One of the main reasons why I decided to start this blog was to help raise awareness about Feline Diabetes. Because I hear people talking about how they feed their cats potato chips and ice cream. And if I see ONE MORE video of a cat eating something completely species-inappropriate and carb-laden on Facebook, I’m going to gouge my eyeballs out. Because I’m SICK of seeing Diabetic Cats in Need pulling yet another diabetic cat from a kill shelter at the LAST HOUR because an owner fed their cat high-carb dry food, maybe even made the cat obese, and then dumped that poor baby off at the shelter…or worse yet, euthanized them on diagnosis because feline diabetes is “too hard” or too expensive for a pet parent to handle.
As I sit and type with “Smelly Penelly” cleaning herself next to me right now, she is in her 15TH MONTH of her SECOND remission. Her blood glucose reading yesterday, WITHOUT insulin, was 58 about an hour post-meal. Which is an excellent number for a diet-controlled diabetic cat. “Diet-controlled” meaning that with the right low-carb food, her blood glucose is able to stay in the “normal” range without insulin. Penny currently eats Young Again Zero (Carb) Mature Health and Fancy Feast Classics Pate wet food.
I’m not sure WHERE I’m going with this post yet, but this will likely be the beginning of an entire category on this blog with Penny’s journey with both feline diabetes and feline chronic kidney disease, with a little bit of spinal arthritis and dental issues thrown in for fun.
I remember when I first adopted Penny from Jersey State Animal Rescue on May 2, 2012. And the director told me to buy one of two different types of food. One was an internet-only food that for the life of me I cannot remember the name of, and the other was Solid Gold Indigo Moon. Solid Gold was one of those “premium” pet foods and back in 2012 it was relatively low-carb for a cat kibble. They have since changed the formula and it’s much higher in carbs now. And I remember thinking, because I know some things about HUMAN nutrition, “but cats needs carbs for energy!” So I added in Chicken Soup for the Cat Lover’s Soul adult dry food and mixed the two. And she also got four wet mini meals throughout the day.
Getting that high-carb Chicken Soup food was a BIG BIG mistake…
Summer of 2013, I KNEW well before I took her to the vet and she was diagnosed. I come from a LONG line of diabetics, including my dad, and knew what the symptoms were because they are about the same in cats. Frequent urination, incessantly thirsty, constantly hungry. She hadn’t experienced weight loss yet but I acted somewhat quickly once I could no longer justify why I was seeing LAKES in their litter boxes.
On September 5, 2013, with an in-office blood glucose reading of 516 (normal is 50-150 depending on the meter), Penny was diagnosed with Feline Diabetes. And at the time, DEVASTATED was NOT even CLOSE to describing how we felt at the vet’s office. I knew a little about the treatment of Feline Diabetes because I had come across the Feline Diabetes Message Board online a couple of years earlier when I researching constipation issues for my late cat, Tabby.
And I didn’t want to put Penny through getting needles twice per day, home testing her blood glucose, glucose curves and all this other stuff that seemed just SO complicated at the time and I remember thinking, “That is NO quality of life for cats!”
Until I was faced with her diagnosis when she was only FIVE years old and knowing full well it was either treat or put to sleep. I remember freaking out, bawling, and telling the vet that I didn’t have time for home testing and all that jazz and how was I gonna give her insulin injections when she was so difficult to handle that I couldn’t even brush her?
He assured me that I could successfully give her injections while she was eating, had a vet tech come in to show me how and let me do a practice shot with an insulin syringe full of water. He told me that home testing was not necessary and that we could bring her back in for a fructosamine test (think kind of like a human H A1c test) in about a week and he would adjust her insulin from there. He didn’t think a dietary change was a good idea until we had gotten her insulin requirement down pat and got her blood glucose in a safer range. (Which, was some very bad advice. by the way. If you get the insulin requirement right and then do a food change to low-carb WITHOUT home testing, you may lose your cat to insulin shock. NEVER, EVER change food to a lower carb food for a diabetic cat on insulin without home testing!)
