Cat Forum / Health and Behavior / December 2004
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Darmok - 02 Dec 2004 11:16 GMT Hi,
Decided to add this group to my list of subscribed, as I just found out yesterday that my 14 yr. old male neuter Maine Coon boy, Geordi, is diabetic. He'd been drinking lots of water and peeing a lot for the past week, so I took him and his step-brother, Data, (who is 13 days older) in for tests. Doc says most readings were fine for 'cats their age'. However, Geordi's BG was 500+ (normal range is 70 to 120). Tomorrow he will spend the day at the vet clinic for a Glucose Curve test, and I suppose I will be instructed on how to administer shots when I go to pick him up.
I was a bit lucky that, due to high winds, the power was knocked out at work yesterday, and I was able to go home (after getting the news about Geordi's diabetes straight from the Vet) and get on the internet and take a "crash course" in diabetes management. I think I have a decent grasp on all the fundamentals.
I've been considering "home monitoring", using something like the "One Touch Ultra" glucose monitor system. Ear pricks seem to be the norm for this with cats. Anyone have any experience with this sort of thing? Seems to me it would be hard to develop a decent droplet with the naturally furry ears of my Maine Coon boy.
After 14 wonderful years with my boys, I just want to do what's best for them, and I think this group will be a good resource. BTW, Geordi is also chronically constipated, which I've been dealing with (somewhat successfully) with Lactulose and Petromalt. His step-brother hasn't either problem (diabetes or constipation). The vet says its more a "motility problem" than anything else ... NOT mega-colon. I've noted recommendations for Petromalt fiber capsules, and will look or those.
Looking forward to your input ...
Bill, and his boys, Data & Geordi (both 14 yr. old Maine Coon neuters)
Larry - 03 Dec 2004 01:17 GMT The One Touch Ultra is a very good meter. I have one each for my Mitten and Bailey. My Mario uses FreeStyle Flash. Come on over to the Feline Diabetes Message Board (http://www.felinediabetes.com/phorum5/index.php?0) to ask any question.
 Signature Larry - Owned by eight cats
> Hi, > [quoted text clipped - 32 lines] > > Bill, and his boys, Data & Geordi (both 14 yr. old Maine Coon neuters) Darmok - 03 Dec 2004 11:23 GMT >The One Touch Ultra is a very good meter. I have one each for my Mitten and >Bailey. My Mario uses FreeStyle Flash. Come on over to the Feline >Diabetes Message Board (http://www.felinediabetes.com/phorum5/index.php?0) >to ask any question. Thanks .. I've book marked the site to check out after I get home from work today.
MaryL - 03 Dec 2004 06:50 GMT > Hi, > [quoted text clipped - 32 lines] > > Bill, and his boys, Data & Geordi (both 14 yr. old Maine Coon neuters) I'm sorry to hear about the diabetes, but you are fortunate to have a quick diagnosis. Cats with diabetes can live long, happy lives. Here is an article you might want to read, written by someone who has a lot of experience with feline diabetes: http://community-2.webtv.net/getcathelp/diabetes/ That same site includes a number of links to other excellent resources on diabetes in cats.
Welcome to the group!
MaryL
Darmok - 03 Dec 2004 11:24 GMT >> Hi, >> [quoted text clipped - 44 lines] > >MaryL Thanks Mary. I've also book marked that article, and I'll check it out when I get home tonight.
Phil P. - 03 Dec 2004 07:58 GMT > Hi, > [quoted text clipped - 28 lines] > noted recommendations for Petromalt fiber capsules, and will look or > those. Bill,
Speak to your vet about Ranitidine (Zantac). Its the only H2 receptor antagonist (over the counter) drug that stimulates gastrointestinal motility in cats. In fact, before Janssen took cisapride (Propulsid) off the US markets (due to human adverse effects that don't occur in cats), ranitidine proved effective in many cats that didn't respond to cisapride. However, for most chronically constipated cats, a combination of lactulose and cisapride is still the best treatment. Although cisapride is no longer available commercially in the US, there are still ways to get it.
