replacing Vetsulin for Lantus

Paca's Mom

Paca's Mom

Member Since 2018
Hello. It has not been an easy few weeks. The Vet gave me a prescription for Lantus. I saw someone wrote there is a Canadian website that you can purchase it for a more affordable price:

Lantus VIALS Insulin 10ml CAN VIALS (temp. gauge. ice pack, express-air mail) 100U/ml vial (Brand) Qty: 1 $110.99

Is this the correct product to purchase please? I do not understand exactly what this is telling me. It is 100 units for one 1 vial? Please help so I do not order the incorrect item. Thank you
 
or is this the product I am supposed to be ordering?

Lantus Solostar PENS 5x3ml CAN (temp. gauge. ice pack, express-air mail) 100U/ml box (5 pens) (Brand) Qty: 1 $164.99
 
Most of us use the pens. You still need a U100 syringe to draw off the insulin, they same way you would draw the insulin if using a vial. Do NOT use the pen tips as a means of injecting -- you can't withdraw a small dose if you use the pen itself as a means to inject. With the pens, your insulin is better protected. If you drop a vial, you lose all of your insulin. If you drop a pen, it's encased in plastic and is more accident resistant. (You also have a box of pens so you're not scrambling for a means to buy more insulin.) There's also more insulin (15 ml total) in a box of 5 pens vs 10ml in a vial. You get a bigger bang for your bucks.

When you're ready to start using Lantus, please let us know. There is a good deal of difference between Vetsulin and Lantus and you'll need to rethink how you approach dosing.

You may want to set up a spreadsheet now so you can track how Paca is doing on Vetsulin and be able to compare your kitty's progress with Lantus. Likewise, there's a huge amount of information in the sticky notes at the top of the board. You may want to begin reading through them while waiting for your Lantus to be delivered so this isn't all new information.

 
12/21 4:00 am before dose of 2 units...BG=598
12/21 +6 hours@10:00 am after 2 unit dose...BG=312
12/21 4:00 pm before dose of 2 units...BG=410
12/21 +6 hours@10:00 pm after 2 units...BG=345
12/22 4:00 am before dose of 2 units...BG=550

Paca's numbers have not changed for over 2 months on Vetsulin. He was @ 550 when first recorded by the Vet. He is always in these range of numbers. Only once did he get a BG=296 after a dose of Vetsulin but always sky rockets back up into the 450-550 range every 12 hours

I have u100 syringes. Vet dosed Vetsulin @ 2 units every 12 hours. Vet dosed Lantus @ 2 units every 12 hours as also if replacing Vetsulin with Lantus
 
but you say drawing from these pen cartridges is just as drawing from a vial? because i thought i read somewhere about contamination from drawing from the cartridges.
 
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Paca's Mom said:
but you say drawing from these pen cartridges is just as drawing from a vial? because i thought i read somewhere about contamination from drawing from the cartridges.
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No, you won't contaminate the cartridge. When you open the pen to expose the cartridge, its end looks like the end of a vial (like Vetsulin) with a little rubber seal you poke the syringe needle through. You don't need to inject any air into the cartridge before withdrawing insulin because of the way the cartridge works. Check this page: http://www.felinediabetes.com/FDMB/threads/syringe-insulin-info-handling-drawing-fine-doses.151/ A little more than half way down the cartridges are shown.
 
Paca's Mom said:
Hello. It has not been an easy few weeks. The Vet gave me a prescription for Lantus. I saw someone wrote there is a Canadian website that you can purchase it for a more affordable price:

Lantus VIALS Insulin 10ml CAN VIALS (temp. gauge. ice pack, express-air mail) 100U/ml vial (Brand) Qty: 1 $110.99

Is this the correct product to purchase please? I do not understand exactly what this is telling me. It is 100 units for one 1 vial? Please help so I do not order the incorrect item. Thank you
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100u/ml is the suspension (kind of like the strength), the 10ml vial contains 1,000 1 unit doses, the pens mentioned each pen/cartridge holds 3ml or 300 1 unit doses.

