Starting regulation with Vetsulin
When health status is known and diabetes mellitus confirmed:
- Explain thoroughly what diabetes mellitus is, that achieving regulation may take time (up to 2 months), and what the implications are for the family. Make sure the cat owner understands the therapy involved, and that the cat should be able to live a happy, healthy life with consistent therapy. This is crucial, as complete cooperation of the owner is essential to management success.
- Treat existing infections or other medical conditions. Many diseases will affect insulin metabolism.
- Introduce appropriate diet.
- Begin therapy with Vetsulin® (porcine insulin zinc suspension).
- Weigh the cat to obtain a benchmark for future weight gain or loss.
- Start the cat on 1 to 2 IU injections of Vetsulin given twice daily at 12-hour intervals. Administer injections concurrently with or right after meals for cats fed twice daily. No change in feeding schedule is needed for cats fed ad libitum.
- Hospitalize the cat for the day to verify that the starting dose does not cause hypoglycemia.
- Instruct owner on:
- How to administer injections
- How to identify and treat hypoglycemia
- Parameters to monitor at home
- Preferred diet and frequency of meals
- Discharge cat to owner’s care for 2 to 4 weeks. This allows the cat and owner to get used to the injection regimen.
At home, have the owner:
- Monitor and record water and food consumption.
- Monitor and record urine glucose and presence of ketone bodies.
- Maintain starting dose and frequency of administration for 2 to 4 weeks, unless there’s evidence of hypoglycemia.
- Bring the cat in for re-evaluation 2 to 4 weeks after starting Vetsulin treatment or earlier if clinical signs of hypoglycemia develop.