Smiffy Wednesday 27th April

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Looby & Smiffy

Member Since 2016
Missed her shot last night (shot into her furr) so hoping the shots go better today - hopefully going to learn how to use the AccuChek Aviva glucometer and going to get husband to print out the UK low carbs food list for me to peruse and see what deals I can get on Zooplus or better still put on the list for Our Tesco shop!
 
Fingers and paws crossed for a successful session with the glucometer, Looby. Great to be getting updates on how Smiffy and yourself are getting on. You're doing great! :)

Sheba Fine Flakes Poultry Selection pouches are low carb (less than 2% kcal from carbs, though not great for phosphorus). Morrison's and Sainsbury's carry the Sheba range so I think Tesco's probably do as well. Very simple ingredients (meat, minerals & vitamins, plus a little bit of fibre).

:bighug:


Mogs
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Fingers and paws crossed for a successful session with the glucometer, Looby. Great to be getting updates on how Smiffy and yourself are getting on. You're doing great! :)

Sheba Fine Flakes Poultry Selection pouches are low carb (less than 2% kcal from carbs, though not great for phosphorus). Morrison's and Sainsbury's carry the Sheba range so I think Tesco's probably do as well. Very simple ingredients (meat, minerals & vitamins, plus a little bit of fibre).

:bighug:


Mogs
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Tesco have them on offer at the moment - would those be the ones in jelly?
 
Are you still feeding high carb dry food at the moment, Looby? If yes, then you need to stick with that for the time being until you're in a better position to check Smiffy's BG levels. To do a food transition without BG monitoring is dangerous and greatly increases the chance of a cat having a hypo.

In answer to the question of how much to feed, an average cat would need about 3½-4 pouches of that particular Sheba variety per day so 1 pouch at brekkie would be fine.

Regardless of the food being offered, you should feed then wait 20-30 minutes before giving Caninsulin so as to allow a bit of time for the carbs from the food to get into the bloodstream ready for the Caninsulin to work on.


Mogs
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Are you still feeding high carb dry food at the moment, Looby? If yes, then you need to stick with that for the time being until you're in a better position to check Smiffy's BG levels. To do a food transition without BG monitoring is dangerous and greatly increases the chance of a cat having a hypo.

In answer to the question of how much to feed, an average cat would need about 3½-4 pouches of that particular Sheba variety per day so 1 pouch at brekkie would be fine.

Regardless of the food being offered, you should feed then wait 20-30 minutes before giving Caninsulin so as to allow a bit of time for the carbs from the food to get into the bloodstream ready for the Caninsulin to work on.


Mogs
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OK I will wait until I am home checking before I try to change her food ...... I was just going to get one sachet to see if she likes it at all .... it is not possible for me to inject her half an hour after feeding as I wouldn't be able to get hold of her and that would stress her out more and she is stressed enough with me doing it whilst she is eating ... I was instructed to inject her whilst she is eating .... about half to three quarters way through her eating ....... she runs upstairs as soon as she has finished eating or outside - always has done ...
 
I have watched all the videos about injecting but I am almost back to square one with Smiffy ... she has sussed the needle and yesterday morning I think I got the insulin but I am not sure ... last night I shot into her furr so she was wet and I had to wipe her and this morning I think I only got half of it in and she hissed at me and lashed out a bit ..... @elizabeth .. I am beside myself .. do all the bowl, eat, stroke, take away or whatever order it is on the video that you posted ..... she is not three dodgey shots into the week in a row .
 
last night I shot into her furr so she was wet and I had to wipe her and this morning I think I only got half of it in and she hissed at me and lashed out a bit
Looby, it seemed like the insulin shots were starting to go well. Can you think of anything that's changed over the past couple of days?
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Looby, it seemed like the insulin shots were starting to go well. Can you think of anything that's changed over the past couple of days?
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Not really .. she is just a clever cat - always has been and she is down that there is something else associated with her eating .. she is fed up with not eating as much as she used to ..... To begin with she just stares at the bowl from a distance and I have to act indifferent and then move it closer to her and pet her neck so that she starts to eat (prepare the needle) let her eat, pet her head, move the bowl, let her eat, ingore her, and when it is in a good position for me to put the needle in I go to her in the same was and saying the same thing to her and pet her in the same way and just gently lift her furr up and put the needle in .... she got away from me this morning just as I had the needle in and hissed and lashed out at me at bit and my and was a bit wet so I am assuming that the needle didn't go in properly ...... if I got her in the muscle by mistake - would it have hurt her?
 
Are you still feeding high carb dry food at the moment, Looby? If yes, then you need to stick with that for the time being until you're in a better position to check Smiffy's BG levels. To do a food transition without BG monitoring is dangerous and greatly increases the chance of a cat having a hypo.