I spoke with Marks Marine pharmacy in Canada, and yes the vial is $110 USD, but you also need to add $25-35 for temp controlled shipping charges, that is not included in the $110. Still a bargain compared to the US, not sure where you are. Vial can last up to 6 months once opened if handled properly and refrigerated. With that many doses, people end up throwing some of this out before the vial is empty.

The pens people buy as a pack 5 pens in box, with each pen holding 300 1 unit doses for a total of 1,500 1 unit doses in 5 pens. Not sure if Marks will sell less than 5 pens at a time, some places will, most won’t. Shipping charges would be the same as for the vial. Once opened each cartridge should last the same length of time as the vial, I would think. The advantage here being the unopened pens will keep to their expiration dates, so you are only opening as you need.

I was planning on getting vial because I was afraid drawing from the cartridge would be more difficult but experienced users here have assured me it’s not, just find out how to draw from cartridge because it is a little different than vial. Vial okay to add air to empty space in vial before flipping it to draw, as I understand the cartridges have no air and you DO NOT want to get any air in a cartridge or it is no good, that was my fear that I would end up wasting a cartridge. There are enough people using them, so it can’t be hard to learn and there is a good video on how to do it.
 
you are a gem of knowledge. thank you for your time and the links. new tab open to the sticky notes. I have started the data sheet all over again. i am about to open a new tab and the info from the above link. i am not sure where to post all this now. because i posted on the vetsulin forum and now here. Should i just post any other questions and info right here? thanks
 
bump ("bump" is typed to get your post moved up higher in the thread list so it doesn't get lost on this busy forum)
 
Paca's Mom said:
you are a gem of knowledge. thank you for your time and the links. new tab open to the sticky notes. I have started the data sheet all over again. i am about to open a new tab and the info from the above link. i am not sure where to post all this now. because i posted on the vetsulin forum and now here. Should i just post any other questions and info right here? thanks
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If you're going to try Lantus I'd post questions here. :)
 
ok appreciate all your help. i will continue to post here for lantus related questions and should i also post paca's data sheet here as well?
 
Paca's Mom said:
ok appreciate all your help. i will continue to post here for lantus related questions and should i also post paca's data sheet here as well?
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Once it's set up and "linked" in your signature it'll appear in the grey signature text anywhere you decide to post. I know this forum stuff is very confusing at first but you'll get there and there's a lot of help for you along the way.
 
Kris & Teasel said:
Once it's set up and "linked" in your signature it'll appear in the grey signature text anywhere you decide to post. I know this forum stuff is very confusing at first but you'll get there and there's a lot of help for you along the way.
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I am still trying to figure out how to start a spreadsheet, I signed up for Google account yesterday (was still on Yahoo, lol, yes I am old). Will look around site to see if I can figure out how to set it up. May need some help if I can’t figure out, have never used any Google shared drives before. Won’t be starting insulin until vet check on Friday ( took off all dry food for a week before starting any insulin). Hoping BG may have come down enough on its own with diet, but that is probably wishful thinking. Just set up meter and will try to check her today or tomorrow before vet to get an idea as vet number will likely be higher due stress.
 
Julie and Honey said:
I am still trying to figure out how to start a spreadsheet, I signed up for Google account yesterday (was still on Yahoo, lol, yes I am old). Will look around site to see if I can figure out how to set it up. May need some help if I can’t figure out, have never used any Google shared drives before. Won’t be starting insulin until vet check on Friday ( took off all dry food for a week before starting any insulin). Hoping BG may have come down enough on its own with diet, but that is probably wishful thinking. Just set up meter and will try to check her today or tomorrow before vet to get an idea as vet number will likely be higher due stress.
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You'll get there! Two of the very kind members who will set up your spread sheet for you if you need help are @Chris & China and @Marje and Gracie
 
I'd check with @Marje and Gracie about your spreadsheet. Something looks "off" to me. There shouldn't be a "template" button on the upper right side.

