A bit of "closure" on the FiFi front - we had a further "phone chat" with the vet (they really are brilliant for this)
FiFi "was" eating one brand of diabetes biscuits and eating 60g / day (30g morning and 30g night time) and as long as she ate that she was fine for a full dose of insulin - but if she started to eat less I had a ridiculously involved sliding scale of how much to give her, it was unnecessarily complicated but I understood it and it worked fine
Except now, she's not really liking those biscuits, preferring instead Hills AD wet cat food - with a feeding guide of 2.25 tins for a 10kg cat / dog. So .225 of a tin for a 1kg cat / dog, so 1.04 tins OR 1 tin for a 4.65kg cat per day, which is now what she's on. But we are all unsure of the calorific value of this food and from that how much insulin to give her. She's currently on 2.5 units / day down from 6 units - but she seems OK
We've decided to let her carry on 'til the end of the month and then we need to do a glucose curve(?) thing
However, there's a new doo dah on the market and that's a stick on pad-thing that sends readings to an app on your smart phone and gives loads of really great data BUT the vet's never used one so we, or rather FiFi would be the GuineaCat
To make sure it sticks she'll have another area shaved AND, the icing on the cake, she'll have to wear a vest top to stop her worrying it off - and given that these doo dahs are £112 EACH and could stay on for 3 weeks or so but could just as easily fall off after a couple of days ( and I already know which one FiFi will opt for), I'm not so sure
Which leaves, leaving her at the vet for them to do the curve - "But stress may alter the readings" - Fucking didn't the last two or three times she's had them and she's still alive
OR
We could take readings from her pee
OR
We could stick her ear every 2 hours from 6 - 12
So, all in all, she's getting her Catitude back, yeowling like a good 'un at 3am wanting "something" but not sure what
Reading your post reminded me that it's ages since I gave an update on Milo's CKD/diabetes diagnosis. I know you've got far more experience with diabetes in cats than me, and Fifi's diabetes sounds more severe that Milo's, but I figured I'd share some of our experiences of the last year or so with Milo.
Things sort of levelled out for a while after he was initially put on his renal diet, and the twice daily insulin injections weren't too much of a hassle. After a while though, our vet recommended he be put on a 50/50 renal/diabetes diet, and that's where the problems started.
For a start, what does 50/50 renal/diabetes really mean when he has a mixture of dry and wet food? We tried two pouches of diabetic food, one pouch of renal food and a portion of renal dry food, but we battled daily with
- trying to get him to eat all his prescribed food - he always preferred one of his renal or diabetic food over the other
- getting his insulin doses right - should we give him less insulin after a diabetic food pouch or just maintain the same schedule regardless of which food he was eating?
- getting him to eat enough food so he didn't wake up in the middle of the night howling for more - he completely went off his dry food, meaning he couldn't graze in the middle of the night when we were asleep (grazing probably not sensible for a diabetic cat anyway)
- fussiness - he regularly went off various medicated brands we tried him on, and the range of diabetic/renal foods wasn't large enough to try him on various different types/flavours
- cost - it turned out that the stuff he really did like was the most expensive stuff, which at the same time as going off his dry food completely, meant the cost of his food went up from about £40 a month to £120 a month
And despite all our efforts with the above, he seemed miserable, we were struggling with looking after him, as he wouldn't let us get a full night's sleep, and the constant stress of worrying that he'd eaten enough food was making us unhappy, especially with numerous sets of (stressful) blood tests he needed every few months concluding that we should just stick with what we were doing (and those tests aren't cheap!)
Eventually, we decided to go back to basics, and after a chat with a different vet to usual, who said that getting his diabetes under control was the most important thing (because that was the cause of his kidney issues), I googled good quality food for diabetic cats, and came across Katkin, which a catfood delivery service that isn't designed specifically for diabetic cats, but is calorie controlled for the precise size/energy levels of your cat, and only contains 100% meat, meaning no sugars/grains/carbohydrates to mess with the diabetes. Since moving him to this new food, we've been able to stop his insulin injections completely (he was only on 1iu to start with), move him off dry food completely, and got the monthly cost of his food back down to £55 a month. His fur has become sleek and shiny, his temperament has changed to be completely relaxed and cuddly all the time, we know exactly how much we've fed him because each pouch only contains a day's worth of food, he actually likes his food, and most importantly, he's sleeping through the night, and only waking me up between 6am and 7am every morning, rather than 4.30am.
The above isn't supposed to be an advert for Katkin, but it's completely changed Milo and our lives.
Bonus picture of Milo for shameless likes harvesting.