In answer to the question of how much to feed, an average cat would need about 3½-4 pouches of that particular Sheba variety per day so 1 pouch at brekkie would be fine.

Regardless of the food being offered, you should feed then wait 20-30 minutes before giving Caninsulin so as to allow a bit of time for the carbs from the food to get into the bloodstream ready for the Caninsulin to work on.


Mogs
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I was just going to get some to see if she liked them first - if I can get Malcolm to just buy just one sachet .....
 
@Critter Mom ... yes I am still on Hills m/d dry food and I am not going to change her to wet food until I can home test properly ... having difficulty with the insulin at the moment so goodness knows how I am going to home test ... she runs away .. she is not a very cuddly cat ... sweet and a good friend but she doesn't and never has liked being cuddled like Pasha no matter what I do ./..
 
Is there a low carb treat she really loves that you could drop into her food dish just as you inject? My Eleanor is next to impossible to inject if she is not preoccupied with eating, sometimes I have to drop a bite or two of boiled chicken in front of her and get the injection in while she is wolfing it down.
 
if I got her in the muscle by mistake - would it have hurt her?
Yes, it may well have nipped her a bit, and maybe that's why she's a little wary now (in case it happens again).
But she will get over this once you've clocked up a few 'normal' insulin shots. Cats are very forgiving. :bighug:

I actually have a different shot technique to many people, and I wonder if it might work for you.
I pull up some loose skin between my fingers and thumb (rather as is shown in the photo below (but not so much skin as this!))
And then (unlike the photo below) I inject almost directly downwards into the skin that I'm holding, midway between my fingers and thumb.

I never set out to give shots like this, it just sort of evolved over the years. But I have found that by using this method it's nigh impossible to accidentally jab the muscle, because the skin you're holding between fingers and thumb is 'deeper' than the depth of the needle. ...Just wondering if something like this might work for you..?

sq24.jpg
 
Is there a low carb treat she really loves that you could drop into her food dish just as you inject? My Eleanor is next to impossible to inject if she is not preoccupied with eating, sometimes I have to drop a bite or two of boiled chicken in front of her and get the injection in while she is wolfing it down.
I do that with Thrive dried chicken and she understands the word 'treat' .. hopefully it will go better tonight ... the Thrive treats are 100% protein ...
 
As long as Smiffy has her high carb on board then I don't think there'd be any harm in giving her a small snack of the Sheba food mid-cycle to see if she likes the flavour.
I agree.
In fact it could be a very useful exercise to find out if there are wet foods that Smiffy will eat. (That's as long as these are additions to her current diet, and don't replace any high carb food).

If it becomes possible to transition Smiffy to a wet diet in the future then that may greatly improve her chances of getting well regulated (and also improve her chance of remission.)
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I do that with Thrive dried chicken and she understands the word 'treat' .. hopefully it will go better tonight ... the Thrive treats are 100% protein ...
Spooky how selective a cat's comprehension can be ... ;)

I've tried both the Thrive and the Cosma Snackies freeze-dried chicken treats with Saoirse and my civvie, Lúnasa. To us it might not seem that there's much between the two but both of my girls show a marked preference for the Snackies. If you do order anything from Zooplus it might be worth your giving the Cosma Snackies a whirl. The XXL Snackies are a fair bit cheaper than the regular ones. The chunks are bigger but it's easy to break them into smaller pieces. They're also crumblier than the regular Snackies so it's really easy to add a sprinkle over wet food to make it more enticing.


Mogs
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Yes, it may well have nipped her a bit, and maybe that's why she's a little wary now (in case it happens again).
But she will get over this once you've clocked up a few 'normal' insulin shots. Cats are very forgiving. :bighug:

I actually have a different shot technique to many people, and I wonder if it might work for you.
I pull up some loose skin between my fingers and thumb (rather as is shown in the photo below (but not so much skin as this!))
And then (unlike the photo below) I inject almost directly downwards into the skin that I'm holding, midway between my fingers and thumb.

