Introducing Nico | Page 3 | Feline Diabetes Message Board - FDMB

Introducing Nico

You should have gone to dinner. And yes, if Nico is starving and really wants the food and he’s going to freak out of he has to go all the way from halfway through the cycle until PMPS then feed him. We have to make allowances for the cat’s needs. Later when he is in better BG numbers and isn’t ravenous all the time he probably won’t need that last feeding.
 
Tell me about it. But I would have been so worried about him if I'd gone.
So what do you feel is the better/safer thing with the increase in insulin. Doc sounded like it was really important that he go up to a full unit, two units. But I know the people on this board are more versed in diabetic cats. I get it. She's not a specialist and deals with many problems. Whereas this board and the people on it are typically only dealing with the one. Why I said I am putting more faith in what's said here.
 
He should always be tested before the shot.

I would only go up to 1.5 if it were my cat and I would get some tests for a few days before increasing again. If you do 2 units it may be okay but we won’t know until you get tests for that. And I would get more tests than just the one mid-cycle test.
 
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You don’t have the syringes with the half unit markings? Uh oh. You can try eyeballing it for now, but you will need something like this.
 

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Another glucose test question. HOW do you not damage the ear? If I'm testing a min of 3x a day? The ears area SO thin, and that 'sweet spot' is so little! Do I try on other places on the ear? I don't want to keep puncturing the same area. It will never heal up right.
I think that's it. Oh! Trying the warm rice sock method to heat. How long should I leave it against his ear?
You use both ears and you alternate them and move a little bit up and down the outer edge of the ear so that you aren’t poking the same place each time (this may be easier said than done when you’re still new to testing.). It really should not damage his ear. Hold the lancet at a 45 degree angle and try not to go all the way through the ear. I tested my cat many times a day and it never did damage to his ear.
 
You use both ears and you alternate them and move a little bit up and down the outer edge of the ear so that you aren’t poking the same place each time (this may be easier said than done when you’re still new to testing.). It really should not damage his ear. Hold the lancet at a 45 degree angle and try not to go all the way through the ear. I tested my cat many times a day and it never did damage to his ear.
Thank you to all of that!
I had to give the shot before this, so went with what you had said earlier is the 1.5 units.
How long of using this newer dose till I should know if it's either doing better or enough? I don't know anything about insulin. Can such a change make that much of a difference?
I am holding the lancet at the angle as described. I think that helps better than straight as I was. So I don't have to stick him in that tiny area referred to as the sweet spot? That's why I was worried. Essentially making a larger hole. I am switching between, but with 2-3 tests every day? I can imagine it being a problem.
And how long is it good to keep the rice sock on the ear to help? He fidgets so much with it. And I shall try the 2 tests in between tomorrow.
 
And how long is it good to keep the rice sock on the ear to help? He fidgets so much with it. And I shall try the 2 tests in between tomorrow.
You can also use a pill bottle or a small glass bottle filled with really warm water. Just hold it there until the ear feels warm. Soon hopefully you won’t even need to use it because his ears will bleed more easily.

The so called sweet spot isn’t really that small — you can move up and down that outer edge of the ear outside the vein. You have an inch of so to work with.
 
While I'm getting those syringes, what's the best lancet to have? I know there's all different sizes.
And do you recall what type of blood ketone tester you had or used that was good? If it doesn't need a lot of blood, I might be able to get a reading right after his glucose test. :D
 
Got it! He's so unimpressed with me today.
I did update it and it was 425. The earlier test was unreadable, meaning it was over 600.:(
Is he allowed to eat a little more than his normal 2nd dinner meal? He's acting hungry, and I get why.
But does the extra food harm or help him? I definitely don't want to harm him any more than he's already got going.
Thank you for all your kind words and help today.
 
