to speed when it comes to treating Holly's diabetes. If you can get a spreadsheet set up and are able to post more often, we can be of greater help.
 
Have you discussed getting your Holly onto a better insulin that is more appropriate for a cat? Vetsulin is not a good insulin for cats and it is no longer recommended for cats. ProZinc or Lantus (glargine) would be better choices.
My vet never suggested it , but I think it’s time

is their a low fat , low carb food out there ?
 
What food are you feeding Holly, do you know the amount of carbs this food contains. If you are feeding the wrong food with over 10% carbs that could be your problem.
Oh she’s been on FF pate for 6 yrs now . No free feeding, no dry food , but she’s steady gaining weight and acting like she’s starving . She’s breaking my heart ..
 
Good to see you back. The prescription diabetic food your vet suggested is 23% carbohydrate. That's a food that's very high in carbs and you would need to give Holly a whopping dose of insulin to get her numbers even close to a more normal range. Vets receive very little education regarding nutrition. I bet if you asked him what the percent of carbs in the food he's recommending, he wouldn't have a clue. You're also correct -- dry food is not preferred. First, because it's high in carbs. Second, cats have a very limited thirst drive. They typically get their moisture from their prey -- at least in the wild. Canned food has way more moisture than dry food. Between the lack of moisture which is hard on the kidneys and diabetes which is also hard on the kidneys, there's no good reason to feed a cat a dry food diet. This is a link to information on feline nutrition.

I looked back at your previous posts and I think you were feeding Holly Fancy Feast. As long as it's an under 10% carb variety, Fancy Feast (e.g., Classics and a few of the other varieties) is fine. You may want to look for low carb foods that are higher in calories since you need Holly to gain weight. You can also feed her more in quantity. This is a chart that has information on both carbs and calories.

I'm going to repeat (and emphasize) what a few other members have noted. It will be very helpful to us if you could put together your signature and spreadsheet. We can't be of help without that information. We don't want to make suggestions that could endanger Holly. That's why we keep asking about a spreadsheet. The information on doing this in in this link on helping us to help you.

The other issue is the insulin you're using. The American Animal Hospital Assn has not recommended Vetsulin for the treatment of feline diabetes since 2018. The insulins that are recommended are either Prozinc or glargine. (Glargine is the generic/biosimilar and is much less expensive than Lantus which is the name brand.) This is a link to the AAHA guidelines. I'd encourage you to share the paper with your vet and discuss switching Holly to an insulin that has a longer duration than Vetsulin (i.e., it lasts at least 12 hours) and is less harsh.

I know you are working hard to do what's best for Holly. At least from your posts, it doesn't sound like your vet is up to speed when it comes to treating Holly's diabetes. If you can get a spreadsheet set up and are able to post more often, we can be of greater help.
Hi thank you for having me back
It’s definitely been a journey

on the new journey though Hollys gaining weight she is almost 13 pounds now all in her stomach

she’s acting likes she’s starving all the time
Her vet did a fructosamine which can back in the low 400s I’m not sure what to do at this point

is their a low fat low carb canned food out there ?
I’m really worried about here .
I’ve spend a small ( think price of car) on her , but I don’t think I can do that again :(
 
Good to see you back. The prescription diabetic food your vet suggested is 23% carbohydrate. That's a food that's very high in carbs and you would need to give Holly a whopping dose of insulin to get her numbers even close to a more normal range. Vets receive very little education regarding nutrition. I bet if you asked him what the percent of carbs in the food he's recommending, he wouldn't have a clue. You're also correct -- dry food is not preferred. First, because it's high in carbs. Second, cats have a very limited thirst drive. They typically get their moisture from their prey -- at least in the wild. Canned food has way more moisture than dry food. Between the lack of moisture which is hard on the kidneys and diabetes which is also hard on the kidneys, there's no good reason to feed a cat a dry food diet. This is a link to information on feline nutrition.

I looked back at your previous posts and I think you were feeding Holly Fancy Feast. As long as it's an under 10% carb variety, Fancy Feast (e.g., Classics and a few of the other varieties) is fine. You may want to look for low carb foods that are higher in calories since you need Holly to gain weight. You can also feed her more in quantity. This is a chart that has information on both carbs and calories.

I'm going to repeat (and emphasize) what a few other members have noted. It will be very helpful to us if you could put together your signature and spreadsheet. We can't be of help without that information. We don't want to make suggestions that could endanger Holly. That's why we keep asking about a spreadsheet. The information on doing this in in this link on helping us to help you.

