New Member (30 March 2026) Exhausted, stressed and overwhelmed with conflicting information online

Schwarmen

Member Since 2026
Greetings from China, from two exhausted cat parents.

****Too Long, don't want to read: Diagnosed 3 months ago.
Questions: 1. Is it more painful to prick the paw pads? 2. How do I get my cat to not hate testing without giving him snacks? (they shoot up his blood sugar). 3. Will we ever be able to choose an appropriate dosage if his appetite never becomes totally stable? 4. Is the needle really much better than the pen? 5. What are TR or SLGS? (google did not help)********

Our boy, Putin, was diagnosed in the beginning of January and everything has felt like an uphill battle since then. He had severe pancreatitis, a lung infection and liver damage. They were also worried he had a tumour. He was hospitalised for seven days and they had to put a tube in his nose to feed him. After he came home, we had to continue to force feed him because he would not eat. We used appetite enhancers and we encouraged him to eat by giving him whatever he liked most. When he did slowly begin to eat on his own we fed him low carb dry food because that's what he liked. He refused to eat wet food at all and this is a part of the reason it has taken us so long to even get to the point that we're at now. (We also spent a month taking care of a friend who had to have surgery).

We tried every brand of low carb wet food and every flavour but he was not interested. We tried heating it and feeding him on different surfaces or mushing it into different textures, etc. Eventually what worked for us was adding crushed freeze dry chicken onto the wet food and later we bought a low carb chicken powder (made from chicken livers). Finally we got to a point where he was eating 260-280 grams a day which is what was recommended for his weight and calorie intake needs. We also realised we had to feed him four times a day to get him to eat the right amount because he has always free grazed. Eventually we bought a machine that can open for him whenever and has icepacks to keep the food fresh. This is also helpful because his sister cannot eat his food and vice versa.

When we first brought him home we used a freestyle monitor and although the monitor itself didn't bother him much he did, after 5 weeks, develop an incredible phobia for the bandages that we used to cover it. When we did our own application of the monitor for the first time, I wanted it to be as stress free as possible for him and I stupidly decided not to use a cone. He bit me so badly that I got an infection and had to go on antibiotics. Finally, his fear of the bandages became so severe that when we were trying to readjust them at one point, he shat all over my husband. That's when we decided to give up on the monitor.

Blood testing has been a whole new drama and I am so scared of traumatising him and hurting him in any way. He hates the blood tests. We were unsuccessful with the glucose reader that we first bought because it required so much blood and would decide it wasn't enough immediately. Then my husband bought one that is designed for children and requires much less blood. Now we easily get the results each time but he still hates it. We stopped using the lancet because we realised the clicking noise was triggering him and it was beginning to make him scared of his insulin shots too, which has been the only easy part about all of this. We chose to prick him on his paw pads because he is not an easy cat and he will bite and fight if he feels scared. But now I'm starting to doubt this decision because he hates testing time. Which leads me to my first question: does it hurt more on the paw pads? Additionally I've seen people talk about giving their cat a treat with every test but in our experience treats always shoot up his blood sugar (freeze dry chicken which is supposedly low carb). This is what we use when his blood sugar is low.

A few days ago we switched from Sanofi's Glargine pen to the Novo nordisk pen. The former had one unit as the smallest and the new pen allows us to give him 0.5. We found that no matter how we adjusted his feedings, one unit twice a day was too much but one unit a day was not enough. We were aiming to give him 0.5 twice a day with the new pen but so far we've only been giving 0.5 once a day because in the mornings his blood sugar tends to be too low for a shot. We've also noticed that his blood sugar has been much more stable on this new insulin and we have not seen any crazy high numbers like we were before but for the last three days his appetite has dipped. We've also noticed a drop in his blood sugar in the evenings after his shot. Which leads me to my third question; will we ever be able to choose an appropriate dosage if his appetite never becomes totally stable? I've heard people say that it's better to use a needle than a pen but our goal is eventually to be able to do these things alone when the other person needs to be away for whatever reason and he is not an easy boy. Is the needle really much better than the pen?

