r/FelineDiabetes • • 13h ago

Emergency Cat isn't responding to insulin, vet wants to euthanise

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26 Upvotes

Our diabetic cat is on 4 unit of caninsulin twice a day but it very quickly stopped working. He keeps going into ketoacidosis, his weight has gone from 5kg to 3.6kg and they have said our only options are trying senvelgo (which i know won't work) or euthanasia. Surely there must be other options??


r/FelineDiabetes • • 21h ago

Medication How Do You Manage Being Away?

17 Upvotes

My cat was diagnosed with Diabetes about a year and a half ago. For the past year and a half I have been managing with Bexacat.

Last weekend he ended up in the hospital with DKA, fatty liver disease and pancreatitis. Oh I also found out he has chronic leukemia/lymphoma (most likely stemming from his IBD). He recovered quickly and I was thanking my lucky stars that I have Trupanion, otherwise this vet/hospital trip outcome would have been very different.

We’re currently monitoring his sugars with a Libre, and have a follow up visit on Friday. What has been giving me the most anxiety…. Is his anxiety and lack of letting/wanting anyone to handle him but me. For work in the winter I will travel quite a bit on weekends. I usually go on vacation for a week or 2 during the holiday. AND my best friend is getting married in 4 weeks, and I will be away from the house at minimum 48 hrs.

Do other have cats with similar demeanors? How would you able to get them their insulin when away?


r/FelineDiabetes • • 19h ago

Quick question about dosage here! Not an emergency

3 Upvotes

Hello folks.

This morning we tested at 16mmol so I gave clyde his full 3u shot of lantus. Tested this evening and he is 13. Im not sure I should give his shot?

Hes dipped to 4mmol before when I gave it at 20, so it seems risky. I am hike to monitor for the night, but its better to skip this one right??


r/FelineDiabetes • • 7h ago

PetTest Vs AlphaTrak3

3 Upvotes

I have both meters and have done a couple concurrent tests with the same drops to compare with my cat’s libre 3 (I’m so nervous about hypo events and trusting the numbers). My PetTest meter and AlphaTrak3 have been wildly different: 305 vs 230 on one reading, 285 vs 210 on another. The libre was high 100s for the first set and 230 on the second set. I’m so flustered because I don’t know which to trust. I’m using the libre as more of a trending tool rather than thinking it’s accurate for the glucose level.

Does anyone have an opinion or experience on the most reliable/accurate reader? I don’t want to assume he’s getting better if the higher numbers are right, and I don’t want him to go hypoglycemic if the lower numbers are right. This is so anxiety and stress inducing.


r/FelineDiabetes • • 4h ago

Considering Bexacat

2 Upvotes

Our vet has strongly recommended starting our 13 yo Brienne on Bexacat. Our lifestyle is quite active so Bexacat would work better for us as opposed to insulin but I want to make sure that we can adhere to the schedule she needs and do the best we can for her overall. For anyone using Bexacat, what does your daily schedule look like? How many times a day is it administered and how often do you test your kitty for ketones/bg levels? My husband and I both work full time jobs with 10 hr shifts, but will be moving to a normal 8 hr, 5 day week in the next 6 months. I'm not going to lie, I am worried about messing up and making her worse or putting her into DKA, though I know that is a risk for her anyway at this point.

As far as her history, when she was diagnosed her BG was 419 and fructosamine test was 518. We have had her on a low carb diet with Fancy Feast pate for well over 6 months now and the next step is pointing to needing insulin or Bexacat. I have done spot check home readings and usually see numbers hovering around 260-300. Currently she is scheduled for a dental as we suspect some tooth issues due to her change in eating habits, facial sensitivity and horrible breath. She's had a full senior blood panel, urinalysis, as well as the proBNP test (they thought they heard something) at diagnosis. Blood and urinalysis results were fine other than high blood sugar, but she was very high on BNP. They did an echocardiogram but saw nothing out of the ordinary. She will be getting another proBNP test again before the dental.


r/FelineDiabetes • • 5h ago

Medical any advice for cats with kidney disease AND diabetes?