Your signature line looks great. A couple of questions, though. What variety of Fancy Feast (FF) are you giving Paca? Not all types of FF are low in carbs. You want to be using Fancy Feast Classics -- they are a pate style food. Almost all of the other types of FF are higher in carbs especially ones that contain gravy. I'm not familiar with the the Purina food you're using. I would encourage you to check the ingredients -- if it's the variety I Googled, the wheat gluten, pork lungs, and cellulose do not seem like particularly appetizing ingredients! If you're not already familiar with Dr. Lisa's food charts, they have a breakdown of carbs and other nutritional information. You want your cat on a diet that's less than 10% carbs although, most of us feed about half of that amount or less.

I'd also suggest a change in treats. Temptations are very high in carbs. Most of us use freeze dried chicken or any type of freeze dried protein.

Another contributor to high numbers are dental issues. Any source of inflammation or infection can cause numbers to be high. Many vets don't want to do dental procedures until a cat is regulated. Unfortunately, a cat may not get regulated if there are dental problems. If you're in the US, February is "dental month." Many vets offer discounts on dental procedures. You may want to look for a dental specialist in your area and see if you can get Paca's dental issues addressed.

As for the neuropathy, you can buy Zobaline on Amazon. This is a form of methylcobalamin (methyl-B12) that was developed for diabetic cats. This form of B12 can help with diabetic neuropathy although getting your kitty's numbers in a lower range will also help.
 
Julie and Honey said:
I am still trying to figure out how to start a spreadsheet, I signed up for Google account yesterday (was still on Yahoo, lol, yes I am old). Will look around site to see if I can figure out how to set it up. May need some help if I can’t figure out, have never used any Google shared drives before. Won’t be starting insulin until vet check on Friday ( took off all dry food for a week before starting any insulin). Hoping BG may have come down enough on its own with diet, but that is probably wishful thinking. Just set up meter and will try to check her today or tomorrow before vet to get an idea as vet number will likely be higher due stress.
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I’m happy to help.....f you need help with the SS or need me to do it for you, please send me a private message by clicking on “Marje and Gracie” at the left and then “start a conversation”.

The template Paca’s Mom linked above may or may not be the one you need to use. Here are the templates with instructions. Just let me know if I can help.
 
sorry about the spread sheet if it is the wrong one. it is the exact same one called: copy of FDMB US/World 12/12 Insulin Spreadsheet but it has a template option. once i clicked it it let me actually edit and add my numbers and it automatically saves to google drive. Obviously you guys would know whats the best one to use. I think i got this one from one of the links of one a member used a while ago. CC's spread sheet. I have deleted the link.
 
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How often do i need to do blood glucose checks to start a blood glucose curve? am and pm before an injection on an empty stomach but is +5-+7 am and pm sufficient. That would be 4 times a day. Thank you
 
A curve means that you're testing every 2 or 3 hours for at least 12 hours. The value of a curve is that it lets you figure out when insulin onset and nadir fall. These are crucial pieces of information. While it would be delightful to think that every cat here has read and then follows the rule book, they don't. Some cats have early onset and nadir and some cats a late onset and nadir. For most cats, onset begins at +2 and nadir is somewhere around +6 (give or take). On the other hand, there are cats like mine. Gabby's onset was at around +1 and her nadir was at around +3 -- except when it wasn't. Nadirs can and do change. They are not fixed points that are forever and ever.

My point is that getting several curves over the course of a few weeks will help you lean how Paca generally is responding to Lantus. (I would, however, wait to get a curve until Paca has been on Lantus for at least 5 days. It takes that long for the depot to become established. Until the depot is formed, a curve may not tell you a lot.)

It's hard to tell someone how much to test. If you look at Gabby's spreadsheet (SS) or Marje's Gracie's SS, you'll see we were, well....., testaholics. We like data. It's essential to get a pre-shot test so you know whether it's safe to give a shot. I often recommend that people test at +2 or +3. This is where onset typically starts. If your early test number is the same as your pre-shot number, there's a reasonable chance that numbers may be coming down and it's a good chance that you may need to monitor carefully. Getting a test somewhere close to nadir is also useful. You can then gauge whether you need to get a test later in the cycle.

