Home testing kit experience - the zombie cat learns to bleed

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LauraM

Member Since 2012
See that little ad up in the top right? That one that advertises home testing kits? Poring through the message board a few weeks ago, getting somewhat overwhelmed, I clicked on that link. One small donation to the board (too small, given all the great info on here!) and one week later, I was in possession of a free home testing kit for Sage. The only request made of me was that, in return, I post about my experience learning to use it on the board.

First, whomever sewed the catnip toy and rice sock that came in my kit has my thanks. After reading through the instructions for the Relion Confirm meter that came in my kit, I sat down with Sage, gave her the catnip toy, and she ignored the rest of the proceedings. Catnip is a rare treat, and this one had her full attention. I held the slightly warmed rice sock against her ear and head, found the vein, clicked the lancet device and... nothing. First I tested the lancet device by using it to puncture a hole in the cardboard box the kit had come in. So the device wasn't the problem. Then I re-read the online picture instructions for how to glucose test your cat (http://www.catinfo.org/?link=felinediabetes). Figuring the ear was still warm enough, I pricked Sage's ear with a lancet by hand a few more times. Nothing. My cat must be a zombie cat.

Then I went to bed. This was probably the smartest thing I did in that whole first try, because as I found out, it's only difficult to test your cat if you are tired, worried about the cat, and convinced the cat is a zombie with no actual blood in its ears.

The next morning, I put the rice sock in the microwave for 20 seconds. It felt too hot when I took it out, but not burning hot, just a bit more than the slightly warm temperature I had used the night before. I got everything ready, and held the rice sock against Sage's ear for the full two minutes that had been recommended (again, catnip toy was a lifesaver, and Sage now knows she only gets it when she's being tested). I found the vein along the very outside edge of Sage's ear, pricked the vein, and ... BLOOD EVERYWHERE. Sage was not in fact, a zombie. I easily filled the test strip, then scrambled for a tissue to wipe up the rest of blood. Sage stopped bleeding within about 10 seconds, but I had not been prepared for the head shake or for things to actually work this time. The blood glucose meter read 387 mg/dL, much too high and a very welcome confirmation that I had not been making up symptoms.

It's all been said, but I'll repeat the advice we newbie testers get:
1. You CAN test your cat's blood glucose. It's easy and your cat likely won't be all that bothered by the process.
2. Warm the rice sock, use it for 2 minutes, and do not skip or shorten this step!
3. If things aren't working, take a break and come back to it later.

And a huge thank you again to this community and to Rebecca for pairing good information with great, free, supplies in the home testing kit.

Laura
 
Re: Home testing kit experience - the zombie cat learns to b

Congratulations! You are officially a member of the Vampire Club!

It helps to have a tissue ready to blot ... otherwise the room may need a new coat of paint soon !

Please tell us a bit about you & your kitty - city/state (in case someone is nearby), insulin & food, etc.

And welcome to FDMB.
 
Re: Home testing kit experience - the zombie cat learns to b

Oh, what a brilliant post! I'm sure others new to hometesting will be really encouraged by reading it. :smile:
 
Re: Home testing kit experience - the zombie cat learns to b

Oh! The dreaded ear flick, head shake. Call in the CSI unit, blood spots everywhere! But it's great that your don't have a zombie cat. :lol:

We've all been there, done that. I really thought that holding the test strip up to Maggie's ear tickled her, which led her to flick her ear. I used a folded up paper towel half behind Maggie's ear to provide a firm base to poke against. It was also very handy for stopping the blood flow when thing got out of hand. (I also made sure I wasn't wearing any good clothes!)

(Love your post - great sense of humor, especially during the first days after dx.)
 
Re: Home testing kit experience - the zombie cat learns to b

Congratulations and welcome to the boards! The testing only gets easier from here...good job!
 
Re: Home testing kit experience - the zombie cat learns to b

Thanks for the replies, all. You asked for more info... I am in western Massachusetts. Had a frustrating vet visit today, but hopefully it will be worth it after I get test results back tomorrow. Vet criticised the glucose meter I was using (is there anything to that criticism?), told me the high readings were probably due to stress plus an innacurate meter, and insisted on doing her own readings. Even with those, she is refusing to prescribe insulin until we rule out everything else that could possibly be wrong with Sage. (including tapeworms... It may be best veterinary practices but it is unbelievably expensive.). So, vet recommendations would be welcome if anyone is in the area!

Sage is eating almost nothing now, which is worrisome, but she had a lot of fat reserves so she seems more okay than you would expect after almost a week with minimal food. I'm open to the idea that more is wrong with her than diabetes, but this seems to be at least one of her issues and I'd like to be doing more than losing another day or two waiting on thyroid and other bloodwork.

On the bright side, I've definitely got the testing technique down!

