Furbaby started on new regimen.. info overwhelming. Wondering if doing ok; help.

Hi..
Sorry in advance if really long but I want to be thorough.. Thanks for any tips or concern. Told to post here. (?)

My kitty (15 yrs.. almost 16 yrs) is newly diagnosed and I'm trying to do my best by him.. DM was a possible risk I was watching for over the years and I made some solid changes for him (off kibble, only wet food, etc) to try to prevent issues and he has since been okay, though he did continue eating some baked treats (which is regrettable now.. but alas). I tried not giving too many but at this point he maybe got a few more than intended. I think I just forgot (a lot has happened the past few years, too..) and just didn't realize that those also COUNT as types of dry, high carb food.. He had also just looked and been pretty great up until the past few weeks.. No one said much as well; his visits went well.. I tried getting him as much care as I could when needed. He loves his wet food though (eats Merrick Limited Turkey wet) and I am not sure if that's solely it (the treats..) but I feel a bit badly about it considering what we're dealing with now. However, I am going forward now the best I can..

I am really thankful this community exists.. I have to admit though it's a lot to sort through and I'm trying to implement everything properly and now understand it needs to be slowly (?)... Now I'm afraid I don't have much time because I am new to everything and he's already been started on a regimen.. and I am uncertain because I know more information now I didn't know then. I don't know though if waiting to try to change diet first would have helped or not.. I wasn't sure how bad he was and now I am very nervous of hypo events (?!..so scary!).. ketoacidosis (?).. and I am still confused with at home testing and with the vet we are currently seeing there are a number of things I like but some things I am not sure of; they don't seem to really consider diet and types of foods that important; I told them I was taking him completely off dry anything mostly (aside from low carb treats.. I don't think it would be bearable cutting treats completely.. He loves them, will also try making him some at home) but they didn't seem too concerned with it. they said it was fine whatever I was doing, cutting them was fine. they said for me not to worry about testing at home.. they also said it'll be lifelong. Kitty will be checked again on Monday (1 week since last).

I originally took him to the vet on Tuesday before last because I was noticing some muscle loss and he was very hungry all the time it seemed and the blood came back at 326. His normal weight has been around 14-15 pounds and he was coming in around 13.. It was suggested to do a curve and so he went in that same day because I was afraid of conditions getting worse.. It could not be determined and he went in again the next day. His liver enzymes were also very high.. It was then settled on 1 unit of Vetsulin (which I now understand is not the most ideal for cats.. but people have had good experience with it and even remission) BID (every 12 hrs).. So twice a day. I then pretty much highly reduced the high carb treats as well by Monday (Greenies, etc. not realizing you're to do this slowly; any suggestions please welcome with that.. Cause I'd like to get rid of it altogether but understand his regimen is based off his diet from before and don't want him to drop too low..). That Friday, then, was the first day of medicine, twice a day. We managed the weekend. He was tested again on that next Monday around the peak (?). It came back at 206.. The vet said to just keep things as they were, just continue 1 unit twice a day.. I was relieved. I want him on as little as possible.. Ideally none. I know that getting better is possible and even remission happens and this is wonderful..

Now, he's been doing okay the past week. He's taking the medicine like a champ and he gets treats to help distract him (no other way; and it's incredible. I'm very pleased.). I don't make it a big deal and do my best to make it as painless as I can. He is looking quite a bit better to me, alert although not entirely himself totally at moments (not feeling good probably; adjusting to things, too, the shots.. been in/out of vet). Maybe he is settling better at home too because he hasn't had to to go to the vet.. He's been hungry often a while (understandably with this condition I'm hearing; should feed/allow grazing/small meals.. he's gotten frequent small/medium meals throughout the years) and of course enough today to where the vet is now closed and it's a weekend; today he's eaten almost through his meals for the day (1.5-2 bigger cans).. He has some left though and is now sleeping. But I don't want to deny food also. I was able to talk to the vet right before closing and mentioned his appetite and he said not to change anything because he needs to see him to determine his hunger (this Monday again..). To just continue doing as I've been. Is this also normal though in these conditions? I've just been reading the forum and websites all day and to be honest it's been extremely overwhelming and worrying because I cannot test yet at home; I'm unable to do this right now.. I also just don't know how that is going to go multiple times a day.. And worried meters will be lemons and not work. I gave him his meal and evening shot and am just checking on him a lot because I'm not sure what else to do (?). I make sure he eats very well and am keeping a close eye.. I'm afraid I stopped/reduced the treats way too fast.. I gave hime a bit today and tonite. Should the brand of insulin be changed (thinking yes..)? I am not getting much sleep rn.

I am contemplating a second opinion for Monday.

I'm so new to all this and am again trying to learn how to do home testing, learning generally and keeping all this information, but I am really not sure how I'm doing.. just trying to do my best. I love him so much and just want him feeling and doing better.. Any advice or help is appreciated. Thanks for reading this far.

P.S. I also don't understand how tests are supposed to be done throughout the day, what levels are ok and not ok, and what a spreadsheet is (link broken).. what glucometer is the best one? Along with strips? I heard ReliOn from Walmart is good but idk.. tysm..