Hopefully I haven't given you the wrong impression of my Puti. He is a sweet and cuddly boy (as I type this on the couch, he is tucked under my arm) and he only lashes out when he's scared. He was badly abused before we adopted him and he was severely traumatised when he first came to us. I love him so much and I was so scared when I thought we were going to lose him. Lately I feel like I'm hanging onto a single frayed strand of rope. My husband is also really struggling and his mental health was already tenuous to begin with. We are so tired. And although we celebrate each small win, there is so much more guilt, anger and hopelessness.




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Welcome to FDMB
Puti is adorable, and yes, we all have all been in your shoes, with every fear, stress, inadequacy when we are told our fur baby is diagnose with FD, so you are not alone, and every question and concern you have mentioned are very valid, by your description of the pen you use I assume that Puti is on Lantus? if so Lantus is a great insulin and a Depot insulin, so it is important that he has several 3-4 small meals or snacks during the day to keep the insulin in check. A diabetic cat needs to have a diet of wet can or raw foods between 0-10% carbs, so if you are feeding freeze dry chicken as a snack which you say is low carb and is what you use when his blood sugar is low,
and it hikes up the BG, then this is NOT low carbs, many people cook for their cat, boiled fish, chicken, shrimp, but some nutrients and vitamins should be added to that food for balance. Also grazing or kibbles, any dry food is not an option all dry foods contain between 20-30% carbs cats cannot digest carbs.
Most people use the ear, there is what is called the sweet spot located on the upper corner of the outer ear, once the capillaries swell from pricking, it will be much easier to draw blood, if you use the pen, maybe the noise when you prick startles him, a 30 gauge lancet is good, if you look at the tip of the lancet you will see a small curve, when you prick you prick sideways, not down, you can get a small sock fill the end with rice to make a small ball that will cup the ear, tie it, you will cup the ear with the sock to have better aim, place the back of your palm firmly soft between Puti's ears it will control head movement, have the supplies ready, (most members use a human monitor they are just as accurate) let him get close and comfortable with the supplies on his favorite spot, cuddle a bit, give a snack after, he will associate the order of test-snack quicky, there's a link below on how to test as well, with illustrations.
All cats are different and react differently to insulin, but the dose giving needs to remain the same, and trying not to skip a shot is as important, although there are exceptions, a non-diabetic cats' glucose level is between 50-120, it takes about three cycles (3 days) on the same dose to begin to see the progress of that given dose in the system, which means changing dose according to the glucose level, will be
harder to stabilize Puti, most members including myself shoot our cats while their faces are in their bowl., I hope that all the other old illnesses he previously had at first are gone. I understand what you mean about, his fear when abused, I adopted Corky from a shelter at 8-10 weeks old and who ever left him there, a Beast, I assume, hade de-clawed his front paws, , so when he got home he went straight under the bed, I did not see him for almost a month, but he was still shy when I would walk past him he would move away, 10 years later, he began drinking a lot of water he had an obsession with his water bowl, and I noticed once I walked by him and he did not move, I walked towards him, the same, I picked him up he let me, he had just been to the vet the month before for his rabies shot, he was weighing 16.5, he is a very large cat and in my arms he felt like a feather, I weight him and he was 8.5lbs I did not notice, and I thought he was just playing with his water, straight to the emergency, his glucose level was 650, 4 years later after I found this web site 3 months after diagnosed, he is as healthy as he can be, and tightly regulated, following all the suggestions and advice from all the amazing members blindly. in this Forum, we are very numbers oriented so we would like you to create your signature so this way we do not have to ask the same questions when you post, as well as Puti's spreadsheet, links below, also a link to a wet food calculator, you use the nutrient %s from the label, we are looking for dry carb matter , We are here for you, keep posting, we are here for you. And I want to point out that you are doing GREAT! and confusion is normal, there's a lot of information to absorb, but it gets easier, if I missed anything please keep posting 🤗