Since you have some time before your insulin arrives, I'd encourage you to look at lots of people's spreadsheets. You'll see lots of variation in how people test as well at a good deal of variation in how kitties' respond to insulin. One of the other things you'll see is how we handle low numbers. (Remember to look at the Comments section of the SS, too.)

 
I recieved the Lantus today. 5 3ml pens. I am going to start the Lantus in the next day or so. Most likely Wednesday. I am using u100 syringes. They told me to give him two units two times a day. I want to use your start low go slow method. I use the 0.3ml u100 syringes. The vet assistant said over the phone that i do not fill it up to the 5 mark as I did for the u40 vetsulin. She said that would be equal to 5 units of this insulin. that is correct yes? and someone mentioned i do not put air into these vials. Please clarify this for me. I nerveous about doing this. Thank you.
 
Paca's Mom said:
I recieved the Lantus today. 5 3ml pens. I am going to start the Lantus in the next day or so. Most likely Wednesday. I am using u100 syringes. They told me to give him two units two times a day. I want to use your start low go slow method. I use the 0.3ml u100 syringes. The vet assistant said over the phone that i do not fill it up to the 5 mark as I did for the u40 vetsulin. She said that would be equal to 5 units of this insulin. that is correct yes? and someone mentioned i do not put air into these vials. Please clarify this for me. I nerveous about doing this. Thank you.
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If you have proper U100 syringes you fill to the 2 mark. That's the third line if you count the zero line as the first mark. If you have half unit marks on them, you'll draw insulin up to the 5 th line (counting zero as the first line).
 
This diagram should help:
upload_2018-12-31_12-22-1.png
 
thank you the syringe has both marked but it is easier to read the 1 unit marks. And since it is start low go slow i dont know if I should do the 1unit and see how his numbers are or if i should start him off on 2units that is what the vet says. Advice please?
 
do i keep the vial in the pen or take it out of the pen somehow? i watched the video and read about start low go slow. im nerveous. i feel like i havnt even been giving him shots 2x a day for over 3months. It's this pen thing. Please help. thanks And if i give him his last dose of Vetsulin tonight is it ok to start tomorrow on Lantus with out a detox period or something?
 
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You just pull the cap off the pen.....inside there's a rubber stopper just like a vial. Insert your syringe into the rubber stopper and pull out as much insulin as you want....If you want to start at 1U, pull a little more and then remove the syringe from the pen......tap the syringe to get any air bubbles out and expel any excess insulin so you're left with exactly 1U.

As for what dose you should start at.....how much Vetsulin was he getting? We take that into consideration before recommending a starting dose of Lantus.

We also need to get your spreadsheet going. If you'd like some help with it, I'd be happy to set it up for you. Just click on my name and choose "start conversation" so I can get some information from you! It only takes about 30 seconds once I have the info.
 
Then I wouldn't start at less than 1.5U of Lantus....some cats have a strong first reaction, but most of the time it'll take 5-7 days before you see what kind of results you'll get from the initial dose.
 
just like too little insulin will make a cat's BG numbers high...is the same true for the opposite. Meaning, can too much insulin create high BG numbers as well?
 
Paca's Mom said:
just like too little insulin will make a cat's BG numbers high...is the same true for the opposite. Meaning, can too much insulin create high BG numbers as well?
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Yes, that's correct. It causes the BG to go high after dropping too fast, too low or lower than usual. It's the kitty's body's self protective reaction - sugar stored in the liver in a different form is dumped into the bloodstream.
 
this past week I have been using the Lantus instead of the Vetsulin. Paca's numbers dropped from the 450-590 down to 320 after the first dose of 1.5 u. I increased his dose this evening after about almost a week then took his BG at +3 and his BG was up to 428. These past few days his BG's have been in the 300's. I asked the question because i worry the increased dose of 2.0 could possibly have raised his BG numbers. Since his numbers didnt drop lower than 316 I thought it would be appropriate to increase the dose to what the vet recommended to start with which was 2.0u. I think I should go back down to 1.5u in the am. Please help. He is also extremely stressed out when I try to do the BG's. Could this have also raised his BG number back up so high? Thank you
 
