Tips for Giving Shot?

Sierra & Cats

Member Since 2022
I am having a hard time over here. You may remember me from my panic post a few days ago. Home testing is really difficult and I haven't been able to get any testing done in between doses. I tried a few times today around 1pm and 3pm but couldn't get blood and had to stop before we both got frustrated. The tests I am getting are still showing numbers in the 300/400s. Is this possible if I'm giving the dose correctly? I thought Lantus was a 24 hour drug? I'm starting to think I'm not actually injecting it correctly. Do you guys have any tips on making sure it goes in?

Thank you!
 
I am having a hard time over here. You may remember me from my panic post a few days ago. Home testing is really difficult and I haven't been able to get any testing done in between doses. I tried a few times today around 1pm and 3pm but couldn't get blood and had to stop before we both got frustrated. The tests I am getting are still showing numbers in the 300/400s. Is this possible if I'm giving the dose correctly? I thought Lantus was a 24 hour drug? I'm starting to think I'm not actually injecting it correctly. Do you guys have any tips on making sure it goes in?

Thank you!
Hi And Welcome to the LLB forum!
Please don't be so hard on yourself about the testing. It took me over 3 months to be able to test and consistently. My Cleo is very "spicy" (quote from the vet techs). It took a lot of time and even more patience. I used this post by @Elizabeth and Bertie as my bible.

"It can take time. So do be patient with yourself. (((Hugs)))

With both of my diabetics the key to success with testing has been 'desensitization' and 'counter conditioning'.
My first diabetic was a large and strong willed cat, and there was no way I'd be able to test unless he was OK with that... My current diabetic girl absolutely hates having her ears touched, so she presented a particularly difficult challenge at first (Note: some cats are fine with paw testing, but my girl hates her feet being touched too...)
Neither of my cats has tolerated being held or restrained in any way at all. So, I've had to use 'distraction' to keep them relatively still while I quickly test.
I could distract my first diabetic with some crushed cat treats and test him while he was hoovering up the treat crumbs. My diabetic girl likes to be brushed. So, I just sneak a test into the middle of a little brushing/grooming session and she barely notices. Singing to her while I brush her seems to help too... :rolleyes: ....This did take a bit of time, but with patience and persistence all kinds of things are possible...

With both my cats I've had to go slowly, introducing just a very low level aspect of testing at first, but not enough to spook or upset them.
....This is something that I wrote for another group, just copying it here in case it's helpful...

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GETTING KITTY USED TO BEING TESTED - ‘DESENSITISATION’
Some kitties take to being tested like proverbial ‘ducks to water’, they are just not bothered by it at all. Other kitties take a bit more work, and with a minority of kitties it can take a quite a bit of dedicated effort to get them used to the process.
Please be reassured that ‘most’ kitties can be tested, and ‘most’ people can learn to do it. Honestly!

One really useful way to get kitties used to testing is to ‘desensitise’ them to the sensations and sounds involved in the test process. And a really good thing to do at first is just to get them more used to having their ears touched.
So, whenever you are stroking or cuddling the kitty use that opportunity to include very gentle ‘ear touching’ when you stroke them, just for a second at first. Make ear touching ‘ordinary’ and nothing to fear...

You can also go to wherever the cat is chilling out, then stroke them, hold or massage an ear for a second or two, and then immediately reward with a yummy treat and some praise. This starts to condition them to associate ear touching with rewards. And this is what you want to happen.

You can also get them used to the test kit itself. For example, you can rattle the test strip container, or click the lancing device a few times (it can be used a bit like a training clicker), and immediately give the kitty a treat. Then just walk away, leaving them with their reward. They can soon come to associate those sounds with rewards just like when they hear the sound of the can opener...

I did these kinds of desensitisation techniques with my kitties about 6 or 7 times a day at first during the first couple of weeks. It only takes a minute or two each time, maybe only seconds. But that repetition is key to success. Repetition, repetition, repetition...