Sticky - New? How You Can Help Us Help You!
https://felinediabetes.com/FDMB/threads/how-to-create-a-spreadsheet.241706/
How to "Shoot" Your Cat
 
I don't follow either but here is the translation to your last question, SLGS: Start Low, Go Slow method for dosing that was developed by members of FDMB
TR: Tight Regulation. TR initially referred to the Tight Regulation Protocol for Lantus and Levemir that was developed and later published by Roomp & Rand.
I forgot the carb calculator, sending several models pick the most comfortable for you, I use the first one, please remember we are looking for DRY MATTER CARB

Cat Food Nutrition Calculator | Elizabeth C Scheyder
Cat Food Database
@Sienne and Gabby (GA)
could you please explain to little Putin's mom the difference between SLGS and TR better than I did? TY
 
Last edited:
Welcome to FDMB
Puti is adorable, and yes, we all have all been in your shoes, with every fear, stress, inadequacy when we are told our fur baby is diagnose with FD, so you are not alone, and every question and concern you have mentioned are very valid, by your description of the pen you use I assume that Puti is on Lantus? if so Lantus is a great insulin and a Depot insulin, so it is important that he has several 3-4 small meals or snacks during the day to keep the insulin in check. A diabetic cat needs to have a diet of wet can or raw foods between 0-10% carbs, so if you are feeding freeze dry chicken as a snack which you say is low carb and is what you use when his blood sugar is low,
and it hikes up the BG, then this is NOT low carbs, many people cook for their cat, boiled fish, chicken, shrimp, but some nutrients and vitamins should be added to that food for balance. Also grazing or kibbles, any dry food is not an option all dry foods contain between 20-30% carbs cats cannot digest carbs.
Most people use the ear, there is what is called the sweet spot located on the upper corner of the outer ear, once the capillaries swell from pricking, it will be much easier to draw blood, if you use the pen, maybe the noise when you prick startles him, a 30 gauge lancet is good, if you look at the tip of the lancet you will see a small curve, when you prick you prick sideways, not down, you can get a small sock fill the end with rice to make a small ball that will cup the ear, tie it, you will cup the ear with the sock to have better aim, place the back of your palm firmly soft between Puti's ears it will control head movement, have the supplies ready, (most members use a human monitor they are just as accurate) let him get close and comfortable with the supplies on his favorite spot, cuddle a bit, give a snack after, he will associate the order of test-snack quicky, there's a link below on how to test as well, with illustrations.
All cats are different and react differently to insulin, but the dose giving needs to remain the same, and trying not to skip a shot is as important, although there are exceptions, a non-diabetic cats' glucose level is between 50-120, it takes about three cycles (3 days) on the same dose to begin to see the progress of that given dose in the system, which means changing dose according to the glucose level, will be
harder to stabilize Puti, most members including myself shoot our cats while their faces are in their bowl., I hope that all the other old illnesses he previously had at first are gone. I understand what you mean about, his fear when abused, I adopted Corky from a shelter at 8-10 weeks old and who ever left him there, a Beast, I assume, hade de-clawed his front paws, , so when he got home he went straight under the bed, I did not see him for almost a month, but he was still shy when I would walk past him he would move away, 10 years later, he began drinking a lot of water he had an obsession with his water bowl, and I noticed once I walked by him and he did not move, I walked towards him, the same, I picked him up he let me, he had just been to the vet the month before for his rabies shot, he was weighing 16.5, he is a very large cat and in my arms he felt like a feather, I weight him and he was 8.5lbs I did not notice, and I thought he was just playing with his water, straight to the emergency, his glucose level was 650, 4 years later after I found this web site 3 months after diagnosed, he is as healthy as he can be, and tightly regulated, following all the suggestions and advice from all the amazing members blindly. in this Forum, we are very numbers oriented so we would like you to create your signature so this way we do not have to ask the same questions when you post, as well as Puti's spreadsheet, links below, also a link to a wet food calculator, you use the nutrient %s from the label, we are looking for dry carb matter , We are here for you, keep posting, we are here for you. And I want to point out that you are doing GREAT! and confusion is normal, there's a lot of information to absorb, but it gets easier, if I missed anything please keep posting 🤗