The other issue is the insulin you're using. The American Animal Hospital Assn has not recommended Vetsulin for the treatment of feline diabetes since 2018. The insulins that are recommended are either Prozinc or glargine. (Glargine is the generic/biosimilar and is much less expensive than Lantus which is the name brand.) This is a link to the AAHA guidelines. I'd encourage you to share the paper with your vet and discuss switching Holly to an insulin that has a longer duration than Vetsulin (i.e., it lasts at least 12 hours) and is less harsh.

I know you are working hard to do what's best for Holly. At least from your posts, it doesn't sound like your vet is up to speed when it comes to treating Holly's diabetes. If you can get a spreadsheet set up and are able to post more often, we can be of greater help.
I’ve never done a spreadsheet sadly
My vet is in walking distance it gets costly but I take her in weekly for glucose testing , mthly fructosamine and every few mths she does the curve .

Holly was a feral kitty . The fact she allows me to inject her twice a day is a miracle in itself
 
@mts1960

Here is the information we need for your signature
Just click on your name up top and then tap signature and add this information. It's at the end of everyone's post in gray letters
  • Add info we need to help you:
    • Caregiver & kitty's name
    • DX: Date
    • Name of Insulin (do not include dose or frequency)
    • Name of your meter
    • Diet: "LC wet" or "dry food" or "combo"
    • Dosing: TR or SLGS or Custom (if applicable)
    • DKA or other recent health issue (if applicable)
    • Bexacat or Senvelgo (if applicable) and dates
    • Acro, IAA, or Cushings (if applicable)
    • Spreadsheet link. Please put the signature link on the bottom line of your signature information, on its own, so it is easy to find.
    • Please do not put any information about your location in the signature for security reasons. If you wish to add your country location, please add it to your profile.
Be sure to click the 'Save Changes' button at the bottom. If you need help urgently it is important we know these things at a glance. We don’t want to waste valuable time finding out information.

Link to set up your spreadsheet
https://felinediabetes.com/FDMB/threads/how-to-create-a-spreadsheet.241706/


How to use the spreadsheet
https://www.felinediabetes.com/FDMB/threads/how-to-use-the-spreadsheet.241653/
Oh yikes I just checked the prices of the insulin’s I have 4 other cats . The vetsalin itself has almost doubled since I trapped my Holly ( then theirs the syringes to )
 
Oh yikes I just checked the prices of the insulin’s I have 4 other cats . The vetsalin itself has almost doubled since I trapped my Holly ( then theirs the syringes to )
There is some type of financial help available. I will page someone who might have info. If you are going to treat Holly, you need to use the info on how to make a SS for Holly. No one, can help you unless you have taken Holly's BG and put it on a SS. And Vetsulin is a short acting insulin, to treat Holly she needs an insulin that last for 12 hours, given twice a day. Both ProZinc and Lantus last longer than a month. I have been told in the past that some have gotten 6 months out ProZinc or Lantus. You must do these things for anyone to help you.
@Chris & China (GA)
 
Hi thank you for having me back
It’s definitely been a journey

on the new journey though Hollys gaining weight she is almost 13 pounds now all in her stomach

she’s acting likes she’s starving all the time
Her vet did a fructosamine which can back in the low 400s I’m not sure what to do at this point

is their a low fat low carb canned food out there ?
I’m really worried about here .
I’ve spend a small ( think price of car) on her , but I don’t think I can do that again :(
You can go to Wal-Mart and buy a Reli-On Premier Classic Monitor, Reli-On Premier blood glucose Test strips, Reli-On lancing device &Reli-On Lancets. Try to get lancets that are 26 0r 28 gauge, i had to get 30 gauge, but do not go any higher. Then you can test her yourself, when ever you want. All of these will probably cost less than going to the vet and you will still be able to test when you want.
 
There is some type of financial help available.

You may apply to Diabetic Cats In Need. We help low income caregivers with the start up costs of treatment including insulin, a test kit (if you don't already have one). If you do buy the Relion Premier from Walmart ($9...strips are $17/100), lancets (approx $2), and syringes we can reimburse you if you hold onto your receipt.

We only support using Vetsulin if you can prove it's working well for your cat, so you'd need to get a script for Glargine (Lantus) or ProZinc.

If you can get your vet to write you a script for Lantus, there's a Lantus Savings Card that allows you to get a box of 5 pens for $35. That's 1500 units which is enough to last most cats at least a year. The savings card doesn't work at all pharmacies so you may have to shop around.

