Newly Diabetic Cat - Experience?

mirrorakay

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I'm positing on behalf of my grandmother. On Friday her six year old Russian Blue went to the vet for what we thought was just a UTI. He has a history of three other UTI's. However, in the urinalysis they discovered that little Winston was diabetic.

My grandmother is understandably overwhelmed. She's almost 80 years old now, still working retail to support herself, and doesn't have much in the way of extra money. . Initially she was really think of putting Winston up for adoption because it all overwhelmed her so much, but now she's leaning towards keeping him. I'm trying to give her a hand in figuring this diagnosis out and what it means financially.

I've got several vets quoting blood work and medications for me to track down the best place for Winston to receive care. In the mean time, I'm hoping someone with a diabetic cat can give me a little direction. Here are my questions:

1. I understand there are a lot of expenses that go in to this. Blood work, insulin, syringes, food, and potentially emergency care. Are there any hidden expenses she should be aware of? Things that you may not know after the initial diagnosis, but learned along the way?

2. Diet. I know the idea is to steer clear of carbs and her current vet gave her prescription diabetic canned food. Is the prescription necessary? Are there cheaper alternative wet foods? What brands, if any?

3. What are some ways to make this diagnosis cheaper? Any tips on where to find insulin cheaper? What about syringes?

4. If you were to estimate, what would you say the monthly upkeep with medications and vet bills cost? I understand it is more expensive while they try to regulate his insulin levels, but once were past that, what are you paying monthly?

5. If she keeps Winston and we get him to a good vet, are there any questions you recommend asking?

I'll admit I know almost nothing about diabetes and I'm doing reading, but it is A LOT of information. I haven't had a chance to discuss the diagnosis with a vet and my grandma didn't ask any questions at the time of diagnosis. Like I said, her initial feeling was to give him up so she didn't get a good picture from the vet of what this really means for Winston and her. I'm just doing my best to gather information until I can track down the best vet and get an appointment.

In case you're wondering, she chose not to keep her current vet since they are an hour from her house, have very limited hours, and do not have much in the way of resources. He will receive better care elsewhere.
 

ruthm

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Hi, my kitty Tiger was diabetic, so yes, I have experience with a diabetic cat. If you are still online, please take a look at Dr. Lisa Pierson's Food Chart for a low carb, non-prescription food. Many people I know fed their kitties low carb foods such as Fancy Feast or Friskies.   http://www.catinfo.org/docs/FoodChartPublic9-22-12.pdf 

Where are you located? The longer acting better insulins are made for humans, such as Lantus, Levemir are expensive if purchased from a pharmacy. I had to pay $380 for a set of Lantus pens from my local pharmacy; later on I learned that I could order from a Canadian Pharmacy and the cost was $150, big difference. The Canadian pharmacy I used is no longer accepting new clients, but you can add your name to the waiting list; they are in high demand at the moment but hope to catch up soon.

Your kitty will be the safest if you do home testing and not rely on curves taken at your vet. My vet charged $$$ for curves and fructosamine. I did have the fructosamine run once a year just to make sure everything was okay. I got my human glucometer from Walmart for $15.00;it is the Relion Micro(http://www.walmart.com/ip/ReliOn-Micro-Blood-Glucose-Monitor/19276256) and uses the tiniest drop of blood as opposed to most other models. A pack of 100 test strips for this meter is $35.00(http://www.walmart.com/ip/ReliOn-Confirm-micro-Blood-Glucose-Test-Strips-100-count/16795579).  Don't let your vet try to tell you to buy a pet meter such as the Alpha Trak; those test strips are $1.00 a piece. I also ordered other supplies from American Diabetes Warehouse whenever they offered their sales: http://www.adwdiabetes.com/. Their customer service is amazing! You can get syringes from Walmart as well; Relion syringes are $13.00 for 100.  You will also need lancets; I liked these from Amazon: .  You will also want to get Neosporin with Pain Relief and cotton balls.  Here is a link to a great video demonstrating home testing that I found helpful:


If your vet doesn't support home testing, I would seriously look for a new vet. I was very lucky, my vet clinic supported me and worked with me.  I encourage you to join Feline Diabetes Membership Board- these wonderful people saved me, advised and guided me through the overwhelming early days when we were newly diagnosed.  and even though i lost my precious Tiger to pancreatic cancer, diabetes is managable. Kudos to you for being proactive.
 
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mirrorakay

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Another quick question; how often did you test your cat's blood sugar at home?

I found that chart shortly after I posted! I feed my own cat those two brands so at least I can give her an idea how much that'll be costing. If she hits up the sales like I do she'll be saving a lot compared to the over-priced prescription dry food he'd been on prior to this.