 

Rookie here. Welcome! So I believe most people I've gotten guidance from use a human meter for testing. I found that out when I thought my cat was going hypoglycemic because the number was 60. And I was really concerned. I was shocked to learn that he was not hypoglycemic because a human meter reads a tad higher than a pet meter. And, pet meter's are far more costly.

I understand that on a human meter, 50 or below is an action numbers time. Meaning it's time to give a snack or perhaps honey. A more seasoned member may be able to clarify is honey is part of this, though. I know I would, but idk

 

Hi and welcome to the forum.
It is overwhelming at first with all the information and having a kitty diagnosed with FD but it will get better I promise.
Just take one day at a time.
Re the food….yes it is very important that your kitty has a low carb wet diet. Dry food is high carb and not recommended at all.
For treats you can look at freeze dried food which is available at pet stores and is low carb.
Also keep some high carb food in case of a hypo. Fancy Feast gravy Lovers is high carb. Have a look at this Food Chart.
Look for foods 10% or under carbs for the everyday food.
For medium carb food look for 11-15% carbs and for high carb food look for food 16% and above.
with the higher carb food, mark the number of carbs on the top of the tin or container so you don’t use them for every day food. and keep separate along with some honey or Karo in case of low numbers.

With vetsulin, Feed 30 minutes before the dose of insulin. This is because vetsulin hits hard and fast and you need food aboard first.
Also give 3 snacks during the first half of all cycles (low carb food), as well as the 2 main meals.

I would definitely look at swapping over to another insulin such as Lantus. It is a much better insulin…more gentle and longer lasting.

I would recommend hometesting so you can see what is happening with the blood glucose. A ReliOn meter is a good choice. Make sure you get some size 26 or 28 gauge lancets to prick the ear and some cotton balls to put behind the ear when testing. You will also need some test strips to go with the ReliOn meter.

I don’t want to give you too much information now and overwhelm you more but we can talk about testing and when to do it etc once you have the meter.
I would also get a bottle of Ketostix from Walmart while you are thee to test the urine for ketones. This is an insurance against DKA.
And if you are testing the BGs you can step in to stop the BGs going too low.

I am going to give you a link to the spreadsheet and the signature, if you could get both those set up, that would be great. If you have any trouble just let us know and we will help you.

HELP US HELP YOU

keep asking questions, we are happy to help
Bron

 

Once you have the meter
Always aim for the sweet spot warm the ears up first, you can put rice in a sock and put it in the microwave, test it on the inside of your wrist to be sure it's not to hot, like you would test a babies bottle. You can fill a pill bottle with warm water and roll it on the ears also.Just keep rubbing the ears with your fingers to warm them up

6. As the ears get used to bleeding and grow more capilares, it gets easier to get the amount of blood you need on the first try. If he won’t stand still, you can get the blood onto a clean finger nail and test from there.
When you do get some blood you can try milking the ear.
Get you finger and gently push up toward the blood , more will appear
You will put the cotton round behind his ear in case you poke your finger, after you are done testing you will fold the cotton round over his ear to stop the bleeding , press gently for about 10 or 20 seconds until it stops
Get 26 or 28 gauge lancets
A lot of us use the lancets to test freehand not the lancing device
I find it better to see where I'm aiming
Look at the lancet under a light and you will see one side is curved upward, that's the side you want to poke with
Here is a video one of our members made testing her kitty
She's using a pet meter that has to be coded ,with a human meter you don't have to code it.
So ignore that
I have always used a human meter
VIDEO: How to test your cat's blood sugar

 

The Relion meter is fine
Here is the link for the meter and test strips so you don't have to search for them
Relion Premier Classic Meter at Walmart for 9 dollars
https://www.walmart.com/ip/ReliOn-Premier-CLASSIC-Blood-Glucose-Monitoring-System/552134103

The tests strips are 17.88 for 100
https://www.walmart.com/ip/ReliOn-Premier-Blood-Glucose-Test-Strips-100-Count/575088197

 

Thanks so much for the tips!.. Exactly. Way low.. Good to know. From what I'm hearing, between 75 and 120 (up to 175..) is the normal range (?).. And to skip a dose in this instance? But how is it read properly on a human meter? I understand the ranges are slightly different pet vs human right..

 

Hi.. Thanks so much. I am so grateful to have some responses. Thank you.. Wasn’t expecting much.. It’s been something.. Thank you so much, trying to do just that..

He is on Merrick Limited wet and really likes it. He was on Instinct Limited prior but they changed the formula to like a sticky pate and changed a number of things I was not happy with and was very glad to find something else.. He has food sensitivities (though of what specifically not sure but Turkey works for him <3; it might be possibly chicken or beef..) I’m hearing tho that Fancy feast and Friskies pates are okay too (will check ingredients) and very affordable? Quality matters but it’s good to know that these are good too.. (?) ~ I have also seen the chart! (Dr. Lisa suggested being very careful cutting treats once started, and without home testing, which is why I’ve been nervous..) The Merrick from that list says carbs 4%.

So yea.. trying my best right now not to just cut all the dry treats.. but I know that’s a no no cause he’s started the Vetsulin.. and I need to do it slowly and also home test again prior to be safe.. right?

