Introduction - Austin

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aspiredact

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Hello, everyone! I'm new here and a little overwhelmed.

My kitty is named Austin, and he is a couple of months shy of 14 years old. He was diagnosed as diabetic about five or six years ago, at which time the vet recommended we start with changing his diet to Purina DM. It seemed to actually work until a few weeks ago, when he suddenly completely lost interest in his food (and he has always been a voracious eater).

We took him to the vet and found out he had an infection and his BG was 309. The vet said it was possible that the infection was causing the glucose spike, so he wanted us to go through the round of antibiotics before determining if his time for insulin had come. He did get over the infection, but he just never really seemed to get back to the "real" Austin. I started doing research (which was when I initially registered for this forum, but didn't post) and realized the DM was actually not that good for him and switched him to Fancy Feast Classics. He was actually eating them at first, but his interest in them started to wane as well. I began testing his glucose at home periodically and it never got lower than 305. Over the last couple of days he's pretty much stopped eating (he's eating about 1/2 a can of food a day). He's lost so much weight and I was terrified that I was going to lose my grumpy old man. So back to the vet he went.

His glucose at the vet's office today was 400. The vet could not find anything else wrong with him other than some dehydration, so he gave him a bag of fluids and sent my husband home with insulin and syringes. We gave Austin his first shot tonight. I was at work when my husband took Austin to the vet, and unfortunately my husband is not the best at asking the important questions or relaying information, so I feel a little overwhelmed and in the dark about what to expect. He is on Prozinc, 1 unit twice a day. I am perfectly willing to give my sweet boy shots if it will save his life, but I feel so overwhelmed. I don't really even understand what a "unit" is. I don't know what kind of reaction I should be seeing from him, and in what time frame. I honestly am not sure if I got the shot in him completely (but I think I did, because he flinched). And of course, there's the worry that my cat will "hate" me for giving him shots all the time, which I know is irrational, but the fear is still there.

I'm sorry if I sound a little nuts...you've all probably heard this plenty of times before. I just love Austin so much and am so worried about him. We always knew that the day for insulin would come, and I always thought it would be rather simple, but now that the time is here it seems like rocket science.
 
Here is a document on ProZinc that hopefully will answer some of your questions. It's full of great stuff but should be absorbed in small segments.

http://www.felinediabetes.com/FDMB/viewtopic.php?f=24&t=32799.

You and your vet have gone about this wisely. Diet change is great. You definitely want him to eat so you might try dressing the wet food with Parmesan cheese, tuna juice or a crushed favorite treat . Many cats like the pates chopped up and served with a little warm water to make a gravy. This website by a vet also has good ideas for reluctant eaters. www.catinfo.org

You started on a nice safe dose. Now to keep track of those numbers. We have a color coded spreadsheet that is a great tool for you and your vet, and us when you have questions.

http://www.felinediabetes.com/FDMB/viewtopic.php?f=6&t=18207

We always gave Oliver his shot when his face was deep in his food. He never seemed to notice.

Keep reading - this site is a great resource. Ask questions. We all started out overwhelmed and terrified. The more you learn, the better you understand and the more confident you feel.
 
Welcome to PZI & the message board, and we're glad you're here!

There will be a LOT of great info that will be extremely helpful, but as Sue said, small doses. It will overwhelm and things will be a blur.

You're on the right path - testing, shooting, and hopefully keeping up w/ his numbers. There are links to help set up a googledocs spreadsheet that you can link so that every time you update his numbers it automatically updates on all your links.

So take some time to breathe, read as time permits, and ask all the questions you have. There are folks here at all hours that can be of assistance... as I found out w/ my own situation last night. Let us know what we can help you with - good luck!

Lu-Ann
 
Hi,
I don't have the links but I know somebody must....
Who has a link to "how to give a sub-Q shot"??? It will help you know for sure you are giving the shot right. When you said you weren't sure, and that he flinched, I thought it might help to see it done....
Insulin is just measured in "units". There are basically two types/concentrations of insulin, known as "U40" and "U100". Prozinc is in the U40 class. The reason it matters is that there are also two types of syringes. You have to use the right kind depending on the insulin. If you got all this from the vet, then you have Prozinc, and U40 syringes. The syringes should have a red cap over the needle. (U100's usually come with an orange cap). Most U100 insulins are actually human insulins that can be used on cats/dogs, while the U40's are specifically for cats/dogs, and not human use.
Here's a picture:
Your's should look like the top syringe?

