Also need input on Vets dosage recommendation

Status
Not open for further replies.

Delores7

Member Since 2017
Hai everyone,
am very new to this but what I have been reading about dosages that it is common for lower doses twice a day . My vet put my newly diagnosed cat on 8 lU Caninsulin once a day which from all I am reading about dosages is that twice a day at a lower dose is more the norm.Not sure if she didnt want to overwhelm me with giving him a needle twice a day or what and I do plan on asking her cos I wud def do twice a day if thts what it takes but would SO appreciate some opinions on this as this is still so new to me ...like one day...:O....ty in advance!
 
OMG THAT IS WAY TOO HIGH!!!!


Caninsulin is started at 1 or 2 units twice a day. Caninsulin is a faster acting insulin and a shot of 8 units would put your kitty into a serious or deadly hypo episode.

PLEASE DO NOT USE THAT DOSE FOR THE HEALTH OF YOUR KITTY!!!!

Are you home testing gluose levels. That is a valuable tool to have to help keep your kitty safe. At this point my suggestion would be to start at 1 unit twice a day and definitely home test.

AGAIN DO NOT GIVE 8 UNITS TO YOUR KITTY!!!!
 
FROM THE MANUFACTURER:

"
How often does Caninsulin need to be administered to cats?

In cats, the initial recommended dose is 1 to 2 IU per injection, and the injections should be given twice-daily (BID) at 12-hour intervals. Initial dosing is based on a per animal basis. The duration of activity of Caninsulin in the cat is between 8 to 12 hours – this is shorter than in the dog. Peak activity level occurs between 1.5 to 8 (average of about 4) hours in the cat."

http://www.caninsulin.ca/faq-answers-p.asp


Your vet is either very uninformed or has made a major error in giving you that dosing guideline.
 
NO!!!!! Please don't give 8u of Caninsulin to your cat, that is a crazy high dose and not safe... please hold off for the moment until you get some proper advice... can you ring your vet to double check the dose, first? Ask if 8u is what they prescribe, HOW do they come by that dose?

When is the dose due? Where are you in the world? If you want to give a dose please just give 1u for the moment.
This is VERY important.
 
PLEASE DO NOT GIVE THIS VERY HIGH DOSE!!! As others have said, call your vet back for confirmation and ask how this dose was arrived at. :eek::eek::eek:

Please post here ASAP because we'll worry about your kitty. I'm crossing fingers and toes that you haven't given this much Caninsulin, even if your kitty is the size of a small dog!
 
Thanks Diana!! I will be around for another hour or so and I have tagged a few other people as well
At least we have told her in no uncertain terms not to give 8u so even if nobody is around she will have been warned. Am seriously worried tho that she has already given that dose...
 
If you give 8 units there is a good chance your cat will have seizures and die. PLEASE don't give her 8 units!!!!!!!
 
OMG I am So upset with my vet! He got an 8 unit shot yesterday and I gave him one this a.m.!............I am calling her ask WTH?...........he threw up last night and I gave him the a.m. shot at 6 a.m./... he seems 'ok'...but I am DEF not giving him that again and am so glad for everyones feedback...she has always been a good vet up to this point...so upsetting!
 
OMG I am So upset with my vet! He got an 8 unit shot yesterday and I gave him one this a.m.!............I am calling her ask WTH?...........he threw up last night and I gave him the a.m. shot at 6 a.m./... he seems 'ok'...but I am DEF not giving him that again and am so glad for everyones feedback...she has always been a good vet up to this point...so upsetting!


Thank goodness you saw this.

How long ago did you give the shot? Are you home testing??
 
Unfortunately many vets are not as familiar with feline diabetes as they are with canine diabetes. It is a much different approach when treating a dog than a kitty. With a dog Caninsulin is based on weight and given once a day...with a kitty is based on a starting dose of 1 to 2 units twice a day.
 
I just spoke to the vets office and they insisted that with his high blood sugar that 8 iu is not too high and he might possibly even have to go higher....I am so upset and confused right now because just want to do what is best for Casey...I honestly dont know whaty to do at this point....
 
I just spoke to the vets office and they insisted that with his high blood sugar that 8 iu is not too high and he might possibly even have to go higher....I am so upset and confused right now because just want to do what is best for Casey...I honestly dont know whaty to do at this point....
NO. 8u is far too high... far far far too high. Why does the vet say this is the starting dose?
 
