Confidence to start insulin

I have not read them. I only have one unit syringes. I would like to start out at .25 but that’s going to be hard to read on those syringes. She bounces from 217 to 350 on the last libre. Which probably is off because it’s a human meter. I spent all day at work and I am exhausted. The last thing I want to do is try to put a libre on an angry cat that doesn’t feel good by myself. If I open the prozinc and I’m not ready I will have less days when I do want to open it.
You definitely will need some U-40 syringes with half unit markings. Look at the photo that was attached up higher in this thread — with the photo of the syringes.
 
Some brands of U40 half unit marked syringes:


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You can buy U40 syringes online. A prescription may or may not be needed depending on what your state law is. Amazon doesn't require a prescription at all.
 
What are your typical morning BG numbers before your kitty has eaten?
I have never been able to test them before she eats. I tried this morning and she was really uncooperative. Hissing, growling and running away. This is why Bexacat was perfect for us. Monster is a spicy one and now that I am testing twice a day she is real mad and ears are hurting her. Forget paws she will rip my hand off. I was able to get keytones as I was chasing after her with the meter. Still .02. Likely due to the new food, not sure why they are staying at .02. I did take Thursday off of work to start insulin. I hope it goes better than today. Will need to order 1/2 unit syringes.
 
We had one placed last week and shipped it off the next day. My fault, I should have put the shirt on her before I left. They didn’t use glue per my request because she had a reaction to the glue last time. It was a new vet and I forgot skin tac when we left. I had planned on putting the other libre on today but if I’m not starting insulin till Thursday I’d rather wait in case she rips it off. Putting the shirt on her will be a real task too. She really needs to have bloodwork done. I do think she has pancreatitis. I switched back to the half old food and half new food today and seems to be better. Her poop this morning was very light colored which usually is very dark. So I will have to talk with the vet about that also tomorrow. The breathing is still a bit rapid today. I have not giving cerenia yet.
 
Hello and welcome. Sounds like it's been a long journey so far. Sorry to hear the Bexacat didn't work out.

When my long haired girl Neko was diagnosed with diabetes, she used to try to raid my other cat's food all the time. He just after Neko's diabetes diagnosis, after got diagnosed with crystals. So I had a problem with her needing low carb wet food, and him supposedly needing the high carb food for his crystals. I talked to his vet about what food I could food both. The vet suggested raw food, so I switched to tgat. I found out later that what would also work is any low carb wet food that is lower in phosphorus, with plenty of water added. See this web page. Cat Urinary Tract Diseases: Cystitis, Urethral Obstruction, Urinary Tract Infection. The website is written by a vet specializing in feline nutrition.

You absolutely do not need to feed vet food. Besides being pricey, the ingredients are not the greatest and they are very often too high in carbs for a diabetic cat. This list of foods for diabetes and CKD includes lower carb and low phosphorus and should work for you too. CKD food Chart There are a couple options on that list that are novel protein (lamb, rabbit, pork or whatever meat she hasn't eaten before), that can also help with the IBD.

Prozinc is a good insulin for cats. If feeding a low carb wet food diet, you can start with 0.5 units. The glycobalance and crystals food are high carb and cats on high carb food we suggest 1.0 units.

If she has been off Bexacat since January and in higher numbers, you really do need to start her on insulin. There is some information in this post that will help you getting ready for low numbers. Happy to hear you have started home testing. New? How You Can Help Us Help You! Home testing and having high carb food around to counter any lower numbers are how you can keep her safe.
Can I ask what you fed her?
 
Maybe a silly question, but are you giving her a low carb treat like a Pure Bites freeze dried chicken treat with every BG ear test? Maybe even more than one. Maybe before and after? Whatever it takes. Most cats get used to the testing once they associate it with some kind of high value treat.
 
If she will allow it, you can also take the BG test while she’s eating. This usually works after you get pretty proficient at testing. I used to shoot insulin while my boy was eating too, but that is easier than getting a BG test.

Hang in there and keep trying. Things will get easier.
 
I feel your pain with the Libre struggles. Hope you had more success with the new libre :( The Libre 3 plus applicators have been terrible lately about not releasing the sensor, too! My vet advised me to have a pen or chopstick or something ready to pry sensors out, so in case no one has advised you the same, that advice might save you some grief. I had one rip a sensor right back off last week because I couldn't pry it out before Pants ran away from me.