ON the syringe itself, there should be a scale that runs from zero to 40? Each hash mark to the right of the center line would be 1 unit. If there are marks to the left side of the center line, those would be half unit marks, but many syringes don't have 1/2 unit marks. So one unit would be the first line up from the zero line when the plunger is depressed all the way. It looks like a very tiny dose, and it is really.

Carl
 

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aspiredact said:
Hello, everyone! I'm new here and a little overwhelmed.

My kitty is named Austin, and he is a couple of months shy of 14 years old. He was diagnosed as diabetic about five or six years ago, at which time the vet recommended we start with changing his diet to Purina DM. It seemed to actually work until a few weeks ago, when he suddenly completely lost interest in his food (and he has always been a voracious eater).

We took him to the vet and found out he had an infection and his BG was 309. The vet said it was possible that the infection was causing the glucose spike, so he wanted us to go through the round of antibiotics before determining if his time for insulin had come. He did get over the infection, but he just never really seemed to get back to the "real" Austin. I started doing research (which was when I initially registered for this forum, but didn't post) and realized the DM was actually not that good for him and switched him to Fancy Feast Classics. He was actually eating them at first, but his interest in them started to wane as well. I began testing his glucose at home periodically and it never got lower than 305. Over the last couple of days he's pretty much stopped eating (he's eating about 1/2 a can of food a day). He's lost so much weight and I was terrified that I was going to lose my grumpy old man. So back to the vet he went.

His glucose at the vet's office today was 400. The vet could not find anything else wrong with him other than some dehydration, so he gave him a bag of fluids and sent my husband home with insulin and syringes. We gave Austin his first shot tonight. I was at work when my husband took Austin to the vet, and unfortunately my husband is not the best at asking the important questions or relaying information, so I feel a little overwhelmed and in the dark about what to expect. He is on Prozinc, 1 unit twice a day. I am perfectly willing to give my sweet boy shots if it will save his life, but I feel so overwhelmed. I don't really even understand what a "unit" is. I don't know what kind of reaction I should be seeing from him, and in what time frame. I honestly am not sure if I got the shot in him completely (but I think I did, because he flinched). And of course, there's the worry that my cat will "hate" me for giving him shots all the time, which I know is irrational, but the fear is still there.

I'm sorry if I sound a little nuts...you've all probably heard this plenty of times before. I just love Austin so much and am so worried about him. We always knew that the day for insulin would come, and I always thought it would be rather simple, but now that the time is here it seems like rocket science.

Welcome to the site. I am sure that you will be able to get Austin into some good BG numbers, and he'll get back some of that weight as well as get you your old Austin back.


So, Austin was diagnosed 6yrs ago and all that was done was a diet change, or were you giving insulin?

I see a few BG numbers in your post; were they all at the vet but no numbers from home testing?
You will be able to see how Austin's doing on the insulin when you are home testing. Cats are not great at saying how they are doing, so you should home test him just like humans test themselves before giving themselves shots.
There are plenty of people who can help you get comfortable with testing. Pick up a normal blood glucose meter, some test strips and lancets for the meter, and also get a container of KETOSTIX so that you can check his urine for ketones.
here are some links for you
Testing on cat’s ear
Saddle – locations for Squids/injections
Giving Cat SQ-youtube

List of Hypo symptoms
How to treat HYPOS-They can kill! Print this out!
Jojo’s HYPO TOOLKIT
Ketones

Binky’s Food Lists
Feeding Your Cat: Know The Basics of Feline Nutrition


OK that's it for me; lots of reading for you.

Ask every single question you have; someone will have some help for you.
 
Thanks everyone! I know it will get less overwhelming in time. I just really want Austin to get back to normal, and I guess I'm just afraid that there's something more wrong with him than just being diabetic. He just seems so very not-himself. I appreciate all of the links to specific information, and I will definitely be using my weekend to read chunks as I can. This is exactly the kind of stuff I was looking for!

Carl, those are the syringes I have, although they go up to 20, not 40. Thanks for the visual, it is much more reassuring! I know it's a tiny dose because he's so small (compared to humans), but it just seemed like I was barely giving him anything. Amazing that something so small can make such a difference! By the way, I'm in SC as well!

