Feline Diabetes US

 

US INFORMATION

 

This article provides information on Meters & Test strips, Syringes, Low Carb wet food choices and insulin for the US.

 

METERS

Below, in alphabetical order, are some meter choices that have proved to work well and provide accurate results.

AccuChek – Aviva
The AccuChek is an easy to use meter that does though need a larger blood sample than many of the others. It does let you “add” more blood to the sample if not enough was taken with the first (as long as you do so within 5 seconds of the first sample).

Bayer Contour
Like the AccuChek, The Bayer Contour requires a relatively large 0.6ml sample of blood. It is however a good and accurate meter.

Nova Max Plus
The NovaMax Plus meter tests for glucose and also for blood ketones (separate testing strips, which are quite expensive, are used for the ketone testing). A very small blood sample is needed.

ReliOn Micro/ ReliON Confirm
The ReliOn Meters are available at Walmart. Both the Micro and Confirm meters in particular give accurate readings and only need a small blood sample. Both the meters and more importantly the test strips are very reasonably priced

The following two meters have shown problems with false readings for some people. For this reason, it is recommended to choose another meter for testing your cat.

Freestyle Lite
The Freestyle Lite has shown to provide results that are much lower than reality in some cases. It tends to be more accurate towards the lower/normal BG range. In mid-high BG numbers though, it can read significantly lower.

Walgreen “True” line of meters
As with the FS Lite, the “True” meters can read significantly lower than reality, especially for mid to high range numbers.

TEST STRIPS

Good sources with excellent prices for buying test strips on-line are:
American Diabetes Wholesale (ADW)
Bargain OTC
Total Diabetes Supply

BargainOTC offers free shipping and also has special savings on boxes that are dented or have short expiry dates on their “scratch and dent” list.

 

SYRINGES

Syringes come in U40 (for use with U40 insulin ONLY) or U100 (for use with U100 insulin, or may, using a conversion, be used with U40 insulin – please see the Converting U40 insulin to U100 syringes under Useful Tools and Tips in the Knowledge Centre for more information)

U40 Syringes

U40 syringes are used with “vet” insulins, so will often be provided by your vet. Ordering online is a much less expensive option.

Two sources are:

• American Diabetes Wholesale (ADW) : The SKU for Utilicare U40 insulin syringes is SY5751509260
Total Diabetes Supply:  MVP Vet Syringe U40 – 29 Gauge 0.5cc

U100 Syringes: 3/10cc-0.3ml U100 syringes with half unit markings

It is important that the syringes are 3/10cc-0.3ml and that they do have half unit markings.
Sources for U100 syringes include:

Walmart:

Three needle gauge options are available for the 3/10cc-0.3ml U100 syringes with half unit markings:
– 29 gauge: needle length ½”/12.7mm
– 30 gauge or 31 gauge: needle length 5/16″ (8 mm).

Important note: Some members on forum have had problems with the Walmart ReliON syringes, and recently other sources have shown the same problems:  “0” lines that are at different heights, blurred lines especially for the lower increments and plugers that are not “straight” in the barrel.  Many have used the ReliOn syringes for years with no problems.  If  you are using them please do carefully check the syringe before using it.  If you notice anything that is different, do not use the syringe and contact Walmart immediately.

ADW :

1) Monoject brand U100, 3/10cc insulin syringe with half unit marks;  The SKU is SY8881600145

2) Sure Comfort U100 31 gauge 5/16″ with 1/2 unit markings; The SKU is SY86227065045

FOOD INFORMATION

Important: If your cat is on high carb wet or dry food, please see the sticky Detoxing your Cat from High Carb Food under Starting TR for information on how to transition your cat to 100% low carb wet food safely.

The foods listed below are a “starter” list of easily available low carb wet food in the US. Many other good choices are available.

Please note that pet food companies do frequently change their recipes. While the information is correct as posted today, it is always good to recheck the ingredients and the carbs (see Calculating Carbs – Carb Calculator under Useful Tips and Tools and Choosing the Right Low Carb Canned Food under Food & Felines in the Knowledge Centre).

The carbs noted in the list below are based on “Nutritional Analysis”, which are average “as fed” figures.

Unfortunately, the figures required by law, so provided on cat food labels in the US, are “Guaranteed Analysis”: a maximum or minimum percentage of protein, fat etc. in the food which provides much less accurate results.

The Nutritional Analysis figures are based on the work of Dr. Lisa Pierson (www.catinfo.org) , who conducted research, contacting pet food manufacturers, in the summer of 2012. Figures have been rechecked for the foods listed below.