Got it! He's so unimpressed with me today.
I did update it and it was 425. The earlier test was unreadable, meaning it was over 600.:(
Is he allowed to eat a little more than his normal 2nd dinner meal? He's acting hungry, and I get why.
But does the extra food harm or help him? I definitely don't want to harm him any more than he's already got going.
Thank you for all your kind words and help today.
I think at this point in the high numbers you can feed him. I hope you did! Good morning! It’s so good to see him in the 400s instead of black. He probably went lower than that last night— maybe into the 300s.
 
M/
I think at this point in the high numbers you can feed him. I hope you did! Good morning! It’s so good to see him in the 400s instead of black. He probably went lower than that last night— maybe into the 300s.
Good morning! I have him his usual 2nd dinner around 10pm. Time to start the day all over again. Wooh! I'll test him before breakfast & enter it after I'm done with their morning feedings. Down to 7 cats now, but still takes a while.
 
Tell me about it (I have even more!) I also take care of several feral colonies. And you have raccoons?
I've had up to 13 permanent members before. I do cat rescue on my own and adopt out whoever I can, but always get left with either the elderly or ones with medical conditions no one seems to want. Last year was a bad year for us. Lost 4 seniors in a 7 month timeframe. One had HT, severe ibd, and bone marrow cancer got that sweety in the end. Another actually had his kidney failure reversed! Only to get a blood clot after a year. Then another favorite had lived with small cell lymphoma gi for 4yrs successfully on chemo once a week, ibd, and recently diagnosed with HT, but skin cancer got her. And then out of the blue a couple months after her, another had congestive heart failure. So it REALLY would've been nice to have a while in between crises. But I'm sure you know all about that with your work too.
As for the raccoons, I live in the woods and tend to a lot of animals out here. They're not mine, but I've 25 regulars that come to me every night for some basic needs. I have tons of cameras set up to watch for any needing help and do that if it's in my capabilities. If not, they go off to a rehabber. Most the time it's just bite wounds that get infected. But one year a 5mo old had a compound fracture on his back leg. I could only see him limping on the camera, but then he started staying here and not leaving so I grabbed him and rushed him off to the rehabber. They said it looked like he got his leg caught in those sick leg traps. So I went and walked my property and a little beyond but never found anything. They had to have it removed, but an amazing refuge took him in and named him Waylan in Southern VA. He's an ambassador raccoon now.:)
I even built (with my husband) a med sized pond out back for them, but everyone uses it from the neighborhood cats and dogs, deer, hawks, possums, rabbits, squirrels and other birds and my raccoons. Oh, and the smaller fish I put in there. Originally so they could have fun fishing, but they never catch them so I added some pretty ones to it. That's me! A sucker to anything that comes this way.
Sorry about the rant, but as you can imagine, I don't get out much. Handicap, so can't work. NO one to talk to all day long.😆
Do they have blood glucose/ketone meters all in one that are trustworthy? I'm getting those new syringes, and figured I might as well buy the ketone one and just get it the same time. I also still have to look into that article about the reliability of using human meters and what's good. I didn't have the time to read through the page yet with all this (we also just finished pulling up the pond to dig it deeper by hand for the animals to enjoy more in between all this), but at this rate, I'm going to run out of those 150 test strips I just bought real quick. Definitely need to find the cheaper route. I'm already buying them the best in food, now have 2 asthmatics to buy inhalers for (actually thought I'd get to get my own before he started on his, can't afford 3 a month), and now the insulin too. Thankfully my vet gave me the first bottle free! A client had just donated hers and it was full. But got to save!
I'll do his +4 and +6 and put that in here too. Here's to hoping!
 
Any lancet that is 26 gauge or so in size will work. You can use the ones for Human diabetics. Any pharmacy sells them or look online. Buy the matching device if you prefer.

How long to hold the warm rice sock on the ear depends on how warm the sock is and your cat's ear. Try at least 30 seconds before poking. Hold the sock under the ear so you have a firm surface to poke against. If there's no blood, warm the ear up longer. If the sock isn't warm enough, rewarm it for a second or two longer next time.

Is the Libre meter not an option?

There are meters that test for both blood glucose and ketones but the test strips are really pricey. If you just can't get urine for testing, then buy a combo meter.