Also, he ALWAYS gets fed prior to doses, big meals these two times. I try to be on time as well with the schedule. I was pretty dismayed to learn that he would probably do better on a more species specific insulin.. got charged $68 for this Vetsulin…… Apparently vets don’t know much sometimes about FD.. and so ugh. I always knew this tho. We have to be advocates and be informed.. Research. sigh. But you would hope they would know what they’re doing more if they’re going to be trying treating it.. It’s hard in the beginning to know what to do cause it’s a whirlwind.

In terms of food schedule, that’s been something I’m not sure of. Cause kitties are hungry with this and I certainly don’t want him hungry w the doses, and he has been hungry, whenever he wants feeding I tend to do it. He’s gotten multiple small meals throughout the day for years, but at the present moment with this its every few hours (2-4 hours seems.. trying to space it out though and have him wait if it's necessary but not sure..) wanting something. He also does get treats.. And treats also help w doses. So good to hear freeze dried is ok! He likes them and that’s what I try to focus on now (found turkey ones!).. I’m afraid of overfeeding, but he hasn’t been getting nutrition so not sure if that’s a problem or not rn.. I do make sure not to go over a certain can amount if I can help it, but I also don’t want him hungry either.. I’d just like to see his appetite level and put some muscle back on.. ;_;

He’s been on the Vetsulin approximately a week and I understand it should be two before any changes are made.. this also true? He goes to the vet Monday but if he wants to increase it I’m going to say no. We wait. (?) I definitely want to change his insulin.. Understand Lantus or ProZinc again is better for kitties….. do I need a script for this? Guess will ask vet Monday… Some people say they don't even bring pet to vet unless sick once they have the hang of things..

ALSO please.. the vet has me pull the syringe and then push it back and pull it back out again to help with air bubbles…. Is this insulin now totally ruined? I’m hearing you’re not to do this!!!

Thank you for suggestions! Ive heard of the ReliOn Classic (there's also Compact. any opinions on either?) and kept hearing and it is frankly the most affordable.. I have seen it suggested a few times. I had pretty much settled on this one and plan on going to pick one up today. I look forward to home testing so much.. I just hope the meter is correct. But if not, affordable enough to get another. Will get strips and lancets.. thanks for gauge suggestion. Though higher is more comfortable.. but in the beginning should do a 26 or 28?..

Thanks so much for your tips.. Just trying to be still and take in the info.
Will try best to setup spreadsheet + signature.. meant to write down data sooner but started yesterday.. think the spreadsheet tho is also for recording BGs? (what is the signature exactly?)
Thank you so much for everything.. sorry again for it so long in advance.. wanted to respond to everything.

P.S. What brand of Ketostix are good from Walmart?.. (Will also try to just see and ask pharmacist.)

 

Thank you so so much.. will follow this and plan on watching a lot of videos. Got the hang with doses and look forward to doing.. Will get 26 or 28 lancets; was also thinking freehand is best cause the pen makes a noise and you have to be more precise.. idk. I might've seen this video! and will watch it again!

what are the normal readings for cat on human meter and also what are the ranges to look for?.. what is the testing schedule supposed to look like? and heard something about not feeding 2 hours prior to test time before shots.. this true?? ugh.. thanks so much..

 

THANK YOU! appreciate the links.. good to see just to verify what I have. this is the one im seeing.. also see one that is Compact for $10 more.. do you have an opinion on that or the Classic ($9) is fine? as well, are the test strips a pain?.. tho tbh doesn't matter cause they're the most affordable and ppl seem to like them..

 

Also too.. I understand its important to have a Hypo kit (?) but my cat has a sensitive stomach.. All I can think to do is give him a bunch of treats if he'll eat. Or should I try to find a high carb food maybe he'll eat? idk... The doctor also had me buy a gel from him to rub in his mouth instead of syrup or honey I see suggested here.. what to do during a hypo episode?

 

Also what exactly is a cycle and how to work with it? tsm..

 

I set out to try to learn, but there is no way to calculate. I stopped looking because some of the info I collected was upsetting. I was relieved to learn that it was false calculations.

However, I understand that the lower the numbers get on a human meter, the more close they may be to the pet meter. But the higher they get, the 2 readings become far separated from each other. So, I just stick to my human meter because the spreadsheet on this forum is color coded where the dark green is the healthy range. Light green is too low. And these numbers and colors are based off of human meters.

 

got the meter.. ReliOn Classic.. strips too. and only lancets they had close to 26 or 28 were size 30.. so i just went with those. reading instructions..

 

I see.. theres a spreadsheet with ranges??

 

The range we use for normal blood glucose (BG) is 50 - 120. The spreadsheet does have color coding but it's broken into color codes for every 100 range (i.e., 100 - 199 is blue, 200 - 299 is yellow, etc.)

The information on setting up your signature and spreadsheet is in this link on helping us to help you. The signature helps to to not ask y ou the same questions over and over again. The information on how to set up your spreadsheet and include the link in your signature is in the post I linked. We are very numbers driven and won't be able to give you help without a spreadsheet.

I would also vote in favor of a switch to Lantus (glargine) or Prozinc. The American Animal Hospital Association no longer recommends Vetsulin for the treatment of feline diabetes. As others noted, it doesn't last for a full 12-hour cycle. (And a cycle is 12-hours -- it's the period between shots. There is an AM and PM cycle with each cycle preceded by your pre-shot test. The pre-shot tests are labeled AMPS and PMPS.)