I never set out to give shots like this, it just sort of evolved over the years. But I have found that by using this method it's nigh impossible to accidentally jab the muscle, because the skin you're holding between fingers and thumb is 'deeper' than the depth of the needle. ...Just wondering if something like this might work for you..?

sq24.jpg
I will try that ... Smiffy is 5.7 kilos so she has plenty to get hold of .... by the way I have just got out the AccuChek Aviva glucometer and my brain has drawn a blank with the instruction and it seems a bit cumbersome ... nosiey click so I am going to ask my Vet to show me how to use it .... I have also just looked at the scrappy notes that I took on our last visit to the Vet and he said that what we want is a "Stable Diabetic" but I want her to go into remission if possible ..... he also said that fat hinders insulin production which is why we have to stick to her slimming diet and he said that cats don't have spikes like humans when they eat .... he said that if she is not better when I take her in Friday 6th then we will do a curve so he will have to teach me how to use the meter ..... I am going to get Malcolm to get some Sheba fine flakes chicken selection pouches to try a bit on her to see if she likes them for future use as she the carb level is low and she has got used to the taste of Thrive chicken treats now .... one of the problems with changing to wet food (which I wouldn't do unless under supervision from the Vet I think or unitil I am competent with the home testing) is that she has grown up understanding the word biscuits - I will have to call out treats for her food if and when we change to wet so that she understands that I am calling her for something that she is going to enjoy ... I think she might be too long in the tooth to learn a new vocabulary but I might be wrong .......

I think I do the same as you but I am going to be more mindful of it tonight .. the bloody drugs I am on .. I am so dopey in the morning and I am so tired psychologcially at night ... I told me husband that I had missed yesterday and all he could say was "you will have to be more careful"! I would like to see him have a go!!! That is irrelevant .. I make sure I grab more skin and a bit further down her neck - MAYBE I HAVE STARTED UNWITTINGLY TO DO IT TOO CLOSE TO HER HEAD WHERE THERE IS NOT SO MUCH LOOSE SKIN?
 
I agree.
In fact it could be a very useful exercise to find out if there are wet foods that Smiffy will eat. (That's as long as these are additions to her current diet, and don't replace any high carb food).

If it becomes possible to transition Smiffy to a wet diet in the future then that may greatly improve her chances of getting well regulated (and also improve her chance of remission.)
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I have already said that I have put the Sheba on the shopping list so that I can give her some to see if she likes it and call it a 'treat' ... she only understands "biscuits" when I call her for food and she will come running so there is a vocabulary thing to get over too ..
 
Spooky how selective a cat's comprehension can be ... ;)

I've tried both the Thrive and the Cosma Snackies freeze-dried chicken treats with Saoirse and my civvie, Lúnasa. To us it might not seem that there's much between the two but both of my girls show a marked preference for the Snackies. If you do order anything from Zooplus it might be worth your giving the Cosma Snackies a whirl. The XXL Snackies are a fair bit cheaper than the regular ones. The chunks are bigger but it's easy to break them into smaller pieces. They're also crumblier than the regular Snackies so it's really easy to add a sprinkle over wet food to make it more enticing.


Mogs
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I think I will stick with the Thrive now that she associates them with the word "treat" now and has grown to enjoy them xxxx
 
@Looby

Looby, are you trying out your glucose meter today?
How are you getting on?
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See one of my posts ... I couldn't get to grips with the instructions so I am going to take it to the Vets on Friday 6th to get him to show me how to use it ... it is the AccuChek Avviva and seems a bit loud and harsh just messing with it but I have not set it up as my Therapist had to go ...husband will not have the patience ... best I get the Vet to show me how to use it or I will watch the video that I found on Youtube .. might watch that with Kim next week .... Need to master the injections once and for all first!!!
 
I have also just looked at the scrappy notes that I took on our last visit to the Vet and he said that what we want is a "Stable Diabetic" but I want her to go into remission if possible .
The first aim, really, is to try to get the cat into a better blood glucose range on a regular basis ('regulated'), so that they can begin to feel better, and to stop any further damage from the high blood glucose levels.
Remission, if it happens, is really the 'icing on the cake'. ;)
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it is the AccuChek Avviva and seems a bit loud and harsh
The sound of the meter may not be a bad thing. Cats quickly learn to respond to sounds (the owner's key in the door, the sound of the tin opener...). So, you could get Smiffy to associate the sound of the meter with Thrive treats, ahead of actually testing her...?
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Fingers and paws crossed for a successful session with the glucometer, Looby. Great to be getting updates on how Smiffy and yourself are getting on. You're doing great! :)

Sheba Fine Flakes Poultry Selection pouches are low carb (less than 2% kcal from carbs, though not great for phosphorus). Morrison's and Sainsbury's carry the Sheba range so I think Tesco's probably do as well. Very simple ingredients (meat, minerals & vitamins, plus a little bit of fibre).

:bighug:


Mogs
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Sorry to butt in but I just bought some of this for Rosie as its so low carb, should I be worried about the phosphorus? Thanks xx
 
Ok guys, it seems that Looby is doing great with injections.
Funnily enough I inject in the same manner as Eliz, just came to me naturally and I'm glad Eliz is in favour of this technique. I think I do it like that because it was difficult for me to see the "tent" and Rocky has quite a lot of fat under his skin!
Looby,
you have your meter now.
I could Skype you, if you want and show you what I do with my meter.
So, do you think you are doing all right with injections?
 