Re: Geordi's diabetes, in many cats, diabetes can be controlled by diet *alone* without the need for insulin. Is Geordi overweight? Obesity can cause a *reversible* insulin resistance that usually resolves when the cat is brought down (gradually) to his ideal weight.
One last note; glucose curves plotted in the vet's office are not as accurate as curves plotted at home. Most cats are stressed by trips to the vet - stress can send a cat's BG soaring to >400 mg/dl. Also the accuracy of the GC depends on feeding the cat the *same* food, the *same* amount and at the *same* times at home as during the test.
Most cats are reluctant to eat while at the vet - or they'll just nibble - which sometimes results in force-feeding which only increases stress and the possibility of developing an aversion to the food (the cat associates the unpleasant experience of force feeding with the food). Feeding has a *tremendous* affect on the GC.
Home GCs involve little more than checking his BG every 2 hours for just one day. Here's a short video another poster produced that shows you how to do it:
http://www.maxshouse.com/bgtest%5B1%5D.mpg
http://www.maxshouse.com/bgtest.rm
Home GCs are more accurate because the cat isn't stressed, he's eating is normal food on his normal schedule on his own turf..
hth,
Phil
Darmok - 03 Dec 2004 11:28 GMT >Bill, > [quoted text clipped - 38 lines] > >Phil Thanks for all the info, Phil. I'd read all that you said about GC at a vet .. and Geordi DOES get so stressed out at the vet.
Geordi is not over weight for a MC neuter boy .. 14.8 lbs at the vets office this week. I'm sure that part of that >500 BG level was stress, but I'm also sure that it diabetes that's been causing him to drink/pee like mad.
I read a lot about home testing, and that's why I bought the One Touch Ultra Monitoring Kit. I'm a bit anxious about doing an ear stick for the droplet of blood, but I guess I'll learn.
I knew about Propulsid .. and my vet says they can still get it (Mexico) but its expensive. I'll ask about your alternative.
Thanks again for all the info.
Bill
jamie - 04 Dec 2004 21:59 GMT > I read a lot about home testing, and that's why I bought the One Touch > Ultra Monitoring Kit. I'm a bit anxious about doing an ear stick for > the droplet of blood, but I guess I'll learn. My 13-year-old was diagnosed diabetic last January. The vet taught me to inject him, but didn't think it was necessary to home test him, and wanted me to inject him with 1 unit twice a day. I was relieved to see, when the vet taught me, that he didn't notice he was being injected.
Fortunately, I disagreed about the testing, and started testing him the day after he got home (the vet kept him for 4 days).
After being switched to low-carb canned food (initially Science Diet kitten food was recommended by the vet), he tested in normal range without insulin. I tested him twice a day before feeding for three weeks, and then dropped to spot checks a couple of times a month, along with keeping an eye on the daily water dish levels and his output in the litter box.
At first they thought it was a treat, but both cats started refusing the Science Diet kitten food after a couple of weeks. I switched to Iams kitten food, which they liked for a couple of weeks and then refused. I then sought out a local Wellness dealer, and they've been on the poultry and poultry-and-fish flavors of that ever since. (I avoid beef flavors, because both cats have always barfed them right up. But, I've never seen a cat take down a cow, anyway.)
The ear stick is more frightening to think about than to do. My cat is a little annoyed with having his ear held and warmed before the ear stick, but doesn't notice the prick at all. I've tested my non-diabetic cat a few times (who, btw is a Maine coon), and he doesn't notice it either.
You might want to smear a tiny dab of vaseline on the edge of his ear, so that the blood beads up better above the fur. You'll want to shine a small flashlight through his ear, to familiarize yourself with where the vein along the edge is, so you'll know where to aim.
I use BD Ultra-Fine lancets, just held in my fingers, because it's too hard to get close to the ear vein with any of the aiming devices.