I just spoke to the vets office and they insisted that with his high blood sugar that 8 iu is not too high and he might possibly even have to go higher....I am so upset and confused right now because just want to do what is best for Casey...I honestly dont know whaty to do at this point....


Sorry but your vet is wrong!!!!!!!!!!!!!

Please read and send him the link from


FROM THE MANUFACTURER:

Is hind limb paresis a typical sign of diabetes mellitus in cats?

Hind limb weakness may be the result of feline diabetes.
This is also seen in a number of other conditions in cats:

  • hypokalemia renal failure)
  • hypoglycemia (weakness rather than paresis)
  • thrombosis (secondary to hypertrophic cardiomyopathy)
  • calicivirus infection


How many cats currently have diabetes?

Estimates of the incidence of diabetes mellitus in cats range from 1 in 100 to 1 in 500.



How does Caninsulin work in cats?

A lente (intermediate-acting) form of insulin, Caninsulin contains approximately 30 percent amorphous insulin for rapid onset of activity. The remaining approximately 70 percent of the formula is crystalline insulin which is absorbed more slowly. This formulation allows for a more continuous utilization of glucose to support the body's basic functions. In cats, the peak activity following subcutaneous administration of Caninsulin occurs between 1.5 and 8 hours (with an average of about 4 hours), and a duration of activity varies between 8 and 12 hours. Caninsulin should be administered subcutaneously twice a day in diabetic cats.



What is diabetic clinical remission and when does it occur?

Diabetic clinical remission is a complete or partial disappearance of the clinical signs of diabetes in response to insulin treatment. This is seen not infrequently in diabetic cats with remission rates of at least 25% and 65% or more when diabetic diets are fed in addition to insulin treatment.



What results typically can be expected from Caninsulin therapy in cats?

Cats are usually started on 1 to 2 IU of Caninsulin per injection twice daily. Glycemic control is evaluated based on clinical signs and blood glucose curves, supported by other laboratory results, such as fructosamine. Adjustment of the Caninsulin dose is made according to clinical improvement, as well as average blood glucose concentrations and blood glucose curve nadirs. Treated cats have significantly lower blood glucose concentrations and a reduction in hyperglycemia-associated clinical signs compared with pretreatment levels. Diabetic remission may also be observed.



How often does Caninsulin need to be administered to cats?

In cats, the initial recommended dose is 1 to 2 IU per injection, and the injections should be given twice-daily (BID) at 12-hour intervals. Initial dosing is based on a per animal basis. The duration of activity of Caninsulin in the cat is between 8 to 12 hours – this is shorter than in the dog. Peak activity level occurs between 1.5 to 8 (average of about 4) hours in the cat.


http://www.caninsulin.ca/faq-answers-p.asp


ETA A kitty is stated at 1 or 2 units twice a day. After a week on the starting dose, and hopefully with home testing results available any dose increases are suggested to be 0.25 units to 0.50 units. Members here prefer to start with 1 unit twice a day and start home testing right away. If there are any switches made to food to a lower carb wet food, we suggest that it not be done until a person is home testing.
 
I feel for you as a newbie. What are his BG values? Maybe that can help people here help you more. I have definitely learned lots from them. Good luck!
 
The best first step is to start testing at home. Unfortunately many of us have found more good advice here rather than with our vets. Diabetes just isn't covered much at vet school, I'm afraid, but like human doctors, there are those that know a little about a lot (think family doctor) and specialists (think cardiologist).
As you can see, you've got a great bunch of new friends here who have experience with FD and are willing to help. We've got your back!
Where are you located?
 
Where do you live? We have members everywhere and one of them may be able to recommend another vet in your area for a second opinion. Please believe what we are saying. 8u is a potentially lethal dose.
 
Thank you so much for this info....I am NO WAY giving him more than the recommended dose! This was upsetting enuff w/o the dr. prescribing wrongly....I just lost my husband last year and I dont want to lose Casey to also.........this is so upsetting.I need to get a blood testing meter asap... also.I am so frking upset right now.
 
:bighug::bighug: I'm sorry to say that I agree with the others. Your vet is NOT correct!!! 8 units of insulin is an enormous dose. Insulin is not a medication. It is a hormone and a little bit to start with is the safest action. The cat may look fine the situation can change very quickly and have a very sad outcome

The best thing for you to do for the safety of your cat, in my opinion, is to learn to test your kitty's sugar levels at home. It's really the only way to have any idea what the dose is doing inside the cat. If you are willing to learn, we will teach you how to do it.
 
