Totally frustrated trying to get blood from my cat

Discussion in 'Feline Health - (The Main Forum)' started by Badtux, Dec 13, 2017.

  1. Badtux

    Badtux Member

    Joined:
    Dec 9, 2017
    The good news is that I'm not diabetic.

    The bad news is why I know that -- I just can't seem to get blood out of my cat's ear. I've watched the videos. I've read the advice. None of it seems to work for me. I thought maybe my pricker thingy (the Walmart one) was bad, so I pricked my own finger (with a fresh lancet) and tested my blood glucose while I was at it -- normal. I tried again with my cat. No blood. I even gave up on the lancer entirely and just poked his ear with the lancet (Walmart thin). I poked my cat -- he let me know, he's a docile kitteh but that was an insult too far -- but couldn't squeeze any blood out of that little hole no matter how I massaged his ear. Tried *twice*, different sides of the vein, different sides of the ear, no go.

    I'm using the heated rice in a sock to heat up his ear beforehand, and his ear feels plenty warm to the touch, so I'm just baffled. Am I perhaps not poking his ear in the right place? I've tried on both sides of the border vein, which I can see from the furry side of his ears when I'm massaging his ear around, but still nothing.

    At this point I'm frustrated, my cat is frustrated (he's a docile boy and I give him lots of hugs and cuddles and treats while doing all this, but enough messing with his ear and he's not happy anymore), and I'm just looking for any advice I can get on how to test the cat rather than myself, whether that's maybe better placement of my hole, a different lancet, whatever. I don't want to kill my kitteh on an insulin OD!
     
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  2. Chris & China

    Chris & China Well-Known Member

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    May 10, 2013
    It takes time......as you poke more and more, new capillaries will grow into the area and make it easier, but it takes a little time.

    The best advice I can give you is make sure the ear is really warm and use larger lancets....size 26-28 are bigger than 30-33 (which is what comes with most of the lancet devices)

    The 26-28 gauge are usually labeled "for alternate site testing"

    You can get these from WalMart for a couple bucks
    Capture.PNG
     
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  3. Badtux

    Badtux Member

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    Dec 9, 2017
    Yes, those are the Walmart ReliOn lancets that I'm using. I tried the ones that came with the lancet device, and they really don't do the job even on my fingers, I had to work my finger a bit to get enough blood out. That one pricks my finger good and hard, no hard work required, just poke, suck into the meter, hey, I'm not diabetic! (Hey, if I'm going to poke my cat with these things, at least I ought to know how they feel myself!).

    Just watched one video where he says he tries to poke twice at nearly the same place? Maybe tomorrow. Grr. Too frustrated now!
     
  4. Lesliejm

    Lesliejm Member

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    Dec 1, 2017
    It will take time and many tries. Mango was just diagnosed 2 weeks ago and I tried so many times and had so many breakdowns and screaming because I couldn't do it. I had to finally take him to a vet down the street just to test his blood. I finally got the hang of it and yes, there are times I have to prick him more than once on the edge of his ear to get blood. Mango knows now to get on the dryer for his testing and then he gets a treat after. Just hang in there!
     
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  5. Sharon14

    Sharon14 Well-Known Member

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    Aug 16, 2015
    Have you tried both ears? Many of us find one ear bleeds easier than the other. Poke 2-3 times in the same spot and milk the ear vigorously. Good luck, and keep us posted!
     
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  6. FurBabiesMama

    FurBabiesMama Well-Known Member

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    Jul 6, 2017
    I had stress and drama when I first started testing, so I feel you. :) It got better though, probably within the first week. Now, Mia runs and jumps up into her testing spot and sticks her little ear toward me waiting for me to do the deed. Then, she gobbles up her treat. Mia has one ear that bleeds much better than the other. Also, she does not seem to like me messing with the one that does not bleed well, so I do not know if it is more sensitive or what. We have an agreement. She is such a good girl for me that I use only the ear she wants me to use except for rare occasions when I just feel like the normal ear needs a break and when she seems less put out by me messing with the other one. I wet the corner of a washcloth with very warm water and hold that on her ear for a few seconds. Then, after I test, I use it to put light pressure on the area and clean it up. They start bleeding better over time. I have seen people here call it 'learning to bleed'. I remember that in the very beginning there were a few times when I poked two or three times and just could not get anything; that does not happen anymore. There is an image I see shared here a lot that shows where you should be poking. I'll find it and add it in case you have not seen it.
     