Getting the Lantus Savings Card:

Lantus changed the wording on their offer to say it’s only good for a 30 day supply so it’s important to have your vet write the script in a specific way.
It should be written: Lantus Solostar Pen, Quantity 5
Ask your vet to write it “Lantus Solostar Pens (5 pack) - Give twice a day as directed for 30 days”
If not already printed on the script, ask your vet to give his DEA number. This is because there is a number that only human doctors can get but the DEA number is usually accepted at the pharmacy.

If the script says something like “give 1 unit twice a day”, that only adds up to 60 units a month...and you can’t get just 60 units of lantus

The Lantus Savings Card is a loyalty card offered by the manufacturer of Lantus (Sanofi ) You can use it at some pharmacies to get Lantus pens or vials at a discount. You can get 5 Lantus Solostar Pens for as low as $35 a month (10 refills a year) and it’s renewable for another year of 10 refills. The pens are the better buy. A vial contains 1000 units and most cats are going to be on less than 2U twice a day and the insulin will lose efficacy before you can use it all. Nobody likes to throw away insulin! The pens each contain 300 units and a box of 5 will last most people at least a year....sometimes longer! Keep all insulin in your refrigerator on a stable shelf, not in the door (the door temperatures vary more)

To apply go to: https://www.lantus.com/sign-up-for-savings
Chose “I Want a Savings Card” then “Continue”
It’s important to answer the questions correctly. Here’s how to answer them:
  • I am a patient over the age of 18 and a resident of the United States, Puerto Rico, Guam, or the US Virgin Islands NO
  • I am a caregiver/legal representative of the patient who is a resident of the United States, Puerto Rico, Guam, or the US Virgin Islands, and I am over the age of 18. YES
  • The patient currently has a prescription for Lantus. YES
  • Please select the statement that applies regarding patient's insurance coverage: Choose “No insurance plan is paying for the prescription”
  • What would the patient like to do? Choose “Enroll for a Lantus
    Savings Card”
  • Finally, please provide us with the patient’s information (you can use your cats name or your name...it shouldn’t matter but if your cat has a somewhat “human” name, I’d use it)
  • Agree to the answers and hit “Submit”.
Since the new rules went into effect, CVS, WalGreens and Costco seem to be the most successful in using the card. More and more members are reporting successfully using these cards at various pharmacies so it’s worth a shot.

Some pharmacies (even those listed above) will still refuse the cards so you haven’t lost anything (and you can still always try another pharmacy or order from Marks Marine Pharmacy in Canada)

Some retailers are asking for the Vets NPI, (a number that vets can’t get) however if your vet writes prescriptions for controlled substances, they must have a DEA number and this should be sufficient but many places will still not accept them (as well as some vets don’t want to give out their DEA number)

GoodRx sometimes can also get the $35 price.
 
Given that Holly is a former feral, if you don't think you can test her with a hand held glucometer, there are now continuous glucose monitors (CGMs) like the Freestyle Libre. You may have seen these advertised on TV. There is a sensor that's attached to your cat. You can read your cat's blood glucose level via an app on your phone. The Libre has it's pros and cons but it can be very helpful with a cat that may find home testing to be problematic.
 
Given that Holly is a former feral, if you don't think you can test her with a hand held glucometer, there are now continuous glucose monitors (CGMs) like the Freestyle Libre. You may have seen these advertised on TV. There is a sensor that's attached to your cat. You can read your cat's blood glucose level via an app on your phone. The Libre has its pros and cons but it can be very helpful with a cat that may find home testing to be problematic.
How hard is it to attach to her ? I’m lucky she lets me inject her twice a day
It’s been quite a while her and I in this journey . My health is definitely not what it was when I rescued her . I don’t want to overwhelm me which will overwhelm her . My anxiety is already real high

we have to trap and “ remove “ all the cats from the colony I took Holly from . It is a nightmare right now .

Thank You for reading ..
 
You may apply to Diabetic Cats In Need. We help low income caregivers with the start up costs of treatment including insulin, a test kit (if you don't already have one). If you do buy the Relion Premier from Walmart ($9...strips are $17/100), lancets (approx $2), and syringes we can reimburse you if you hold onto your receipt.

We only support using Vetsulin if you can prove it's working well for your cat, so you'd need to get a script for Glargine (Lantus) or ProZinc.

If you can get your vet to write you a script for Lantus, there's a Lantus Savings Card that allows you to get a box of 5 pens for $35. That's 1500 units which is enough to last most cats at least a year. The savings card doesn't work at all pharmacies so you may have to shop around.