Paca's Mom said:
this past week I have been using the Lantus instead of the Vetsulin. Paca's numbers dropped from the 450-590 down to 320 after the first dose of 1.5 u. I increased his dose this evening after about almost a week then took his BG at +3 and his BG was up to 428. These past few days his BG's have been in the 300's. I asked the question because i worry the increased dose of 2.0 could possibly have raised his BG numbers. Since his numbers didnt drop lower than 316 I thought it would be appropriate to increase the dose to what the vet recommended to start with which was 2.0u. I think I should go back down to 1.5u in the am. Please help. He is also extremely stressed out when I try to do the BG's. Could this have also raised his BG number back up so high? Thank you
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It would help us to help you if you set up the spreadsheet we use here and enter all your data on it. It's important to see the history of the last several days.
 
Paca's Mom said:
Meaning, can too much insulin create high BG numbers as well?
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No, you could be seeing bouncing from seeing numbers he is not used to. As long as you start at a safe dose and increase by safe amounts with enough testing to know how low the dose is taking your cat, it’s not too much insulin. However, without a spreadsheet, we can’t advice you about the dose.
 
As far as testing and being stressed, that can raise them, just like at the vet, study showed a cat extremely stressed out for 5-10 minutes before blood sample will spike sugar, but then it comes back down. Has he always been stressed for testing, or is this new? If he’s always had testing fears, best thing to get more accurate numbers is to try to desensitize him to testing by training him that it does not have to be a bad experience for him. If this is something new, has something changed in your testing routine?
 
He has never tolerated BG testing. I have done all of the ideas and suggestions offered here and He is still not tolerating testing. These are the numbers I have gotten...one day I could not test him but all the others I have. I dont want to have to keep stressing him out more by doing constant testing like this. Giving him Vetsulin at 2 u every 12 hours for the past few months has done nothing for him. His neuropathy has gotten extremely worse and even though I have made him make shift stairs to the bed, moved things closer near him, and made any accomadations i can possibly think of He is not improving. I cry everyday throughout the day and night all these months... my health is starting to fail because of it. Please...I do not want him to lose all function to his hind legs but his numbers have never ever ever been in the 200's or lower and his health fails more and more the more time that is taken to make choices about this. I have little money and what money I have I have invested it in as many of the supplies that have been mentioned needed. I have spent my last funds on the Lantus, more syringes, and the medication zobaline. I am waiting currently for the zobaline to be delivered. This is the best that I have managed to do for the spread sheet. I hope it gives you the information you need because maybe doing a BG only before insulin for a little while would be best for his stressing out so much. I thought your thread mentioned the start low go slow method would not involve all this BG testing. Please...before his next dose @4pm this evening I need to know what to do. This morning I was so worried about the 400 numbers I only gave him the 1.5u. I do not feel it is lowering it enough and He cant afford any more weeks or months in this high BG state. It has begun to take function from his hind legs more and more each and every day that passes by. Please let me know. Thank you

https://docs.google.com/spreadsheets/d/1wRDGoRk36HW9ID4sSjP83L6yL7MD1GzCJJ0TLN1e5rg/edit?usp=sharing
 
You obviously have a lot to deal with and the idea of BG testing seems like another insurmountable challenge. Many people here have been there. Some have worked hard to get a semi feral cat to tolerate testing - with much practice, over time, with the right approach. Please don't rule it out because it has been hard and now seems impossible on top of everything else.

