My vet thinks the combination of insulin and diet (< 7% carb on a dry wt basis) is best and has seen some cats "recover" after a period of time to where they only need the diet. She likes the lantus insulin and there is a coupon for it. I thought I'd never be able to give my cat shots, but it works.
For an edgy kitty, food distracts when giving shot
People suggested to give the shot while the cat is eating because s/he is focused more on the food. Although my kitty will still complain and move, I would not have been able to give a shot even with a second person.
Practice lifting the skin, filling a syringe
My vet showed how to lift the loose skin using three fingers so the needle can slip thru two finger and just under the skin. I had to practice this, so I did it when the kitty was eating. While you need a perscription for the insulin, you don't need one for the needles. I buy mine from Walgreens because the needles are thinest at 31gauge (.3ml). My vet gave me a practice vial filled with water for practicing withdrawing insulin and getting rid of bubbles. Then, I graduated to actually giving an injection at the vet office. Of course my cat was compliant there. It takes a while to get the technique and the procedures down. There's a terrific vid that listed thru out this blog that was so helpful. I've used the Lantus vial and the Lantus Solostar pen and I like the pen a lot better, but you don't use it quite the same way as the vial.
Room temp insulin better accepted
One of the reasons I like the pen is that I can leave it out at room temperature. My cat really objects to the even slightly cool insulin. But, it's only good for 28 days sitting out. I get more than one pen storing the ones not in use in the frig in a plastic bag. With the coupon, the pen is less expensive than the vial. So, I store the Solostar pen in a herb jar.
Washing hands (using gloves) - The Procedure
I'm a little obsessive with trying not to add germs in. When I go to draw insulin, I wash my hands, put on gloves. A paper towel is put down and an alcohol swab is opened. Upon opening the pen, the rubber tip is wiped with the swab and then put crossways on top of the pen top that was just removed. I lost a pen when it rolled off the counter and fell hard at a weird angle on the tile floor and cracked. Then, I get a syringe and pump it like shown in the vid, and draw insulin out of the pen cartridge. The covers go back on the syringe and the solostar pen which is put back in the jar. My gloves come off, my kitty's food goes on a plate, I wash my hands again and deliver the plate. I use the food service gloves which are big, but cheap - $15 for 1000. Once she starts eating, I get the syringe and locate a spot for her subcutaneous injection away from the scruff of the neck and the spine. My vet pushes the plunger with the palm of her hand that way she doesn't have to move her finger off the syringe to push the plunger in.
After the injection
I run my forearm at the injection site to make sure it went in. If it doesn't, my vet told me to wait until the next injection time because you really can't tell how much went in.
Then, top goes back on the empty syringe and into a gallon container with a lid attached (used vinegar jug). When the container fills, I take it to my vet who disposes of the syringes for $13.
The right height
I actually put the food on a table so the kitty's at my height and I can stand. If it's in a corner, that is very helpful. I found it easier to locate the loose areas for injection up off the table by about 2 inches - basically on top of flipped over bowl.
Friskies, Fancy Feast, and EVO kibble
Food-wise, my vet gave me a list of canned food, but you need to double check as formulas can vary with the manufactures over time. My cat loved the Friskies Turke & Giblets Special Diet Classic pate, then suddenly stopped eating it. All the Friskies Special Diets are low carb. But now she Fancy Feast - Classic Chicken Feast, Chunky Chicken Feast and Chunky Turkey Feast. Purina emailed me the list for Fancy Feast today, where the first number is the protein and the second is the carbs. The file's attached and listed below with the ones my kitty eats highlighted:
Fancy Feast
NUTRIENTS ON A DRY MATTER BASIS
Protein, Carbohydrates
Fancy Feast CLASSIC Varieties
Tender Beef Feast 53.1% 4.68%
Tender Beef & Chicken Feast 51.4% 4.30%
Tender Beef & Liver Feast 50.8% 4.74%
Tender Liver & Chicken Feast 54.7% 3.60%
Turkey & Giblets Feast 53.3% 3.90%
Chopped Grill Feast 52.9% 4.68%
Cod, Sole & Shrimp Feast 59.2% 2.50%
Chicken Feast 53.0% 4.10%
Salmon & Shrimp Feast 53.2% 5.30%
Seafood Feast 57.3% 2.59%
Ocean Whitefish & Tuna Feast 60.0% 2.70%
Savory Salmon Feast 52.3% 4.68%
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Fancy Feast FLAKED Varieties
Chicken & Tuna Feast 62.3% 6.79%
Fish & Shrimp Feast 63.2% 0.00%
Salmon & Ocean Whitefish Feast 60.5% 6.30%
Trout Feast 60.8% 6.10%
Tuna Feast 62.4% 7.40%
Tuna & Mackeral Feast 65.1% 7.60%
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Fancy Feast CHUNKY Varieties
Chicken Feast 57.0% 5.10%
Turkey Feast 56.3% 6.20%
[/color]Chopped Grilled Feast 55.4% 6.10%
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Fancy Feast ROASTED Varieties
Chicken Feast 63.0% 9.40%
Turkey Feast 65.2% 8.26%
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Fancy Feast KITTEN Varieties
Turkey Feast 51.8% 4.10%
Ocean Whitefish Feast 54.5% 4.26%
EVO turkey and chicken hard food
The only hard food that meets the carb requirement of less than 7% carb is EVO Turkey and Chicken, which has been recently recalled. My cats love this food.
Parting words
If you haven't started on insulin yet, pls reconsider. My kitty is feeling so much better. This forum has helped me alot.