'nuther newbie

Status
Not open for further replies.
I was wondering seems I read somewhere else here that steroids and insulin don't mix. When we had our big trouble with Snicky 2 weeks ago, they had given her a steroid to help battle her upper resp. infection. She was on 1 unit of lantus per day then. Could the steroid and lantus together make her glucose fluctuate wildly and make her as sick as she got? She's still doing good now but she won't let me get a blood sample and is getting very difficult to even inject her.
 
Steroids can raise BG levels and the insulin dose may need to be adjusted if a diabetic cat needs steroid treatment. I suggest you post for help with dose management on the Lantus and Levemir insulin support group.

And please test Snickers' urine for ketones daily and monitor how much she is drinking every day if you're not already monitoring urine and home testing blood glucose levels. You need to be extra careful to monitor cats with a history of DKA. They tend to be far more ketone-prone going forward and therefore more vulnerable to developing DKA in the future. I can't emphasise this to you strongly enough, Andre.


Mogs
.
 
As far as monitoring goes, there's not much chance getting a bg sample from her. She's starting to bite and scratch now just to give her an injection, and 2 vets had to hold her down to get a blood sample last week. She is getting increasingly difficult to handle making it impossible to get a hold of her ear. We're running out of patience with her.
 
As far as monitoring goes, there's not much chance getting a bg sample from her. She's starting to bite and scratch now just to give her an injection, and 2 vets had to hold her down to get a blood sample last week. She is getting increasingly difficult to handle making it impossible to get a hold of her ear. We're running out of patience with her.

I can't speak from experience because I have a pretty "go with the flow" cat but have you tried to use a lancet on her pads to take blood? A lot of people can't get enough blood from the pad but I thought the same thing until I tried from the paw pad and that's the only place I test him from now. He wasn't bad for the ear prick, but he sits cradled in my lap purring for the paw pad, seems a lot less stressful for him.

Just a thought. :)
 
I can't speak from experience because I have a pretty "go with the flow" cat but have you tried to use a lancet on her pads to take blood? A lot of people can't get enough blood from the pad but I thought the same thing until I tried from the paw pad and that's the only place I test him from now. He wasn't bad for the ear prick, but he sits cradled in my lap purring for the paw pad, seems a lot less stressful for him.

Just a thought. :)
I could try the pad. She just squalls now like you're trying to cut her in half! Getting very difficult and unnerving. We're trying to keep her healthy but she doesn't understand. I wish I knew cat-speak.
 
I could try the pad. She just squalls now like you're trying to cut her in half! Getting very difficult and unnerving. We're trying to keep her healthy but she doesn't understand. I wish I knew cat-speak.

Sorry you have to deal with that. I'm thankful Carter puts up with a lot (although right now I can't get him to pee for a Ketone test to save my life!!) but I found the ear was more stressful for him than the pad. It was more awkward for me to get a grip so in turn it took longer which increased the stress. The pad takes but a second, and if I squeeze around it enough blood comes out that the Relion Confirm can read.

I was curious to what my 12 year old (non-diabetic) cat's BS was so I tried to test him and let's just say I hope he's never diabetic because he's a grumpy old man when it comes to restraint. It's hard enough to trim his nails yet I've had and handled him since he was a few weeks old and he still is difficult. Sweetest boy and loves to cuddle but doing anything to him medically or otherwise, forget about it! It would be a struggle for sure.
 
Take a deep breath and relax. You can do this but all kittys are different. Is this a cat that enjoys lying on her back? It looks that way from the picture you have put up. Mine does. Have a read of my thread http://www.felinediabetes.com/FDMB/threads/newly-diagnosed-in-the-uk.155984/ where I am running a diary of my experiences in the hope it will help others as well as getting some great advice from the more experienced folk on here. I have had to adapt to the cat. She was fine at first getting her shots when she was eating as she was so hungry she didn't care - her focus was her food. As the insulin has kicked in she doesn't want to be messed with when eating but when full and happy and away from her food bowl she is accepting the shot more easily if it is injected away from her scruff. I only grasp her flesh to make the tent rather than trying to hold her. Sounds as though your kitty is getting annoyed at being messed with so the less messing the better. She has to learn to associate treats and love with her shots and blood tests. I tried taking blood from her ear and she made it clear she didn't like it and I found it really difficult.

Try this for getting blood from the paws which is what I am doing and seems to be working.

