? 7/3 Jessi, attempting BG testing, what a mess! Could use some help please

Stefania S

Active Member
https://www.felinediabetes.com/FDMB...200-10-266-amps-n-a-3-164-5-106-6-146.279045/

Hi all,

Our sensor died prematurely again and this time I decided to let it rest for a few days. The skin on her neck where sensors have been placed is getting pretty bad and she has been scratching more and more. This is also the location of the SCC tumor so all in all it felt right to just pause. I'm learning how to put that on myself, and I'm almost done gathering the materials I need to do that much better than they do, but I haven't yet mustered the courage to do it. I'll have to put her in my car to do it since she'll probably struggle too hard here at home.

I'm using this downtime to get going on blood testing. Boy is it rough! I have managed to draw blood three times and not once was I able to complete a test successfully. Worse, I keep hitting the marginal vein even when I'm trying not to and this makes the whole thing that much more stressful and painful for her which of course means she'll be less and less compliant each time.

I'm not going to give up, but I do feel awful about it.

What is crazy is that today, just moments ago, I did it again, hitting the vein and so much blood came out, which shocked me and her, she was growling at me the entire time and fighting to get away. I was so nervous I forgot to wait the 3 seconds before scooping the blood with the stick. I can't believe it! All that blood, stress and pain for nothing! And we lost another test stick.

Now she looks awful as she always does after any stressful event, like she's processing it through her little mind and body. And there's blood on her white fur under her ear. :(

I'm so mad at myself! I should have gotten a read at least to make her pain worthwhile.

So, can I get some advice on how not to hit that marginal vein while going for the outer edge of the ear? Or should I avoid the edge altogether?

And can you tell me just how painful is it when that vein gets punctured? I'm pretty sure that's where the vets were pricking her while they had her. She always came back with a red spot right on the edge of her ear.

Now it's red like that from having been hit at least twice.

Anything I can put on it to help it heal? I prefer natural products as much as possible, and something that won't harm her if she eats it. I had put some coconut oil on it earlier, but that isn't very soothing or disinfecting as far as I know.

One things she often does after I prick her ear is shake her head, so I have to hold her head still while I'm grabbing the glucometer and pushing the stick into it...of course she's more likely to shake her head when I hit the marginal vein because it hurts and because she can feel the blood coming out.:arghh:

Oh man, I feel so awful about this right now. This is why I avoided it for so long. I hate being the person who scares and hurts her.

Poor Jessi has to go through so many stressful things one after the other...having them happen right here at home makes it even worse.

But I know we'll get there, and I know I have to do this, because I'm fed up with the sensor being so inconsistent and inaccurate, and I need to be able to give her skin a rest. Plus she is a cat that can't stand to have that on her, especially on her neck, so she kicks at it a lot which makes it come off sooner. Finding a place where she can't reach it with her tongue or her hind legs might be virtually impossible without wrapping her or clothing her. I have been trying that out too and that has been another source of stress. She absolutely HATES wearing a shirt, and it makes her lose her balance and lie down like she can't walk in it...

Anyone have experience with cats and clothing?

So many reasons to do the ear pricks, but also so many reasons to avoid it...

I guess when the former outweighs the latter that's when I get kicked into gear, like right now.

Thanks for all your support, encouragement, pointers and sharing, it all helps especially in moments like this.

p.s.
The clinic vets are leaving me hanging about the tumor. They did tests to find out if it had spread to other organs and at the moment after the tests were done they said that it looked like it hadn't spread but that we had to wait for the official word from the specialists (oncologist, dermatologist). Well, that word never came and they just told me to come see them on Thursday instead. These are the kinds of things that make me flip. All they had to do was write one or two sentences confirming or not, instead of making me wait 2 whole weeks to tell me in person. Really??? :mad:
 
Our sensor died prematurely again and this time I decided to let it rest for a few days.
Hi Stefania!
Sorry to hear about your continued troubles with the sensor.. I do wish it were more reliable for how costly it seems to be.