I use a thin sock with about 3/4 cup of rice in the toe, knotted off, and warmed about 10 seconds in the microwave as an ear warmer. I put a clean tissue over it before I put it in the inside of his ear, and hold his ear on it with my thumb (while scratching his favorite spots) until it feels warm. The tissue is because sometimes you might go all the way through the ear, which, quite frankly, is not a problem compared to not pricking hard enough and having to stick him again.
For constipation, you might see if he likes canned pumpkin. My diabetic cat loves it, but the other doesn't have much interest in it. It has lots of fiber, but very low in carbs and calories.
Home Testing of Blood Glucose for Diabetic Cats By Margie Scherk DVM, ABVP (home testing movie, Windows Media or Realplayer) http://www.veterinarypartner.com/content.plx?P=A&S=O&C=O&A=605
Harry's Home Testing Page - (good close-up photos) http://www.sugarcats.net/sites/harry/bgtest.htm
Punkin's Home Testing Movie - http://tlb.best.vwh.net/bg_punkin/test_bg.html
Feline Diabetes http://www.felinediabetes.com/index.html
Pet Diabetes http://www.petdiabetes.org/
Frugal Feline Diabetes site http://www.sugarcats.net/sites/jmpeerson/frugal.html protein/fat/carb counts of canned and dry foods. http://www.sugarcats.net/sites/jmpeerson/canfood.html http://www.sugarcats.net/sites/jmpeerson/dryfood.html
DVM the Newsmagazine of Veterinary Medicine At Home Diabetes Management - http://www.dvmnewsmagazine.com/dvm/article/articleDetail.jsp?id=13315 Blood Glucose Monitoring - http://www.dvmnewsmagazine.com/dvm/article/articleDetail.jsp?id=5336
VSPN discussion on Home Testing - http://www.vspn.org/Library/Rounds/VSPN_LC011209.htm
 Signature jamie (jamiemck@newsguy.com)
"There's a seeker born every minute."
Darmok - 05 Dec 2004 17:23 GMT >> I read a lot about home testing, and that's why I bought the One Touch >> Ultra Monitoring Kit. I'm a bit anxious about doing an ear stick for [quoted text clipped - 82 lines] >VSPN discussion on Home Testing - > http://www.vspn.org/Library/Rounds/VSPN_LC011209.htm Wow .. that's really a great post, with lots of good info. I'm going to save the post to refer to it later.
The vet that did his curve on Friday said, because it was a weekend, I should just do a "once a day" 3 unit dose. He wasn't optimistic about home testing, saying that it would bother the cat too much. I looked at Geordi's curve on 3 units of Humulin and he went from 400+ to a low of about 250, and then started heading back up. This vet said that he'd defer to my cat's regular doctor and that I should all him on Monday (tomorrow) to see about going twice a day with 3 units. From all I've read and heard about this now, and by observing his water PU/PD, I decided to give him a 1 1/2 unit shot at night, 12 hours after his 6am morning shot of 3 units.
My guys eat canned Friskies Turkey or Chicken prime fillets, which is a pretty solid meat product. They also get a mix of Max Cat Senior and Royal Canin Senior dry to feed on free choice. Neither boy is really over weight. In fact, I wish Geordi's step-brother (Data) would put on a pound (he's 12.8 lbs .. a little light for a Maine Coon neuter boy .. even if he is 14 years old).
I plan to monitor him with a One Touch Ultra monitor starting this week some time. I'll probably also do his brother, just to compare, since they both have the same diet, it will give me something to go on.
Thanks for all your tips about the ear stick ... still a bit apprehensive about that, even though I've watched the video. Geordi is an all Black Maine Coon, so locating a vein will be tough. He also has very nice 'ear furnishings', as Maine Coons are prone to have. The vaseline tip will probably be helpful.
I tried the canned pumpkin, recommended by his regular doctor. Geordi wasn't crazy about it. Ever feed a toddler, and watch them spit out what you just spooned into their mouth? Well, that's what it was like with Geordi. I finally gave up on it, figuring it was making him miserable, since I always had to clean him up after trying to get him to eat the stuff. I'm going to continue with the Lactulose/Petromalt for now, and ask my doc about the Zantac stuff.
Thanks again,
Bill
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