Posted new spreadsheet, smoky doing better

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Lisa and Smoky

Member Since 2016
Smoky is doing much better today after my scare with him last night. Thanks for the advice to give Smoky a smaller dose of Vetsulin. I believe it made a big difference with his numbers. I hope my new vet doesn't get on my case tomorrow about adjusting his insulin.
My old vet prescribed Smoky two units a day, twice a day when he only weighed 9 lbs and had lost 2 lbs in a week. I still have to get up the nerve to do ear pricks, been doing his paw pads for now. I worry about infection taking blood that way, what with him going in the kitty box and all.
 
I'm glad to see you're more comfortable today!

If your vet gives you a hard time, just tell him that he'd dropped to 76 so you weren't comfortable giving that much!

Here's something I wrote up for others that needed help with testing...maybe it'll help you too!

It can be really helpful to establish a routine with testing. Pick one spot that you want your "testing spot" to be (I like the kitchen counter because it's got good light and it's at a good height....it also already blocked 2 escape routes due to the wall and the backsplash) It can be anywhere though...a rug on the floor, a table, a particular spot on the couch...wherever is good for you. Take him there as many times a day as you can and just give his ears a quick rub and then he gets a yummy (low carb) treat. Most cats aren't objecting so much with the poking..it's the fooling with their ears they don't like, but once they're desensitized to it and learn to associate a certain place with the treats, they usually start to come when they're called! Or even when they hear us opening the test kit!

You also have to remember...you're not poking him to hurt him...you're testing him to keep him safe and understand what's going on inside his body. There's just nothing better than truly understanding what's going on inside your kitty's body and with this disease, the more knowledge you have, the more power you have against it. The edges of the ears have very few pain receptors, so it really doesn't hurt them. Also, if you're nervous and tense, it's going to make your kitty nervous and tense too. As silly as it might seem, try singing! It forces you to use a different part of your brain!

It's also important to make sure his ear is warm. A small sock filled with a little rice and microwaved or a small pill bottle filled with warm water (check temp against your wrist like you would a baby bottle) works well.

When you're first starting, it's also important to use a lower gauge lancet, like 25-28 gauge. Most of the "lancet devices" come with 33 gauge lancets and they are just too tiny to start with. The bigger lancets (that are lower numbers) make a bigger "hole". As you poke more and more, the ears will grow new capillaries and will be easier and easier to get blood from...we call it "learning to bleed"

Finding the right "treat" will be a great help too!
Freeze dried chicken, bonito flakes, little pieces of baked chicken...whatever low carb treat you can find that he really enjoys will help him to associate the testing with the treat! China's Achilles heel was baked chicken, so I'd bake a piece, chop it into bite sized pieces, put some in the refrigerator and freeze the rest to use as needed. It didn't take long for her to come any time I picked up the meter!

A little Neosporin with Pain Relief Ointment (not cream) can help too. A very thin film will not only help in healing, but if you put it on before the poke, it can help get the blood to "bead up" (think "oil and water") instead of wicking into the fur. Just make sure it's a thin film so you don't end up sticking the test strip into a big glob of Neosporin!!
 
I'm glad to see you're more comfortable today!

If your vet gives you a hard time, just tell him that he'd dropped to 76 so you weren't comfortable giving that much!

Here's something I wrote up for others that needed help with testing...maybe it'll help you too!

It can be really helpful to establish a routine with testing. Pick one spot that you want your "testing spot" to be (I like the kitchen counter because it's got good light and it's at a good height....it also already blocked 2 escape routes due to the wall and the backsplash) It can be anywhere though...a rug on the floor, a table, a particular spot on the couch...wherever is good for you. Take him there as many times a day as you can and just give his ears a quick rub and then he gets a yummy (low carb) treat. Most cats aren't objecting so much with the poking..it's the fooling with their ears they don't like, but once they're desensitized to it and learn to associate a certain place with the treats, they usually start to come when they're called! Or even when they hear us opening the test kit!

You also have to remember...you're not poking him to hurt him...you're testing him to keep him safe and understand what's going on inside his body. There's just nothing better than truly understanding what's going on inside your kitty's body and with this disease, the more knowledge you have, the more power you have against it. The edges of the ears have very few pain receptors, so it really doesn't hurt them. Also, if you're nervous and tense, it's going to make your kitty nervous and tense too. As silly as it might seem, try singing! It forces you to use a different part of your brain!

It's also important to make sure his ear is warm. A small sock filled with a little rice and microwaved or a small pill bottle filled with warm water (check temp against your wrist like you would a baby bottle) works well.

When you're first starting, it's also important to use a lower gauge lancet, like 25-28 gauge. Most of the "lancet devices" come with 33 gauge lancets and they are just too tiny to start with. The bigger lancets (that are lower numbers) make a bigger "hole". As you poke more and more, the ears will grow new capillaries and will be easier and easier to get blood from...we call it "learning to bleed"

Finding the right "treat" will be a great help too!
Freeze dried chicken, bonito flakes, little pieces of baked chicken...whatever low carb treat you can find that he really enjoys will help him to associate the testing with the treat! China's Achilles heel was baked chicken, so I'd bake a piece, chop it into bite sized pieces, put some in the refrigerator and freeze the rest to use as needed. It didn't take long for her to come any time I picked up the meter!