Getting the Lantus Savings Card:

Lantus changed the wording on their offer to say it’s only good for a 30 day supply so it’s important to have your vet write the script in a specific way.
It should be written: Lantus Solostar Pen, Quantity 5
Ask your vet to write it “Lantus Solostar Pens (5 pack) - Give twice a day as directed for 30 days”
If not already printed on the script, ask your vet to give his DEA number. This is because there is a number that only human doctors can get but the DEA number is usually accepted at the pharmacy.

If the script says something like “give 1 unit twice a day”, that only adds up to 60 units a month...and you can’t get just 60 units of lantus

The Lantus Savings Card is a loyalty card offered by the manufacturer of Lantus (Sanofi ) You can use it at some pharmacies to get Lantus pens or vials at a discount. You can get 5 Lantus Solostar Pens for as low as $35 a month (10 refills a year) and it’s renewable for another year of 10 refills. The pens are the better buy. A vial contains 1000 units and most cats are going to be on less than 2U twice a day and the insulin will lose efficacy before you can use it all. Nobody likes to throw away insulin! The pens each contain 300 units and a box of 5 will last most people at least a year....sometimes longer! Keep all insulin in your refrigerator on a stable shelf, not in the door (the door temperatures vary more)

To apply go to: https://www.lantus.com/sign-up-for-savings
Chose “I Want a Savings Card” then “Continue”
It’s important to answer the questions correctly. Here’s how to answer them:
  • I am a patient over the age of 18 and a resident of the United States, Puerto Rico, Guam, or the US Virgin Islands NO
  • I am a caregiver/legal representative of the patient who is a resident of the United States, Puerto Rico, Guam, or the US Virgin Islands, and I am over the age of 18. YES
  • The patient currently has a prescription for Lantus. YES
  • Please select the statement that applies regarding patient's insurance coverage: Choose “No insurance plan is paying for the prescription”
  • What would the patient like to do? Choose “Enroll for a Lantus
    Savings Card”
  • Finally, please provide us with the patient’s information (you can use your cats name or your name...it shouldn’t matter but if your cat has a somewhat “human” name, I’d use it)
  • Agree to the answers and hit “Submit”.
Since the new rules went into effect, CVS, WalGreens and Costco seem to be the most successful in using the card. More and more members are reporting successfully using these cards at various pharmacies so it’s worth a shot.

Some pharmacies (even those listed above) will still refuse the cards so you haven’t lost anything (and you can still always try another pharmacy or order from Marks Marine Pharmacy in Canada)

Some retailers are asking for the Vets NPI, (a number that vets can’t get) however if your vet writes prescriptions for controlled substances, they must have a DEA number and this should be sufficient but many places will still not accept them (as well as some vets don’t want to give out their DEA number)

GoodRx sometimes can also get the $35 price.
As far as the vetsulin it has worked for the last 6 yrs

Holly had 2 DKAs nothing to do with the vetsulin
My parents died 2 yrs apart my son watched Holly
When I went to their funerals he fed and did not give insulin . :(
 
As far as the vetsulin it has worked for the last 6 yrs

Holly had 2 DKAs nothing to do with the vetsulin
My parents died 2 yrs apart my son watched Holly
When I went to their funerals he fed and did not give insulin . :(
How have you tested her for the last 6 years. How do you get her to the vet.
 
My son and I get her in a carrier she goes in every month
It’s not ideal but she’s been doing good . Up until even after all the blood tests she is still gaining weight with eating the same amount of food
She gets a fructosamine next week . I’m going to see about switching insulins but I’ll have to look back thru the above posts to see how to get it at least around the same price as the vetsulin was .
 
My son and I get her in a carrier she goes in every month
It’s not ideal but she’s been doing good . Up until even after all the blood tests she is still gaining weight with eating the same amount of food
She gets a fructosamine next week . I’m going to see about switching insulins but I’ll have to look back thru the above posts to see how to get it at least around the same price as the vetsulin was .
I meant her blood work was all normal
 
You can get a Lantus Pen Where I live in Indiana for around $25.00. I have heard that some people get up to 6 months with 1 pen. You use a syringe with the pen just like you would with a vial. Most people say Lantus is the best insulin. You still need to set up your SS, they say there is people who can help you with this. If you can get her in a carrier, you could put a monitor on her that shows her Blood Glucose. I would never give my cat a shot of insulin without checking him first, that is the most important thing you can do for your cat.
 