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  7. FurBabiesMama

    FurBabiesMama Well-Known Member

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    Jul 6, 2017
  8. Becky & Baby Girl Kitty

    Becky & Baby Girl Kitty Well-Known Member

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    Sep 15, 2017
    Also someone advised putting a little Vaseline on the test spot first. You may be doing this already & sorry if mentioned earlier. It really helped the blood to “pool up” in the test spot! Good luck, I had to massage the eat quite a bit also & my cat hates her ears messed with! She got over that... me too. It will become easier. Good luck
     
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  9. Badtux

    Badtux Member

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    Dec 9, 2017
    That's pretty much where I'm headed. Guess I just have to keep trying.

    Also, I have to poke the outside (furry side) of his ear because he otherwise folds his ear so I have to have my gauze backer keep his ear unfurled, so yes, I did the petroleum jelly so the blood would bead rather than run into his fur. He has furry little ears. These cats with nearly hairless ears are probably easier to deal with. Anyhow, from the furry side with a white backer on the other side it's easy to see the margin vein once I've worked up his ear. I'll just have to try double-poking his "sweet spot" this evening.
     
  10. Critter Mom

    Critter Mom Well-Known Member

    Joined:
    Jun 16, 2014
    If you're not doing so already, be sure to put something under the edge of the ear to support it while it's being poked. (I use a 1" strip of folded kitchen paper, others use cotton pads or similar.)


    Mogs
    .
     
  11. Noah & me (GA)

    Noah & me (GA) Well-Known Member

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    Dec 3, 2016
    Even things that sound silly will help. I've been talking to Noah and his brother before him forever. I lay everything out in front of Noah and he knows what's coming next but he trusts me. I'll sing if that helps. I use these big fat BD lancets because I've had hand injuries and find they're a lot easier to work with, the same idea as with those fat ballpoint pens you started to see 10 years ago. Don't get panicked or frustrated, then he'll know "This is going to hurt".
    bd_lancet_01.jpg
     
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  12. Bronx's dad

    Bronx's dad Well-Known Member

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    Nov 30, 2016
    I also use the furry side, with a cotton ball on the inside to provide back pressure. Maybe a drum style lancing device would be better for you? I use the Accu-Chek FastClix.
     
  13. Deb & Wink

    Deb & Wink Well-Known Member

    Joined:
    Jan 31, 2013
    Another black eared kitty! Makes it challenging to see the sweet spot or even if you got blood with your poke. Ideas for you that I used with my Wink.
    1. shave a small spot on the ear. Lets you see the blood drop easier without all that fur in the way. Once you get better at getting blood, you could let the fur grow back. Just a couple of gentle, light passes with a safety razor should get enough fur off for now.
    2. double poke. Two small pokes, right next to each other can cause the tiny blood drops to merge and give you a large enough drop for your meter to get a reading.
    3. flashlight trick. Use flashlight beam behind the ear to highlight the sweet spot. Gives you the hard surface to poke against and better view of where you are poking.

    Those of you with kitties with lighter colored ears (Chris & China) don't know what a true challenge it is to get blood until you have a long haired black kitty with black ear edges totally obscurring the 'sweet spot'.
     
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  14. LunaArt

    LunaArt Member

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    Nov 7, 2017
    Badtux, I experienced the exact same thing about a month ago when my Jasper was first diagnosed. Test time was like torture for both Jasper and me. It would often take several pokes using all the tips and suggestions that others have already posted, often ending in failure - my "favorite" being the time I poked all the way through Jasper's ear, missing the tissue I was using as backing and stabbing me in the finger. Jasper's ear didn't bleed, but my finger sure did! Jasper tolerated my ineptness at first because he was weak from a UTI and losing weight, but during his first curve, he had had enough and would not let me get a blood sample anymore. He employed all the tricks to prevent me: head twisting just at the wrong moment, pushing me away with his hind feet, biting me (and he is not a biter).