The information about injecting back into an insulin vial with Vetsulin is fine. You don't want to inject air into an insulin pen, though. The pens work on a different mechanism than a vial. If you are using a vial with Vetsuliin, you don't want to inject air back into it.

Insulin doses are changed based on the blood glucose numbers. If your cat's numbers drop below 90, you want to reduce the dose by 0.25u. With Vetsulin, there's no issue of waiting for a dose to stabilize. We refer to Vetsulin as an "in and out" insulin. This is one of the differences from Lantus which has a different pharmacology. This is a link to our beginners guide to Vetsulin. With all of the reading you've been doing, it's easy to get confused by the instructions for each of the different types of insulin. Hopefully, the guide will answer some of your questions.

 

Yes! There is Take a look at mine. And, other members, too. Mine says Pumpkin's Spreadsheet in the lower left hand corner by my signature. I had a member help me create it because I am not well versed in technical things. Once you get the understanding of it, it falls together like pieces of a puzzle. It is really quite easy. First half is the AM cycle. Second half is the PM cycle. The column that reads AMPS means the reading before the morning shot. The column that reads PMPS is the reading before the evening shot.

The ranges are color coded at the top. When a number is entered, the spreadsheet will automatically default to the corresponding number. We don't have to fill the color.

The Unit column is for how many units were in the dosage.

The columns that say +1, +2, +3 etc are for readings that may be taken in between shots. An example is +6 would mean the reading I took 6 hours after the morning shot. You can see that yesterday, I did a curve. And, I even took some readings after the evening shot.

After a little while of usage, you will notice your own individual trends and your kitty's responses to the dosages.

I am going to tag @Marje and Gracie can help you with your spreadsheet if you need help or have questions about it.

With a spreadsheet or SS, the rest of the forum can look at it when you have questions. And, the people with experience can help you to understand what's happening and what steps to take to resolve issues, provide ongoing information. I have even found that my Vet basically echoes everything we learn on this forum, so I conclude that this forum is very reliable source of help! Especially because we can't be calling our Vets every time we have a question lol. They are so busy helping other animals during their daily schedules, and sometimes they are not available.

Here, is found an active, invaluable source of information.

 

Thank you for this! Will try to set up a spreadsheet and signature tonite ~ am actually reading rn through that beginners guide! Will check to make sure its the same one but pretty sure

Will talk to vet about a switch.. and was thinking of calling offices around and just asking what insulin they prescribe for cats.. want to see if I hear Lantus/ProZinc.. tysm for clarifying.

YES.. am using a vial (no pens) and syringe U40s.. so it’s okay to pull back and push back in, or no?.. Vet was saying something about air bubbles; stated to pull some in, push back out, then pull back in again to make it even.. And im hearing this a big no no……

Right based on the numbers.. I unfortunately do not have quarter unit syringes.. just got the 1 unit measures…. Also any suggestions on smaller needles? I hate that they hurt him sometimes.. it looks like the 1/2” maybe.. ugh. And will keep in mind! Feeling a lot of pressure to learn by tonite, ie. how to test, managing to test, and learning what the numbers mean.. cause he’s due for his dose but.. not sure if will be able to in time… might just end up giving it to him cuz not sure. (?)..

I have been reading a lot.. trying again to absorb everything but not sure if will in time prior to dose time.. to be able to test and see and make a judgment.. will try to do that spreadsheet and signature asap. think am also stuck w one ear because of county policy where they clip ears to identify spayed/neutered animals (?).. terrible.. (No numbers for results tho atm cause have yet to..)

tysm

 

Cool! Will try to take a look.. trying to learn everything by tonite but... not sure if feasible..

I see! Sounds like so.. thanks for explaining in an easy way. Am understanding a bit more. Will definitely do soon as I can. I’m still trying to learn what is normal reading on the human meter for kitty, what is normal range generally for cat, when and when not to give based off that.. based off the type of insulin he’s using.. whoo. And please do! Could probably use it..

And yes! Thankful for the responses and the help.. and quickly too…. tyy.

 

My Vet gave me a choice of insulin and said that I could select from a few choices. She recommended Lantus as her favorite, so I just went with it. Glargine is the generic version, but that's just me

No, no pull back and push. Under the skin. Not intramuscular. I give my kitty his injection on the scruff of his neck.

My kitty doesn't even flinch. I don't think they really feel the needle. I know when I get a shot, I don't feel the needle so getting that really put my mind at ease.

I was so very concerned that lancing his ear would hurt, but surprisingly he doesn't flinch for that either. I prefer the ear over the paw. It really doesn't hurt him. Testing before eating is recommended because we want to know if kitty glucose numbers may be too low. And... I can not draw blood unless I use a warm compress first. Just to open the blood vessels up a bit for a better draw. Not hot. Warm.

 

Right! No injection is okay.. it's when loading up the syringe.. was instructed to pull in, then push back into vial to help w air bubbles, and pull in again... but hear that's a no no....idk. Tbh sometimes he doesn't react and other times he does; right! I tent the skin and do it that way.