Gayle - Up until today, all we ever did was diet change. He seemed to thrive on the Purina DM until around the beginning of this year. He's had a few vet visits over the years and his BG hasn't been elevated enough for the vet to ever feel concerned. I have been home testing a little (basically to determine if we needed to go to the vet, not so much to actually track his BG). While we're certainly not pros at it yet, it has been getting easier and easier for us to test him ourselves. The only problem is that it's still a two-person job, but hopefully we'll both get skilled enough at testing that we will be able to do it individually.

I just spent some good cuddle-time with Austin, which seems to be the one perk of him not feeling well. He's usually quite cranky and only tolerates me (my husband is the only person/animal/object he has ever seemed to love), but he's been climbing right up on my lap or laying on my chest and purring away on his own volition lately. While I love the snuggle time, it's quite unnerving to see him being so affectionate.
 
carlinsc said:
Hi,

Insulin is just measured in "units". There are basically two types/concentrations of insulin, known as "U40" and "U100". Prozinc is in the U40 class. The reason it matters is that there are also two types of syringes. You have to use the right kind depending on the insulin. If you got all this from the vet, then you have Prozinc, and U40 syringes. The syringes should have a red cap over the needle. (U100's usually come with an orange cap). Most U100 insulins are actually human insulins that can be used on cats/dogs, while the U40's are specifically for cats/dogs, and not human use.


There is also a special 12 unit insulin syringe specifically for using ProZinc: http://www.prozinc.us/understanding_insulin.aspx

syringe.jpg



Here's a picture of a U40 insulin syringe:
stock-photo--ml-units-insulin-syringe-147289.jpg



Using the right insulin syringes is important. You don't want to over- or under- dose your cat. I suggest sticking with U40 insulin syringes, or the 12 unit ProZinc ones if you have those, for now.

A "unit" is how insulin is measured. Think of it as like a liquid meausuring cup that you use for baking/cooking. Like a measuring cup, there are lines on the syringe that lets you mesure certain amounts of insulin. Each line on the insulin syringe is equal to 1 unit, like how a measuring cup may have lines for every 1/4 cup. Every 5 lines on the insuiln syringe is boldy marked with a number (5, 10, 15, etc). Here's an example (for now ignore the fact that is is a U100 1/2 cc insulin syringe):

insulin50.jpg



The very top long unmarked line is zero. The little unmarked line under that is 1 unit. The next little line is 2 units, the next is 3 units, the next is 4 units, then it is the slightly longer bold line marked as 5, then the next line is 6, etc all the way up to the line marked 50

Some U100 insulin syringes even have markings for every half unit.

(EDIT: As a general FYI, U100 1 cc insulin syringes have markings for every 2 units but you won't ever need to use those)

1 unit of any insulin is a really tiny amount. Here's a close up picture
 
Yes, that's them! Thank you so much for the graphics, they help so much!!! I'm definitely a visual learner.
 
Aaspiredact, what brand of U40 insulin syringes do you have? Just curious because I have never seen U40 20 unit insulin syringes before.

The red arrow in the picture below shows you where 1 unit is:

Untitled.jpg


The insulin syringe in that picture is measuring 3 units. The side of the rubber stopper that is in contact with the insulin is lined up with the 3 unit line.

Here's another food list you can use to find suitable diabetic-friendly foods: Pet Food Nutritional Analysis
 
I hear your worry for Austin in your writing. Your fear that there is something other than the diabetes causing him to feel bad and act not himself. High BG readings can certainly make a kitty feel bad. Before my Samson was diagnosed, I thought he was just really showing his age all of a sudden. He must be close to Austin's age, as he will be 14 in May. Once he got to the point where I figured out there was really something wrong with him and got on the insulin, he started being more himself right away. Before that, he would sleep so hard during the day, he didn't seem to know what was going on....except for when he was begging for food and water. So, hopefully, you will start seeing improvement soon when the insulin starts kicking in.

My Samson only was on insulin for one month, and, thnkfully, has been, as we say "OTJ" (Off The Juice) for 4 months. Be patient, and keep learning. It doesn't all come to you all at once. You might have "fur shots" sometimes at first...we all have, but just keep plugging and do the best you can. Be sure to test him before every shot....and ask and ask and ask here on the board. Everyone wants to help you and Austin.

