Do I Start Insulin Before or After Switching to wet food?

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No problem. Little (orange) Dude is a kibble addict too. He's not a sugar cat though. Leo (sugar cat), always waits for us to walk away so he can sneak some of the kibble. I know how hard that conversion from kibble to soft food can be. Maybe you can start out Pepper with the holy grail CHIKN! Everybody loves it here. Then you could wean her off it slowly with Fancy Feast or other pedestrian wet foods.
 

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Hello,

A Pepper update..could use some further advice & last minute instructions please!

She will eat the Fancy Feast Chicken Feast can in two sittings - she'll eat half for breakfast & then if I put the other half in the fridge & warm it in a saucepan later & hand feed it to her she will eat it! ☺ So if I can get her to eat one can a day with about half the amount of kibble she was previously on, would that be a good start?

I am starting the Lantus 1 unit 2x day tomorrow!
We were at the vet tonight for an insulin testing & shooting demonstration...Pepper has lost some weight in the 15 days since we were there...from 13.84 lbs to 13.13 I think. Only had 4 cans of wet food so it isn't that!

I don't feel entirely confident with the fur pinching & "tenting" & the way I'm supposed to hold my fingers on the plunger (like a dart, not like a cigarette?...) & the degree of the angle - 45% ? how I can't just push the plunger but rather have to pull & then push to make sure I didn't get a blood vessel....my hands & fingers felt big & bumbling and I had terrible anxiety but luckily my boyfriend (whose late father was diabetic) was there & said it didn't seem as bad as he thought it would be! :)
To me it seems so unnecessarily complicated!
I am giving the first shot tomorrow morning before my B/F goes to work so he can help with the first ahot. The vet perscribed cartridges for a Lantus pen, but said to use syringes...is that unusual?

The vet wants me to do a curve in one week. How often should I test daily prior to that? Once before each shot?

The ear pick blood testing didn't look too hard. The technician said she has never had to warm the ear to get blood & Pepper bleed enough right away with a bit of a squeeze! I'm glad I won't need a warm bag of rice because I don't have a microwave. We used my new Freestyle light gluometer -which has no coding required- & Pepper got 15.5 which the vet tech said was not so bad for an unregulated diabetic....hope 1 unit won't be too much.

Sorry this is so long...oh dear....thanks so much in advance to anyone who takes the time to reply...your experience is so very appreciated!
 
but rather have to pull & then push to make sure I didn't get a blood vessel....

This is totally unnecessary.....the needles on insulin syringes are so tiny that it's almost impossible to get into a vein without trying really hard.

The vet perscribed cartridges for a Lantus pen, but said to use syringes...is that unusual?

This is totally normal!! We all use regular U100 insulin syringes and pull the insulin from the cartridge/pen

How often should I test daily prior to that? Once before each shot?

You always test before shooting to make sure they're high enough for insulin at all.....and if you can, get a test somewhere mid-cycle on the AM cycle and always a "before bed" test on the PM cycle.....most cats go lower at night so it's really important to get that test to make sure he'll be safe overnight.

I'm glad I won't need a warm bag of rice because I don't have a microwave.

If you need to, you can also use a small pill bottle filled with warm water (test against your wrist to make sure it's not too hot) or you can run a washcloth under warm water and put it into a baggie (to keep the water out of the blood sample)
 
This is totally unnecessary.....the needles on insulin syringes are so tiny that it's almost impossible to get into a vein without trying really hard.



This is totally normal!! We all use regular U100 insulin syringes and pull the insulin from the cartridge/pen



You always test before shooting to make sure they're high enough for insulin at all.....and if you can, get a test somewhere mid-cycle on the AM cycle and always a "before bed" test on the PM cycle.....most cats go lower at night so it's really important to get that test to make sure he'll be safe overnight.



If you need to, you can also use a small pill bottle filled with warm water (test against your wrist to make sure it's not too hot) or you can run a washcloth under warm water and put it into a baggie (to keep the water out of the blood sample)
Thanks, Chris....big help. Wow! Four blood tests a day even before I do the curve. The vet tech never bothered to tell me to do this...yikes. I will just record it all in a book until I do more research to figure out how to do a spread sheet. :)
 
The technician said she has never had to warm the ear to get blood & Pepper bleed enough right away with a bit of a squeeze!
You don't need to squeeze the ear and really shouldn't as it could lead to bruising. You can massage the ear from the head up toward the poke spot to encourage a blood bead. You can also put a very light skim of Vaseline on the spot you intend to poke to keep the blood from spreading out into the fur.