Trying to read and learn fast as I can.. and also now have to go store to get a bit more food.. trying to pick a HC one and not having luck.. (he has sensitivities.. looking for turkey.. but might just go w FF Gravy Lovers.. little bit of chicken in there but oh well.. read somewhere someone doesn't gave any food but would use ice cream (??))

 

Oh, I have heard that air into air part of the bottle was well, but not into the medicine. So, I am going to learn the same.

But, I know for sure that bubbles shouldn't be blown into the medicine itself. To prevent contaminating it with anything from within the syringe. I tent the skin as this works very well.

TTYL

 

Sigh.. i was instructed to insert syringe.. pull insulin into syringe, push it back inside vial, then back out again to fill to stop bubbles….. *cries.

 

Also.. the thing is too cause hes hungry he gets fed pretty frequently (small meals).. not sure if this is a problem w taking readings but am going to do anyway..

 

Looking at you

Just looked at your spread sheet.. so blue and green is ideal?.. 50 - 120?.. (Vetsulin page says this i think..)

 

They don't make syringes with quarter unit measurements
They make them with half unit markings, which make it easier if you have to make 0.25 increases or decreases
You can get these from Amazon ,you won't need a script
https://www.amazon.com/UltiCare-Insulin-Syringes-12-7mm-Markings/dp/B08HX9BPH7
If the 30 gauge lancets don't give you enough blood to test, just go to any store to get the 26 or 28 gauge, Walmart, Walgreen's, CVS and get their brand ,they will make the hole a little bit bigger on the ear
@kitten68

 

Yes
The range we use for normal blood glucose (BG) is 50 - 120.
If your vet agrees to switch to Lantus you can even get the generic version, many members use it. If you do switch you will need different syringes for Lantus. I can tell you where to buy them and give you some info on prices.
If it wasn't for me taking the advice from the experienced members I know Tyler wouldn't be in remission for 3 years and 3 months now
He is still considered diabetic but is food controlled.

Did anyone mention with Vetsulin you test first ,feed , then wait 30 minutes to give Vetsulin because it can hit hard and fast, so you want food on board. When you start testing after you give the AM shot I would get another test @+2 ( 2 hours after the AM test) and maybe another one @+4.
If his BG number you will have to test more often .


Beginners Guide For Vetsulin
https://felinediabetes.com/FDMB/threads/beginners-guide-to-caninsulin-vetsulin.231587/

@kitten68

 

You would feed the bigger meal after you test his BG
Test ,feed, wait 30 minutes then give vetsulin
We all feed our cats during each 12 hour cycle smaller meals like 2 teaspoons of low carb wet food maybe around @+2 ( 2 hours after giving insulin and again around @+4. Same goes for the PM cycle
You only need to withhold food 2 hours before testing first thing in the AM and first thing in the PM cycle because you don't want his BG number to be influenced by the food .
If you are ever not sure of anything just post with a question mark in your title and say Help Need Advice and add what you need Advice on.
We need to get you set up with a signature and spreadsheet.
I will tag a member to contact you for information about your kitty what's his name and yours?
I can give you the link to see if you can set up your signature for now

Here is a link helping us to help you link. If you noticed, our members have some basic information about their cat's in their signature. This helps us to not pester you by asking the same questions (your cat's name, insulin type, date of diagnosis, etc.) repeatedly. We also have a link to our spreadsheet in our signature. We are very numbers driven. The spreadsheet is a record of your cat's progress. By linking it in your signature, we can follow along and provide feedback should you need the help

Do you see mine about Tyler in gray letters after my post?
@kitten68

 

@Bandit's Mom
Hi Bhooma can you contact @kitten68 and set up her SS for her ,thanks Bhooma

 

@kitten68 I can help set up your spreadsheet and signature. Will only take me a minute. Let me know if you'd like me to do this for you

 

Thanks for the advices.. Will do.

 

TY!!!.. and YES.. at least was instructed that. ALWAYS feed him.. and feed him a lot also throughout the day.. every 2-3 hours it is now he's asking me. And cause I don't want him hungry I give to him.. he's staying more or less within the allotted amount but if he needs more I give.. Will be asking about Lantus. Am going to try testing this morning.. it's been a total whirlwind trying to learn everything and get supplies.. idk. doing best..

 

Yes please! I am going to attempt myself rn.. but let's see.

 

I'm going to do my utmost best to hometest.. he hates his ears being touched and not sure if allergies but they itch him I think (he's on a fish oil and flea treatment but idk..).. going to attempt.

 

well.. im devastated. managed to take a sugar for the first time.. tried my damndest to get the "sweet spot".. and pressed a little too hard or scared him idk and he jerked and a tiny piece of the ear is ripped now... pressed cotton to it.... I think it hurt him. reading was +9.. at 272.. then tried again got a bigger spot of blood idk... (who said they barely feel it? or obviously my technique....) he's mad at me. maybe I pushed too hard... terrible anyway, reading then said 269... not sure how this will go from here.. omg. even the 30 gauge bothered him.. and definitely my learning curve. and the sugar isn't great right (?).. tho he ate around 4 am or so.. omg idk. (it okay to leave readings here? or best not to?) idk how I am going to manage a curve.. was going to try today..... every hour as suggested, but it might have to be every 2 if I can manage it..