Have patience🤗 Those high numbers are frustrating to see but your cat is on insulin and the right diet. You just haven't found the right insulin dose yet. Dose increases are made slowly.

You can ignore the vet's advice about everything food related (when to feed, how many meals daily, what to feed, etc). Do not ever feel bad for agreeing to disagree with the vet. You know what's best for your cat. You've said that your vet isn't experienced with diabetes. Just use the vet for check ups and vaccinations and prescriptions. Take the advice of FDMB members for insulin dosing and share the spreadsheet with the vet. If you need to get a new vet, don't feel guilty about hurting the vet's feelings or anything.
 
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Thanks! I just checked and the ones that came with mine are 21. I guess that's bad?
Thanks for all the info. I do put my finger behind his ear, in hopes to not poke through. Idiots at the vets just told me to poke through. "He'll heal". How awful.
 
21 gauge is thick. You shouldn't have issues getting blood with that. Maybe you're not warming the rice sock and/or ear long enough? And don't be afraid to firmly poke the lancet on the ear. Maybe practice on an orange peel.
 
This thread is pretty long so maybe this was mentioned before, but have you tried milking the ear? Just a little poke (with the pointier side of the lancet tip) then milk it like popping a pimple. We never did the rice sock or any warming really, but I think others do. We also only have a few seconds before he gets the wiggles…
 
Any lancet that is 26 gauge or so in size will work. You can use the ones for Human diabetics. Any pharmacy sells them or look online. Buy the matching device if you prefer.

How long to hold the warm rice sock on the ear depends on how warm the sock is and your cat's ear. Try at least 30 seconds before poking. Hold the sock under the ear so you have a firm surface to poke against. If there's no blood, warm the ear up longer. If the sock isn't warm enough, rewarm it for a second or two longer next time.

Is the Libre meter not an option?

There are meters that test for both blood glucose and ketones but the test strips are really pricey. If you just can't get urine for testing, then buy a combo meter.

Have patience🤗 Those high numbers are frustrating to see but your cat is on insulin and the right diet. You just haven't found the right insulin dose yet. Dose increases are made slowly.

You can ignore the vet's advice about everything food related (when to feed, how many meals daily, what to feed, etc). Do not ever feel bad for agreeing to disagree with the vet. You know what's best for your cat. You've said that your vet isn't experienced with diabetes. Just use the vet for check ups and vaccinations and prescriptions. Take the advice of FDMB members for insulin dosing and share the spreadsheet with the vet. If you need to get a new vet, don't feel guilty about hurting the vet's feelings or anything.
Oh I can't get a new vet, and in truth wouldn't want one. As I said, she's not a specialist. But I rely on her for all the others.
But will do as your said, and take the advice given here first. Like last night, the doc said 2, but Suzanne suggested 1.5. I went with the 1.5. 😅
She also suggested a blood ketone test. I was thinking of ordering one, and that I could just use that occasionally right after I get a drop of blood with glucose meter. I'm looking at buying a human meter to test him, since my current pet one costs $1 per strip. Read Relion is a good one, but they have so many kinds. And I tried looking it up here, but haven't found it yet. How do you convert numbers? I know the numbers my cat should be getting on the Pet Test meter, but no clue about what is good, bad, or in between with a human one. How do you figure that?
Thanks!
 
This thread is pretty long so maybe this was mentioned before, but have you tried milking the ear? Just a little poke (with the pointier side of the lancet tip) then milk it like popping a pimple. We never did the rice sock or any warming really, but I think others do. We also only have a few seconds before he gets the wiggles…
I have. I think I'm getting better at it.
 
Tell me about it (I have even more!) I also take care of several feral colonies. And you have raccoons?
I can't get to my desktop where the spread sheet is at the moment, but at the +6, it is 505.
I also made sure to feed him some at the +2,4, & 6 mark too. Just more of his shredded pork. And treats still with no carbs. I had to give him Vital Essentials freeze dried rabbit bits for a treat, but think that should be fine, no? Freeze dried meat treats?
So with the meals after +6 (as that's no between 1:30-7:30pm), you had said if he's real hungry and his numbers are high already, it's ok to give small portions?
But will that make his numbers go up even more? I don't want that either.
 