On the food front, it's hard to say as it really depends on Pepper's size and calorie needs. If she needs to gain some weight you can feed a little more than you think would be normal for her because diabetics are always hungry and cannot utilize the food they consume efficiently.

Good luck with your first shot this morning! You'll be fine. ;)
 
You don't need to squeeze the ear and really shouldn't as it could lead to bruising. You can massage the ear from the head up toward the poke spot to encourage a blood bead. You can also put a very light skim of Vaseline on the spot you intend to poke to keep the blood from spreading out into the fur.

On the food front, it's hard to say as it really depends on Pepper's size and calorie needs. If she needs to gain some weight you can feed a little more than you think would be normal for her because diabetics are always hungry and cannot utilize the food they consume efficiently.

Good luck with your first shot this morning! You'll be fine. ;)
Oh dear, I will be careful not to squeeze, I don't want to bruise her! I will try the vasoline, too.
Thanks for your comments. I helps so much just knowing that I can come here to talk about Pepper where I know that somebody who cares will be and have good advice. Something I don't even feel so sure of when I go to the vet.
 
You don't need to squeeze the ear and really shouldn't as it could lead to bruising. You can massage the ear from the head up toward the poke spot to encourage a blood bead. You can also put a very light skim of Vaseline on the spot you intend to poke to keep the blood from spreading out into the fur.

On the food front, it's hard to say as it really depends on Pepper's size and calorie needs. If she needs to gain some weight you can feed a little more than you think would be normal for her because diabetics are always hungry and cannot utilize the food they consume efficiently.

Good luck with your first shot this morning! You'll be fine. ;)

The first shot did not go well! My boyfriend had already fed Pepper when he woke me up to help with the shot. I said I'd been planning to test & was thrown off. He reminded me that the vet technician had said we don't have to test for the first week! I told him I thought he understood I was going to test anyway & he kept saying how unnecessary it was & that I should get used to giving the shots first. While we were arguing, Pepper hid. Then he said maybe he should give the shots because he feels confident & I am too nervous. We have been together for six years & he used to give his Dad insulin shots sometimes but Pepper has been with me 14 yrs & is my cat. I felt rushed & panicked....it was awful.
Eventually, he ended up holding the fur & I gave the shot but I didn't even feel it really go in but I assume it did. :( I need to feel confident with each step & go slow but his attitude is just get it done is the way to gain confidence. I know I worry too much but I felt like a dismal failure! I don't wan't us to fight over this as I know it's bad for Pepper...I just don't know what to do. I feel impaired by my anxiety. Should I let him give the shots if he agrees to let me test first?
Please help. Any advice desperately needed & most welcome! Thank-you.
 
I think you need to sit down with BF and have a heart to heart talk about how precious Pepper is to you and that you want to make sure you keep her safe and insist that she is tested before all shots no ifs and or buts. Point out that his Dad tested before getting insulin so why would you not test the cat? If he resists, ask him if he'd give insulin to a human baby without knowing it was safe to do so. I'm betting the answer will be a resounding NO!

Now take some deep breathes and try to remember this is new stuff for all of you and nothing horrible is going to happen if you didn't get all the insulin into Pepper and she wasn't tested before hand. This is a learning curve and you need to be as patient with yourself and BF as you are with Pepper.

It's up to you how you want to handle the shots but if you have the advantage of having two in your household who can/do give shots, just make sure you keep a record somewhere so that a second shot doesn't get given or shots are not missed because someone assumed the other gave it. Clear communication is key to ensuring Pepper's safety.

Sometimes you will feel skin resistance when you inject and sometimes not so much. That doesn't mean the insulin didn't go in so never ever give a second shot. Check for any wet fur after you inject but don't massage the injection site. Just lightly run your hand over the area to see if there is any wetness. If you detect some wetness, note it on your SS as possible furshot (FS) so that you will know it may gave been a partial shot if Pepper's BG seems off that cycle.

More deep breathing......:)
 
I think you need to sit down with BF and have a heart to heart talk about how precious Pepper is to you and that you want to make sure you keep her safe and insist that she is tested before all shots no ifs and or buts. Point out that his Dad tested before getting insulin so why would you not test the cat? If he resists, ask him if he'd give insulin to a human baby without knowing it was safe to do so. I'm betting the answer will be a resounding NO!