But it’s great that you’re learning to put it on by yourself. Hopefully it means less stress for Jessi and also some $$ saved for you :)

I'm using this downtime to get going on blood testing. Boy is it rough!
Glad to know that you’ve been trying the ear pricks. Slowly but surely you’ll get there. Just keep at it!

Since my own ear-testing experience will not be relatable or useful for you, I’ll share these 2 links to documents on ear testing from an FDMB member (from 2013) that I’d saved for reference during my early days.

Ear Testing Psychology
Test Time

They basically say the same things that you may have already read on here multiple times but in many more words.
Do give them a read (Sorry if you’ve already come across them!) while you wait for more responses.

And can you tell me just how painful is it when that vein gets punctured? I'm pretty sure that's where the vets were pricking her while they had her. She always came back with a red spot right on the edge of her ear.
Now it's red like that from having been hit at least twice.
Anything I can put on it to help it heal? I prefer natural products as much as possible, and something that won't harm her if she eats it. I had put some coconut oil on it earlier, but that isn't very soothing or disinfecting as far as I know.

I don’t know how much the ear prick, especially on a vein, hurts our cats but I’m guessing (and hoping) not a lot. If you’ve ever had your finger pricked for a blood test, it feels like a momentary pinch. So maybe it’s something similar for our kitties?

Shen’s ear sort of flinches, either in response to the prick or to the sound of the lancing device clicking. During the first couple of weeks of testing, Shen’s ears were usually bruised, mainly because I wasn’t successful in getting enough blood the first time and would have to attempt multiple pricks for a single test. I had to adjust the penetration depth of the lancing device a few times to get it right. Also I wasn’t applying enough pressure post prick. It took 2-3 weeks for Shen’s ears to start looking normal.

I’ve also had days when I’ve hit some vein and more than 10 drops worth of blood has oozed out. I’m embarrassed to admit it but it still happens some days :oops: I wipe the blood off, clean the ear with a damp cotton swab and put some gentle pressure on the ear for 10-20 seconds. The pressure really helps with reducing the bruising :)

I haven’t really used any healing cream for his ears, except for Vaseline a couple of times to help the blood to bead easier during the first few attempts. Now I just clean his ear tips with a wet cotton swab every other time.

Like I said before, my own ear testing experience might not work for you, so I don’t really want to suggest this especially since Jessi sounds really skittish (and also because I haven’t read similar accounts/suggestions here) but any chance you could attempt to ear test while she’s sleeping? Maybe gauge her reaction to you touching her ears and then to the sound of a lancing device clicking near her ear while she’s asleep, and if she reacts/wakes up, don’t try it.

Also I’d be afraid to try this without a lancing device for fear of a direct lancet hitting her elsewhere due to any sudden motion when she wakes up. So yeah, not my best suggestion.

I do most of my tests while Shen is sleeping (since he sleeps 90% of the day and his ears are warmer then too) but I’ve been able to do that because he’s used to my physical presence (= me lurking over him all the time) and to me disturbing him while he’s sleeping (and otherwise too). During pudgier times, I’ve used his body as a cushion so now he mostly ignores my touch when he’s asleep. Poor guy doesn’t get any personal space from me.
I know I’m lucky this works for me and wouldn’t necessarily work for others.

One things she often does after I prick her ear is shake her head, so I have to hold her head still while I'm grabbing the glucometer and pushing the stick into it.

I find it easier to insert the strip first (or at least mid way through) and then try the ear prick to get blood, than the other way round.

How long after inserting the strip into the slot does the glucometer ask you to wait before getting blood on it? Also how long after becoming ready for blood does it wait before going blank?

Mine initially asks me to wait for 3 seconds and then waits for around a minute for blood before blanking out. There have been times when it’s taken me longer than a minute to get blood and I’ve to remember to switch on the glucometer again and then wait for 3 seconds.

One common suggestion is to transfer whatever blood you can get from pricking your kitty’s ear to your clean finger nail and then use it for the strip. Your kitty is free to escape that way.

p.s.
The clinic vets are leaving me hanging about the tumor. They did tests to find out if it had spread to other organs and at the moment after the tests were done they said that it looked like it hadn't spread but that we had to wait for the official word from the specialists (oncologist, dermatologist). Well, that word never came and they just told me to come see them on Thursday instead.
A few choice words come to mind but I’ll settle for YIKES. Nothing really justifies giving such little or no information about such a critical diagnosis. I do hope they’ve been knocking their heads together to come up with a great treatment plan for Jessi.
 
