insulin

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postalbunny

Member Since 2016
I just read that Novolin has a low success rate. My Jeter hasn't been diagnosed for long. Is it possible to switch types of insulin? Also we only use one unit of insulin twice daily. Does it degrade after a while? How often should I get a new bottle? I wish my vet had told me not to feed more than 1/2 hour before insulin. Jeter had a really bad reaction when I fed early and a neighbor gave him his shot because I had to be away. Is it harmful to change the insulin schedule at times? would you gradually change the time by 5 min increments or is it better to not attempt it at all? Thanks for any responses!
 
All of your questions vary depending on the type of insulin you are using.

While Novolin is often a choice by vets because it is a price people can handle it isn't the best for cats because it is a short acting insulin with their metabolism so it can leave them in high numbers after the insulin has worn off or could require shots more often than 12hrs apart. Some people are able to get a reasonable regulation with Novolin, but the longer lasting insulin like Lantus, Levimir, and ProZinc tend to have better regulation and have reported better remission rates.

You can always switch insulin if the one you are using isn't working. Before switching, you want to figure out if the one you are using isn't working for you. We recommend home testing and there is a spreadsheet we use on this forum to help us track and analyse the testing. You can see links to them in most of our signatures.

Insulin does degrade after a while. I don't know the details on Novolin since I've never used it. There should be some information on the packaging. With Lantus we know that if we keep it refrigerated and handle it carefully we can use it well past the recommended 28days on the packaging, I don't know if that is the case with Novolin since it is a different mixture. Someone who has experience with it should chime in.

The short acting insulins like Novolin need feeding close to the shot time because the have a quick and harsh onset. Having the feeding that 30min before the shot allows for the food spike to be kicking in at the same time as the insulin spike so that you soften that sudden drop. Without the food, you will see that hard sudden drop the insulin is known for. Some of the longer ones it isn't as important. We still try to make sure our cats are willing to eat, but we usually test, feed, and shoot all pretty much at the same time.

Moving shot time. The depot insulin like Lantus and Levimir thrive on consistency and any movement in shot time acts like an increase or decrease in dose. For those we try to move shots only 15-30mins at a time. For in-and-0ut insulin like Novolin, it is easier to move shots because once the insulin is worn off, it is out of the system and you don't have to worry about overlap or depot as much. You want to be home testing if you are moving your shot up to earlier so you know if it is safe, but you could probably move your shot time 1-2 hrs at a time if the numbers weren't to low. If you need to go later, you will just be leaving him without insulin for longer.

Browse the site and read lots of the stickies. Whatever insulin you consider switching to, go to that insulin's ISG and read the stickies there.
 
All of your questions vary depending on the type of insulin you are using.

While Novolin is often a choice by vets because it is a price people can handle it isn't the best for cats because it is a short acting insulin with their metabolism so it can leave them in high numbers after the insulin has worn off or could require shots more often than 12hrs apart. Some people are able to get a reasonable regulation with Novolin, but the longer lasting insulin like Lantus, Levimir, and ProZinc tend to have better regulation and have reported better remission rates.

You can always switch insulin if the one you are using isn't working. Before switching, you want to figure out if the one you are using isn't working for you. We recommend home testing and there is a spreadsheet we use on this forum to help us track and analyse the testing. You can see links to them in most of our signatures.

Insulin does degrade after a while. I don't know the details on Novolin since I've never used it. There should be some information on the packaging. With Lantus we know that if we keep it refrigerated and handle it carefully we can use it well past the recommended 28days on the packaging, I don't know if that is the case with Novolin since it is a different mixture. Someone who has experience with it should chime in.

The short acting insulins like Novolin need feeding close to the shot time because the have a quick and harsh onset. Having the feeding that 30min before the shot allows for the food spike to be kicking in at the same time as the insulin spike so that you soften that sudden drop. Without the food, you will see that hard sudden drop the insulin is known for. Some of the longer ones it isn't as important. We still try to make sure our cats are willing to eat, but we usually test, feed, and shoot all pretty much at the same time.

Moving shot time. The depot insulin like Lantus and Levimir thrive on consistency and any movement in shot time acts like an increase or decrease in dose. For those we try to move shots only 15-30mins at a time. For in-and-0ut insulin like Novolin, it is easier to move shots because once the insulin is worn off, it is out of the system and you don't have to worry about overlap or depot as much. You want to be home testing if you are moving your shot up to earlier so you know if it is safe, but you could probably move your shot time 1-2 hrs at a time if the numbers weren't to low. If you need to go later, you will just be leaving him without insulin for longer.

Browse the site and read lots of the stickies. Whatever insulin you consider switching to, go to that insulin's ISG and read the stickies there.
 
If you have some time look at the "stickys" in the main page of the forum--there is tons of information and especially in lantus and lev as it is a very busy forum with lots of kittys and amazing expert advice....
Many of the questions you may have will be there and with explanations and even videos on things such as drawing out lantus from a vial or a pen-testing (which is VERY important) --glad you found the forum it is the best place for a caregiver to be :bighug:
Welcome:)
 
What are the pens like? will I still need syringes

Yes, you'll still need insulin syringes....and if you use Lantus or Levemir, you'll need to make sure you're using U100 syringes. The syringes for Novolin are U40 syringes so they're different.

With the pens, you just pull the insulin out of the pen...just like a vial! When you pull the cap off the pen there's a rubber stopper inside. You do NOT use the special needles that they say you use with the pens.

The only difference between the pens and a vial are the size...a vial of Lantus is 100ml each (that's 1000 units) and in most cats, you'll end up throwing about half away because it won't continue to be effective long enough to use it all

The pens are like having "mini-vials" that are 3ml each (300 units each) and a box of 5 pens is 1500 units and will last until the expiration date on the box (usually at least 2 years away)

syringe in pen pic.jpg
syringe in pen close up.jpg
 
Is there a glucose meter you recommend?

If you live in the US, two of the favorites around here are the Relion Confirm or Micro (at WalMart)....they both take the tiniest sample size (which is good when you first start out on testing!)

They're affordable (about $15) and strips are $35.88 per 100

The Relion Prime has cheaper strips, but it also takes a larger blood sample size and quite a few people here have gotten too many error messages...which means using another strip and can negate any savings. The strips are $9 for 50
 
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