Oh, and a tip from my vet that worked well for me in measuring the dose......pull 5 units up in the syringe, then, with the needle still in the insulin bottle, push down on the plunger until you get to the correct dosage for Austin. It was easier for me to see that way, and it got rid of any "bubbles".

Good luck to you and DH and Austin.
 
Squeem - The syringes are UltiCare Vet RX U40.

Badams - Austin and Samson are exactly the same age - he will be 14 in May, although I don't know what day. My husband got him as a 6-week-old kitten from the shelter, and that was a couple of years before he met me. Austin has only ever tolerated me, but I love him dearly. I definitely worry about him. I suppose what worries me the most is his lack of appetite. I know that the odds are good that over time I can get his BG under control, but I don't know how to bring his appetite back. It seems like he's starving himself to death. He clocked in yesterday at the vet at 8.1 lbs, and this is a pretty large cat that the vet recommends weigh 11-12 lbs. Also, thanks so much for the tip on pulling extra insulin into the syringe and then plunging out what you don't need back into the bottle. That's exactly what I did this morning to try to get the air bubbles out and measure it correctly and it worked really really well.

I can't express how grateful I am to have found this place. I have lots of reading to do today and hopefully it will get easier. I was able to give Austin his shot this morning all by myself. I didn't think to test his BG before the shot, but we got a reading 3 hours after and it was 255. That's the first time I've seen him under 300 since I started testing, so I'm pretty excited!
 
I know just how you feel:) Before my Fritz was diagnosed 8 years ago, he was walking on his honches, couldn't jump, had lost weight, the list goes on. I took him to the vet, received the diagnosis and was told all these symptoms where from diabetes. I kid you not, within about 6 months, he had full recovery in his legs, started to gain some weight within the first month or so.

Be patient, it takes some time for them to get back to their bad selves. You are doing all the right things by being on here and home testing. I didn't find out about this site until a month ago when my boy suffered MANY massive siezures caused by ME giving him insulin and not home testing! One month later, with home testing, adjusted dose and new diet, he is better than ever.

You are in the right place, with out FDMB I would have lost my sweet boy.

Cheers :)
 
squeem3 said:
carlinsc said:
Hi,

Insulin is just measured in "units". There are basically two types/concentrations of insulin, known as "U40" and "U100". Prozinc is in the U40 class. The reason it matters is that there are also two types of syringes. You have to use the right kind depending on the insulin. If you got all this from the vet, then you have Prozinc, and U40 syringes. The syringes should have a red cap over the needle. (U100's usually come with an orange cap). Most U100 insulins are actually human insulins that can be used on cats/dogs, while the U40's are specifically for cats/dogs, and not human use.


There is also a special 12 unit insulin syringe specifically for using ProZinc: http://www.prozinc.us/understanding_insulin.aspx

syringe.jpg



Here's a picture of a U40 insulin syringe:
stock-photo--ml-units-insulin-syringe-147289.jpg



Using the right insulin syringes is important. You don't want to over- or under- dose your cat. I suggest sticking with U40 insulin syringes, or the 12 unit ProZinc ones if you have those, for now.

A "unit" is how insulin is measured. Think of it as like a liquid meausuring cup that you use for baking/cooking. Like a measuring cup, there are lines on the syringe that lets you mesure certain amounts of insulin. Each line on the insulin syringe is equal to 1 unit, like how a measuring cup may have lines for every 1/4 cup. Every 5 lines on the insuiln syringe is boldy marked with a number (5, 10, 15, etc). Here's an example (for now ignore the fact that is is a U100 1/2 cc insulin syringe):

insulin50.jpg



The very top long unmarked line is zero. The little unmarked line under that is 1 unit. The next little line is 2 units, the next is 3 units, the next is 4 units, then it is the slightly longer bold line marked as 5, then the next line is 6, etc all the way up to the line marked 50

Some U100 insulin syringes even have markings for every half unit.

(EDIT: As a general FYI, U100 1 cc insulin syringes have markings for every 2 units but you won't ever need to use those)

1 unit of any insulin is a really tiny amount. Here's a close up picture
You know, if those 12 unit syringes had 1/2 unit marks, they'd be the perfect syringe for cat usage (U40 only of course). It just looks like the scale is much easier to read on one with that little total volume. Thanks, squeem, I had never seen that pic before.
Carl
 
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