    I was totally at my wits end when I remembered reading about using the kitty's paw for testing. I trimmed the hairs around the big pads on Jasper's back feet. I washed and dried the pad off completely. I then treat the pad like I would the ear, massaging it and heating it up with my rice sock. I put the lancing device on the highest setting and poked all the while comforting Jasper and it worked great the first time!

    Testing the paw for a while gave Jasper's ears a rest. I now use either the ears or the paws to test, depending on which area needs a rest. When I went back to testing his ears, it has been much easier now. I believe giving them a break allowed the ears to grow more capillaries as stated above.

    Now this method probably won't work with all kitties because many cats don't like you to touch their paws, let alone poke them with a lancet, but I thought I would throw that out there as an alternative. And also to let you know that many of us have been where you are at now and it does get better. :bighug:
     
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  15. Noah & me (GA)

    Noah & me (GA) Well-Known Member

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    Dec 3, 2016
    Just thinking about a few other things. I use a human meter, Aviva Accuchek (free in Canada), because it's accurate, consistent and needs only a microscopic amount of blood. Even after doing this for years we still have one bad day a week where I'm sure this just aint going to cut it and then the blood almost jumps off the ear onto the strip. On our other bad days Noah jerks his head and I shred the poor guys ear but again that's a trust issue that will come eventually. If you go right through the ear apologize later and see if you can dab some blood from the inside of the ear. And I can only do Noah's left ear so it's pretty banged up. I often wet a paper towel with hot water and give him an ear rub later which he seems to appreciate. The pad thing I've never tried but it's medically okay. What is NOT okay is when I heard someone at my vet say they were going to do their testing on the lip. That will really hurt and I don't like sharp things around my eyes, who would?
    And Jasper is a great name, we had a Jasper. Really miss him.
     
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  16. Badtux

    Badtux Member

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    Dec 9, 2017
    Yay, got it! I used the sock with rice in it heated up in the microwave to massage his ear around (while I was cuddling him to me and he was purring and I was telling him what a good boy he is), then the Walmart lancet device that came with the ReliOn Confirm with the ReliOn thin (26 gauge) lancet, with the clear cover and set on the deepest setting. I used the sock with rice as the backing to keep his ear firmly against the lancet device. At first I thought I was going to have to re-lance him but then after stroking his ear a couple of times I managed to pick out the dark blood on the dark ear and sipped with the ReliOn (and there was plenty of blood to sip) and *success*!

    It showed 46. Eep. That's a barely okay fasting score before his supper. I was suspecting we were getting too deep because his 2u Lantus dosage was calibrated for his old diet from the 485 in the blood test that diagnosed him with diabetes, not for his new diet, this seems to verify that. Now to decide what to do about it tonight. I think I'll feed him, let him digest a bit, and re-test him a couple of hours just to make sure I didn't somehow mess it up, though I'm not sure how. Probably I'm skipping this dose, testing him again in the morning, and calling his vet to see what he wants to do. How much to drop the dosage is going to be an interesting judgement call...

    Note -- the grain-free cat food I'm feeding him appears to use guar gum as the binder. That might have something to do with the unexpectedly low blood sugar. According to WebMd:

    Diabetes: Guar gum might lower blood sugar levels in some people. Watch for signs of low blood sugar (hypoglycemia) and monitor your blood sugar carefully if you have diabetes and use guar gum.

    He also just had a blowout with this symptom of guar gum:

    Side effects include increased gas production, diarrhea, and loose stools. These side effects usually decrease or disappear after several days of use.

    Yeah, his cat box is in my office right behind me. First world problems, eh?
     
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  17. LunaArt

    LunaArt Member

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    Nov 7, 2017
    Aww :cat: My other boy is named Alfie. Alfie and Jasper are half brothers/half cousins, or as I call them brother-cousins. Their mothers were sisters and they had the same dad. They were both born on the same day and each litter had 3 kittens each. I love telling that story, lol. They couldn't be more different than each other, though.

