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OT - Diabetes Issues

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  • Pat
    Hi s_l_toth , Cathy, Vickie, and Group; ... Yes Cathy. I think you were already aware that I have been lurking here since we adopted a kitten with a large
    Message 1 of 1 , Feb 27, 2008
      Hi "s_l_toth", Cathy, Vickie, and Group;
      ----- Original Message -----
      > Posted by: "lorkatz2004" cbower@... lorkatz2004
      > Someone with more knowledge of diabetes will need to advise you........

      Yes Cathy. I think you were already aware that I have been 'lurking' here
      since we adopted a kitten with a large hole in his heart last fall, and if
      you were the one who recommended this group to me, then you know I am
      professionally trained in human glycemic control with nutrition, and had to
      transfer that knowledge to feline diabetes many years ago in order to get
      our boy off insulin for over five years. Recently when our diabetic
      crashed back into serious diabetes issues I was also lucky enough to have
      some coaching from Margie Scherk. She is a feline internal specialist who
      teaches post graduate courses and has a special interest in the geriatric
      end of treatments.

      We have also been dealing with borderline renal issues, or a couple of our
      own boys have slightly raised BUN because of increased muscle meat protein
      content in their diets, and all the nutritional science we have collected
      over the years can be found at:
      http://felinenutritionalnotes.blogspot.com/ There are further links down
      the right side of the page for other pet food related issues, including the
      RDA information from the latest NRC book, (2006) that may be of interest to
      general members of the group, aside from specific diet related illnesses --
      in the hopes of preventing such occurances. ;-)

      > Posted by: "Vickie" VickieJunger@... vjunger
      > Date: Tue Feb 26, 2008 7:18 pm ((PST))
      > Here is a BG log of Baby.. I wonder w/looking at these numbers and
      > only able to give insulin once a day, if the seizure could have been
      > do to his BG. I was told to start Baby at 1u of insulin, but went
      > with 1/2 u cause the vial was new, and better to be safe then sorry
      > w/low BG. So far I haven't been able to give him 2 shots a day,
      > which is fine w/me, only once he was 409 in the morning, hope that
      > was a ture reading, or maybe he had some dry food, or I gave him a
      > can of food w/gravey which is rare.

      Vickie, I really don't think the insulin you are giving can be causing a
      seizure at one unit bid, or 1/2 unit bid, as it is an extremely low dose,
      but this could possibly, (unlikely), depend upon what you are using in the
      way of insulin, and how well your cat is accepting the insulin when you give
      it, of course, along with how much food is in Baby's system at the nadir of
      his curve. The nadir, (low point), is the important point to find in your
      cat for testing, as that is where the seizures will happen if they are
      related to insulin dosages.

      Unfortunately, as you have an unstable, older diabetic, the ONLY way you can
      get a good picture of what is happening inside your cat is to do glucose
      curves, just a couple or three to start with, two weeks apart, with
      fructosamines to round out a complete picture that will give you control of
      the situation.

      Has your cat been thoroughly tested to ensure that the problem really is
      diabetes? Insulin is as much a part of the digestive system as food, and if
      you have ever been counselled to introduce new food slowly, and not to make
      constant changes while doing so, then you may be able to understand that
      bouncing around with the insulin dosages is not going to allow Baby's body
      to settle into the chemical changes you are making. That *may* be why you
      are having problems getting a handle on the diabetes. You do need to take
      control, and it can be done.........and feels so good when you know what is
      happening inside your cat at any given point in time, as I am sure you can
      understand. Then, like us, you may not have to home test again for many
      years unless you wish to reassure yourself that everything is fine.

      The numbers you have provided are very scattered and don't tell us how the
      insulin, or the food, is affecting the readings you quote. You may find an
      understandable explanation at: http://tamingthecurve.blogspot.com/ , with a
      new section at the beginning on a study explaining that the "traditional"
      method of treatment for diabetics has a slightly lower rate of mortality,
      and I am sure that with an older cat that would increase the probabilities.
      Radical treatments that don't involve twice daily injections can only be
      used for transient, otherwise healthy cats, at best, and that is not what
      you have so you must be feeling very much out of control at the moment.
      First and foremost you need to be consulting your vet to ensure you have
      accurate lab readings, and if you are having trouble doing a glucose curve,
      your vet can do that, too, but it is better for you to do your own at home
      to learn to understand what is happening inside Baby's body at any
      particular time of day based upon what is injected or eaten, along with his
      body clock.

      Please ensure that the information you are following is discussed with your
      own vet who has a full picture of your cat's health, particularly around the
      seizures at such a low dose. Make sure ANY information you read online that
      you want to act on is backed with scientific, *peer reviewed*, (positive
      reviews, please), studies, as there are some people out there who care more
      about the $75,000, (after taxes), they are getting for each printing of
      their books they are promoting, that have no scientific support to the
      information they give you at all.

      Pat and all the boys.
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