Thanks for your replies Nimi! I'm super tired right now and needing to go to bed soon. I'll read through more carefully tomorrow what you wrote and check out the links. I have gotten a lot of suggestions, some of them are useful, some just don't apply to us, but I am always open to more. You never know when someone is going to tell you exactly that piece of information you needed to help solve a problem or get through a rough patch.

Jessi just had a little close encounter with another kitty outside, which perked her up for a moment. :p Sometimes she acts like the spry, feisty, territorial kitty she used to be. Back when we had an enormous garden, she used to chase all the animals away, including deer and raccoons. Ok, once she got chased by a coyote, but otherwise, she was the Queen and gatekeeper of her castle. ;) It's still in her, but I think she realizes pretty quickly she doesn't have the physical resilience and strength to go up against anyone. She quickly came back and let me scout around to make sure the other cat had gone away. Now she's standing guard outside our backdoor.

Before our last visit to the vets, she was really starting to perk up and go for walks on her own around the house. I was really impressed and happy to see that. But after the visit she hasn't once gone outside on her own for more than a few minutes. It's as if the visits make her feel weak and vulnerable, afraid to be out on her own. I guess I understand. It's all so confusing and scary to her.

Plus the stress messes with her BGs which undermines her overall wellbeing. I hope after we get the tumor taken care of and we get better at BG testing, we can get her consistently healthier, stronger and as feisty as ever! :cat:
 
Hi Stephanie Hang in there :bighug::bighug::bighug:
I had A LOT of trouble with testing in the beginning. These posts were a HUGE help.

https://www.felinediabetes.com/FDMB/threads/hometesting-links-and-tips.287/
https://www.felinediabetes.com/FDMB/posts/2918025/

The video on desensitization was helpful to me. Repetition is key. Small sessions multiple times a day. And don't forget to treat yourself too for trying :cat:

Thanks for the encouragement Angela. It sure is hard for me to stick a needle in my kitty's ear and get her all upset at me. I'll check out those links tomorrow. Right now it's time for a few hours of sleep...maybe....:p
 
Just a quick update on this thread before I make a new one.

I am studying what you shared, @Nimi S and @Angela & Cleo , some of it I had read before but now I'm re-studying it as I move from theory to practice and it's a whole other thing.

Hi Stefania!

Since my own ear-testing experience will not be relatable or useful for you, I’ll share these 2 links to documents on ear testing from an FDMB member (from 2013) that I’d saved for reference during my early days.

Ear Testing Psychology
Test Time

They basically say the same things that you may have already read on here multiple times but in many more words.
Do give them a read (Sorry if you’ve already come across them!) while you wait for more responses.


The Ear testing psychology is a real gem, compliments nicely what is already here on the forum, thanks for that Nimi!

I backed off a little from trying to actually get blood and am now focusing on just getting us used to the entire thing. I'm following the suggestions in the literature of trying different ways of holding her still, seeing how long she stays before pulling away, rubbing and holding the ear (that one is tough, as long as I'm massaging it she kind of likes it but she is tense and alert, as soon as I stop she jerks away), trying to make the whole thing as relaxed as possible for both of us. For the moment, I went back to just doing it in the same spot as where do the insulin and other things, because it just works better for now. I tried the couch, that was a total fail.

We do everything on top of the washer in the kitchen, and even though she can't actually get away safely if she wants to, because it's too high and she could get hurt (although she did jump down once on her own) which means she doesn't get that secure feeling of being able to leave at anytime, but I think it helps because it does make her stay put longer.

I am combing it with feeding her regular food and/or treats, even putting some treats on her food to sweeten the deal. This makes her stay longer in place but I can't really touch her ears while she's eating so I have to wait and then catch the moment before she decides she needs to get down.

I'm being more patient about it now that I got your feedback and read through the info you shared.

Thanks again
 
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