Please help. What blood glucose is too low to give insulin?

Discussion in 'Feline Health - (Welcome & Main Forum)' started by Giovanna1127, Sep 19, 2020.

  1. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

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    May 18, 2016
    Do not give insulin.
    Test again in the morning before shot time.
    George is looking great. Feed him.
     
  2. Roberta and Chloe

    Roberta and Chloe Member

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    Sep 20, 2020
    Yes, I use Relion syringes with half-dose markings. They are 3/10ml, 31 gauge, 8mm length.
     
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  3. Roberta and Chloe

    Roberta and Chloe Member

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    Sep 20, 2020
    My vet told me never to give insulin when the BG is under 100. I use the Relion meter which is $9. I've been using it for years. Maybe you can have your vet do the first curve and then do them yourself after that. It sounds like your vet wants to charge you a lot of money. Try to find a vet that specializes in cats. I went through about 5 vets before I found one I trusted and who knows her stuff. Also, 2 units are way too much. Start with 1 unit.
     
  4. Giovanna1127

    Giovanna1127 Member

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    Sep 5, 2020
    I tried to test again but couldnt get enough blood. He’s hungry and annoyed. As you suggested, will try again in the am.
     
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  5. Roberta and Chloe

    Roberta and Chloe Member

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    Sep 20, 2020
    You will get used to it and so will your cat, especially if you give him a treat afterwards. Did anyone tell you about the stuffed sock method?
     
  6. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

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    Dec 28, 2009
    you mean the rice sock? I think its Gia's cat that doesnt tolerate any foreign objects near her ears. I think it was this thread I read that My apologies if I'm wrong.
     
  7. Roberta and Chloe

    Roberta and Chloe Member

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    Actually, I quit using the rice sock a long time ago. I tried using a thimble, but it's probably somewhere under the bed. I just use my own finger now and, if I prick too hard, I can measure my own BG (I'm pre-diabetic) as well.
     
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  8. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

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  9. Giovanna1127

    Giovanna1127 Member

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    Sep 5, 2020
    @Roberta Kurtz and @jt and trouble (GA)

    yea, the sock won’t work. Warming his ear with a liquor mini bottle filled w warm water seems to work best, smaller than the others but still not too thrilled when he’s hungry.
     
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  10. Giovanna1127

    Giovanna1127 Member

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    Thanks. I need to have a serious chat with my vet tomorrow, which will likely result in finding another, which will be a stress for tomorrow.
     
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  11. Roberta and Chloe

    Roberta and Chloe Member

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    Sep 20, 2020
    I wonder if you could give him half his food and test immediately, then let him finish his food. What is your position when you test him? I sit next to Chloe on the bed and pet her a bit before testing.
     
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  12. Giovanna1127

    Giovanna1127 Member

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    Sep 5, 2020
    I hear you, that is an idea I might try but I just can’t do anymore today. Barely slept in 2 days and spent my whole weekend on this. I’m so much more scared of low glucose than high at this point, so will leave it until the AM
     
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  13. Roberta and Chloe

    Roberta and Chloe Member

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    I bet she's a young vet. I found out that they don't learn much about feline diabetes in vet school and are told to start off ALL cats at 2 units. I went through about 5 vets before I found one who knows what she's doing and is compassionate at the same time. She also corresponds by email promptly when I have a question. I believe she has a cat with diabetes. She's about my age, early 60'ss.
     
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  14. Roberta and Chloe

    Roberta and Chloe Member

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    Sep 20, 2020
    Sleep well and don't worry. It will all work out. I don't panic at all anymore because I've been through everything. I was a bit freaked this morning when Chloe was at 28, but she communicates with me when she's hungry or not feeling well. She's also been through 4 ketoacidosis events which cost about $1,000 each time. Those are caused by glucose being too HIGH. This morning, she ate well and I gave her a few treats. She was at 57 about 3 hours later. I also rubbed a drop of honey on her lips. Rollercoaster Chloe. Now she's at 320. I gave her about .75 dose.
     