Thank you so much for this info....I am NO WAY giving him more than the recommended dose! This was upsetting enuff w/o the dr. prescribing wrongly....I just lost my husband last year and I dont want to lose Casey to also.........this is so upsetting.I need to get a blood testing meter asap... also.I am so frking upset right now.


The members here live and breathe feline diabetes 24/7. Comments and suggestions come from personal experience and many, many hours of educating ourselves...far more time than the average vet ever spends on feline diabetes. There are so many things that can be done to help make your journey into FD easier to deal with. Starting off with home testing is a biggie!! Learning what types of foods to feed is also important, but food changes should not be done until you are home testing.

Whatever you need to know just ask. People here care for all the "virtual kitties" as much as they do for their own.

:bighug::bighug::bighug:
 
Thank you so much for this info....I am NO WAY giving him more than the recommended dose! This was upsetting enuff w/o the dr. prescribing wrongly....I just lost my husband last year and I dont want to lose Casey to also.........this is so upsetting.I need to get a blood testing meter asap... also.I am so frking upset right now.

How is your cat? How long ago was the shot given?
 
Hi Delores @Delores7 ,

How many hours ago did you give your kitty 8 units Vetsulin?
What are you feeding your kitty at the moment? Dry food? Wet food?

Are you able to take your kitty to the vet if necessary?
.
 
Delores @Delores7 ,

Are you using U40 syringes or U100 syringes?
This should be written on the syringe barrel, or on the pack if you have a pack of syringes.
If you are using U100 syringes then you'll have given just over 3 units, not 8, so it's important to check...
.
 
It is my feeling also that so many people here who have and treat their diabetic cats at home would know more than the average vet about this condition and this is why I am in no way giving him that doses again...Ive had a good relationship with my vet and its so upsetting that they would give such beyond bad advice... when I called their office they gave me to a tech...but I am calling back and insisting the Dr. call me so I can ask her WHY she would do this! Thank everyone here for getting back to me on this so fast and urgently..;.I know everyone wants only the best for theirs and others pets.
 
Delores @Delores7 ,

Are you using U40 syringes or U100 syringes?
This should be written on the syringe barrel, or on the pack if you have a pack of syringes.
If you are using U100 syringes then you'll have given just over 3 units, not 8, so it's important to check...
.


Good question Elizabeth. U 40 syringes have a red cap, U100 have an orange cap. Which one are you using?


u-40-and-u-100-syringes.png
 
Delores @Delores7 ,

Are you using U40 syringes or U100 syringes?
This should be written on the syringe barrel, or on the pack if you have a pack of syringes.
If you are using U100 syringes then you'll have given just over 3 units, not 8, so it's important to check...
.

I am using U40 syringes that I got from the vet
 
unfortuantely I have the U40 Syringe I got from the vet


Those are the correct ones for Caninsulin. WHY HE PRESCRIBED 8 UNITS IS SO TOTALLY BAFFLING AND SO SO WRONG!!!

I see the closest major center to you is about 2 hours away in Ottawa. That's a big distance to travel.
 
OK so has anyone explained the hypo standby procedure...?
Delores, do you have any honey and high carb dry food you could give if necessary?
 
So if you gave the shot at 6 AM your time then it would now be about +7 hours since the shot. Is that correct?
 
Those are the correct ones for Caninsulin. WHY HE PRESCRIBED 8 UNITS IS SO TOTALLY BAFFLING AND SO SO WRONG!!!

I see the closest major center to you is about 2 hours away in Ottawa. That's a big distance to travel.

Actually we have a cple vets within 20-30 minutes fortunately....ye3h I am glad I asked about the dosage cos everything I had read since yesterday was lower and twice a day....I just feel so bad for giving him too much.
 
Thank you so much for this info....I am NO WAY giving him more than the recommended dose! This was upsetting enuff w/o the dr. prescribing wrongly....I just lost my husband last year and I dont want to lose Casey to also.........this is so upsetting.I need to get a blood testing meter asap... also.I am so frking upset right now.
We're here to help you in any way we can.
Thanks so much...I live in rural ontario madawaska valley
I live in Ottawa. How can I help?
 
Status
Not open for further replies.
Back
Top