
Welcome.
Good insulin are the human Lantus and Levemir and the pet insulins ProZinc and BCP PZI.
What are you feeding? A low-carb canned is best.
Welcome to FDMB.
Also, vet stress may elevate glucose 100-180 mg/dL, so home testing is imperative for safety.
Hi Shani and Welcome to you and your Sugar Kitty
I am new here myself! It is alot to take in, very quickly. I was feeling quite overwhelmed by the time I even got here.
Read the very important and helpful links that Larry and BJM provided above to start out, in small bites!! The food chart is most important, as it just may reduce your kitty's sugar significantly. Results will be very noticeable in the litter box department! And not as much water drinking as the sugar is lowered.
I chose to change ALL my cat's over to low carb wet. We use Fancy Feast Classics, and I buy it by the case at Walmart. Be sure to let the vet know you have switched, and you won't be needing any high dollar prescription food.
How do you feel about the home testing? I can tell you that it is only difficult for a very short period of time. In the beginning, I was like, "Oh my god, he won't go for this at all!" But it became routine for both of us within the week. By the next week, he was coming to the testing area on his own!!
Just ask any questions you have, right here on the forum, at any time. We have all been exactly where you are, and there is a wealth of knowledge and experience behind all that.
In most places one can purchase N/NPH insulin over the counter. However, it only lasts 8-10 hours and is not optimum. Getting it from Walmart is the least expensive. Next would be to Novo Nordisk's Novolin N. The most expensive is Eli Lilly's Humulin NHow would I get human insulin anyway? I don't think the vet would prescribe it and I don't think many places give it over the counter.
Vetsulin is not the one we use much here. See the Vetsulin primer here: http://www.felinediabetes.com/FDMB/threads/vetsulin-caninsulin-user-guide.302/
Note under Tip #1 in the primer about the insulin's duration. Very few cats get more than 8-10 hours of benefit from this insulin because it is fast acting and can be harsh.
Let us know how home testing goes. What is your kitty's name?
Hi Shani,
When you're at the vets please ask them to check your kitty for ketones. It's also a good idea to have some urine test strips at home (e.g. Ketodiastix).
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So long as there are no ketones and other than the excessive urination, hunger, and weight loss, nothing else is wrong, its OK to change the food first. Switch about 20-25% per day to reduce the chances of food refusal, vomiting, and diarrhea which may happen with sudden food changes.
Is it possible for me to convince the vet to prescribe Lantus or ProZinc instead? I'd rather not give him such a harsh insulin.
Why thank you dear. God knows we wouldn't want to upset the ego-challenged applecart.If you want to email your vet that document for review, Shani, download a copy from here and then attach it to an email for your vet to review. (Very politically astute approach, Brenda (@Tucker&Me).)
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Tell your vet I said that a bunch of hooey. I'm NEW and I know better than that!First of all. thanks for the PDF!
Okay, so I just got back from the vet and he was actually fine with Lantus, saying that it was considered the best insulin. He said that it was their #1 insulin before they switched to Vetsulin, and that they had to switch because Lantus went up in price - a lot! He says it would cost us ~$300 (and that the only patient of theirs who found it for $100, had to order in bulk from Canada.)
Then I asked about ProZinc and he said that it's the exact same thing as Vetsulin, and that ProZinc would not be longer lasting. So now I am thoroughly confused.
He said that once I decide on the insulin I want, provided I can find it in an online pharmacy, I can refer them to my vet and get a prescription for it. Or I can come back to the pharmacy for Vetsulin.
So, what do I do?
P.S. Stripey's BG has gone down from over 570 to 328 after 5 days of FF.
How long would a box of 5 pens last? I'm worried they might expire before I use them all.
Vetsulin (Caninsulin in Canada) is too short acting for cats. it is formulated for dogs. ProZinc is for cats only and has sufficient duration to be good for cats
Each pen hold 300 units. At 1 unit twice daily that would be 150 days. About 2 years for 5 pens. Each pen is good for at least 6 months before it loses effectiveness.
The at least six months is after opening (first piercing rubber stopper with a needle). I have used a vial of Lantus for over a yearsOr is that 6 months only after opening?
Thanks for all the help and support, everyone!
What kind of syringes should I use? The vet wanted me to buy some from them, but I could probably get them cheaper at a pharmacy. And I wasn't sure whether to go for U40 or U100 until I decided on an insulin first, cause they said it mattered what kind of insulin it was.
ProZinc is a insulin for animal and is U40. All Human insulins that we use are U100.can you advise which needles go with which insulin? U40 for the ProZinc and U100 for the Lantus, Levermir and NPH insulins?

Shani, it takes time but it does get easier. What is your kitty's name? We'd like to see a photo of him, too!
It will be helpful to put in your signature line your cat's name, date of diagnosis, insulin (once you get it) and dose, meter using, any other medical conditions, if applicable, and food you are feeding. Click on your profile, then signature to update this information. It will help other members help you more quickly.
I'd suggest not folding your cat's ears. If you can, try poking from the outer ear, not inside. If you can't see the vein and "sweet spot", a flashlight is useful. Pet him a lot, praise and massage the ears very gently. Then reinforce with a low carb treat and lots of praises afterwards. Equally important is being calm.
Poking does not hurt your cat at all. Cats have few nerve/pain receptors in their ears so the more you poke, the easier the ear will "bleed" and form new capillaries.
What size lancet gauge are you using? Starting out, we suggest using 26 or 28 lancet gauges. The lower the number, the thicker the needles. Higher gauges are thinner but take longer for blood to bleed. Most glucometer kits come with a 30 or 31 gauge. For now, start with the lower # gauges.
The next step is warming up the ears. I use a terry cloth headband or small wash cloth, add water and microwave it for about 20 seconds or so and then I put it in a ziplock bag. I test it on my arm to make sure it's warm, not hot, and then apply it gently to CJ's ear briefly. A lot of members here use a sock filled with oats or rice and warm it up in the microwave.
A key to getting the blood on the ear to bead up is to apply a very tiny amount of ointment such as neosporin, polysporin or even vaseline with a q-tip before you poke. Be sure to put a very tiny amount; too much will cause an error message on your meter.
Another key is to aim for the "sweet spot" area between the vein and the outer ear. See this link, first post for a picture for the sweet spot: http://www.felinediabetes.com/FDMB/threads/testing-and-shooting-tips.85113/
I put CJ between my legs, her face away from me, and use my legs to gently cushion her and keep her from escaping. I also use my left arm under her chin to hold her steady while I poke. She doesn't like being held but she craves attention and praises. You will find a technique that works best for you and your cat. Starting out, it can help to test while your cat is napping and more relaxed.
Another insulin choice, since money is an issue, is BCP PZI. It is similar to ProZinc, dosed like it. It is a compounded form of PZI. Your vet can order a vial from the compounding pharmacy; the last price I heard was under $100 including postage. We have people using it here and it seems to work just like, and as well as, ProZinc. It can be ordered in U100 strength so you can use U100 syringes with it. (Less expensive than U40 syringes and available at the drug store instead of only through your vet.)
Woot!Finally! After much struggling, I got a reading.

You don't need to add anything or convert numbers. We are all used to using human meters, so those are the number we relate to. Just put the number you get on the SS.