 

A curve is every 2 hours, not every hour. Before you try for a curve, I'd give yourself and your kitty a few days or more to get used to testing. And remember, treats are important. You want to reward your cat for your poking. If he isn't happy with being poked in the ear, paw pads are fine.

The issue around injecting air is related to using a pen, not a vial. It's also more particular to Lantus with is somewhat more fragile than Vetsulin. We tend to tell people to follow the Lantus instructions since many people switch to Lantus as some point and you don't have to re-learn anything.

The test numbers you're getting are fine. Remember, Vetsulin isn't a long acting insulin. By +9, the effect of insulin is largely worn off. In addition, you've just started treating your cat's diabetes. You're not going to see immediate results. Treating feline diabetes is one of those, "It's a marathon, not a sprint." things.

 

well tried making spreadsheet but publish to web not an option..

 

You need to set the permissions to 'anyone with the link.' You include the link to your spreadsheet in your signature.

 

hiiii thanks for getting back.. thing is he hates being fussed with.. always has. but he needs it and I don't make a big deal and he lets me. he's a good baby. but it's a learning curve w everything you haven't done.. and he hates his ears being bothered, definitely doesn't like his paws touched.. the ear is probably the best bet. tho he shakes them sometimes so far.. but haven't done a lot yet. paws are a no. OH he got lots of treats after. he gets treats for meds too. it's a must.. good to know.and im just basing that hour thing off the Vetsulin for beginners page.. they said 1 hour was ideal.... shrug. I was like, im just going to do when I do it PS and maybe nadir if can grab it.. it's too much rn. whatever we can do maybe do.. im afraid of stressing him.

it also hurts him. he cries out. what's this about not many nerves.. maybe its me? idk.

was thinking the same.. tried testing what I could today. maybe won't do the peak/nadir and the evening.. idk.

and thank you! was a bit worried. I don't know another way of getting rid of bubbles (in the syringe via vial)..

and thank you for mentioning.. appreciate it. as I read more, I see this. that's right.. we have just started.

 

how to do this?.. tsm

 

having a bit of trouble with permissions.. can't choose publish to web

 

For setting permissions, there should be button on the top of the spreadsheet marked "Share" with a drop down menu with options.

The best way I found to get rid of bubbles was to over draw a small amount of insulin. Holding the syringe so the needle is pointed toward the ceiling, flick your fingernail on the barrel of the syring so any bubbles float to the top. Rather than pushing the plunger to get the bubbles out, gently turn the plunger and dial the plunger to your insulin dose.

 

oh boy all I got for options from there is copy link.. big blue button? yup.. just copy link and anyone can see it, it says. nothing about permissions..

oh dear me, will try this. ty..... omg. if I understand right. appreciate u!.. (syringes)

 

Also.. can anyone suggest a good affordable food? I've read people like Fancy Feast or Friskies classic pates.. He's currently on Merrick Limited (Turkey, sensitivity..) but considering we're dealing with this atm he's eating more cans.. and for the time being things need to be as affordable as possible .. so now im considering changing his food for the time being.

any suggestions plz lmk.. will also take a look at that Food chart.. but if can just suggest to me would be so helpful.. thanks.

 

also.. just want to add: im on my own taking care of this baby.. it's just me on the daily. not sure if that affects anything, but.. it means it's only me. so not much help.

 

Fancy Feast and Friskies in the pate style are low in carbs and easy on the wallet. Check the food chart to make sure you're getting the variety that is low in carbs. If your cat needs a limited ingredient diet, read the labels carefully. Many foods, Fancy Feast and Friskies, may add a protein to the mix that's not the main ingredient on the label. For example, the FF chicken, has meat by-products and fish in the ingredients.

 

Are you using an app on your phone or a desktop/laptop to set-up the spreadsheet?

 

My kitty grazes. I give him some wet before dosing. Just so I can know he ate something before his shot.

 

Are you doing it by hand or by device?

 

omg using desktop.. not sure what's up.

 

The sticky for how to create a spreadsheet has detailed instructions with pictures on how to publish the SS.
https://felinediabetes.com/FDMB/threads/how-to-create-a-spreadsheet.241706/


Reproducing them below. Let me know if you need help.




5. Click on "File” (Step 1), scroll down the list and click “Share” (Step 2), then select "Publish to the web” (Step 3):


6. In the box that opens, be sure that "link" is underscored (Step 1). If not, click on "link" to underscore it. Next, be sure the box below states "Entire Document” (Step 2). Then click on the arrow next to “Published content & settings” (Step 3) and be sure the box next to “Automatically republish when changes are made” is checked (Step 4). Then click “Publish” (Step 5).

7. Google will ask if you are sure you want to "Publish this selection". Click "ok".
8. A link will be provided. Copy the link and close the text box.

9. Follow the instructions below to paste the Spreadsheet link into your FDMB Signature block.

Instructions for pasting the SS link in your FDMB Signature block:

1. Login to FDMB and click on your user name in the upper right corner.

2. Select "signature”. The signature block is limited to three lines. If you have a lot of other information in your signature block, please be sure you place the spreadsheet link so it is easily located by other members (i.e. please don’t stick it at the very end of a long, detailed description of medications).