Now take some deep breathes and try to remember this is new stuff for all of you and nothing horrible is going to happen if you didn't get all the insulin into Pepper and she wasn't tested before hand. This is a learning curve and you need to be as patient with yourself and BF as you are with Pepper.

It's up to you how you want to handle the shots but if you have the advantage of having two in your household who can/do give shots, just make sure you keep a record somewhere so that a second shot doesn't get given or shots are not missed because someone assumed the other gave it. Clear communication is key to ensuring Pepper's safety.

Sometimes you will feel skin resistance when you inject and sometimes not so much. That doesn't mean the insulin didn't go in so never ever give a second shot. Check for any wet fur after you inject but don't massage the injection site. Just lightly run your hand over the area to see if there is any wetness. If you detect some wetness, note it on your SS as possible furshot (FS) so that you will know it may gave been a partial shot if Pepper's BG seems off that cycle.

More deep breathing......:)
Thanks so much, Linda. It feels like Pepper is dealing with all of this much better than I am! I will make a nice dinner & we will have a talk with Ron tonight. He thinks I am doing too much research & that it is overwhelming me. I think I am overwhelmed, but not because of the research.
If I can manage to test her 4 hrs or 6 hrs after the shot, will I be able to tell by the number if it was given successfully?
Do you think I should have let them shave some fur so I can see better that it is going in? The syringe feels so small & foreign & extremely uncomfortable to me.
 
This can be very overwhelming in the beginning and usually is. But that will pass, you will get into a routine and it will all become second nature. I hope your chat goes well. I like the buttering up BF with a good dinner! Nice touch! ;)

If I can manage to test her 4 hrs or 6 hrs after the shot, will I be able to tell by the number if it was given successfully?

In the ideal world the answer would be yes but sometimes there are other things that are influencing the numbers like bounces or pilfering food, seeing a squirrel out the window etc. that could send a number or even a cycle off. So if the fur has a little patch of wet, a fur shot may be the likely reason for off numbers but if there was just a teensy drop on the fur, it could be a partial fur shot or just a drop didn't go in or even some residual insulin from around the barrel top. Wipe the edge of the barrel just under the needle with a Kleenex or paper towel before shooting to avoid this last possibility. You'll never know for absolute sure but it's nice to have a clue there to remind you so you don't rush doing dose increases when a fur shot may be the culprit for off numbers.

You can always get a grapefruit and practice poking it with used syringes to get more used to the feel of the syringe in your hand. And the skin on a grapefruit mimics, to some degree, the resistance you MAY feel when injecting. Nurse's training trick! You can shave a small patch if you think that would help. I'm sure Pepper won't care!
 
This can be very overwhelming in the beginning and usually is. But that will pass, you will get into a routine and it will all become second nature. I hope your chat goes well. I like the buttering up BF with a good dinner! Nice touch! ;)



In the ideal world the answer would be yes but sometimes there are other things that are influencing the numbers like bounces or pilfering food, seeing a squirrel out the window etc. that could send a number or even a cycle off. So if the fur has a little patch of wet, a fur shot may be the likely reason for off numbers but if there was just a teensy drop on the fur, it could be a partial fur shot or just a drop didn't go in or even some residual insulin from around the barrel top. Wipe the edge of the barrel just under the needle with a Kleenex or paper towel before shooting to avoid this last possibility. You'll never know for absolute sure but it's nice to have a clue there to remind you so you don't rush doing dose increases when a fur shot may be the culprit for off numbers.

You can always get a grapefruit and practice poking it with used syringes to get more used to the feel of the syringe in your hand. And the skin on a grapefruit mimics, to some degree, the resistance you MAY feel when injecting. Nurse's training trick! You can shave a small patch if you think that would help. I'm sure Pepper won't care!
I will try the grapefruit and just get more comfortable getting the tiny dose into the tiny syringe.!
Well, managed to test and got 9.7 - about exactlt 4 hrs after her shot. That means the shot was probably good I hope. Now I'm worried that I poked her too hard & perhaps should use the Lansing device after all. I used a warm washcloth in a baggie first. I feel so bad - she kinda cried out! It is hard to see her ears as they are black but I aimed for the very edge & had no trouble getting blood. I put pressure on & Vasoline but perhaps I need polysporin. How do I know if I poked too hard?
 