It can be often be helpful at first to test in the same location so as to establish a routine. I tested my first diabetic on a table top. I test my current girl in her favourite armchair. You can get the kitty used to the test spot by taking or calling them there and just rewarding them with strokes or brushing, or treats.
Make the test spot a place where nice things happen.
If you can get the kitty to the test spot and hold or massage an ear for a second or two and then reward with a treat and praise, you really are most of the way to being able to test on a regular basis.

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HOMETESTING TIPS & TRICKS

1. WARM EARS. Probably THE most important thing. Warm ears bleed very much more easily than cold ones. You can warm an ear by massaging it, or by holding something warm against it; ie a pill bottle filled with warm water, or a ‘rice sock’ briefly warmed in the microwave.

2. MASSAGING immediately below the ear prick, with finger and thumb, can ‘milk’ more blood out. I almost always do this, if only for a second or two.

3. VASELINE. A teensy weensy smear of Vaseline on the outer edge of the ear will enable the blood to ‘bead up’ and stops it disappearing into the fur. This also makes it easier to see the blood droplet if the kitty has dark ears.

4. RESISTANCE. The lancet needs something to ‘resist’ otherwise it can push the ear away rather than pricking it effectively. Some folks use a piece of cotton wool or folded tissue. I use one of my fingers, but sometimes do accidentally take a blood sample from myself that way.

5. TWO EAR PRICKS close together can often produce enough blood for a test when one ear prick might not.

6. SCOOPING THE BLOOD DROP ONTO YOUR FINGERNAIL. Doing this is a game-changer for some people. If you can get that drop of blood on your finger or thumb nail you can then let the kitty go and finish the test without her/him.

7. TREATS. It is important to reward the kitty for each attempted test, whether the test was ‘successful’ or not. Cats very soon learn to associate tests with treats. And some will soon come running for their tests. A ‘treat’ is usually a food reward of some kind, but some folks reward their kitties with a cuddle or a grooming session. I actually crumble a few treats for my cat and test him while he’s hoovering up the crumbs.

Remember to reward yourself too. Chocolate is good…

8. GET COMFORTABLE. If you are physically comfortable you’ll be more relaxed, and also less likely to try to rush the process. Some people like to test their cats on a counter top or a desk, maybe next to a desk lamp. Some people prefer to hold their cats on their laps when they test. Some folks incorporate testing into a grooming session. You’ll find what works best for you. And once you get used to home testing you’ll quite possibly be able to do it anywhere, and maybe even while the kitty is asleep.

9. RELAX. Cats pick up on our moods. The more relaxed and ‘matter of fact’ we are, the more relaxed and confident the kitty is likely to be. Some people chat or sing to their cats while they test him. Try it. It might help you too.

10. PATIENCE. Be kind to yourself. You’re learning something new. (And you’re learning something wonderful!)

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Re desensitization and counter conditioning, there is a good little video here showing a real life example. The (very fast talking!) vet in this vid is getting a food-motivated cat used to injections. But the principles of desensitization and counter conditioning can be used in many situations."
 
I just realized that the video didn't post :banghead:. Here it is
Re desensitization and counter conditioning, there is a good little video here showing a real life example. The (very fast talking!) vet in this vid is getting a food-motivated cat used to injections. But the principles of desensitization and counter conditioning can be used in many situations.



I started off desensitizing Cleo very slowly. One whole week was just rubbing her ear. If she pulled away, I put the treat in my pocket. I would then rub her ear again, count to five then give her the LC treat. We would do this several times throughout the day and night. Slowly increasing the time between rubbing the ear and giving the treat.
After she showed she would wait around for the treat tolerating my touch, I then started to put the lancet to her ear but not really poke. Repeat process with treat.
The 28 gauge lancet is a life saver! The ears will learn to bleed. I promise. I now use a 30 gauge lancet. I can't tell you number of times I poked straight through her poor little ears.
When I was REALLY desperate to get a reading, I would give her a tsp of soupy LC food and test while her head was in the bowl. I often had to do this to get a AMPS or PMPS. This works for me because Cleo is VERY food motivated.
Here is a link from the Basics Sticky with some more tips http://www.felinediabetes.com/FDMB/threads/hometesting-links-and-tips.287/

As far as the injections, where are you injecting - scruff, flank, shoulder blades etc. @Diane Tyler's Mom - Diane, could you please post the photo of where to give the shots?