Her full list, which is updated periodically as she receives new information from people may be found here: Dr. Pierson’s Food Chart

Again, it is good to contact the pet food company to request confirmation of their figures as changes may have occurred since the list was compiled. The list is an excellent starting point to narrow down food choices though. See Choosing the Right Low Carb Canned Food under Food in the Knowledge Centre for other factors to take into account.

 

US Food List: Nutritional Analysis Dry Matter Carb Content is noted in %

 

Vet Food:

Purina DM Wet Formula.…………………………….5.0%

While appropriate in carbs, this vet food does contain oat fibre and is expensive. To note: not to be confused with Purina DM Savory Selects which has 12% carbs and contains wheat gluten, corn starch and soy and which is NOT appropriate for an FD cat.

Non-Vet Food:

EVO 95% (To purchase at Specialty stores or online – make sure it is Evo 95%) 5.5 oz. or 13.2 oz. cans

• 95% Beef ……………………………………………………….5.6%
• 95% Turkey & Chicken (Cat & Kitten)………….3.7%

Fancy Feast Classic Pate 3oz cans  -

Note:  Recipes were changed in Sep 16 and several previously acceptable flavours became high carb and have been removed.  In addition, reports from various groups and forums are showing cats that are either refusing to eat FF, or are experiencing vomiting and/or diarrhea with it.  So, the foods below MAY be fine for your cat if that is what they are eating and all seems well. If you find any problems stop it and change to another brand.  We cannot recommend FF today as a good food for your cat. The list below simply shows food that is appropriately low in carbohydrates if your cat is already on it and seems to be fine with it as it is a very common food.

• Tender Beef & Liver (magenta)………………………6.8%
• Chopped Grill (kelly green)…………………………….5.5%
• Tender Beef & Chicken (red)………………………….4.6%
• Turkey & Giblets (olive green)……………………..6.8%
• Kitten Tender Turkey Feast………………………….4.1%

While technically OK as under 10% carbs the following are on the very high side and are to be avoided – the above are better choices.

• Tender Beef (brown)………………………………………9.1%
• Salmon & Shrimp Feast (blue green)…………..9.1%
• Savory Salmon Feast (orange)…………………….9.1%

Hounds & Gatos
• H&G Chicken…………………………………………………..2%
• H&G Lamb/chicken/salmon…………………………….3%
• H&G Lamb/Duck Liver…………………………………….3%

Newmans Own Organic 95% – Make sure it is the 95%
• Newmans Own Organic Turkey……………….…….0.8%
• Newmans Own Organic Turkey & Liver………….1.0%
• Newmans Own Organic Chicken & Liver…………1.3%
• Newmans Own Organic Chicken……………………..0.9%

ProPlan Pure Nature Grain Free Formula
• Beef and Giblets Entree Classic……………….…….2.3%
• Natural Chicken and Liver Entree……………….;…….2.3%
• Natural Oceanwhite fish and Salmon Entree.……..2.3%
• Natural Chicken and Turkey Entree……………………2.3%

Purina One Smart Blend Pate (3 ounce cans)

• Classic Turkey…………………….……………….…….6.8%
• Classic Chicken…………………………………………..6.8%
• Classic Beef………………………………………….……6.8%

Sheba Premium (3 ounce cans)
• Chicken Entree (black/ lt.orange label)…………..1.0%
• Turkey Entree (black/green)……………………………1.0%
• Chicken & Liver Entree (black/dk orange)……….1.0%
• Chicken & Tuna Entree (black/gold)…………………1.0%

Weruva
• Chicken Frick ‘A Zee -Chicken Recipe Au Jus….….2%
• Goldie Lox -Chicken and Salmon Recipe Au Jus…4%

 Ziwi Peak Daily Cut 3 & 5.5 ounce cans at specialty pet shops and online
• Rabbit & Lamb………………………………………………………1%
• Venison…………………………………………………………………2%
• Lamb…………………………………………………………………….2%
• Venison & Fish…………………………………………………….1%

Raw Food

You can purchase or make your own raw food. Raw food is an excellent choice for cats. Information on making raw food may be found on

Dr. Pierson’s site:
Anne Jablonski Cat Nutrition

Treats

Purebites, available at most pet food stores and at Walmart are recommended: they are freeze-dried meat. Buying the dog sized bags is more economical than the cat size.

US Insulin Information

Please see Insulins, Starting Scales & Dosing Criteria under Starting TR in the Knowledge Centre for full information on the different insulins.

Below is US information (in alphabetical order) on :

• Compounded PZI Bovine Insulin
• Lantus
• Levemir
• ProZinc
• Vetsulin

Please do see the note under Lantus and Levemir for information on ordering the two.