She'll forgive you! I know all too well how difficult it can be to see a blood bead on those dark ears! True confessions: Just tested my girl and she flinched which happens very very rarely but it does happen even to a seasoned veteran who BTW used the lancing device. If you do decide to go that route, take the cap off the device otherwise you won't get anywhere near the ear with the needle point and you can't see what you are doing and hold it at a 45 to 60 degree angle to the ear to prevent going through.;) Even if you go right through the ear, a little pressure on the poke spots to stem the bleeding and prevent bruising should be all that is needed.
 
She'll forgive you! I know all too well how difficult it can be to see a blood bead on those dark ears! True confessions: Just tested my girl and she flinched which happens very very rarely but it does happen even to a seasoned veteran who BTW used the lancing device. If you do decide to go that route, take the cap off the device otherwise you won't get anywhere near the ear with the needle point and you can't see what you are doing and hold it at a 45 to 60 degree angle to the ear to prevent going through.;) Even if you go right through the ear, a little pressure on the poke spots to stem the bleeding and prevent bruising should be all that is needed.
Ok. Still trying to exhale....yikes, I just hate to make her bleed...poor thing. Thanks so much for being here. You're amazing! :)
 
Here's another thing you can do: next time you're filling a syringe, expel a drop onto a tissue and smell it. There's a very distinct, strong Bandaid-like smell to insulin. I often sniff the injection area fur on my guy to see if I can smell insulin there. I also run my fingers lightly over the fur. If there's no moisture and no smell you probably don't have a fur shot. :)
 
Here's another thing you can do: next time you're filling a syringe, expel a drop onto a tissue and smell it. There's a very distinct, strong Bandaid-like smell to insulin. I often sniff the injection area fur on my guy to see if I can smell insulin there. I also run my fingers lightly over the fur. If there's no moisture and no smell you probably don't have a fur shot. :)
Thank-you for this tip! Need all help I can get!
I have a question about the lancets & lancet pen....what are the advantages & disadvantages of using the pen? Some seem to like it & some don't. The first test I just used the lanset without the pen & no problem but worried I poked too hard. Is the pen more consistent? And how would I know if I want 1,2, 3, 4, or 5?
Sorry if this is silly question - I couldn't find much on here about this. Thanks.
 
Thank-you for this tip! Need all help I can get!
I have a question about the lancets & lancet pen....what are the advantages & disadvantages of using the pen? Some seem to like it & some don't. The first test I just used the lanset without the pen & no problem but worried I poked too hard. Is the pen more consistent? And how would I know if I want 1,2, 3, 4, or 5?
Sorry if this is silly question - I couldn't find much on here about this. Thanks.
I free hand with the lancet placed in the device as a holder. I wrap Teasel's ear tautly around my index finger on one hand, hold the lancet close and at a slight angle with the other and then give a quick, short jab. That usually works. I still have the odd poke that has to be repeated or I hit the little vein and it's bit messy but I like that I can see exactly where the lancet will enter. Yes, I've gone through his ear more than once but it heals over.

Having a calm, businesslike attitude helps a lot.
 
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Not a silly question at all! I use the lancing device with the cap on 2. When I first started I used 3 but mine only goes to 4. It's totally personal preference but for me it's easier and I'm too scared to free hand it because it just didn't feel right. Also I worried about poking through, although if this happens a few times its ok. I do think its consistent, but you would probably be just as consistent free handing once you got used to it. Before I tested it on the cat I pricked my own finger with it because I didn't totally get how it worked. To me it looked like the needle wasn't long enough and couldn't possibly poke through the top, but it definitely does! At first its a little hard to tell where it stuck (my cat has black ears too) but you start to see how it works over time and it really becomes second nature. A lot of people say the clicking noise right next to the ear bothers some cats but I'm fortunate my cat doesn't care. Do whatever you're comfortable with and works for you. :)
 
Not a silly question at all! I use the lancing device with the cap on 2. When I first started I used 3 but mine only goes to 4. It's totally personal preference but for me it's easier and I'm too scared to free hand it because it just didn't feel right. Also I worried about poking through, although if this happens a few times its ok. I do think its consistent, but you would probably be just as consistent free handing once you got used to it. Before I tested it on the cat I pricked my own finger with it because I didn't totally get how it worked. To me it looked like the needle wasn't long enough and couldn't possibly poke through the top, but it definitely does! At first its a little hard to tell where it stuck (my cat has black ears too) but you start to see how it works over time and it really becomes second nature. A lot of people say the clicking noise right next to the ear bothers some cats but I'm fortunate my cat doesn't care. Do whatever you're comfortable with and works for you. :)
Thank-you, Case. It helps me a lot to hear other's experiences. I will try using the device next time just to see how it feels. Oh boy ...I just can't wait until my anxiety subsides & this becomes easier!!
 
