Hello, i'm a new member

Discussion in 'Feline Health - (Welcome & Main Forum)' started by Madalina & Mishu, May 22, 2020.

  1. Madalina & Mishu

    Madalina & Mishu New Member

    Joined:
    May 22, 2020
    Mishu was diagnosed 2 days ago, he is 8 years old. We are using Lantus, 2ui 1 shot per day, for now i go to the vet for the shot because i don't know how to do it myself. We are not home testing yet, i am still looking for a tester.
    Is it nornal for him to be very sleepy? He eats, drinks some water and then back to bed. His ears are cold, his nose is wet, he reacts to sound and last night played a bit with me. Today is our 3rd day, we are going back to the vet in 30 mins, i'm just really worried, our vet said that it may take a while for him to adjust to the insulin.
     
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  2. Nan & Amber (GA)

    Nan & Amber (GA) Well-Known Member

    Joined:
    Mar 19, 2016
    Hello and welcome!

    Hmmm.... I am very concerned about Mishu's dosing. 2U is a large starting dose, and insulin is dosed twice per day in cats (they have a very fast metabolism; even an insulin like lantus does not last more than 12hrs). I am concerned that your vet may not be very experienced with feline diabetes (not really their fault; they get almost no training on it in vet school among all the other topics and species they need to cover).

    When you say he is "sleepy", is he more sleepy 4-6hrs after the shot, and get more awake after 12+ hours have passed? Or sleepy all the time? I don't want to scare you, just providing information, but in this document there's a list of symptoms of hypoglycemia and how to treat it with high-carb foods ("gravy" varieties of cat food are good, honey or Karo syrup in a severe situation). How to treat HYPOS - THEY CAN KILL! Print this Out!!

    Lantus is an excellent insulin for cats, so that's good, it's just a matter of finding the right, safe dosage. We can help with that! I'm very glad you are thinking about home testing, it's the most important thing you can do to help Mishu keep safe and get better!
     
  3. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    Hello and welcome.
    I am also concerned you may be giving too much insulin.
    2 units is more than we would normally start a cat on.
    Michu would be much better on 1 unit twice a day instead of 2 units once a day.
    Giving the insulin is not hard, the vet should be able to show you easily.
    And I would strongly advise you to home test the blood sugars. Cats blood glucose is often higher at the vets because of stress so a true reading of the situation is not possible.
    Keep asking questions,
     
  4. Georgiana & Perlutz

    Georgiana & Perlutz Member

    Joined:
    Jan 24, 2019
    Hi Madalina and Mishu,

    Fellow Romanians Georgiana and Perlutz here :bighug:

    I don’t have any experience with Lantus so can’t give much advice, but I agree with Nan and Bron (who are very experienced and well known members here) that the dosing might be too high. It’s always best to start slow with a lower dose and gradually increase if needed.

    The sleepiness is something Perlutz had at the beginning when on 2 units of insulin. We started home testing and immediately realised the dose was too high and as soon as we lowered it, he started feeling much better!

    Both testing and giving the insulin seem difficult at the beginning, we’ve all been there, but it becomes child play for most once you get the hang of things. It will be easier for both of you to have it done at home rather than at the vet’s as cats stress so much when taken out of their comfort! Stress also raises their blood glucose levels a lot! There are videos that show you how to do both or you can ask your vet to show you.

    https://m.emag.ro/glucometru-code-free-01gc110/pd/DBP5V9BBM/ This glucose monitor is used by few people here on the board and I know my old vet in Bucharest used this too. The monitor itself it’s not too pricey and most importantly the test strips are also affordable.

    There is a lot to learn but it will be worth it for Mishu! You’ll find so much info on the board and if you have any questions, please ask! The members on this forum are amazing! Bron above stayed up late at night to help me and Perlutz through a potential hypo in our first few weeks into diabetes :facepalm: Thank you, Bron! :kiss:

    Glad you found this forum! :bighug::kiss:
     
  5. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

    Joined:
    Dec 28, 2009
    WELCOME TO FDMB! I see there are many concerns with the dosing of your Mishu. I will let the experts speak to that.
    I just wanted you to know that theres a wealth of information here and beautiful, concerned, people to help you decipher it all.