    Testing a cat on the lip!!:arghh: I read that you are not even supposed to test a dog on the lip, although I think it is more commonly recommended with diabetic dogs. Just imagine where your face is while poking the dog's lip!

    I did agonize over whether I should use the paw (I agonize over every little decision, so that's not different), but then I read that there was a small study done a few years back to stated the results from both sites weren't statistically different from each other and went for it. The couple of times I have tested both sites at the same time, it ranged from a couple points to 10 points different. The paw seemed lower, so now that I've gotten better with Jasper's ears, I tend to use ears for pre-shot tests.
     
  18. Chris & China

    Chris & China Well-Known Member

    Joined:
    May 10, 2013
    You might want to retest...anytime you get a number that's "out of whack" with what you expect, it's a good idea to retest just to make sure you didn't have a wonky test strip
     
  19. LunaArt

    LunaArt Member

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    Nov 7, 2017
    Yay, success! Congrats!! I would also suggest retesting and make sure you have a good amount of blood for the testing. It can really make the difference. The first time my vet tested Jasper's ear in front of me, she didn't get much blood (result=245). She retested on the edge of the ear and got a lot of blood and his reading was nearly double that of the first test (result=454). :eek:

    Edit to add: Oh, I see you said there were plenty of blood for your test. Good job! I would still retest a lower than expected result like that as Chris & China suggested.
     
  20. Noah & me (GA)

    Noah & me (GA) Well-Known Member

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    Dec 3, 2016
    Dog or cat those pads are real workhorses so maybe it's a human response to think it will hurt. Our dog would always get chunks of ice in hers and keep on going but that's what Border Collies are meant to do. Strange you'd get different readings.
     
  21. Badtux

    Badtux Member

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    Dec 9, 2017
    Tux's paws are one of the five ends he's pointy at, so it's likely he'll get more blood out of me than I get out of him if I try that. He likes having his paws messed with even less than he likes having his ears messed with.

    I actually managed to get similar numbers from him last night but I thought it was because I didn't have enough blood (that was a night both of us were frustrated). I definitely got enough blood this time, thanks to the warm sock and the prickiest setting on the lancer. I will do another retest shortly though, I want to see what his glucose looks like two hours after feeding.

    As I've said, I've tested the meter on myself a couple of times, and it reads (for me) what it should have read (i.e., a little above 100 after eating, in the mid 80's when I haven't eaten in five or six hours). I don't think it's a bad strip. Thus far these strips seem to be returning the numbers I expect. But we'll see shortly, I'm going to molest his *other* ear...
     
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  22. Badtux

    Badtux Member

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    Dec 9, 2017
    Yay, did it a second time! The secret seems to be the rice-stuffed sock nuked in the microwave, and the lancer set at its deepest setting. At 11:35 his glucose reading was 59. So skipping tonight's insulin was the right thing to do assuming this meter is correct (which I think it is, unless I'm diabetic and just getting a false low reading!
     
  23. Noah & me (GA)

    Noah & me (GA) Well-Known Member

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    Dec 3, 2016
    Welcome to the club!
    vampire001.jpg
     
  24. Vader723

    Vader723 Member

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    Dec 12, 2017
    I may try this sock trick! The last couple of checks have gone very smoothly, thankfully, after turning his poor little ear into a pin cushion yesterday. Anything I can do to make it easier on both of us is for the good! How long to you pop it in the microwave?
     
  25. Sandi & Whisper

    Sandi & Whisper Member

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    Oct 2, 2015
    Too difficult to say, too many factors (wattage of the microwave, amount of rice in the sock, etc). But for comparison, my new microwave needs 20 seconds while one at our old house needed 15. But basically, I nuke it and then I make sure that I can hold/carry it on my bare wrist over to our testing area without any discomfort. Kind of like testing a warm baby bottle on your wrist, I guess.
     
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  26. JeffJ

    JeffJ Well-Known Member

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    Jul 7, 2016
    I use the lancet at the deepest setting too. And I rub Leo's ear before the poke. I kinda push the blood up into the ear. He doesn't mind testing now because he knows it is treat time - the secret weapon, kibble treats!
     