Sticky - New? How You Can Help Us Help You!
https://felinediabetes.com/FDMB/threads/how-to-create-a-spreadsheet.241706/
How to "Shoot" Your Cat
Hi thank you so much for replying. It's really nice to hear about similar experiences and know we're not alone. Putin also wouldn't come near us for a month when he first came to live with us. I'm so glad Corky has you!

These were my questions and for clarity, none of them were answered and I apologise if I wasn't clear: 1. Is it more painful to prick the paw pads? 2. How do I get my cat to not hate testing without giving him snacks? (they shoot up his blood sugar). 3. Will we ever be able to choose an appropriate dosage if his appetite never becomes totally stable? 4. Is the needle really much better than the pen? 5. What are TR or SLGS? (google did not help)

I don't think I explained myself well, so let me just clarify some things. He is not on lantus (the insulin he was on before was similar to lantus but it did not work well for him). He is on Ryzodeg (it's closer to Levemir according to my husband) which is very commonly used for diabetic cats here in China. He does eat four meals a day but we allow him to come back to them at any time (hence the machine with ice packs that opens for his face) but he is not allowed snacks unless his blood sugar is low. As for the freeze dry chicken, our vet actually told us it's low carb but it still brings up his blood sugar. So maybe she was wrong. However, boiled chicken also spikes his blood sugar so we also cannot give him that. As far as I know, boiled chicken doesn't have carbs. Hence my question about what we can possibly do about making blood testing happier when we cannot give him treats.

Putin is never allowed dry food, he only eats wet food and the wet food he eats is a very low carb German brand (lower carb content than Fancy Feast).

I know that most people use the ear. We were anxious about using the ear because he is a biter and also the ear seems more delicate. But I'm just curious if anyone knows which option is less painful. Additionally we can not give him a snack after testing so testing is becoming something that he really hates. We think we're probably going to try put another monitor on him tomorrow because blood testing has been going really badly and we are trying to do curve testing every day because he's on a new insulin and even though it's a lower dose, his blood sugar keeps dropping at night. I definitely want to try the ear test again if there's a general consensus that is less painful. I just want what's best for him.

As for the reason we skipped his morning shots, that was intentional because his blood sugar was too low for a shot. He has not been eating as much as before in the last 3 days. Hence my question about whether we will ever be able to choose the appropriate dose when his appetite fluctuates so much.

I have created my signature and my spreadsheet. However my spreadsheet does not have a lot of data at the moment because we've only just started him on this new course. I thought that the old data will probably be irrelevant because it is vastly different to the way he is currently reacting to the new insulin.
 
1- it’s your choice and how Putin takes it I have always done the ear, personally I would think that with time it would hurt the paw, I can’t be sure, many member do the paw
2- giving a snack prior to testing can alter the BG level, try testing on his favorite spot, give the low carb treat several times on that same spot when is not time for testing, then on testing time show the snack only, test give snack, is a matter of association, test, snack, try different scenarios until one works for the both of you.
3- as long as he eats a little bit you can shoot, there’s a medication to stimulate appetite I don’t know if in China is available called MIRATZ, is a small tube that goes a long way, a tip of a pin amount rubbed on the inner curve of the inside of the ear every day for about a week exchanging eats everyday, is miraculous by the second application he will devaour his food.
4- I have never used the pen, but reading other members posts that use it and have trouble testing, when switching to the lancet the cat allows testing, cats have very sensitive hearing, the sound of the pen can stress them, they are also very sensitive to stress, you stress, they stress
5-SLGs Is dosing in slow, small doses
TR is the protocol for Lantus ( tight regulation)
I
will tag another member to explain the true explanation of both, since I have never used either
I see that you are on a similar insulin to Lantus,
 
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