I must say at this point that I did ask him how often they’ve had cats go into insulin shock or hypoglycemia and he did allow that it HAS happened to patients of their practice before and that it was often enough that I was NOT comfortable with his answer.
He gave me a rather affordable insulin called Vetsulin, some syringes to go with it, and assured me that we could do this.
Now, before I go further, I will say that all of the above is NOT how I got her into remission and was NOT how I got her into remission SAFELY. More on what I DID do to come! But it was enough at the time that I didn’t feel as hopeless and thought that MAYYYYBE we could handle this.
We got home that night and I figured I’d TRY to get that insulin shot into her. I didn’t want to give her the shot while she was eating and ruin her meal time. I should mention that at this point I had NEVER given a cat an injection before, or ANYBODY, for that matter. And I was a SHAKING, nervous wreck!
So, that night, I spent a half hour chasing her around with a loaded insulin needle, grabbing her, torturing her, and making her go hide from me. I had broken the trust that took me 18 months of being her mommy to establish to begin with. And I was a freaking WRECK. I remember flipping out and going outside while yelling that we were just going to have to put her to sleep then.
And I was HEARTBROKEN.
The next morning, I tried again while she was eating her breakfast. And I was PRETTY SURE I got the insulin IN her! She’s a Maine Coon, after all, and when you’re inexperienced and she has ALL that LOOONG hair, there’s the possibility for error.
But then something happened. She was lethargic ALL DAY. Slept in the top of the cat condo and was OUT of it. She did get up to eat when it was meal time but then would go crap RIGHT back out. I hadn’t made any food changes yet, so she was eating higher carb foods.
Knowing what I know now, I’m willing to bet everything I’ve ever worked for that she had a mild hypoglycemic episode. And because she was still on high-carb kibble and low-carb wet food, it’s probably what saved her life that day.
BECAUSE I BLINDLY SHOT INSULIN WITHOUT HOME TESTING OR EVEN KNOWING HOW TO HOME TEST HER FIRST.
So, for the rest of that weekend, I did not give her more insulin. And I spent the ENTIRE weekend, except for sleeping, GLUED to the computer learning EVERYTHING I could. I joined the message board and corresponding Facebook group. They gave me a shopping list, told me the best insulin to use, assured me that I COULD home test and that it would be no big deal once we got used to it.
I read the stories. One I will share with you in a future post from my friend Susan, who’s cat DID, in fact, “hypo” (meaning went into insulin shock) and was never the same again. His name was Baxter. And even though Baxter lived clear across the country, I love that cat. Because his story saved Penny’s life. He will forever have a place in my heart!
I will also share with you what we did, how we did it, how I trained her for all of this so that it was no big deal and even trained her to look forward to testing her blood glucose with a little bit of bribery!
I really felt like it was the end of the world when Penny was diagnosed with Feline Diabetes. I didn’t know HOW I was going to handle it all. I was so freaking overwhelmed that first week or so that I had the case of the “F@#K it…she’s going to die!” MANY times. I woke up in the morning and my heart would SINK when I realized that this wasn’t just a nightmare. This was our life now.
And I HAD to fight for her. I couldn’t look into those big, round green eyes and let her down. The rescue allowed me to adopt her because they KNEW I would do right by her. NO FREAKING WAY could I let Penny down.
And that’s what got me through in the beginning.
I can honestly say, just about four years later, that all the stuff we had to learn to do…the testing, the shots, “tight regulation”, remission, relapse, remission again, blood glucose curves…all the stuff that I didn’t even understand at first…is just now an intrinsic part of my thinking and just the routine of the day. I can do this stuff without even thinking about it now!
And so can Penny!
My hope is that my posts about Penny’s journey with diabetes will keep another diabetic cat from being dumped off at a shelter. My hope is that Baxter’s story will keep another diabetic cat from going into insulin shock. If we help just ONE cat with our stories, our job is WELL DONE!
And please SHARE if you know anybody who has a diabetic cat! Please encourage them to get in touch with me on this blog or on our Facebook “like” page. I will be MORE than willing to help them help their furkid!
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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.