The major concerns right now are his: 1. high BGs and 2. his neuropathy. Those problems are directly impacting his health and quality of life. The stress of BG testing is very small in comparison. I do understand, though, how it ALL seems too much for you right now. I'll counter with the following: so much of the challenge of testing BG when you have had difficulties is in the mind set of you, the care giver. If you decide that this MUST be done to save Paca you WILL find a way to get it done. Being calm and clinical with a businesslike attitude is essential. If the whole idea of testing has grown into a monster in your mind and you've decided it's impossible then it WILL be. If you approach him with that mind set he'll sense your stress and anxiety and he WILL be harder to handle.

Why is BG testing SO important?
  • it keeps him safe because you see the effect of a dose and can respond appropriately
  • you have a concrete guide to help you in making increases in dose to the point where you get better results
  • better dosing leads to better control of diabetes symptoms
  • better control of BG will make him feel a lot better and will definitely help his neuropathy.
PLEASE don't give up on testing. Ask for help. @Djamila is one of the owners of a cat who was semi feral and didn't welcome BG testing.
 
I will keep trying. Can someone please read the spread sheet and let me know if raising the dose to the 2u the vet recommended would be the appropriate thing.
 
Paca's Mom said:
I will keep trying. Can someone please read the spread sheet and let me know if raising the dose to the 2u the vet recommended would be the appropriate thing.
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I'll go out on a limb and say yes. Give that dose both AM and PM. Please work on that testing.

Please copy the link for your spreadsheet and paste it into your light grey signature text. That way we can click on it to see it every time you post. Otherwise it'll get lost in this thread.
 
Some other things that will help if you can possibly manage them:
  • removing all dry food from his diet
  • using plain freeze dried meat or fish treats instead of high carb Temptations
  • Fancy Feast pates only as anything with gravy is too high in carbs (exception: using some of the gravy to help if he drops low)
  • implementing a basic testing routine even if you adopt SLGS that calls for a weekly curve. The routine below will work with that and flesh out your SS more
  • sticking to 0.25 u dose changes once you're seeing yellows. Practice eyeballing them on your U100 syringes. Do they have half unit marks?
Basic testing routine:
  1. test every day AM and PM before feeding and injecting (no food at least 2 hours before) to see if the planned dose is safe
  2. test at least once near mid cycle or at bedtime daily to see how low the BG goes
  3. do extra tests on days off to fill in the response picture
  4. if indicated by consistently high numbers on your spreadsheet, increase the dose by no more than 0.25 u at a time so you don't accidentally go right past a good dose
  5. post here for advice whenever you're confused or unsure of what to do.
This is useful: http://www.felinediabetes.com/FDMB/threads/hometesting-links-and-tips.287/
 
Yes my syringes are U100 and have both markings on them. 1/2 and Whole unit markings. He isn't eating the hard food diet. There may be less than a palm full, if even that, that he may nibble but it's as if he knows he should not eat it. I have other cats so I pull the food at night because I cant observe which cat is eating from the hard food bowls. But for now, being able to observe daily still, He is off he hard food diet. The temptations however are his only go to so far. I have tried freeze dried meats, canned meats, puree paste salmon flavored, other soft treats and FF salmon filletes. Please point me into the link direction of a fish treat. Paca eats pate food except for the tuna which is flaked. I have resorted to pureeing it more in a small blender due to his problem with his teeth and what appears to be trouble chewing even the smallest flake of food. Paca only will eat FF fish food types. Cod, sole, shrimp...Tuna...salmon and shrimp, savory salmon. Occasionally i try to throw a ocean white fish pate in for a change... He gets the Tuna at am before insulin dose and at pm before insulin dose. The rest of the types he gets 1/2 can usually every 3-5 hours depending how his appetite because he is not overweight but under weight. As for the 0.25 increase of dose I have never done anything else but that. This 0.25 will put him at 2u every 12 hours which what the vet recommended but we are a charity case so I do not know how much of a concern it is for our vet. Most of the information I present over the phone to the vet is from your site here. Like when i mentioned Lantus glargine the receptionist acted as if she had never heard of it. But the Vet did cooperate and fill out the prescription for the Lantus thus here we are the first week of a new insulin. Going from 2.0u every 12 hours of Vetsulin to 1.5u of Lantus every 12 hours...and now he will be adjusted to 2.0u Lantus every 12 hours. The spread sheet...you will see numbers more recorded in the evening because that is when i have my son to help me with getting the BG's. but they are scattered +3, +5, etc. I will work on those am BG's. It's very hard to get those from him in the am and during the day. I will do my best ok. Thanks I really do appreciate the information and help. It's hard when typing on the web because you cant see someone's facial expression or body language and you cant hear their tone of voice. Sometimes things come over as harsh when in actuality they are probably sensitivly typed. Same on my end too. Again thank you. I dont want to give up but it is not going well for me and Paca friends. God Bless
 