First set out your equipment. A large towel on the floor, some alcohol gel or wipes - something to clean the paws. Some vaseline or neosporin, whichever you have to hand. Cotton wool wipes. An old sock with a handful of rice in it and then knotted to make a little bag. Load up the lancet machine. Push the strip almost into the meter but not far enough to activate it. Make sure you have spare strips to hand in case the blood doesn't go onto it the first time. Everything should be in easy reach for when you sit cross legged on the towel with the cat. Warm the sock in the microwave for 30 seconds, throw it down on the towel then go get the cat. Have good light to work by.
Sit cross legged on the floor, cradle the cat between your legs and on her back, and grasp one of the back paws, apply a tiny blob of alcohol gel and rub in well.
Place the warm sock over the pads and while the foot is warming up make a big fuss of the cat so she associates this with getting good attention.
Once the pads are warm place the lancet machine firmly onto the rear large pad, I have the alphatrak set on 4 which goes nicely into the pad. Press the button and hold for 2-3 seconds before withdrawing and as you put the lancet down push the strip all the way into the meter.
Gently squeeze the paw pad until you see a little blob of blood, the meter should now be ready to read.
Hold the very edge or end (depending on which meter you use) of the test strip onto the top of the blob and it sucks it up and beeps, put the meter down.
Press gently on the paw pad for several seconds with the cotton wool pad to prevent bruising, then rub a small amount of vaseline onto the pad whilst making a fuss of the cat.
By this time the meter should have given you a reading.
Let go of the cat and reward her with a food treat and more fussing. Using this method seems pretty painless for her, her ears flick as the lancet goes in but I'm not sure if it is the noise or the needle. I have had some failures and had to go in a second time to get the blood but I think I didn't leave the sock on long enough.

The videos make it all look very easy but they are made by people who have been doing this a long time and seem to have very docile cats!
 
Last edited:
As far as monitoring goes, there's not much chance getting a bg sample from her.
I understand this problem you have hence my recommendation to you to measure her water intake and food consumption and also to test her urine for glucose and ketones. It would go some way to giving you a picture of her regulation. I know I keep harping on about this but you really, really need to frequently and regularly test her urine for ketones to keep her safe and well; they can develop really quickly.


Mogs
.
 
Last edited:
I understand this problem you have hence my recommendation to you to measure her water intake and food consumption and also to test her urine for glucose and ketones. It would go some way to giving you a picture of her regulation. I know I keep harping on about this but you really, really need to frequently and regularly test her urine for ketones to keep her safe and well; they can develop really quickly.


Mogs
.
Well I tried the saran wrap in her litter box and she promptly peed on the carpet. She's really finicky. She eats very well. Problem is she was used to eating whenever she wanted to but now is limited to 3 times a day, she wakes us up at night hollering for food. My wife is not happy about this. Her water intake and peeing is about normal for her now. I know I need to test her. If I could do that we might be able to contain her diabetes with diet.
 
I've been thinking about you and how you are getting on. I have a finicky cat as well as far as her litter box is concerned, she prefers to stand on the doorstep with her legs crossed rather than go outside, gives me a dirty look if it needs changing (why I'm not sure because I know I didn't do it) and leaps in often when I am still filling it with fresh litter. She is very fussy about her litter as well and I have to buy the same one each time or she looks elsewhere. So, tonight I decided to check her urine dip. As I was thinking about it she jumped into her litter box and started to perform, I grabbed a spoon and snuck up behind her and just held it between her rear end and the litter. She hates being watched or messed with when in her box so I wasn't sure if this would work but I got a nice sample, ketone negative as well which was a bonus! I think all you can do is keep experimenting and find the best approach for her. Mine is still demanding food all the time as well, I think it is a reflex in cats because if I ignore her she mostly gives up and settles.
 
I used to have my cats using a wheat-based litter (which I like so much better) but my oldest civvie has always had behevioural issues when it comes to the litterbox. He for the longest time would pee elsewhere, like on my bed, on a mat, on a shirt that fell on the ground, but he would still have bowel movements in the box. This went on for a year or two. I tried the cat attract litter, and it worked, until it didn't. Then I tried taking the lid off the litterbox, and he used it (for the most part) until maybe a few months ago I decided to try to put it back on again (after 3 years) and to my surprise, he uses it! But if it's not cleaned out twice daily, or it's too low, he will pee somewhere else. I have to keep covers on everything. Also he refuses to use any litter but Tidy Cats, and I hate clay based litter. Thinking of buying a bag of Swheat Scoop from Petsmart and the returning the remainder for a refund if it doesn't work since they accept all returns pretty much.

Carter, fortunately, is not like that, and I can catch a urine sample for the most part as he doesn't fuss around, just walks straight in and squats infront so I can just stick a spoon under.
 
Status
Not open for further replies.
Back
Top