Problem with Lantus Injections

Status
Not open for further replies.
I compared a couple different syringes and the volume in them for the same dose (e.g. 1u) was startling.

While absorption in the scruff might be slower, that might also allow for,longer duration.
 
you said he flinched.....
if you have the bevel upside down, that could be why.....




bevel.gif



Use correct Position: Hold the syringe almost parallel to the cat's spine. You want the insulin to be injected just under the skin (subcutaneous) NOT into the muscle, which hurts! Make sure the bevel of the needle is UP. This ensures a clean, quick puncture instead of a drag through the skin.
 
I compared a couple different syringes and the volume in them for the same dose (e.g. 1u) was startling.

While absorption in the scruff might be slower, that might also allow for,longer duration.
Thank you for responding. I don't have a micropipette to do a calibration curve on the syringes we're using, but it seems that .25u difference is causing him to go low and high.
 
you said he flinched.....
if you have the bevel upside down, that could be why.....




bevel.gif



Use correct Position: Hold the syringe almost parallel to the cat's spine. You want the insulin to be injected just under the skin (subcutaneous) NOT into the muscle, which hurts! Make sure the bevel of the needle is UP. This ensures a clean, quick puncture instead of a drag through the skin.
Thank you for the response. I'll pay closer attention to where the bevel is.
 
Different barrel sizes will change the measurements. Different brands all seem to measure different. That may be some of the problem with the difference in measurement.
 
Thank you for responding. I don't have a micropipette to do a calibration curve on the syringes we're using, but it seems that .25u difference is causing him to go low and high.
Most people don't. A member of the board who is a friend and a Ph.D in a lab loaned me hers because, as noted, barrels can differ in size so that makes using the same caliper measurement from one syringe type to another a challenge.

Thank you for commenting.The roll technique seems to be popular and reliable. I need to look more closely at using it. I've had good luck in the 5 years I've been giving injections and it baffles me that I recently began having trouble. Obviously, the anxiety involved, over-thinking, and trying corrections is complicating the process. I could probably get more skin, but try to be real gentle with him. In doing so, I'm trying to make sure it's subq, but am concerned too about not getting too deep. I'm working on not rubbing over the site after injecting. Thankfully, no fur shots since going lower in the tent.

I've been seeing high blood sugar in the morning lately and will stop glipizide to see what effect it has. He might be going low during the night and rebounding. The only advantage we saw in using it is a slight decrease in insulin demand. It could be doing more harm than good with keeping him regulated.

The vet who diagnosed him taught us to shoot in the scruff. Because of our interest in using tight regulation to get him into remission, we went to another vet who had more lab equipment and experience with FD. She said on first visit, the first thing you need to do is begin injecting him in the right place and we went to the flank. The vet we currently use injects in the scruff, so obviously both sites work.

Thanks for the compliment. You've done a great job yourself in the 5+ years with Gracie's diabetes. Our Cody just endures. He's siamese, meows a lot, and meows louder now that he's nearly deaf. But he usually starts purring before his feet leave the floor when we pick him up, comes over to us when it's time to have his sugar checked, and has actually licked our hand as we were giving him insulin. He's gradually losing weight now, and is just over 7 lbs, but his blood work results last week were remarkably good for his age. Thanks again for your input.

Sorry to just get back to this. You're welcome for the input. Is he off the glipizide?

Thank you for your comments on Gracie doing well. She did do fairly well most of the time until she got ill the last week or so. She was a Lil Stinka but she taught me a lot.
 
Most people don't. A member of the board who is a friend and a Ph.D in a lab loaned me hers because, as noted, barrels can differ in size so that makes using the same caliper measurement from one syringe type to another a challenge.



Sorry to just get back to this. You're welcome for the input. Is he off the glipizide?

Thank you for your comments on Gracie doing well. She did do fairly well most of the time until she got ill the last week or so. She was a Lil Stinka but she taught me a lot.
Thank you for the response. Yes, I've stopped the glipizide. The vet offered it, saying that it's intended to help the pancreas "wring out" more insulin. Since stopping it about a week ago, there has been no increase in insulin demand, but there is still quite a bit of variation in glucose readings. I just realized that Gracie's time to go came recently. I'm sorry for your loss. It's apparent that she could not have had better caregivers.
 
Thank you for the response. Yes, I've stopped the glipizide. The vet offered it, saying that it's intended to help the pancreas "wring out" more insulin. Since stopping it about a week ago, there has been no increase in insulin demand, but there is still quite a bit of variation in glucose readings. I just realized that Gracie's time to go came recently. I'm sorry for your loss. It's apparent that she could not have had better caregivers.
I'm glad you stopped it. It will be better for his pancreas to not have it.

Thank you. The easiest thing in my entire life was to love and care for her...she was absolutely amazing.
 
I'm using a digital caliper to gradually adjust dosage in small increments. In spite of that, there was a sudden drop this morning. Any thoughts on why this might have occurred will be appreciated.
 
Hey Dave, I trust you gave Cody some HC food to bring that number up, right? Could you please test again and post what the number is.
 
Dave I hope you have steered Cody up with HC food. Since that drop was early in the cycle, you will need to continue checking for a while since the depot could still be in action. I hope you are seeing this post. You will need to reduce the amount of insulin next shot by .25 since Cody dropped below 50.
 
Last edited:
It looks like Cody was clearing a bounce. I think he may have had green numbers in the PM cycle of Feb 29, he was on a downward slide into that cycle and then you didn't get any tests. He could have gone low that night and cause another bounce (which broke today).

To put it bluntly I think you're missing lows in the night cycle and shouldn't have increased the dose yesterday. It would be really beneficial if you could get at least one test in every PM cycle.
 
beautiful green cycle today!!! Cody's looking great!

Just a little housekeeping item - can you start a new thread with each new day? This thread has gotten really long and gone on for nearly a month, and on this group we ask everyone to start a new one each day. So glad to see Cody doing this well!
 
Status
Not open for further replies.
Back
Top