Remember that Lantus is a depot insulin and it takes time for the depot to build. Patience, patience, patience is key! I'm not good at patience, but had to learn because of FD.
Once you are successful at home testing - and you WILL BE - you will see what the insulin is really doing in the middle of the cycle. One step at a time. :bighug:

Have you read the Basics Sticky - it is a wealth of information. I'm 11 months in to the FD world and I still read this sticky at least 3 times a week.
 
As far as the injections, where are you injecting - scruff, flank, shoulder blades etc. @Diane Tyler's Mom - Diane, could you please post the photo of where to give the shots?
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A couple links for you. First, please check out the section on setting up your signature here: helping us to help you.

Next, this is a compilation of tips and videos on home testing: Hometesting Links and Tips

I thought Lantus was a 24 hour drug?
In humans, not in cats. Cats have faster metabolisms so it is given twice a day. I strongly recommend you read the Sticky Notes at the top of this forum to learn all about Lantus. The other thing, it's entirely possible you haven't gotten to the right dose yet. For safety's sake, we start with a lower dose, learn how to do home testing, then increase the dose up per our dosing methods. Plus, Lantus is a depot style drug, and it can take a few days (5-7 days to start), before you see what the initial dose can do. Lantus will teach you patience. ;)
 
Thanks for all of the tips. I had to go out of town this weekend and I left Diablo in the care of some experienced friends who were comfortable with home monitoring and giving shots. The weekend was a reprieve from this stress, and I've only been back for a few hours and already can feel myself falling apart again. I feel that I am completely failing as a pet owner here. I want to learn these new skills, practice, and feel capable and well-equipped in dealing with feline diabetes not just for Diablo but for any of my future cats or other friends'/family's/rescue cats who may need help in the future. I just can't get the hang of home monitoring which is going to be my biggest barrier. Does anyone use continuous glucose monitors? I'm in a tricky situation here and I was initially trying to avoid this. For background, Diablo is my brother's cat. He doesn't live here but visits sporadically, is severely disordered, and has no business caring for animals. He doesn't believe in the medical system & would be angry if he found out I took his cat to a vet. He is fine with me caring for him (feeding, etc. as it makes his life easier) but has threatened to take Diablo away if I use any pharmaceuticals on him. I have been keeping the diagnosis and treatment a secret and I realize my brother is mentally ill, so I'm trying to ignore him and do what's in the best interest for the animals. I do not have a helper here so Diablo's care falls entirely on me. He's a squirmy black cat with hair all over his ears. I read a tip about shaving the hair down but I don't even think I could get him still enough to shave his ear hair without chopping off his ear.

The glucose monitor would be a dead giveaway if my brother came to visit so I was really trying to learn ear pricks. Unfortunately, at this time, continuing to care for him in this way is unsustainable for me. I'm not able to get any PS tests and although the vet told me to give a shot anyways until we can do a glucose curve, after reading everyone's input here, I'm afraid to treat him unless I can get these readings. I'm considering a continuous monitor and just dealing with my brother should that become an issue. What is the consensus on those types of monitors?

Any input is welcome. Thanks again for all of the help, support, and tips.
 
Don't stress about this. :bighug: There is lots to learn in the beginning, and we've all been through the learning curve with feline diabetes, and home testing. It will come over time. My girl had long haired black ears too. I found it really helpful get one of those small flashlights with a flat top over the light. I'd use it as the surface to rest the underneath of the ear on and it shot a light so I could see where I was poking. Next tip for black ears, the blood disappears into the black fur when you poke, so I put a really fine layer of Vaseline on top where I was going to poke, to help the blood bead on it.

Lots of members here use the Freestyle Libre CGM. It's a good bridge until you can get comfortable with hand testing - which will be cheaper. Lots of notes on the Libre in this post:
FreeStyle Libre: video, demonstration, explanations, tips – discussion!
 
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