To catch up on our experience with Feline Diabetes, read:
When Penny achieved remission, I was told to do everything in my power to protect that remission because once they come out, it’s VERY difficult to get them back to the point that they are “diet controlled”.
Anything can knock a cat out of remission. Illness, long-term stress, pain, infections, excess body fat, letting them eat high-carb foods again. It’s definitely a careful balance.
I actually just had to review her spreadsheet from that time to refresh my memory, as I’m writing this almost three years since she lost that remission.
2014 was a very difficult year for our family. I had to foster my brother’s cat, Andy, while my bro was moving and doing some heavy construction work at the new house. My dad became ill with Stage 4 non-small cell lung cancer, suffered GREATLY for many months, and passed away.
Dad’s passing took its toll on the entire family.
Including Penny and Weeny.
Cousin Andy the foster was not exactly a nice house guest. He was raised an only child and was around Penny’s age (6 or 7) when we fostered him. It was only supposed to be for a month, but he ended up staying for six months. And Weeny did NOT like him. And he did NOT like living with other cats. Despite my best attempts at introductions and integrating him into the household, we never were successful. It resulted in Penny kicking his ass a few times and him urine marking in the house (he was neutered). So, even though they lived separately, his presence caused a lot of stress.
While all of that was happening, Dad started to suffer immense pain, which resulted in a cancer diagnosis at the end of June. He was in and out of the hospital through the Summer and ultimately passed on August 28, 2014. Penny was very attached to him and I’m sure she was as concerned and as heartbroken as Mom and me.
She helped him cross over to his new life…she was lying on his feet when he took his last breath.
I had become Andy’s primary caregiver and Dad’s advocate and primary caregiver. Plus I had my coaching business.
Poor Penny and Weeny ended up on the back burner.
In October 2014, Penny had what I thought was a seizure. She started falling over and that scared her so she was freaking out and falling over more as a result.
Between a trip to the emergency vet and a new vet I was trying, I found out that she had gained a TON of weight and was up to 18lbs. She was a Maine Coon and a large girl, so, ideally, she was a 12-14lb cat. And she had developed spinal arthritis, which I’m sure was aggravated by the excess body weight.
I was disgusted with myself for allowing that to happen to her. She was still on her low-carb food (Young Again Zero Carb) but I know from working in the fitness industry that excess body fat causes insulin resistance. And I’m sure that was in play here.
Now, I hope what I’m about to say doesn’t ruffle too many feathers. But after this whole arthritis diagnosis with Penny and losing her remission, I will NEVER blindly listen to a vet again without researching the hell out of what they are selling me.
That being said, it was suggested that Penny go on pain medications for long-term management. The only safe painkillers for cats are Buprenex (buprenorphine) or Neurontin (gapapentin).
Here’s the problem…Buprenex (Bupe) is an opioid narcotic. It’s often used to wean heroin addicts off of heroin, however, many times, they end up abusing it. Also, anybody who knows the nature of opioid painkillers knows that they often tell the body that it is in more pain than it actually is to strengthen the body’s dependence on them. And, over time, as the body acclimates itself to the medication, it becomes less and less effective.
They say that doesn’t happen in cats. I don’t buy it.
Couple that with the fact that my ex husband became a heroin addict after becoming addicted to Percocet for a legitimate medical condition. Hence the “ex”. He died as an indirect result of his addiction just six weeks before my dad passed in 2014.
Imagine my struggle with deciding to put her on a narcotic long-term for her arthritis.
So that leaves Neurontin. Which is commonly prescribed for neuropathy (think: pins and needles) pain. But what Penny was experiencing in her spine was not pins and needles. She was SORE to the touch.
With that all being said, I started her on Bupe and then switched her to Neurontin. Without doing any research.
Her blood glucose numbers were creeping back up to diabetic range, which told me the medication was not managing her pain as well as I would have liked. See her spreadsheet with my notes. Click on the 2013-2014 tab Penny’s Blood Glucose Spreadsheet.
I don’t like the thought of just using pain medication to mask a problem when there is a solution to the problem instead. I’m not stupid. I know she needed to lose weight. And I learned there are better options for cat arthritis than to mask it with painkillers. I learned about Adequan-Canine, which, rather than masking the pain, actually helps to rebuild the cartilage in the joints, therefore reducing or even possibly eliminating the need for long-term pain medication. Learn more about Adequan here: Heartland Veterinary Supply – Pet Supplies, Vet Supplies, Horse Supplies at Discount Pricing and search “Adequan-Canine”. This is also where I found the best pricing. You can have your vet fax a prescription directly to them.
FINALLY! A SOLUTION!
I prefer to live in the solution rather than just masking a problem.
I went back to new vet and showed her what I had found by playing Dr. Google. Kind of like going back to my old vet with what I had found out about Feline Diabetes after playing Dr. Google. She was on board so we started Penny with an extended “loading dose”.
Adequan-Canine can be given by subcutaneous injection, which we are pros at! The loading dose prescribed for Penny was two injections weekly for the first 4 weeks, one injection weekly for another 4 weeks, then one injection every 4 weeks indefinitely so long as she remains responsive to the treatment plan.
Now to get Penny to lose weight to take the excess weight off of that spine! She was free fed Young Again Zero (Carb) but was a “social eater” and would only eat with me sitting RIGHT THERE with her, so I did have control over how much she ate. She also ate wet food in four mini meals per day, which is best for a diabetic cat to keep the blood glucose levels stable. I decided to do with Penny what I had done with myself back in 1987 when I lost 70lbs.
Portion control and exercise. No “diet” foods, no “low fat”, and no making her unhappy!
Since Penny was EXTREMELY food motivated, I decided to make that her motivation to exercise. So we started “chicken run” twice per day. I would run her down the steps and reward her with a small piece of raw chicken, then run her up the steps and give her another small piece, and so on and so forth. We worked her up to 20 times per day.
I had to be careful that her weight loss was slow so that she wouldn’t go into fatty liver disease, which can happen very quickly and can be life threatening to a cat.
She lost 2lbs in six months doing this. When I rescued the kits in 2015, she actually lost another pound in four months just being more active with them!
The spinal arthritis became a non-issue. After that loading dose, I took her off the pain medication because while playing Dr. Google, I found a rare side effect of Neurontin is blood sugar fluctuations. So, it’s possible this medication, that wasn’t even helping, could have taken her out of remission. At best, I didn’t want any blood sugar fluctuations in a cat who is back on insulin.
And she did go back on insulin, much to my heartbreak, on January 3, 2015.
And we spent ten long and frustrating, horrifying months in insulin resistance.
More on this to come…
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All treatments, foods and supplements mentioned in this blog are based on my own research, experience and done with my vet’s knowledge and consent. Consult with your vet as necessary.