3. Put your cursor in the text box, type in your kitty’s name with the word “Spreadsheet” (e.g. Furbaby’s Spreadsheet), highlight those words, and then click on the “hyperlink" icon above the text box:



4. A text box will open that states "link"; paste your link into the box next to “URL” and click on “insert”.



5. This should result in the highlighted text turning light blue which means it is now a hyperlink to the spreadsheet and anyone clicking on it can see the spreadsheet.

6. Click "save changes" and you're done!! Great job!!!! If you need any help at all, please send me a private message by clicking on “Marje and Gracie” (to the left under Gracie’s photo) and then “Start a Conversation”. I am more than happy to help you or do the Spreadsheet for you.

 

he has for some years now too! just hungry hungry rn.. he's not getting his sugar/nutrition. I'm starting to wonder whether to toss this insulin, change it, keep going to see if maybe better.. I just don't know. and tried by hand earlier.. ugh!!!! terrible. might've pressed too hard and he flinched and his ear got cut a little.. bled for a long time. i took myself to the store today and got a lancing device.. 100000x better. but everyone has to figure their way right.. and btw it DOES hurt mine. he flinches.. yells out a bit. YIKES..... idk what. am going to look at more videos..

 

Ohh that's hard. I thought maybe it was tried by hand. Because, I can see that happening if I did the hand technique. I drew blood when I was clipping another one of my cats nails one time and it broke my heart.

I wouldn't try to draw by hand though, because it just seems more deliberate to me, whereas the device just does a quick snap and it's done. I think most people use the back of the ear. I draw from the front of the ear.

Please do let us know how it goes. Hoping to see that you and kitty will get used to it.

 

hiii!

hiii putting an update ~ (omg it just.. was something. woof. haha.. the device has been 1000 percent better.. will be writing more underneath.. thanks for always checking in!!! ..)

 

::::hiii wanted to update ::::
testing going much better since got a lancing device.. and testing has been going (doing twice prior, can't do more). he's very unhappy to do it and i'm hoping to get quicker and faster and that it won't bother him so much very soon.. I think it hurts a little but idk. went for a follow up yesterday and his regimen changed slightly, .5 added to morning, so 1.5 AM/1 PM.. cause his sugars are still bit high; it's not controlled. first dose today and was ok. he needs a lot of treats to do these things (LC) and im hoping that's all right.. cause that's just needed. he's a good baby. I'm writing down all data.. I try to make sure to write it in so I don't forget. sugar was 264 this morning (lowest seen so far.. tho have just started; feels like more because it's done twice a day I guess..) will see how tonite is.

Spoke to the vet about Lantus and many things; it went really good.. pleasantly surprised (warming up to them..), and they gave observation that though it's supposed to be better, it is (1) more expensive and (2) that it's easier to kind of overdose because the dosage increments are pretty tiny (.25 right?..) You must have good eyes.. says most of their kitty patients are on Vetsulin.. and that the one on Lantus actually had a hypo episode cause of that.. anyway I just settled for now just to continue the medicine he's on.. he'd also have to do another curve in there if it changes cause all these insulin mechanisms affect differently..

Furbaby doing ok and past few days, today esp., notice not eating as much as has been (! went +3.5 hours, no asking for food).. acting little more his self, being just home is probably helping that too.. resting..

 

:QUESTION: is it necessary to stop food 2 hours before testing (doses)?.. cuz been taking up the food cause of that.. as well, if find that had eaten in between that time, obviously still give shot based off reading?.. what to do also in that instance? lmk when can. thankss ..

 

Tonite 244 ..

 

Thanks for all the updates and I am so happy the lancing device is much better.

My Vet asked me if it was feasible to pick up food 2 hours before the dosage for the purpose of insuring that he eats something before his shot. I don't have a ton of experience, but that is what I understand.

 

thank you!! and now THAT is definitely a good reason.. for sure. tonite is 231.. since he loves treats.. I've been giving him freeze dried turkey breast (this one: https://www.petsupermarket.com/cat/...ipqeF7m7Scgd9nWy1wxoCfpQQAvD_BwE&gclsrc=aw.ds) and these as well.. (this one: https://www.petsupermarket.com/cat/...ipqeF7m7Scgd9nWy1wxoCfpQQAvD_BwE&gclsrc=aw.ds)

Are these okay? Am hoping am fueling him well.. plus his wet food. hoping those damn treats aren't fake or have sneaky carbs.. .. *cries. trying to help him heal and feel better.. also really been wanting to get around to making hime some turkey neck bone broth and meat.. just things hectic. will be looking at recipes later..

(Also, still can't make spreadsheet so why haven't.. but am writing down everything. )

 

I wrote it down for a long time too.

With the questions that will surely come up in the future, I had to do the spreadsheet so the experienced members could always look at the sheet to give me the best feedback. You will probably get there. The sheet is just best to have for forum questions about challenges that occasionally come up from day to day. The members will check it when the question comes up and best be able to help you and your kitty. It's been a real life saver.