We're located in Colorado, USA. I know that her current vet's recommendation for insulin was something called Prozinc. Are you familiar at all with that one? I'm waiting for a call back from the vet my grandma thinks she's switching to in order to see what they recommend. I know that the new vet intends to use human insulin though.

Thank you so much! Those are all wonderful links that will save us a lot of grief later on!

I'll definitely check into that message board. It sounds like a great resource.

Really, thank you for your help!
 
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ruthm

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That is super that you found Dr. Lisa's list--there is no need for expensive prescription food- most particularly dry prescription food! And I am absolutely delighted your vet is going with a human insulin!  Prozinc is the other insulin that the people on FDMB highly recommend- and there is a forum just for users so you will be in good hands.  I used Lantus for my Tiger, so no experience with Prozinc, but I know kitties went into remission using it as well as Lantus and Levemir. 

I was going to say, if you lived in Canada, you don't even need a prescription for insulin and it is way less expensive!  But we can help find the best price for your insulin.

So I have to admit, I was a testaholic and I am retired.   I tested 8 times daily if Tiger was running low. Don't get scared though, I know many people who work full time jobs, they get pre-tests, maybe one test before going to work or when they get home from work; then the night pre-shot test and maybe one before bedtime.  Does your Grandmother work full time? Plenty of people do and still manage just fine.
 

mewcatmew

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Is your cat overweight? What was his blood sugar at diagnosis? It is not uncommon for cats that are currently being fed high-carb hard food to have their blood sugar drop pretty significantly by change in diet alone. Personally my cat at diagnosis had a blood glucose of 500, and once he switched food he is consistently at low 200's to low 300's from just following a low carb diet. If the cat is overweight, SLOWLY work on having the cat lose weight and you may actually resolve the diabetes. 
 

abbybaby

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I also recommend  http://www.felinediabetes.com/index.html   The people on this forum are very knowledgeable and helpful about dealing with a sugar cat, as they call them. You can get recommendations on less expensive human glucose meters and how to convert the numbers, information about food and even advice on the different types of insulin etc. This community knows where to go for the best buys, how to understand and convert the numbers etc. and they will help you every step of the way. They made a very difficult situation a little easier when I was going through it with Bailey.
 

LTS3

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Definitely check out FelineDiabetes.com and join the message board there for more help from experienced diabetic cat owners


Initial costs are high but they do go down. The FDMB board can give you ways on where you can save money (food if definitely one) and where the best places to get supplies are.
 
Another quick question; how often did you test your cat's blood sugar at home?
I tested my diabetic cat (now at the Bridge) several times daily. He was a pincushion
At the very minimum you must test before giving each insulin shot. That way you know what the blood glucose level is and if it's at a safe enough level for insulin to be given. The FDMB board recommends newbies to not give any insulin if the cat is above 200 mg/dl. This will prevent a possible hypoglycemic episode a few hours later. Of course, skipping an insulin shot means that the blood glucose levels will stay high all day but your cat will be ok
Better a temporarily high blood glucose level than a too low blood glucose level and a hypo emergency to deal with, IMO.
 
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jenny82

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Hi there!  My Chessy was diagnosed with diabetes in February, we were able to manage it with diet and insulin, and he hasn't needed any insulin since March.  We learned how to home test and just give him the amount of insulin needed for his blood sugar level (called tight regulation), which led to him no longer being dependent on insulin.  This site has great info:

http://yourdiabeticcat.com/protocol.html

The most important thing with diet is to a feed a high protein canned food (no dry at all).

Good luck!
 

LTS3

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The forum on that web site advocates extremely tight regulation which does work but not ideal for an overwhelmed newbie. The FelineDiabetes.com forum is a better starting point for newbies and a person can decide to follow the YDC protocol later if they so choose to. My thoughts on that


It's great that your diabetic cat went into remission quickly
Some cats just don't reach remission even with diet and insulin and following tight regulation. My previous cat was one such one. Remission would have been great but it was more important for my cat to be healthy and happy and have the diabetes well managed
 

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The forum on that web site advocates extremely tight regulation which does work but not ideal for an overwhelmed newbie. The FelineDiabetes.com forum is a better starting point for newbies and a person can decide to follow the YDC protocol later if they so choose to. My thoughts on that


It's great that your diabetic cat went into remission quickly
Some cats just don't reach remission even with diet and insulin and following tight regulation. My previous cat was one such one. Remission would have been great but it was more important for my cat to be healthy and happy and have the diabetes well managed
Understood!  Just wanted to give the option. 
 

PushPurrCatPaws

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The FDMB board recommends newbies to not give any insulin if the cat is above 200 mg/dl. This will prevent a possible hypoglycemic episode a few hours later. ...
I think you meant, below 200 mg/dl
 
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mirrorakay

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I just want to thank you all so much! All of the links and information are extremely helpful!
 
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