I tend to get long-winded about this issue. My apologies in advance.
Yes, this is what I've been facing with Beandip. Beandip hasn't had any problems with glucose levels, though. We have had blood in the urine...it's been awhile, but we did early on. As I understand it, the blood indicates inflammation in the bladder. Steroids have helped Beandip with the inflammation and pain, however they have long term risks, including possibly contributing to diabetes later in life. Somebody correct me if I'm wrong, but I'm more comfortable w/prednisone than I would be with metacam. Seems to be the lesser of 2 evils.
whuckleberry's right...FLUTD is kind of a "catch all" term for lower urinary tract problems in cats.
I can't remember, did they tell you what Simba's pH was for the 2 or 3 urinalysis tests he's had so far?
I do believe in the C/D food, despite the ingredients. I do not, however think that is was a whole lot of help in Beandip's case. Mainly what the food will do is try to keep the pH level @ 6.2-6.4 and will also cause kitty to drink more, urinate more, and consequently drink more again (thanks Jean
) ...to keep things "moving" in the bladder. We were on the dry C/D for over a year and it's highly debatable that it helped or not. It certainly was never enough for Beandip....but it has helped a lot of other cats.
Numerous times last year, I got better and better at seeing the signs in Beandip and would take him in for U/A's pretty often. In the beginning, we had some crystals...enough to block him once. I think that time he had a verifiable "real" urinary tract infection. That's the only time that I think he had a true infection, rather than just pain and inflammation that caused him great trouble in the litterbox. It is still worrisome, though...because inflammation and/or spasms that some cats have can still cause a male to get obstructed...because whenever they "hold" their urine too long, the trouble starts piling up in the bladder.
Recently I changed Beandip's food and he started showing some signs of trouble. Diet change has been known to bring on an episode in cats w/this condition, so it wasn't a big surprise. I rushed him in...and this time we found NO crystals, blood, nor bacteria. He was squeaky clean, but still would squat and nothing came out. For some reason, his bladder felt full when it was empty. That's all it was.
The whole thing still worried me so I spoke to the vet about his food change (i.e. I fessed up)...and now with her support I've managed to get him on an all "wet" diet (mostly raw, Bean's preference over canned), with the help of an acidifier "on the side" to control his pH. Don't try this at home...talk to your VET as Sharky would say. He was very resistant to giving up his dry food, but we're getting there. Meanwhile (knock wood), 2 weeks later I now see the Beandip that I've been missing for 1.5 years! It's hard to explain or believe, but he's a totally different cat. He's been an anxiety-ridden reclusive cat for more than a year. It was so bad that I had lost perspective on what was "normal"...but now I see the friendly, social Beandip that I knew before. I just hope it lasts, but I think it will. I think a dry food diet of any type is just about the worst thing for a cat with this condition. Beandip didn't want to change, and that delayed me...but I couldn't stand it anymore.
If you're feeling inspired at all you might look at this linkhttp://catinfo.org/#Transitioning_Dr...o_Canned_Food_
So, yes it's sometimes a long and frustrating process but now I am seeing the light at the end of the tunnel.
I do not know much about Feline Diabetes, but I do seem to remember that stress can throw off that test...so let's hope that's all it was.