My kitty eats the freeze dried treats too. They are supposed to be low carb and since I am in the habit of testing throughout the day, I have not seen much glucose elevation as a result of the treats. So, the numbers suggest that the freeze dried treats are low carb. My whole tribe started on the Bobby Flay Nacho chicken treats, delivered by Chewy. But, I learned one day, during a treat emergency / out of treats, that the treats from my local pet store - Redford Naturals Freeze Dried Raw Cat Treats Chicken - are loved just as much as the Bobby Flay.

The links from Amazon seem to be a deal.

 

I can't do a spreadsheet because it won't let me; there's no option to share to the web I think on mine.. I mentioned this earlier but have heard back from no one. Otherwise I'd try to do one..

That's great that's what you have found.. mine seems to have some sensitivities so trying to find turkey ones (he is good w turkey), and want to make him some.. of course I got a fresh bag of the turkey breast and it stinks.. going to another store to return and get another bag SMH.

Going to post on the forum ~ but might you have an opinion: seeing his reading this morning 327.. he was increased during the day to 1.5.. would doing that at night be helpful? readings are showing better in the daytime.. was thinking doses should be equal every 12 hours for even levels.. (?) but idk how insulin is w that. wondering also if its too soon to determine this.. only been about 2 days (on 1.5/1). just it goes back up high again at night..

 

There's really no way for us to give you a hand with dosing suggestions without a spreadsheet. I've asked Bandit's Mom to get in touch with out and give you a hand with getting your spreadsheet set up.

 

If you follow the directions in the post, it tells you exactly how to publish to the web which is under “share” on the SS. If you are trying to do it from a mobile device, you won’t get that option so it needs to be done from a PC or Mac.

I’ll send you a private message and I can do the SS for you. Check your inbox (click on “inbox” in upper right corner) once you see a number there.

 

I haven't heard anything.. so. will keep trying...... will try again tonite.

 

I did follow the directions and stopped when I could go no further.. will try again tonite. only using desktop.

 

I just sent you a message so please check your inbox. If you are doing it from a desktop, I think you are just missing the correct path.

 

ok.. thanks.. will check.

 

@kitten68
Since you have a spreadsheet now I suggest setting up your signature it's information we need about Pudge
Tap on this link
Here is a link helping us to help you link. If you noticed, our members have some basic information about their cat's in their signature. This helps us to not pester you by asking the same questions (your cat's name, insulin type, date of diagnosis, etc.) repeatedly. We also have a link to our spreadsheet in our signature. We are very numbers driven. The spreadsheet is a record of your cat's progress. By linking it in your signature, we can follow along and provide feedback should you need the help
To make it easier for you

• Add info we need to help you:
  • Caregiver & kitty's name
  • DX: Date
  • Name of Insulin (do not include dose or frequency)
  • Name of your meter
  • Diet: "LC wet" or "dry food" or "combo"
  • Dosing: TR or SLGS or Custom (if applicable)
  • DKA or other recent health issue (if applicable)
  • Bexacat or Senvelgo (if applicable) and dates
  • Acro, IAA, or Cushings (if applicable)
  • Spreadsheet link. Please put the signature link on the bottom line of your signature information, on its own, so it is easy to find.
  • Please do not put any information about your location in the signature for security reasons. If you wish to add your country location, please add it to your profile.

Be sure to click the 'Save Changes' button at the bottom. If you need help urgently it is important we know these things at a glance. We don’t want to waste valuable time finding out information.

Do you see mine in gray letters about Tyler

 

yes thanks for info adding now

 

peeps.. ill tell ya. I don't understand the numbers.. but am taking them. tonite.. 275.. or 273.. something. :/ any insight appreciated.. the insulin working?.. and what's this phenomenon where the insulin makes it go so low that the body shoots the bloodstream with glucose, so readings look high? anyone know what that is?.. and how to tell?.. ugh.

PS. will fill spreadsheet soon as i can.. have to read vet notes for earliest readings... *cries.

 

EDIT- Oh I see you've been updated That's great! I had responded before I saw the previous update about your spreadsheet

EARLIER POST BEFORE UPDATE:
Oh wow! That stinks about the turkey. Let them exchange that.

I see your spreadsheet clearly. Please try to see if the experienced members can see it. Because, this is one of those challenges that I'm talking about

I wish I could be of more help concerning the question about the un-equal AM and PM dosing. Because, that's unheard of to me, and unusual from what little I know. However, I highly recommend you begin a thread to ask this question in a brand new thread I will follow along, but you will get a better solution if you start a new thread with that question.

 

hiii tyyy will do this.. yes! took that right back to the store, what is that. and ty!! finally got it heh.. and will do that!! ok I thought it was like .. huh. and will be calling today to ask.. I mean.. right? like why different doses? you'd think one dose twice a day to keep it level.. or idk (?)

 

Can you start a new thread? We try to cap threads to 50 posts otherwise, they get too long for people to read through.

 

sure np how to continue a thread? thinking to just put the name of the original with a (continued) on it?

 

was told to start new thread so guess will continue here: ..
https://www.felinediabetes.com/FDMB...gimen-wondering-if-doing-ok-help-cont.289287/

trying to keep track now of my threads.. woof. also. apparently advice is that is best to have same dosage AM/PM.. I figured maybe. also filled in my SS.. omg hope did it right.. ugh.