Missed/Partial Shot

Discussion in 'Feline Health - (Welcome & Main Forum)' started by Summer and Susie, Feb 23, 2021.

  1. Summer and Susie

    Summer and Susie Member

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    Dec 20, 2020
    I'm sorry to post on this thread twice in one day but I believe I had a partial missed shot. Susie pulled away just as I was shooting. I did not feel anything wet on her fur. There was a tiny bit left in her syringe so I went ahead and gave it to her. Her AMPS was 241 and at +2 she was only down to 230. I know you are not supposed to shoot again if there is any question that she did/did not get her shot. Is there anything else I should know other than to continue to test? I guess I just wait until her PMPS time to give her more insulin?
     
  2. Teetee (UK)

    Teetee (UK) Member

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    Mar 14, 2019
    Hi Summer
    This has happened with me, Duke moved as i injected him and i didn't get the full dose into him or fur shot but whatever you do don't give her anymore insulin. All you can do is wait until her next injection time but if it were me i would still test just to be sure.
    You know me Summer, i test a lot.
     
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  3. Summer and Susie

    Summer and Susie Member

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    Dec 20, 2020
    Thanks, Tee. Better safe than sorry - right? Yes, you do test a lot. Do you sleep much?
     
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  4. Teetee (UK)

    Teetee (UK) Member

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    Mar 14, 2019
    Lol, no i don't sleep much, i'm knackered most of the time and cat nap lol throughout the day inbetween testing. He's ok now until his PM shot so i will take an hour or two now and check him again at +9 or +10
    Fear is the word for it :nailbiting:, i just dare not leave him until i know he's safe from dropping too low even if i think he will be ok.
    But he's worth it.:)
     
    Last edited: Feb 23, 2021
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  5. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    You hum it, I'll play it.

    :bighug:


    Mogs
    .
     
  6. Summer and Susie

    Summer and Susie Member

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    Dec 20, 2020
    That is my biggest concern too. I would be testing a lot as well if Susie had low numbers. Wish I could just get her in the low 100's. I would be happy with that forever.
     
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  7. Teetee (UK)

    Teetee (UK) Member

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    Mar 14, 2019
    Summer, would it be worth asking your vet to switch Susie to Prozinc instead of the Vetsulin. As far as i'm aware Prozinc is a lot better for cats and Vetsulin/Caninsulin is better for dogs or maybe Lantus which i know absolutely nothing about.
    I'm sure someone with better knowledge of insulins will explain the difference but what i do know is that Vetsulin can hit hard and fast whereas Prozinc is longer lasting and more gentle.
     
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  8. Teetee (UK)

    Teetee (UK) Member

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    Mar 14, 2019
    Lol.
    3b1da8e1762ba34e8c45952a88d361a7.png
     
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  9. Summer and Susie

    Summer and Susie Member

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    Dec 20, 2020
    I'm actually switching to Lantus on March 1st. I already have the pens in my refrigerator. Just needed a little time to read up on it before I take the plunge. Besides, my Vetsulin is still good and I hate to throw away good insulin. Susie definitely missed her shot. She is up to 331 at only +7. I will hate to see what her PMPS test will read. Poor cat. I need to be more careful.
     
  10. Summer and Susie

    Summer and Susie Member

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    Dec 20, 2020
    I know you do not get any sleep, Mogs. You're too busy watching out for all of us.
     
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  11. Summer and Susie

    Summer and Susie Member

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    Dec 20, 2020
    Mogs, is it possible to give Susie her PMPS test, food and shot an hour early today (5:30 normal time for todays shot)? Maybe at 4:30 or 5:00 and then go back to the 5:15 or 5:30 shot in the morning. I know it is a longer time between her PMPS shot and tomorrows AMPS but I'm worried her glucose is going to go "sky high" if I wait to shoot until 5:30 tonight and she doesn't feel too well - I don't think.
     
  12. Teetee (UK)

    Teetee (UK) Member

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    Mar 14, 2019
    That's good Summer, so next Monday is the day then. I'm sure you will see better numbers with the Lantus as it's supposed to be the best out of the bunch.
    It's not your fault Susie decided to move at the wrong time. Duke's getting wise to it all now and jumps of his chair when he see's me coming with the needle, he's not frightened or anything just a case of sod of with that thing i'm off but a piece of chicken and he's running back on to his chair but he does fidget a bit sometimes when i'm trying to inject him.
     
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  13. Summer and Susie

    Summer and Susie Member

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    Dec 20, 2020
    Susie is usually very good with the shot. She will react just a little from time to time but this time really caught me off guard. I always give her a PureBits or Whole Life treat afterward. Yes, Monday is the day. A whole new procedure from the Vetsulin and I am nervous about it. Using a pen will be different for me but I have read up on it and even bought a caliper, a whitebox and a lighted magnifying glass for those tiny little adjustments that might be necessary.
     