  27. Badtux

    Badtux Member

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    Dec 9, 2017
    Yes, kibble treats are definitely the secret weapon! This evening I was surprised to hear Tux *purring* as I rubbed his ear against the warm rice-filled sock before lancing it. He knew this meant that he was getting his kibble treats shortly! One poke, a stroke to push blood towards the hole, a sip, and a squeeze with gauze later, and he got his kibble treats (four whole pieces of kibble!) and pounced on them happily. He was a happy cat given his ear had just been molested by a vampire, LOL.

    As for the sock, I nuke it for 20 seconds in my particular microwave, then sort of knead it a little to even out the temperature (it tends to get hotter on one side than the other for some reason). Then I test it against my *own* ear. If it feels good against my own ear, I figure it'll feel good against my cat's ear too. Everything gets tested against me first. Well, except the cat food. I'll let him be the arbiter of that :).
     
  28. PussCatPrince

    PussCatPrince Well-Known Member

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    Nov 25, 2017
    Ty thinks the whole ear thing is rubbish. Forget the whole ear thing no matter what - get straight to the food treat :woot:
     
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  29. pmanderson0417

    pmanderson0417 New Member

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    Jul 7, 2016
    We had our first round of, ahem, attempting to test this past weekend. My Tiger wasn't very happy and DID NOT appreciate me poking on his poor little ear no matter how many treats I had to offer, but I will keep trying. The posts above of cats becoming more or less agreeable definitely makes me feel like this will get better. It's just frustrating. :|

    I think I will try to bribe him using kibble - he is definitely a dry food junkie (but we're completely on wet food now) so he might think that's a good enough bribe to let me do the deed.
     
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  30. Badtux

    Badtux Member

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    Dec 9, 2017
    Kibble is definitely the secret for getting cooperation here. My Tux was *purring* this morning as I massaged his ear against the sock prepping it for lancing, and *still* purring after I lanced it, got my blood sip, and staunched the blood because a) CUDDLES! (I have him pressed against me telling him what a good boy he is etc. and giving him a kitteh massage through much of this) and b) TREATS after I finished pressing the gauze against both sides of his ear to stop the blood, treats, treats, oh boy oy boy! Which was just a half dozen pieces of kibble, but that was enough to keep his purr machine going through the whole process.

    He still doesn't like having his ear messed with, but I think he minds me massaging his ear prior to the lancing more than he minds the lancing.
     
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  31. JeffJ

    JeffJ Well-Known Member

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    Jul 7, 2016
    I do the poke real quick. I make sure there is a pad on the other side. Now we're at 99% success on the pokes and blood drawing.
     
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  32. Lesliejm

    Lesliejm Member

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    Dec 1, 2017
    I waste so many test strips!!
     
  33. Badtux

    Badtux Member

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    Dec 9, 2017
    Why is that? You don't get enough blood?

    Oh right you're using the Trumetrix Air. That meter is well known for being... fussy. Go look at the reviews on the CVS web site, even.
     
  34. Lesliejm

    Lesliejm Member

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    Dec 1, 2017
    He moves and when I think there is enough blood, there isn't.
     
  35. Lesliejm

    Lesliejm Member

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    Dec 1, 2017
    when I get back from vacation I will get a new meter.
     
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  36. Lesliejm

    Lesliejm Member

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    Dec 1, 2017
    What meters are good?
     
  37. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    Hi Leslie,

    If you're in the US then Walmart's Relion Micro or Relion Confirm are popular with members here. Only need a very small blood sample and the strips are very reasonably priced. (Note: Relion Prime has cheaper test strips but needs a bigger blood sample.)


    Mogs
    .
     
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  38. Lesliejm

    Lesliejm Member

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    Dec 1, 2017
    Thx!
     