A little Neosporin with Pain Relief Ointment (not cream) can help too. A very thin film will not only help in healing, but if you put it on before the poke, it can help get the blood to "bead up" (think "oil and water") instead of wicking into the fur. Just make sure it's a thin film so you don't end up sticking the test strip into a big glob of Neosporin!!
Thanks for the tips Chris, just going to give Smoky 0.5 units tonight and check his BG a few hours after that. Trying to figure out how to update SS in my signature.
 
I'm getting on my laptop now for that.
Gave smoky 0.5 units about 10 minutes ago. His PMPS number was 237, had some good advice from a few people earlier about that.
 
I'm glad it is already getting better. It took a while for Keno's ears to learn to bleed, but it gets easier every day. You are doing great Lisa!
 
I'm glad it is already getting better. It took a while for Keno's ears to learn to bleed, but it gets easier every day. You are doing great Lisa!
I still have to get up the nerve to do the ear pricks, been doing his paw pads. They are hard to do with the 30 gauge needles that came with the kit. They are two thin and it's hard to break the skin with them.
 
I use the relion meter but the kit came with 30 gauge which is too small to prick his paws with and is hard to break the skin.
Chris and China suggested to me to use larger size, 27 or 28 for the ears but paw pads are thicker so I think those would work too.
 
I still have to get up the nerve to do the ear pricks, been doing his paw pads. They are hard to do with the 30 gauge needles that came with the kit. They are two thin and it's hard to break the skin with them.

When you are starting out with ear pricks, I wouldn't go with anything smaller than 28 gauge (there is an inverse relationship, the higher the number, the smaller the lancet). You can get the FreeStyle 28 gauge lancets at Wal-mart, CVS or Walgreen's - they are the same as the ones that come with the Alpha Trak 2.

I've never done paw pads.
 
When you are starting out with ear pricks, I wouldn't go with anything smaller than 28 gauge (there is an inverse relationship, the higher the number, the smaller the lancet). You can get the FreeStyle 28 gauge lancets at Wal-mart, CVS or Walgreen's - they are the same as the ones that come with the Alpha Trak 2.

I've never done paw pads.
I have a relion meter and lancing kit, would the Freestyle fit those or do you just do freehand vs the pen? My relion testing kit doesn't work with those lancets. I had also purchased a relion lancing device and can use the Freestyle lancets with that one
 
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I have a relion meter and lancing kit, would the Freestyle fit those or do you just do freehand vs the pen? My relion testing kit doesn't work with those lancets. I had also purchased a relion lancing device and can use the Freestyle lancets with that one
I do free hand. I've never used a device.
 
relion 26 gauge lancets.PNG
WalMart has some Relion lancet's for "alternate site testing" that I think are 26 gauge....they should work in the Relion device if you're using the device
 
View attachment 23318 WalMart has some Relion lancet's for "alternate site testing" that I think are 26 gauge....they should work in the Relion device if you're using the device

Jacereske also mentioned the Freestyle 28 gauge lancets. I have a relion lancing device I bought separately that wld fit either one of those items. My question is which is better for paw pads and ears, the 25 or 28 gauge? Smoky is really touchy with his ears, more so than his feet. I wld like to alternate between the two if possible. Thanks for replying to my posts
 
I use a generic 28g lancet. How to get blood from the paw pads link in my signature. Use vaseline to get and keep them soft and make sure you warm them well before trying to get blood. Any help needed on technique just give me a shout.
 
I use a generic 28g lancet. How to get blood from the paw pads link in my signature. Use vaseline to get and keep them soft and make sure you warm them well before trying to get blood. Any help needed on technique just give me a shout.
I've been using neosporin ointment with pain relief after testing. The Vaseline is a good idea, doesn't it contaminate the blood sample? I always warm his paw pads first, he has poor circulation in his paws and ears. Thanks for the tips and link.
 
I apply vaseline after I take the blood, but it won't contaminate the sample, it does help with the blood 'beading' up to make it easier to get the strip on, but I find if the paws are warm enough the blood comes just fine.
 
My question is which is better for paw pads and ears, the 25 or 28 gauge?

The 25 gauge would make a bigger "hole" than the 28 gauge, so if you're having trouble getting enough blood, the 25 would be the way to go (on either pads or ears)

You also may not realize how little blood you really need to get an accurate reading. With the Relion Confirm or Micro meters, you only need 0.3

See how small that really is?
blood drop size.PNG
 
The 25 gauge would make a bigger "hole" than the 28 gauge, so if you're having trouble getting enough blood, the 25 would be the way to go (on either pads or ears)

You also may not realize how little blood you really need to get an accurate reading. With the Relion Confirm or Micro meters, you only need 0.3

See how small that really is?
View attachment 23326
Wow! That is a cool diagram, blood sample I was getting was about 0.5
I was able to get a box of freestyle lancets, 28 gauge. One of my neighbors needs the ultra thin 33 gauge for her thin skin. She just gave them to me for nothing. I will try them and if they don't work out I can take them to a local shelter and donate them.
 
OK, I did smokys AMPS an hour and 15 minutes ago and updated his SS. Don't know what I did but had to take it back out of the trash.:nailbiting:
I tested smoky at +3.5 after am shooting and his BG dropped down to 134 from 274 pre am shooting. That number makes me kind of nervous only a few hours later. I'll test him again in 3 or 4 hours.
 
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