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  14. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Sep 21, 2018
    Hi Summer , you will be happy with the lantus, do you mean you will be shooting using the pens?
    With the pens you can only increase by 1 units
    We all buy U-100 syrings with half unit markings so we can increase or decrease
    by 0.25 units.
    Just take the top off of the pen and you will see a small gray rubber stopper and stuck your syringe in that and draw up your dose
    If I misunderstood sorry about that :cat:
     
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  15. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    No, Summer, you need to stick to your regular shot time because, even though Susie's higher today, you don't know how much insulin might have gone in this morning. You need to work 'as if' the full dose had been administered successfully.

    By way of general info, if a shot is skipped then you can bring the shot time for the next dose forward a bit.


    Mogs
    .
     
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  16. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    I've got a similar problem when trying to give the Noodle her bupe. I can tell you for a fact that there's nowt wrong with her hearing because as soon as she hears me in the kitchen flicking the side of the syringe to shift the air bubbles - through a closed door! - she retreats behind the sofa. (Crafty minx.)

    LĂșnasa's fairly OK with pills but she's a lightin' divil for jerking her head as I'm pressing the syringe plunger to administer her oral bupe. Doses have variously ended up spattered all over my glasses, the floor, her chest... :banghead:


    Mogs
    .
     
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  17. Summer and Susie

    Summer and Susie Member

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    Dec 20, 2020
    I wasn't clear, Diane. I will be using the U100 syringes, with the 1/2 unit markings, to draw from the pens. I'm all set. I have the pens and the U100 syringes and the caliper for any tiny adjustments - which I hope I never have to do. It is good to hear from you. Thanks for following my thread. I am nervous but hopeful about my switch to Lantus.
     
  18. Summer and Susie

    Summer and Susie Member

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    Dec 20, 2020
    Okay. I know she got a little in this morning and I will wait to shoot again until her regular time at 5:30. Dreading her PMPS test.
     
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  19. Summer and Susie

    Summer and Susie Member

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    Dec 20, 2020
    I am really confused now and I'm sorry to bother you again. I just tested Susie, twice, at PMPS. She got a 275 and a 271. Why wouldn't she be much higher with a 331 @+7 and no insulin on board. I was expecting her to be in the 400's at PMPS.
     
  20. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    I see from your spreadsheet notes that you fed Susie at +6. If so, the 331 is likely a food bump. Good illustration of why we do fasted readings at preshot before giving insulin.


    Mogs
    .
     
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  21. Summer and Susie

    Summer and Susie Member

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    Dec 20, 2020
    Thank you. Makes sense that the food bumped her glucose up but what dropped it down prior to PMPS without insulin on board. Anyway, thanks for your help today. I will not bother you again tonight. I hope you "tag team" with others so you can get some sleep when you need it. Goodnight.
     
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  22. Critter Mom

    Critter Mom Well-Known Member

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    Jun 16, 2014
    It's possible for a diabetic cat being treated with insulin to still be producing some of its own insulin, just not enough of it.

    I'm signing off in a minute, I'm absolutely shattered. Goodnight to yourself and Susie.


    Mogs
    .
     
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  23. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Sep 21, 2018
    You and Susie will do fine. Tyler used to be on vetsulin a long time ago,then I switched to lantus, and boy was I glad I did
    After 2-1/2 years he's in remission. I don't want him to hear me say that lol
    I'm sure you will be pleased switching to lantus :cat:
    I never used calipers I would just eyeball the lower doses.
    But many do use calipers and love them
    Here is an illustration



    Pictorial guide using a U-100 syringe marked with half units:
    [​IMG]
    [​IMG]
    [​IMG]
     
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  24. Summer and Susie

    Summer and Susie Member

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    Dec 20, 2020
    Such a small, small measurement. Honestly, I don't see the circles but I get what you are saying. I think I could do this with a white box and a lighted magnifying glass which I have. I cannot worry about these tiny details - yet. Just need to get my feet wet with the Lantus, learn confidence and take it from there.
     
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  25. Summer and Susie

    Summer and Susie Member

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    Dec 20, 2020
    By the way, it is amazing that Tyler is still in remission after 2 1/2 years. I have heard that 2 out of 3 cats, that go into remission, come back out and you have to start all over again. Please keep an eye on me during this journey with Lantus. I will need friends and guidance.
     
  26. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Sep 21, 2018

    Hi Summer , Tyler has been in remission since 1-24-21
    It was 2-1/2 years of being on insulin is what I meant

    So after 2-1/2 years of being on insulin he then went into remission
     
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  27. Summer and Susie

    Summer and Susie Member

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    Dec 20, 2020
    I guess for some cats it can take a long time to get to remission, if they ever do. You were one of the lucky ones. Congratulations and I pray he will stay that way.
     
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  28. Diane Tyler's Mom

    Diane Tyler's Mom Well-Known Member

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    Sep 21, 2018
    Don't lose hope your Susie may too go into remission:cat:
     
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