Mermelada back on insuline

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Mermelada & Andrea

Mermelada & Andrea

Member Since 2020
Hi everybody, I was very active in this forum around 2021 when Mermelada got his diabetes diagnose and started with insuline, we manage remission around 2022 and since there he was just on diet and glucosse checking, sadly his sugar levels are high again, around 390-490, today was his first insuline shot since 2022, so I wanted to send love and strenght to all mommys, daddys and kittys here who are dealing with similar situation, I’m here if somewone need advise and I’m going to be more active again

wish us luck please, I’m scare he has to go trough this again
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Andrea -

Sorry to see you're back. I hope you had your vet see Mermelada. Issues like needing dental work or having a urinary tract infection can cause a relapse.

I'm removing the GA from your subject line. GA has a very specific meaning -- your cat has become a guardian angel or has gone ahead. In other words, that your cat has died.
 
Sienne and Gabby (GA) said:
Andrea -

Sorry to see you're back. I hope you had your vet see Mermelada. Issues like needing dental work or having a urinary tract infection can cause a relapse.

I'm removing the GA from your subject line. GA has a very specific meaning -- your cat has become a guardian angel or has gone ahead. In other words, that your cat has died.
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thank you so so so much! And I’m very sorry, I thought it was GA for Glargine that he is using, felt so bad, thank you for your support.

about the vet, I took him yesterday but he only touch him, since im the one doing his sugar levels he didn’t make a blood test, only recommended the insulin, what would be the signs of urinary infection? He tends to hold his pee until his sand is very clean, so he is prone to infection but how do I know if he has one?

Also the vet diluted the insulin with sodium chloride.. since is human type insuline he told me it would help me to get more precise shots and avoid
hypoglycemia, have you ever heard of this?
 
According to the manufacturer, you should not dilute glargine. Glargine also forms a cloudy precipitate when mixed; it is no longer a clear solution. Mixing in the bottle is not recommended because of problems with accuracy of dosing when the insulin is a precipitate, bacterial contamination and the unknown effect on stability and efficacy. See the section "Administration of small doses of glargine and detemir: dilution and insulin dosing pens" in the attached file, "Management of Diabetic Cats with Long-acting Insulin": management of diabetic cats.pdf (The section starts on p. 255.) In addition, I seriously doubt that the vet diluted the insulin under completely sterile conditions. Unless the dilution was done under laboratory sterile conditions, you risk bacterial contamination.

It can be hard to tell if a diabetic cat has a UTI. Often, they are urinating more frequently but that also happens with diabetes. The cat may be uncomfortable when urinating or there's also a possibility of blood in the urine. Unless there's a lot of blood, the only way it may be visible is with a urinalysis. I would also suggest getting a blood panel run to make sure that your cat doesn't have some sort of infection.I'm also guessing that your vet didn't take a good look at your cat's teeth. Dental problems are the most common reason for a cat to fall out of remission.
 
Sienne and Gabby (GA) said:
According to the manufacturer, you should not dilute glargine. Glargine also forms a cloudy precipitate when mixed; it is no longer a clear solution. Mixing in the bottle is not recommended because of problems with accuracy of dosing when the insulin is a precipitate, bacterial contamination and the unknown effect on stability and efficacy. See the section "Administration of small doses of glargine and detemir: dilution and insulin dosing pens" in the attached file, "Management of Diabetic Cats with Long-acting Insulin": management of diabetic cats.pdf (The section starts on p. 255.) In addition, I seriously doubt that the vet diluted the insulin under completely sterile conditions. Unless the dilution was done under laboratory sterile conditions, you risk bacterial contamination.

It can be hard to tell if a diabetic cat has a UTI. Often, they are urinating more frequently but that also happens with diabetes. The cat may be uncomfortable when urinating or there's also a possibility of blood in the urine. Unless there's a lot of blood, the only way it may be visible is with a urinalysis. I would also suggest getting a blood panel run to make sure that your cat doesn't have some sort of infection.I'm also guessing that your vet didn't take a good look at your cat's teeth. Dental problems are the most common reason for a cat to fall out of remission.
Click to expand...

thank you for all this info, I’ve been looking those pens for 1/2 units, but couldn’t find a web who sell them, I’m meeting a human doctor today to ask him were I can find them.

I checked his theet for any wound or bump and nothing, there is also no signs of UTI, anyway the vet is going to check him again in two weeks and I’ll be asking him to check him more carefully and mention this posible infections, I want to get the pen before that so I can apply .5 Ui on him

Yesterday and Today noticed that the area were I’m applying his shots turns warm, and last for some hours, is this normal? I don’t remember if this hapened to him the first time
 
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