I look at the doctor. Worried. Things have not been going well.
She remains calm, but it hardly reassures me.
Even though I’m not the patient, each visit is traumatic, and I can’t seem to calm down. “Don’t cry in front of her,” I tell myself on most visits, though I know the veterinarian would understand.
The patient is Hemi, my tuxedo cat – and his glucose levels are out of control.
Hemi is a sweet Manx named for his Hemi-engine purring. I fell in love with this rescue animal the moment I saw him. A deeply affectionate, gentle cat, Hemi is quite dapper: his black and white coloring makes him look as if he is always ready to step out for a black tie event. He especially likes the ladies and flirts with my friends regularly, once he gets over his initial shyness, that is.
A few months ago, the veterinarian informed me that Hemi is diabetic but he had an optimistic prognosis: Hemi had “a good chance of remission.” With a prescription diet and regular doses of insulin, we believed he would do well and eventually no longer need insulin.
But his check-up last week indicated skyrocketing glucose levels.
Hemi now gets his insulin shot twice a day and has his glucose level checked every 7-10 days; each glucose check is 6-8 hours after his shot. When his insulin treatment began, we seemed to hit a homerun. His glucose level was perfect. So perfect, in fact, that I just needed to bring him in in a few weeks for a routine glucose follow-up.
But the veterinarian and I had a false sense of security.
The follow-up showed his glucose level to be too high again, so we increased the insulin dosage. A week later, his glucose level was way too low; if it dropped much lower, he could die. We lowered the insulin dose, and I fed him more when we got home. The veterinarian then recommended doing a glucose curve, where Hemi would spend the day at the animal hospital and have his glucose levels tracked hourly.
But the vet couldn’t put a handle on a pattern. Hemi’s glucose level was lowest only about four hours after I had administered the insulin. Glucose levels went up and down throughout the day with no rhyme or reason. This glucose yo-yo-ing is disappointing.
I’m so worried about my tuxedo boy. How is he feeling, I wonder. I want his glucose levels to cooperate. I want him to be healthy. I know diabetic cats’ glucose levels take some time to regulate, but I find patience elusive.
Part of my dismay is spurred by self-doubt, which creeps in every day. I wonder, did the needle actually penetrate his skin and did the medicine get into his body? This feline gentleman allows me to give him shots, no problem, thankfully; in fact, I don’t think he feels them. But sometimes my hands shake or he moves a bit, and I’m sure I have missed sometimes. A few times, his fur had the medicine smell of insulin. I asked the doctor whether the smell was emanating from his skin, but she said the scent was probably due to a couple of misses and not to worry about it.
Not to worry about it? I’m emotionally tormented about it.
And another thing: Given my cancer history, I am in turmoil whenever my cats have medical issues. I realize that all doctors – yes, even veterinarians – scare me. Hospitals – even animal hospitals – give me the jitters. It is so emotionally draining to keep this cat healthy day in, day out. But some days it’s even more difficult to keep my emotions under wraps and keep me strong and steady through this glucose-regulation runaround.
But my emotions are like Hemi’s glucose levels: up, way up, and down, way down.
I’ve come to dread each visit with the veterinarian and must recalibrate myself: to check my anxiety levels and deep breathe to keep panic away.
It’s way too early to throw in the towel. He gets a fructosamine test tomorrow. We are keeping Hemi as healthy as possible, and we hold onto the hope that his glucose levels will eventually become regulated. Once that happens, perhaps Hemi will be in the mood to step out on the town after all.
Have you had/Do you have pet(s) with a medical condition? What’s been your experience?
Would you care to share stories of your pet(s)? ? I really would like to hear from you.
To read about my other cat, Cosette, click here.
Tags: cat and glucose levels, diabetes in animals, diabetic cat, glucose curve, veterinarian