You can get a Lantus Pen Where I live in Indiana for around $25.00. I have heard that some people get up to 6 months with 1 pen. You use a syringe with the pen just like you would with a vial. Most people say Lantus is the best insulin. You still need to set up your SS, they say there is people who can help you with this. If you can get her in a carrier, you could put a monitor on her that shows her Blood Glucose. I would never give my cat a shot of insulin without checking him first, that is the most important thing you can do for your cat.
What’s an SS ?
 
Not sure what lantus costs but I’m in CA . I’d also have to get my vet to change Hollys script
Everything cost more in CA than in Indiana. But, the cost of a Lantus Pen should not be that much more than Vetsulin. Lantus is about the very best insulin that you can buy, it will be much better for Holly.
 
Not sure what lantus costs but I’m in CA . I’d also have to get my vet to change Hollys script
I live in the central coast of California. I was buying generic Lantus (Glargine) at Walmart but when they ran out bought Lantus and it turned out they were each about $75 for a 10ml vial BUT this last time, the pharmacist said to use Good Rx and it was $35 for a 10 ml vial. A 10 ml vial has 1,000 units in it and most use it until empty (more than the stated 30 days) if kept in the refrigerator. My vet just calls the script into Walmart (in fact she was the one who suggested Walmart).
While you are at Walmart, they provide free sharps containers at customer service.
Good luck!
 
About the weight gain I have two suggestions: first make sure you are feeding an appropriate amount of calories. Ask your vet how many calories a day she should be getting and look on the cans for the amount of calories per can—NOT the number of cans the cat food maker suggests as that is often too many.

Too many calories in is by far the most likely cause of weight gain.

if your kitty is gaining weight despite taking in the appropriate amount of calories I can think of a reason—but it is very uncommon, expensive to test and expensive to treat so it may not be worth exploring. I’ve had two cats with adrenal tumors that caused Cushing’s Disease, and the high cortisol levels cause weight gain around the middle (pot belly)—Erik was diagnosed first with diabetes and was poorly controlled for several years before we found his tumor. Methos had his tumor found first and a year later had diabetes.

it is going to be very difficult to find low fat low carb cat food as calories come from three sources: fat, carbs, and protein. Protein can only supply so many calories. I feed my boy Tiki cat, which is very high protein and most flavors/textures are zero carbs. One of his favorite shreds is ahi tuna & chicken for example, 84% protein, 13% fat and zero carbs. He also loves the mousses, but they tend to be 70-80%protein and 25-30% fat. I will say, this is an expensive food. I try to stock up when chewy or petco have specials—like right now petco has specials if buying cases of food online and last month chewy gave a $30 gift card if spending $100.

There’s a food chart somewhere on this forum that many use and you could review it to see what mix of low carb/low fat is close to what you need.
 
Thank You
Now Hollys vet said to give her Hills glucose weight control dry food

she’s 11 pounds but it’s all in her tummy
She was tested for everything including a thyroid test
I’m hypothyroid not sure what it’s does to me thou!
 
Thank You
Now Hollys vet said to give her Hills glucose weight control dry food

she’s 11 pounds but it’s all in her tummy
She was tested for everything including a thyroid test
I’m hypothyroid not sure what it’s does to me thou!
Did you ask your Vet about trying a different insulin.
 
The Hill's food your vet recommended is quite high in carbohydrates. We consider a low carb diet as being under 10% carb (and most members feed their cat a food that's in the 5% neighborhood). High carb is over 15%. The Hill's glucose control is a bit over 15% carb. If your vet is hoping to see better numbers with a switch to a dry food, high carb diet, he's sadly mistaken. The Fancy Feast you're giving Holly is around 2% (depending on the flavor) carb.

I don't know if anyone has steered you to this website on feline nutrition. It's written by a vet who has a very active interest on the topic. She's the vet who put together the chart we use that lists most of the canned cat foods available in the US. I mention this because she is not a fan of a dry food diet. First, cats are obligate carnivores. These are some of the ingredients in the Hill's dry food your vet recommended:
Chicken By-Product Meal, Corn Protein Meal, Chicken, Chicken Fat, Wheat Gluten, Potato Protein, Powdered Cellulose, Spray Dried Pork Stock, Corn Starch, Sweet Potatoes,
My favorite in that list is the powdered cellulose. It's the polite term for sawdust. The other issue with dry food is the low moisture content. Cats have a limited thirst drive. In the wild, they get liquids from eating live prey. Canned food has a much higher moisture content which is particularly important for a diabetic cat given that diabetes is hard on the kidneys.
 
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