    Its a learning curve for sure , but that will just help build that special BOND you and Mishu already share. We care and want you and Mishu to thrive through this early part of the disease that is diabetes.;)
    Again welcome:bighug:
    jeanne:):coffee:
     
    Nan & Amber (GA) likes this.
  6. Madalina & Mishu

    Madalina & Mishu New Member

    Joined:
    May 22, 2020
    Thank you all for your support and care, Mishu is feeling soooo much better now, he is eating, drinking water, playing a bit and purring. I think that we both are scared and tired because we had a long week of testing and going to the vet for different problems. I jusr ordered a glucometer a few hours ago with strips and seringes and everything we need to start this journey.
     
  7. Madalina & Mishu

    Madalina & Mishu New Member

    Joined:
    May 22, 2020
    I also talked to the vet about the dose and he said that after i start testing we will see and adjust the dose accordingly, today i had an old, new and unused glucometer that i had in the house and tried to see if it worked but sadly it didn't. Mishu had 426-427 blood glucose before the shot, is it high? Or low? Or what should i look for?
     
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  8. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

    Joined:
    Dec 28, 2009
    And we will be with you every step of the way. ;)
    Sometimes theres a lot of people needing help at the same time but our experts ALWAYS make time for each person.
     
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  9. Georgiana & Perlutz

    Georgiana & Perlutz Member

    Joined:
    Jan 24, 2019
    Over 400 is pretty high but part of it could be due to the stress of being at the vet. It’s advised to always check blood glucose (BG) before every shot to make sure it’s safe to give the insulin. But you get a clearer view on his diabetes from what’s called “nadir”, it’s when the insulin effect peaks and the BG is lower. Ideally you get a curve, higher number in the morning before insulin, then gradually going lower until nadir and then slowly goes back up until it’s time for insulin again.

    What is Mishu eating, dry or wet food? I’m not sure how much you’ve had time to read already in such a short time from diagnosis but diet is also very important and some cats can go into remission only from a diet change.
     
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  10. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

    Joined:
    Sep 21, 2018
    What meter will you be using a human meter or a pet meter
     
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  11. Madalina & Mishu

    Madalina & Mishu New Member

    Joined:
    May 22, 2020
    For now dry food and wet food ocasionally, our vet said that it is important for him to eat something and then we will go on a diabetic diet.
     
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  12. Madalina & Mishu

    Madalina & Mishu New Member

    Joined:
    May 22, 2020
    Human meter
     
  13. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

    Joined:
    Dec 28, 2009
    Any thing over 300 is considered HIGH. I dont know what the "ideal" number should be. My hubby is diabetic and his number should be around 90. For cats I think about the same.
    *PLEASE correct me if I am wrong thinking on this experts.
    j
     
  14. Bron and Sheba (GA)

    Bron and Sheba (GA) Well-Known Member

    Joined:
    Feb 21, 2015
    Normal numbers for a non diabetic cat is 50-120. If you look at some of the other SS you will see many cats are in the 300s, 400s and 500 s. This is not ideal but is common in an unregulated cat. As you get closer to the best dose for your cat you will see the numbers come down.
    The dry food will be keeping the numbers high but it is important that Mishu eats. Transition to the low carb slowly. Here is a link to how t do it
    http://www.felinediabetes.com/FDMB/threads/transitioning-your-cat-from-dry-to-wet-food.956/

    It is better to be too high for a day than to be low for a minute. Low numbers can kill.
    Here is a link for new members which has some useful links within in.
    http://www.felinediabetes.com/FDMB/threads/new-how-you-can-help-us-help-you.216696/

    Keep asking lots of questions
     
  15. Madalina & Mishu

    Madalina & Mishu New Member

    Joined:
    May 22, 2020
    Thank you!
     