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The black numbers on 1/2/19 shows the last doses of Vetsulin for that day of 2.0u. All preceeding inputed numbers reflect the start dose of Lantus at 1.5u from 1/3/19 and current.
 
Paca's Mom said:
It's hard when typing on the web because you can see someone's facial expression or body language and you cant hear their tone of voice. Sometimes things come over as harsh when in actuality they are probably sensitivly typed.
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I apologize if my posts seemed harsh or terse. I'm fond of making lists because I think they convey information more concisely and that might feel "cold". You're right about the limitations of this medium though. :)

Paca's Mom said:
As for the 0.25 increase of dose I have never done anything else but that. This 0.25 will put him at 2u every 12 hours which what the vet recommended but we are a
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I think I was confused about this because the doses on your SS go from 1.5 u in the AM to 2.0 u in the PM. That's where I got the idea that you used 0.5 u changes.

Paca's Mom said:
Please point me into the link direction of a fish treat.
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https://www.purebites.com/products/cat/freeze-dried/minnow These are popular with Teasel. I buy them at Pet Valu. You can likely order them online too.

Deep breaths! This IS stressful but getting a system in place will help.
 
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Sorry you are having such a hard time and your kitty is not doing well. This whole thing is overwhelming at times. I hope things get better. just try to take it a day at a time and do the best you can.
I saw Kris posted the minnow treats. I will have to try those next time.:cat:

I can recommend freeze dried salmon as kitty approved also. I got “whole life pet” pure salmon freeze dried treats at Amazon, $4.37 for the 1oz. bag, but other manufacturers sell them (like Purebites) that may be a better price.

Freeze dried treats cost a little more than regular treats, but what I am doing is breaking the pieces up into multiple treats, some of them are too big for her to eat, and they last longer that way. Also 1 oz bag sounds small, but remember being freeze dried they are very light, so they weigh less than normal treats
 
that's great information Julie and Honey. I will check out amazon... you say its a place called whole life pet? And than you Kris and Teasel. I will check out these minnow treats. But with freeze dried treats...dont you need to moisten them first?
 
Paca's Mom said:
that's great information Julie and Honey. I will check out amazon... you say its a place called whole life pet? And than you Kris and Teasel. I will check out these minnow treats. But with freeze dried treats...dont you need to moisten them first?
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No need to moisten them. Teasel just chews away at them. They're small and no match for kitty teeth.
 
But Paca has bad teeth health :( I also had another question. I see that teasel's spreadsheet shows am and pm BG's and a mid time like +3, +5 etc. Since technically the doses are 12 hours apart, could I not do the BG's in the evening after that dose? Is there a reason you only have mid data during the am is what i am asking i guess. Since it is easier to do the BG's in the evening...i could do an am BG before insulin and a pm BG before insulin but could i not do my +3, +5 etc after the evening BG?
 
Paca's Mom said:
But Paca has bad teeth health :( I also had another question. I see that teasel's spreadsheet shows am and pm BG's and a mid time like +3, +5 etc. Since technically the doses are 12 hours apart, could I not do the BG's in the evening after that dose? Is there a reason you only have mid data during the am is what i am asking i guess. Since it is easier to do the BG's in the evening...i could do an am BG before insulin and a pm BG before insulin but could i not do my +3, +5 etc after the evening BG?
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Yes, you can certainly get those BGs in the evening if that works for you. :)
 
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