    Last edited: Sep 20, 2020
  15. Panic

    Panic Well-Known Member

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    Apr 10, 2019
    The younger vets probably have more up to date knowledge on diabetes, honestly. The latest AAHA Diabetes Guidelines came out in 2018 and most vets aren't following it.

    Giovanna, I think you're fine skipping all things considered. Why don't you make a new thread over on the L&L forum, either today or tomorrow morning for dosing assistance? George looks eager to get off the juice but we may also be seeing the depot in effect. I think you're going to need a much lower dose, if he isn't already trying to do an off the juice trial.
     
  16. Nan & Amber (GA)

    Nan & Amber (GA) Well-Known Member

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    Mar 19, 2016
    I agree, the kinds of numbers he's putting up mean a skip for sure. I think it's a great idea to post over on the lantus board-- I think George is going to have to make some rapid dose adjustments to get to what he needs, and that's where you'll find folks with the most experience at that kind of thing.
     
  17. Red & Rover (GA)

    Red & Rover (GA) Well-Known Member

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  18. Giovanna1127

    Giovanna1127 Member

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    Hi All - I’ve tried twice this morning to get blood but not enough both times. He’s aggravated as he is hungry. I am going to have to skip again. This will be his 4skip in a row, but his #s were good yesterday so not sure what else to do at this point. I’ve also got a very intense work day ahead and calls w/ the vet and my own doctors so all I can really do for now is feed him and try again later.
     
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  19. Giovanna1127

    Giovanna1127 Member

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    Sep 5, 2020
    Not young - maybe 50.
     
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  20. Nan & Amber (GA)

    Nan & Amber (GA) Well-Known Member

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    Mar 19, 2016
    How long are you past your preferred shot time?

    I agree that a skip is probably the wisest choice under the circumstances, just trying to figure out if you have any wiggle room.
     
  21. Roberta and Chloe

    Roberta and Chloe Member

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    Sep 20, 2020
    If you have to, feed him first and then test right after. I doubt the BG will change that fast.
     
  22. Teresa & Buddy

    Teresa & Buddy Well-Known Member

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    Jan 2, 2017
    I always test before I feed anything. Once you feed you won't get an accurate picture of his BG. Without his BG number you do not know what your dealing with. It is good he wants to eat.
     
  23. Panic

    Panic Well-Known Member

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    Apr 10, 2019
    Food doesn't affect the numbers until 15-20 minutes later, so you could feed first then test - but then you wouldn't be able to stall if needed.
     
  24. JL and Chip

    JL and Chip Member

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    Dec 28, 2009
    @Giovanna1127 it looks like George is sitting at a blood glucose of 107 more than 48 hours after his last insulin shot, is that correct? If so, that’s great! And good job sticking with it and getting a BG reading. I know it’s hard and can be stressful for you both in these early days, but you’re doing a very good job. And that 107 is exactly why we encourage people to test rather than shoot blind.

    Please follow up later with an update and tonight’s pre-shot value. I’ll be watching. :)
     
  25. Giovanna1127

    Giovanna1127 Member

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    Sep 5, 2020
    Thanks so much! I tested again before dinner and it was 97!!! 2.5 days now without needing insulin. My soon to be former vet said he may be going into remission. Will continue to check 2x/day for the next few days and am continuing to update my spreadsheet. Will message is I get a reading of 180+to ask if I should give insulin. Testing has also become easier, so again grateful for all of the help provided here.

    I’ve already told 2 other folks w/ diabetic cats about this forum and how helpful I have found it!
     
  26. Giovanna1127

    Giovanna1127 Member

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    Sep 5, 2020
    Thanks so much. This is helpful info.
     
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  27. jt and trouble (GA)

    jt and trouble (GA) Well-Known Member

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    Dec 28, 2009

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