I free hand with the lancet placed in the device as a holder. I wrap Teasel's ear tautly around my index finger on one hand, hold the lancet close and at a slight angle with the other and then give a quick, short jab. That usually works. I still have the odd poke that has to be repeated or I hit the little vein and it's bit messy but I like that I can see exactly where the lancet will enter. Yes, I've gone through his ear more than once but it heals over.

Having a calm, businesslike attitude helps a lot.
A calm business like attitude....that sounds like the best advice ever & I am totally working on it. Trying to give the shot this morning I was a great example of what NOT to do.
 
I will just record it all in a book until I do more research to figure out how to do a spread sheet. :)

You don't have to figure out your own spreadsheet! We have one we all use that's color coded to help see the "patterns of action" we look for

Instructions on Getting the FDMB spreadsheet

If you have any problems, feel free to send me a private message by clicking on my name and choosing "Start Conversation"....it takes about 30 seconds to set up once I have some information from you
 
You don't have to figure out your own spreadsheet! We have one we all use that's color coded to help see the "patterns of action" we look for

Instructions on Getting the FDMB spreadsheet

If you have any problems, feel free to send me a private message by clicking on my name and choosing "Start Conversation"....it takes about 30 seconds to set up once I have some information from you
Oh that's awesome, thank-you Chris :)
So grateful for everybody's help!
 
Just reading through the thread and obviously you are being well taken care of by everyone! I just wanted to stop by and add my own hugs to the conversation.
:bighug::bighug::bighug:
I remember the first week after Lou was diagnosed, especially the first few days were the hardest of my life. I researched until I thought my eyeballs would bleed, but it ultimately helped me feel more comfortable (I always say: Knowledge is Power). The first time I gave my buddy Lou an insulin shot I burst into tears, with body-wracking sobs and everything. I think I scared him silly, haha. I really struggled for a couple of shots afterwards trying to figure out the setting that would work best for us (I tried holding him down on the floor, sneaking in with food, sneaking in when he was sitting next to me on the couch, and finally settled with him in my lap). I was positive this would never work and this guy that I rescued would hate me forever. Thankfully, we have a routine and we've never been closer. Slowly but surely, I have seen him flourish and return to the crazy, wacky Loudogg I know and love. So I know exactly where you're coming from, but it will get better. It's just a matter of getting your routine and confidence down. :cat:
 
Just reading through the thread and obviously you are being well taken care of by everyone! I just wanted to stop by and add my own hugs to the conversation.
:bighug::bighug::bighug:
I remember the first week after Lou was diagnosed, especially the first few days were the hardest of my life. I researched until I thought my eyeballs would bleed, but it ultimately helped me feel more comfortable (I always say: Knowledge is Power). The first time I gave my buddy Lou an insulin shot I burst into tears, with body-wracking sobs and everything. I think I scared him silly, haha. I really struggled for a couple of shots afterwards trying to figure out the setting that would work best for us (I tried holding him down on the floor, sneaking in with food, sneaking in when he was sitting next to me on the couch, and finally settled with him in my lap). I was positive this would never work and this guy that I rescued would hate me forever. Thankfully, we have a routine and we've never been closer. Slowly but surely, I have seen him flourish and return to the crazy, wacky Loudogg I know and love. So I know exactly where you're coming from, but it will get better. It's just a matter of getting your routine and confidence down. :cat:
Awwww....that's so kinof you! You all here are just the nicest, most caring people :bighug: anywhere ...I am blown away. I survived the first day of testing & shots but not very gracefully! There was blood, sweat & tears, panic & anxiety. It is so much extremely challenging stuff to deal with all at once but it is inspiring & heartwarming to hear your stories & words of encouragement. Thanks so much.
 
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