Compounded PZI Bovine Insulin
There are two main sources of PZI Bovine insulin: BCP and Stokes:

BCP Veterinary Pharmacy Compounded PZI:
Phone: 1-800-481-1729
Toll Free Fax: 866-PET-CHEW
In Houston call: 713-771-1144
Fax: 713-771-1131
1614 Webster Street
Houston, TX 77003
Hours: 9:00AM – 6:00PM CST – Monday – Friday

BCP Bovine PZI is available in U40 or U100 strengths.
• U-100 is available in 2 sizes: 5ml or 10ml
• U40 available in 10ml only

On the BCP website you will find a printable form for your vet to fill out and fax to them. They will send a free 5.0ml vial of U100 PZI to your vet (normally in about 3 weeks): ask your vet for this to be given to you.

Also ask your vet to include your name and Rx number so that you may reorder directly (and so save money).
Overnight Shipping is available to all contiguous United States

Stokes Pharmacy Compounded PZI:
Phone: 1-800-754-5222
Fax: 1-800-440-5899
18000 Horizon Way, Suite 700
Mt. Laurel, NJ 08054

Hours: 9:00AM – 7:00PM EST – Monday – Friday, 9:00AM – 1:00PM EST – Saturday

Stokes Bovine PZI is available in U40 and U100 strengths. Make certain to ask for Bovine PZI, Stokes compounds other PZIs.
• U-100 is available in 2 sizes: 5ml or 10ml
• U40 available in 10ml only

Please note that a conversion is necessary to dose U40 insulin with U100 syringes. See Converting U40 insulin to U100 syringes under Useful Tools & Tips in the Knowledge Centre for more information on the conversion.

Lantus (Glargine)

Lantus is available in vial or pen form.
The Lantus site may offer discounts or savings plans (which often change), so is worth looking at.

Levemir (Detemir)

Levemir is a human insulin that is one of the more recent to be used on cats in the US. Many cats do very well on it.
Check the Levemir site for possible discounts or savings plans (which often change).
Levemir is available in either vial or pen form.

Important note for both Lantus and Levemir:

The cost of both Lantus and Levemir in the US has skyrocketed over the last years.  For a very interesting article on Lantus specifically, please click on this link from VIN (Veterinary Information Network) written in Feb 2014:  Lantus prices squeeze veterinarians.

Anecdotal information has indicated that ordering through Canadian on-line pharmacies can lead to significant cost savings.

While DCI cannot endorse in any way this pharmacy as no members here have personal expericience with it, one that is frequently mentioned is Mark’s Marine Pharmacy, based in Vancouver, British Columbia.

Their on-line site is: https://rxcanada4less.com/index.html

They are a “real” pharmacy and do require a prescription for insulin.

Please also note that shipping may be long if you want to try them:  they do, for example, watch the weather and will not ship out insulin if the temperatures in the state in question are too low to ensure its safe delivery.

Cost savings are very significant for both Lantus and Levemir, if more so for Lantus.

If any US members do try ordering insulin through them, we would appreciate your feedback.

Please note again that DCI dose not endorse this site as we have no personal experience with it.  The information above is provided for information only and DCI is not responable in any way should you have a bad experience or any problems with them.

Prozinc

ProZinc is a vet insulin manufactured by:
Boehringer Ingelheim Vetmedica, Inc
Companion Animal Technical Services, USA
(866) 638-2226
8:00AM – 5:00PM CST – Monday – Friday

ProZinc is a U40 insulin, and requires a vet prescription. It may be purchased via your vet or from a number of online sources such as PetMeds.

Please note that a conversion is necessary to dose U40 insulin with U100 syringes. See Converting U40 insulin to U100 syringes under Useful Tools & Tips in the Knowledge Centre for more information on the conversion.

Vetsulin

After being removed from the market due to quality control problems, Vetsulin returned, with a new formula, in 2013. Vetsulin is a vet insulin, used on both dogs and cats. While results with the old formula often resulted in brutal drops and sharp spikes, cats do seem to be doing better with the new formula, which has a gentler curve.

Vetsulin is a U40 insulin available in vials or in a pen. The lowest dose on the pen is 0.50u. It is strongly recommended that you use 3/10cc-0.3ml syringes with half unit markings to dose, even if you have the pens. The top of the cartridge is clearly visible when you remove the cap – you simply stick the needle of the syringe into the stopper. Please note that a conversion is necessary to dose U40 insulin with U100 syringes. See Converting U40 insulin to U100 syringes under Useful Tools & Tips in the Knowledge Centre for more information on the conversion.

 

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