I’ve been part of the ADWDiabetes team since 2011. In that time I have fielded thousands of emails from readers who have felt disappointment or frustration or even helplessness about their pet’s diabetic condition. And sometimes they may mention something derogatory about their family veterinarian. Most veterinarians do their best to be your hero! I’m a practicing veterinarian, too. We vets try so hard! Unfortunately, sometimes communications fall short. Let’s fix that. A few simple suggestions may help you form a more harmonious relationship with your veterinarian.
Be Your Pet’s Health Care Advocate
We must be our pet’s healthcare advocate. Just as when you get sick yourself, you must learn all you can about your condition to improve the chances of a successful outcome. You must also learn about your pet’s diabetes. After all, diabetes can be a long term condition for cats and is nearly always a long term condition for dogs. Education is key to good blood glucose regulation.
Communication with your veterinarian is very important. There are things you can do to establish and maintain good communications with your vet. From my perspective, as a practicing veterinarian, I love it when my diabetic pet owners keep good records. Most glucose meters come with log books for writing down glucose levels. Folks usually fill up the log book or perhaps lose the log book, then perhaps come in for an appointment with scraps of papers in an unorganized file. That wastes time during the consultation. Try to keep it organized! Several years ago ADW and I made a log book including things I felt pertinent. Or, for my clients who are more computer savvy, I love it when my clients email their pet’s blood glucose curve numbers to me at my clinic. It’s so easy for me or my staff to copy and paste it into the records at the clinic.
Please always be friendly to your vet. Yes, we understand that diabetes is an expensive and perhaps scary disease, but it isn’t our fault that your pet is diabetic. We are on the same team, and we want your pet to live a long and healthy life despite the diabetes. We make recommendations for tests to help your pet feel better.
Communication is key to avoiding mistakes! Communication includes your family! If I have more than one person potentially giving insulin injections to a pet, I want a calendar on the fridge. I want each caretaker to mark off when the morning or evening injection was given. I’ve seen a pet get double-dosed by family members who were unaware that the pet already had the insulin dose administered. It takes a village to regulate a diabetic pet in our hectic lives. Keep track with a calendar and communicate with each other.
Know the Plan
Communicate with your vet about the plan. When you leave an appointment ask when you should come back. Know that even when you think your pet is under perfect blood glucose control you’ll need to run blood glucose curves at least every couple months in case we need to tweak the dose. You’ll want a quarterly check-up and both a blood profile and urinalysis/culture at least twice yearly. We want you to keep track of your pet’s body weight and clinical signs and let us know if anything changes. Know the plan!
Have Realistic Expectations and Know the Big Picture
Know what may happen. Read. Educate yourself on diabetes. If you understand the big picture expectations about diabetes it may light a fire under you to run those curves and do home testing!
Expectations for dog owners: Diabetic dog owners are often unaware of the risk of diabetic cataracts for diabetic dogs. They can occur in diabetic cats as well, but are much less common than in diabetic dogs. On average, 3/4 of diabetic dogs will go blind from diabetic cataracts within 2 years of diagnosis of diabetes. I believe if more diabetic pet owners understood this they would have more incentive to run the blood glucose curves and keep to the 12 hour dosing schedule and have regular check-ups with the family vet! Great blood glucose regulation will dramatically decrease the risk of diabetic cataracts for dogs. There are oral supplements available that can dramatically decrease the risk of cataracts in dogs. Speak with your vet about this to get their opinion. If cataracts do occur there is surgery to remove them, but it’s so much better to avoid them in the first place.
Expectations for cat owners: Feline remission is our goal when we first diagnose a cat with diabetes. If you act promptly and get your cat on insulin and feed low-carb canned food and do home blood glucose testing, we may be able to get your cat into remission and off of insulin. That’s truly exciting! Diet and weight loss might be enough to keep your cat in remission. This remission might not last forever. We don’t know how much pancreatic function remains when we get a cat into diabetic remission. We need to keep the kitty slim and continue the low-carb diabetic diet to improve the likelihood of continued remission. If the kitty becomes diabetic again, we simply reinstitute the insulin injections.
Have a question or comment? Then post below! I always enjoy hearing from my readers!
NOTE: Consult your veterinarian first to make sure my recommendations fit your pets special health needs.