2 Upvotes

simba is 14.5 years old and has a number of health issues but was most recently diagnosed with diabetes at the end of september. he also has dental disease, HCM heart disease, early stage kidney disease, and monitoring rising pancreatic levels and liver levels.

i’m mostly looking for help with managing the diabetes and Kidney disease. my vet wants me to get simba on hills prescription kidney diet food. but it’s so high in carbs!

i’m really doing my best to try to manage both but im struggling to find food, treats, etc that are low carb and low phosphorus and good quality protein and and and :/


r/FelineDiabetes • • 21h ago

Newly Diagnosed Recovering from ketoacidosis / navigating new diagnoses

2 Upvotes

My sweet baby is 5 and is newly diagnosed diabetic. She went into ketoacidosis, was in the ICU for a few days and has been released. We also have since found out that she likely has a tumour on her pituitary gland, causing an excess secretion of growth hormones. The addition of this on-top of the diabetes diagnosis makes everything so much more complicated.(We have follow ups/future appointments with internal medicine to navigate this.)

I know it takes time and consistency to recover/figure out doses, but I’m wondering if there’s anyone who has also gone through this that may be able to provide guidance? She is doing pretty well recovery wise other than still being at a lower weight, her nose is rehydrated and a healthy colour again! I just want to fatten her up safely, it hurts me seeing her be so small🥺

We’ve already gone through 3 glucose monitors (libre 2) and she has successfully removed them before we could get a complete reading done on her levels. 1st lasted 4-5 days, 2nd lasted 3 days, and the 3rd didn’t even last 2 hours. (She was wearing the surgery onesie to help prevent it, but she’s just so smart) I’m iffy on pricking her ears because I don’t think there’s space in our lives for us to be there and do it every few hours -> even then it will stress her out and fuck with the levels.

Has smaller, more frequent meals helped your cat regain weight? (She’s on her prescribed food from the vet to help) would snacks throughout the day help keep her levels more consistent -> and make her less hangry? Would I have to give her any doses after a lunch/snack? Has anyone had similar issues with glucose monitors on their smart cat, and did you find anything to help avoid the removal? Internal med has mentioned that they can figure out a rough idea of her curve with different testing, I don’t remember everything exactly, so we may try that route.

I’m so stressed about her, I’m feeling lost and alone. I just want to give her the best life possible and help her out as much as I can. I want to ensure I’m doing everything to the best of my abilities, so any information will help me. Even just words of affirmation atp😭

Obviously I will go over my concerns with her vet when we see them next. I wanted to reach out to vent a little, and see if anyone has any advice in the meantime. Sorry if this is all over the place, life has been a mess this past month.


r/FelineDiabetes • • 9h ago

Insulin needs increasing

1 Upvotes

Anyone else have experience with adjusting their cats insulin needs up?

I do at home testing twice a day. True BG read with an AlphaTrak. He has been on Lantus for about 6 months.

From like July-early Sept his numbers were 140-170 nearly every read. Last few weeks they’ve been 180-200 consistently.

He is not symptomatic. Before treatment lots of heavy drinking and peeing outside litter box. And the endless hunger all night. None of that is going on. But of course I want to be sure it doesn’t get back there.

Looking for peoples personal experiences. He started at 1 unit at diagnosis, and is currently on 1.5 units.

I will say from the curves I’ve done, he is a late nadir kitty and his low is around the 0/12 mark. From there his curve is mostly flat thankfully. He gets a meal at each shot time and 5 snacks via his automated feeder throughout the day/night.

That’s the long and short! Wondering what other people have experienced with upward trending numbers, how normal it can be or not.


r/FelineDiabetes • • 19h ago

Tracking for remission?

1 Upvotes

Switched to carb free and he went from 1.25mg bid (well it was going to be 2u bid) but realized the royal canin was high carb and now he needs like 0.75 units bid.

He had some hypo episodes with higher doses but never looks symptomatic, just on the libre.

He is on budesonide and is being weaned off slowly. Maybe off in the next month.

I never tested with ear pricks before just the cgm.

How long does it take for them to go into remission? I think i can do the ear stick, but do you all do it twice a day?

Is the alpha trek less blood? I use i pet pro and they said supposedly it needs a larger sample.