Sorry your family is giving you crap about considering insulin for your kitty, it's absolutely not justified. Hoping for good news/direction from the vet today.
 
We had one placed last week and shipped it off the next day. My fault, I should have put the shirt on her before I left. They didn’t use glue per my request because she had a reaction to the glue last time. It was a new vet and I forgot skin tac when we left. I had planned on putting the other libre on today but if I’m not starting insulin till Thursday I’d rather wait in case she rips it off. Putting the shirt on her will be a real task too. She really needs to have bloodwork done. I do think she has pancreatitis. I switched back to the half old food and half new food today and seems to be better. Her poop this morning was very light colored which usually is very dark. So I will have to talk with the vet about that also tomorrow. The breathing is still a bit rapid today. I have not giving cerenia yet.
@Staci & Ivy has a wealth of experience with the Libres.
 
Hi and welcome. It seems you are already familiar with the Libre use to a degree. Your instinct not to allow any glue is the RIGHT decision (it's all explained in the document Wendy linked for you to read about using a Libre.
The glue can harm their fragile skin and or cause the Libre to stop working and then you are out of luck.

It's best to use the Skin Tac (it's a moisture barrier, not glue actually) to protect their skin. And always rotate the area to the other side of the body when you change to a new one. They are very easy to apply. And yes, I keep a toothpick handy and lift the cap easily while holding down the little disc in place so the Libre doesn't lift up when you pull off the cap. Probably my #1 tip!
I cover the Libre with a Tegaderm and then my girl wears a tube top so she can't mess with the Libre. It works for us. Many cats wear a wrap (some kind of bandage wrap) or a tee shirt.
They do get used to wearing a covering.

It's very important to be able to double check the low numbers with a blood test, an ear prick. When the Libre reads LO and drops down under 50, you need to know if they are really that low or higher and safe.

It all takes practice, we have all been there too. You can do this and stand up for your kitty. Don't listen to others who are being negative.

We are here to help. If you have more questions about a Libre, just let me know. :cat:
 
Hi and welcome. It seems you are already familiar with the Libre use to a degree. Your instinct not to allow any glue is the RIGHT decision (it's all explained in the document Wendy linked for you to read about using a Libre.
The glue can harm their fragile skin and or cause the Libre to stop working and then you are out of luck.

It's best to use the Skin Tac (it's a moisture barrier, not glue actually) to protect their skin. And always rotate the area to the other side of the body when you change to a new one. They are very easy to apply. And yes, I keep a toothpick handy and lift the cap easily while holding down the little disc in place so the Libre doesn't lift up when you pull off the cap. Probably my #1 tip!
I cover the Libre with a Tegaderm and then my girl wears a tube top so she can't mess with the Libre. It works for us. Many cats wear a wrap (some kind of bandage wrap) or a tee shirt.
They do get used to wearing a covering.

It's very important to be able to double check the low numbers with a blood test, an ear prick. When the Libre reads LO and drops down under 50, you need to know if they are really that low or higher and safe.

It all takes practice, we have all been there too. You can do this and stand up for your kitty. Don't listen to others who are being negative.

We are here to help. If you have more questions about a Libre, just let me know. :cat:
Thank you so much!
 
Hi and welcome. It seems you are already familiar with the Libre use to a degree. Your instinct not to allow any glue is the RIGHT decision (it's all explained in the document Wendy linked for you to read about using a Libre.
The glue can harm their fragile skin and or cause the Libre to stop working and then you are out of luck.

It's best to use the Skin Tac (it's a moisture barrier, not glue actually) to protect their skin. And always rotate the area to the other side of the body when you change to a new one. They are very easy to apply. And yes, I keep a toothpick handy and lift the cap easily while holding down the little disc in place so the Libre doesn't lift up when you pull off the cap. Probably my #1 tip!
I cover the Libre with a Tegaderm and then my girl wears a tube top so she can't mess with the Libre. It works for us. Many cats wear a wrap (some kind of bandage wrap) or a tee shirt.
They do get used to wearing a covering.

It's very important to be able to double check the low numbers with a blood test, an ear prick. When the Libre reads LO and drops down under 50, you need to know if they are really that low or higher and safe.

It all takes practice, we have all been there too. You can do this and stand up for your kitty. Don't listen to others who are being negative.