Oh I can't get a new vet, and in truth wouldn't want one. As I said, she's not a specialist. But I rely on her for all the others.
But will do as your said, and take the advice given here first. Like last night, the doc said 2, but Suzanne suggested 1.5. I went with the 1.5. 😅
She also suggested a blood ketone test. I was thinking of ordering one, and that I could just use that occasionally right after I get a drop of blood with glucose meter. I'm looking at buying a human meter to test him, since my current pet one costs $1 per strip. Read Relion is a good one, but they have so many kinds. And I tried looking it up here, but haven't found it yet. How do you convert numbers? I know the numbers my cat should be getting on the Pet Test meter, but no clue about what is good, bad, or in between with a human one. How do you figure that?
Thanks!
The ReliOn Premier Classic is perfectly good.

For Ketones, I had a Nova Max Plus but the strips are expensive. I notice people using the keto mojo lately. I am not sure of the cost. Also you would want to compare the blood droplet size required.
 
now have 2 asthmatics to buy inhalers for (actually thought I'd get to get my own before he started on his, can't afford 3 a mont
I hope you are not buying your inhalers in the U.S. — way too expensive. I buy mine from a pharmacy in Vanuatu or sometimes from a pharmacy in Canada. It’s a huge savings.
 
Any ketone reading today?
Fantastic job today on your part!
He doesn't act frantic. Just always seems ready for more. But will that make his sugar numbers go up? Is that why you generally don't feed them after the +6? That's going to be bad if my boys nadir is only +4, right? I can't stop feeding him between 11:30 & 7:30.
And those numbers. At 505 and never dipping into even the 300's, does that mean he will not do well on the 1.5 units either? Or does it take time? I thought I read somewhere that Prozinc didn't need to build up in the system to work. I know nothing still, about insulin;so not sure.
Also question on the human meters. At $1 a stick, it's going to get costly quick. I read many user Relion. Does it matter which (of the many) model you get? Do they require a lot of blood, as I usually only get so much. And how do you know what is a good number and what's a bad? As they're calibrated for human use, how do you figure it all out for cats?
I'm going to look into a blood ketone tester. Do they require a lot of blood? I figured might have a chance of just doing it right after the glucose test to see.
I think that's it? 😆 Ha! For now. Thanks!
 
He doesn't act frantic. Just always seems ready for more. But will that make his sugar numbers go up? Is that why you generally don't feed them after the +6? That's going to be bad if my boys nadir is only +4, right? I can't stop feeding him between 11:30 & 7:30.
And those numbers. At 505 and never dipping into even the 300's, does that mean he will not do well on the 1.5 units either? Or does it take time? I thought I read somewhere that Prozinc didn't need to build up in the system to work. I know nothing still, about insulin;so not sure.
Also question on the human meters. At $1 a stick, it's going to get costly quick. I read many user Relion. Does it matter which (of the many) model you get? Do they require a lot of blood, as I usually only get so much. And how do you know what is a good number and what's a bad? As they're calibrated for human use, how do you figure it all out for cats?
I'm going to look into a blood ketone tester. Do they require a lot of blood? I figured might have a chance of just doing it right after the glucose test to see.
I think that's it? 😆 Ha! For now. Thanks!
Whoops! Just saw you posted to some of those as I wrote this. Sorry. Reading now
 
I don't buy the inhalers in the US. Luckily my vet gave me the info on buying from Canadian pharmacies when my other girl started on hers last year. But I still cannot afford for the both of them + myself every month. So just like with the cats that had HT, they got taken care of while I get tested once every 10yrs.😅 I had mine removed many years ago. But they were tested frequently.
Yeah, I'm worried about the amount of blood needed. I'm finally to the point where I don't have to stab a vein.🙄
 
I word about housekeeping....

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