Does Rosie have kidney disease, Carol? And if so, what stage is the disease?
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I was worried about that with the Snackies but I was reassured when I saw mention on Tanya's support group that they're OK to give in moderation. Just as well because Snackie sprinkles is one of the most valuable things in my toolkit for encouraging Saoirse to eat when she's having difficulties in that department.


Mogs
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Mogs, do you use the AccuChek Aviva?
I'd have to dig it out, Eliz, and I'm not so hectic today. (Sorry.) Essentially it works similarly to the Alphatrak:

1. Stick the test strip part way in ready for the test.

2. While warming up the ear slide the test strip in the rest of the way. This switches the meter on and it will show on the display when it's ready to take the sample (it's some symbol that's really obvious to understand IIRC).

3. When the blood sample is drawn sip up the droplet into the end of the test strip (easy to see that it has drawn up the whole way). I think it gives an alert that it has enough blood.

4. BG level displays on the screen when the test is complete. Write down the BG number. (It has a memory that you can scroll through using the buttons on the meter.)


Mogs

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I use AccuCheck Aviva Nano which I think is very good and easy to use.
I just Skyped Looby to show her how I do testing and injections but she did not respond.
 
I am sorry @Marlena .. I was asleep and I don't have my computer on all the time and I don't have an iPhone l more's the pity .. have decided to get the Vet to show me how to use the meter but I have tried Sheba fine flakes in jelly on Smiffy today and she liked it much to my surprise .. I'm not sure she would eat a whole sachet but she certainly liked the little sample that I gave her which is a good sign for the future if she were to change to wet food ... @Elizabeth and Bertie @Critter Mom @Diana&Tom ..... I have started a new thread about Smiffy and her injections ..... but I thought the first thread didn't work so I did it again because I couldn't find it and then realised that I just needed to use the SEARCH BOX so I will know if future so sorry about the confusion with the two new threads .... there are lots of posts here too that I have missed and just read to I hope you all read this one ....


Nevermind everything else the problem I have at the moment is that I HAVE MESSED UP ON FOUR OF SMIFFY'S INJECTIONS IN A ROW NOW AND I AM REALLY WORRIED .. she really scratched me last night and it was really difficult to approach her .... wondering if I should just leave it tonght so that she has one meal without me trying to put a needle in her so that I regain her confidence a bit ...... what do you think ... she is really wise to it now ......
 
Does Smiffy hold still when you scruff her? Not pick her up by the scruff but just hold on to her by the scruff while she is laying there. Lincoln was SO squirmy when we first started this that I had to scruff him while I shot in order to make sure I didn't get a fur shot. I'd just shoot into the scruff I was holding him by. Now I can shoot while he eats and he doesn't even notice me. Some people will clip a clothes pin on the scruff and it will do the same thing and get the cat to stop moving. Smiffy really needs her insulin to start feeling better. Once she starts feeling better she will associate that with all of this and it should get easier. I've been through this quite a few times and it always has. Even with the ones that wanted to bite me when I shot.

I use the Aviva. Have for over 6 years, its the only meter I will use. I love it. When Cecil hears that beep he comes running and sulks when it is not him being tested. The new lancing device they sell with it I am not as in love with as the old one.
You and Smiffy will get the hang of it.
 
Does Smiffy hold still when you scruff her? Not pick her up by the scruff but just hold on to her by the scruff while she is laying there. Lincoln was SO squirmy when we first started this that I had to scruff him while I shot in order to make sure I didn't get a fur shot. I'd just shoot into the scruff I was holding him by. Now I can shoot while he eats and he doesn't even notice me. Some people will clip a clothes pin on the scruff and it will do the same thing and get the cat to stop moving. Smiffy really needs her insulin to start feeling better. Once she starts feeling better she will associate that with all of this and it should get easier. I've been through this quite a few times and it always has. Even with the ones that wanted to bite me when I shot.

I use the Aviva. Have for over 6 years, its the only meter I will use. I love it. When Cecil hears that beep he comes running and sulks when it is not him being tested. The new lancing device they sell with it I am not as in love with as the old one.
You and Smiffy will get the hang of it.
Smiffy will not hold still when I scruff her ... I try to be a bit more gentle than that ... the first time I did it to her just over two weeks ago she hardly noticed that I was touching her .... now I am beginning to wonder if she really does feel worse on the Caninsulin as he is fine ish today after not having it for nearly two days (got a bit inside her) but I know that is not going to last long - she needs the insulin ... going to see how I get on tonight .... gave her a treat this afternoon and stroked her neck as she ate with no fear on my part and she didn't growl of hiss at me ... am going to watch the video again ....
 
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