Laura
 
Re: Home testing kit experience - the zombie cat learns to b

As you're not on insulin yet, please read my signature link Secondary Monitoring Tools for information on urine ketone testing, and pick up some test strips asap. Ketones form when fat is broken down for energy. Too many ketones result in diabetic ketoacidosis, a potentially fatal, expensive to treat complication of diabetes.

Don't let the vet bully you into using an expensive, pet-specific glucometer. There are reference levels to use when using a human glucometer for feline glucose testing.

There are vet interview topics in another of my signature links. Your vet sounds a tad more interested in billing than contemporary feline diabetes management.
 
Re: Home testing kit experience - the zombie cat learns to b

I believe Valerie and Cricket (from DCIN) live in Western Mass. Perhaps she can advise?

MJ

eta: Hmmm, I'm not sure she's on this board. Let me send her an email.
 
Re: Home testing kit experience - the zombie cat learns to b

Thanks, BJM and MJ.

I slightly modify my assessment of the vet from yesterday. I spoke with a much more knowledgeable vet at the same practice today. She is supportive of home testing and agreed to write a prescription for insulin and syringes. Night and day difference in our conversation. Unfortunately, the blood test results also show kidney issues and potassium issues in addition to the diabetes (though no ketones, at least for now).

I pick up prescriptions and supplies tomorrow, but would love to hear others' experiences on treating cats with multiple disorders. Philosophically, I'm more of a "keep them comfortable at home and don't prolong suffering" type of girl than "hospitalize them and potentially have them live longer but suffer longer" kind of girl.

Here are Sage's issues:
1. a significant heart murmur (the vet suggested subcutaneous fluids at home to keep her hydrated, but not too much to avoid stress on the heart)
2. Potassium = 3.2, BUN = 76, creatinine = 3.5 (vet suggested potassium supplements but staying on the high-protein food, to balance diabetes and kidney function)
3. Blood glucose is 316 mg/dL, glucose in urine as well but I didn't get numbers (vet suggested glargine but to proceed cautiously as Sage is currently not eating much at all)

The vet's advice was to hospitalize and get the diabetes under control, but when I said no she was okay with trying to treat at home with very careful blood glucose testing and the caveat that treating the diabetes may make the other issues worse. She did a good job of laying out different options and the uncertainty that treatment (of kidney or diabetes) will return Sage to 100%.

Frank advice is welcome -- if this is Sage's time, so be it. I'm getting mixed messages on whether or not getting the diabetes under control will improve the time Sage has left or not, and again, philosophically I'm more on the side of keeping a pet comfortable and at home than taking extraordinary or ordinary but ineffective measures.

Thanks, all!
Laura
 
Re: Home testing kit experience - the zombie cat learns to b

For food, you want something both low carb AND low phosphorus. Pop over to Cat Info for a food list which indicates the phosphorus levels too. Aim for the low ones. Add a tablespoon or two of extra water (distilled may be best as it has no solute whatsoever, vs tap or bottled water with dissolved minerals in them)

For insulin, Start Low, Go Slow - 0.25 to 0.5 units to start. You may need to do some syringe feeding until he is feeling better.

Go to Tanya's CRF web site to read up on CRF - more than you ever thought you'd need to know. Ask the vet what stage of CRF it is.

With a heart murmur, one of the risks is that pooled blood may clot. If a clot occurs, it may travel anywhere it can - heart (heart attack), lungs (pulmonary embolism), brain (stroke), and the blood vessels leading to the legs (saddle thrombus). The latter is what resulted in Spitzer's euthanasia. Ask the vet about blood thinning / anti-clotting meds.

See my signature link for the 5 Ps; if they're all in place, it ain't time yet.
 
Re: Home testing kit experience - the zombie cat learns to b

Kidney disease is estimated to be stage 3. I started Sage on subcutaneous fluids (at home) to see if I can get her feeling well enough to eat again, as without that we won't be able to do a good job with insulin. I like the 5Ps model. She's at 3 (being charitable, 2 if I'm not being so generous in giving her points for cleanliness) out of 5. But, she's at home, still purring madly when being petted, sleeping all day on a comfortable blanket. Definitely not her time yet, whether she has another few weeks or another few months.
 
Re: Home testing kit experience - the zombie cat learns to b

An update, hopefully the last for a while:

Sage has been on subcutaneous fluids (at home, 50 mLs per day) for five days now, and she's doing much, much better. She went from eating maybe 1/4 can of food per day to a whole can, and I'm hoping that she'll get back up to two cans over time. She still sleeps more than normally but she's interacting with us, walking around, bathing, and all in all pretty close to her old self. The really odd thing is that her insulin is normal! 68 one day, and 108 the next, and this is with zero insulin.

I'm not sure why that happened (perhaps her self-imposed fast and the fact that she's now eating a very modest amount of wet, low-carb food each day?), but I'm not questioning it. Nice to have her feeling good again, and I will take whatever time I can get. The Tanya CRF resource was great, and I highly recommend it to others with cats with kidney disease.

Thanks again for the links and advice.
Laura
 
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