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  39. RamaMoo22

    RamaMoo22 New Member

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    Aug 6, 2017
    Hi there! I totally know where you’re coming from. Testing my little guy’s blood was the hardest thing when he first got diagnosed. We used the Walmart tester too and tried testing from his ear as well. We ended up buying a tester on amazon that’s meant for animals so it is very sensitive and takes very little blood for a reading. We also test him on the pads of his back feet. We lance his pad and massage it until a drop forms. He is much more comfortable with it than his ear. It helped the first few times when we heated his pad up first. I posted the link to the tester we use below. Getting this tester was a total game changer for us. I hope your little one gets better!

    https://www.amazon.com/gp/aw/d/B007Z0XULY/ref=mp_s_a_1_1?ie=UTF8&qid=1514229832&sr=8-1&keywords=alphatrak 2
     
    Last edited: Dec 25, 2017
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  40. Badtux

    Badtux Member

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    Dec 9, 2017
    You probably bought the base Walmart meter rather than the Relion Confirm. I'm not aware of any tester that uses a smaller blood sample than the Relion Confirm and its stable-mate the Relion Micro . First time I used it (on myself) I pumped up a bead that was the size of the last time I had my blood sugar tested. It was *way* too much blood for the Confirm! Note that the Relion Confirm is actually the Arkray Glucocard 01. Arkray is a Japanese company that invented the glucose testing meter back in the 1960's (though back then it was a bulky piece of lab equipment with a cathode ray tube that sat in a doctor's testing lab alongside the CBC microscope).

    I am quite happy with the Relion Confirm, as is everybody else that I've encountered. Any failings are failings on my part, not the Confirm's.
     
  41. Christie & Ebony

    Christie & Ebony New Member

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    Dec 10, 2017
    I've been poking Ebony's ears since the week after Thanksgiving when we got the supplies. He's still not fond of it, and we sometimes have our issues, but most of the time he lays there for me cuz he likes the cuddles. After the first week or so, I had to wrap him in a big towel to get him to lay still long enough. He's a really good boy, and he loves the cuddles and ear massage (he likes his ears rubbed). "Stabby time" however, is not fun, and he sometimes wants to leave as soon as I stop cuddling. We do it on my work desk, where I have all the supplies laid out, and an LED desk lamp that I can swing over his ears to see which has the better spot at the time. I tried holding a flashlight against his ears, but I didn't have enough hands, so the lamp works well for us. I have the Alphatrak 2 monitor, but the lancet device just wasn't getting any blood the first week (frustrating for both of us), so I'm having to free-stab him. I have a damp microfiber washcloth folded up in a plastic quart-size Ziploc baggie that I put in my microwave for 20 seconds (after I've set up the rest of my supplies). I have Neosporin ointment with pain relief, the lancet, the strip just barely in the meter (so I can shove it in quickly once the blood shows up), & the warm washcloth. Then I wrap him in the bath towel & put him on the desk. He's not thrilled, but generally tolerates it. I warm up his ears with loves & massage, and sometimes the warmed up wash cloth. Then put the Neosporin on whichever ear I'm stabbing (the LED lamp really comes in handy there). I have to manually poke his ear (the lancet device just doesn't do it for him) so I flip his ear over my fingernail to make sure I don't poke me & I poked far enough. I can feel if I've poked him, if I haven't stabbed far enough, or if I've gone all the way through. He won't let me use cotton balls or tissues on the other side of the ear, so using my fingernail as a backer has been best for us. I've tried giving one ear a rest while the bruises heal. But there are days when the puncture just isn't bleeding & he gets tired of being there, and that's when I poke the bruise, just to get enough blood to be done & move on to treat time. Poking twice in or near the same spot (sometimes just a millimeter or two apart) is helpful, too. The sweet spot doesn't work too well for Ebony, but a little closer to the head isn't too bad. And on occasion, we get better blood from the back of his black, furry ear. We use the Neosporin ointment every time, and it really helps the fur to clump up so I can see the blood, whichever side I'm using. Lots of ear massage, and pushing the blood toward the puncture from both sides of the poke really helps. I've read a lot online over the last few weeks. The biggest thing is finding out what works best for your cat. There's a lot of different methods people use, but every cat is different, so find what works best for you and your cat. The biggest thing is not to stress over it. Cats are really sensitive to how you're doing, so your stress will add to theirs. So, big breaths, you can do it.
     
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