  16. Madalina & Mishu

    Madalina & Mishu New Member

    Joined:
    May 22, 2020
    About the spreadsheet, i saw that there are 2 different spredsheets, one for the US and one for the rest of the world, the one form the US matched the blood glucose format that the vet gave me these last few days (3 digit numbers), i am from Romania, can i still use the US spreadsheet because the BG from the world spreadsheet (2 digit numbers) doesn't match what the vet gave me. At least for a few days until my ordered meter arrives (i should receive it next week)

    We went again to the vet today to teach me how to do the insulin shot, i think i did ok, i hope i did ok, Mishu feels well now, still a bit lazy, but he eats ok and drinks water, he is attentive, he meowed all the way to the vet like he always does (when he is not feeling ok he doesn't meow on the way) and moved arround the transport box (he didn't move too much the last few days, he usually moves so much). The vet said that we have to go again tuesday or wednesday.
     
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  17. Georgiana & Perlutz

    Georgiana & Perlutz Member

    Joined:
    Jan 24, 2019
    Awesome that you’re looking at setting up the spreadsheet already! You can keep both the US and World tabs, you will only have to fill on the US one and the world tab will update automatically.

    Glad to hear Mishu is already feeling better, that’s really great news. Keep us updates pls :bighug:
     
  18. Sienne and Gabby (GA)

    Sienne and Gabby (GA) Senior Member Moderator

    Joined:
    Dec 28, 2009
    The values on the spreadsheet correspond to the values you get on your meter. In most places outside of the US, the blood glucose (BG) readings are in mmol/L whereas in the US, the measurements are in mg/dL. If you are in a country where the readings are in mmol/L, the spreadsheet will automatically convert your readings and put the numbers on the US tab of the spreadsheet. If you are using mg/dL, you don't need to use the World template. You can use the US template. (@Georgiana & Perlutz -- the World tab will not populate if you complete the US numbers. The conversion only works in one direction.)

    If the meters you have aren't working, I'm wondering if you need to replace the battery.
     
  19. Georgiana & Perlutz

    Georgiana & Perlutz Member

    Joined:
    Jan 24, 2019
    Thank you for the correction, Sienne. I’m using the world tab but I thought it works both ways.
     
  20. Madalina & Mishu

    Madalina & Mishu New Member

    Joined:
    May 22, 2020
    I'll have a better look at the spreadsheets soon, i put in the info i have but it's not much, still waiting for the glucometer to arrive.

    Mishu is really active today, he ate a lot and moving so much arround the house, we have our own little ritual when he is in the mood he raises his butt for me to gently tap him on the sides, i don't know why he loves this so much but i comply every time he hasn't done this for almost a week if not more, today he surprised me .

    Thank you for making the time to talk to me, i still haven't fully processed this yet ... Today the vet let me do the shot for the second time, tomorrow is our first time all alone ... Hope it all goes well.
     
  21. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

    Joined:
    Dec 28, 2009
    Yay good signs I too hope all keeps going well for you both.:bighug:
     
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  22. Madalina & Mishu

    Madalina & Mishu New Member

    Joined:
    May 22, 2020
    I want to thank you for your kind words and your support, Mishu is doing so well, i learned how to give a shot (with a mountain of anxiety, but i am doing it better than last week) still trying to home test, i asked my mom to help me out with home testing because i can't do it, i am nervous and i make Mishu nervous as well. We are going one day at a time, for now we are still trying to get Mishu to say still at the sound of the lancet clicking (i tried free handing, it ended nasty for all of us) we give treats each time we try even if we don't get blood or a good result. Please keep your fingers crossed for us, soon we will try with a needle in the lancet to see if we can get a blood drop. Thank you once again for everyting and good wishes for you and your sugar babies ♥️
     
  23. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

    Joined:
    Dec 28, 2009
    fingers and paws crossed!
     
  24. Shiloh & Rhonda (GA)

    Shiloh & Rhonda (GA) Well-Known Member

    Joined:
    May 9, 2015
    I have seen some people sing softly, any song, while doing the testing. It relaxes both you and the cat.
     
  25. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

    Joined:
    Dec 28, 2009
    I use to hum You Are My Sunshine. My singing scared Trouble away :oops::rolleyes::smuggrin:
     
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