We are here to help. If you have more questions about a Libre, just let me know. :cat:
Staci. Where do you find this little tube top?
 
These are my syringes that I have . I asked the vet for half unit today and they gave me same thing.
Could you please take a photograph of the actual syringe kind of close-up so I can see the markings. It looks like from the packaging that there are half unit marks on there. For doses where we are adjusting by .25 units you just have to eyeball the distance between the half unit mark and the whole unit mark.
 
Could you please take a photograph of the actual syringe kind of close-up so I can see the markings. It looks like from the packaging that there are half unit marks on there. For doses where we are adjusting by .25 units you just have to eyeball the distance between the half unit mark and the whole unit mark.
 

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Okay. Good. I can definitely see the half unit marks!

How is your baby today?
She is doing better. I went to get antibiotics from one vet and took her to the new vet yesterday. We practiced how to give insulin with fluids and I was much more confident. Her bg was 203 on a human meter this morning. I’m feel a lil flustered as to all the things I need to prepare for .
 
If you are starting insulin today (Thursday, right? Since you are off work?) you need to get that spreadsheet set up and a signature set up so we can help you.
 
Okay. Good. I can definitely see the half unit marks!

How is your baby today?
She is doing better. I went to get antibiotics from one vet and took her to the new vet yesterday. We practiced how to give insulin with fluids and I was much more confident. Her bg was 203 on a human meter this morning. I’m feel a lil flustered as to how yo
What are the antibiotics for?
horrible bladder infection.
 
I didn’t get the day off because I was gone all day Tuesday at the vet.
Can you help me figure out how I should be feeding her during the night. What I should be giving and how much to keep her out of a hypo situation. She currently gets no food past 11:30 pm. I will not start insulin till I have this figured out . I set up the spreadsheet in another group. Can I just use that one?
 
Can you help me figure out how I should be feeding he during the night. What I should be giving and how much to keep her out of a hypo situation. She currently gets no food past 11:30 pm. I will not start insulin till I have this figured out . I set up the spreadsheet in another group. Can I just use that one?
just leave wet food out for her to free feed. she'll eat as needed.
 
Can you help me figure out how I should be feeding her during the night. What I should be giving and how much to keep her out of a hypo situation. She currently gets no food past 11:30 pm. I will not start insulin till I have this figured out . I set up the spreadsheet in another group. Can I just use that one?
@Marje and Gracie can you assist with the spreadsheet?
 
Regarding feeding at night, you said 11:30, but what I need to know is how many hours after her evening shot would that be?

As for feeding, during the daytime with kitties on ProZinc, it is best for them to have small amounts of food given at certain points during the early portion of the cycle. It’s better for them not to eat very much food, if any, after their nadir (lowest point in the cycle.) I usually recommend starting with a spoonful of low-carb wet food at +2, which is two hours after the shot and another one at +4, which is four hours after the shot. Somewhere around those times. You can also take the total amount of food that you want your kitty to eat during the day/evening and divide it up into these small meals, including breakfast dinner and the two snacks in the morning cycle and the two snacks in the evening. The reason the +2 snack is helpful is because +2 is generally about the time that the ProZinc will onset (which means start lowering blood glucose.) The same is generally good for the evening time to give snacks at about two and four hours after the shot. Many people will use automated feeders to dispense the snacks at certain points in the evening and also during the day while they are at work. The problem with leaving food out all night (other than the obvious ones like bugs getting into them) is that she may not eat the food at the appropriate time, or if you don’t pick up the food two hours before the morning blood glucose test then we won’t know if that number is influenced by food or not — so we won’t have an accurate fasting BG. Some people tell me that their cat will just gobble up all the food and so it won’t be there for them during the night when they may need it. You can experiment with different things and see how it goes. We aren’t going to let her numbers drop so low that she’s going to hypo though — And you are starting with an extremely tiny dose of insulin if you plan to start with .25 units. I doubt that .25 units is going to do much for her, but it will be okay to find out.
 
Can you tell me what kind of hours you work? I mean, to be specific, when would you give her the shot and how many hours after that would you leave the house? You could use the day off to run a glucose curve. We can keep her safe.
I work 10:00 am to 6 pm. I go home for lunch between 1:30-2:00 . Vet sent me this today after I sent her numbers yesterday. This is the new vet.
 

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