Very stressed out owner with newly diagnosed sugar kitty

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Ames89

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So here goes my long speech

My cat Zola was diagnosed with diabetes a month ago. She was started on 2 units twice a day. When I searched through some conversations on here the consensus was that that amount was too high to start. For context my cat is 17 pounds, I talked to my vet about concerns and he said he did it based on her weight. This vet gives me concerns as he seems to have a small amount of knowledge on diabetes from what I’ve seen on here is common. I felt I had to do my own research and found out that I could use a pen for insulin told my vet and he said that was OKAY .Which felt like a relief because the insulin will last me 6 months for 150 dollars over a vial that’s 70 dollars a month.

My cat is on glargine insulin, and now after doing a curve to see what’s going on ,he wants to raise her insulin dosage by .5 increments each dose. That is 5 units total a day. He neglected to inform me before starting with the pens that the dosage may have to be increased in .5 increments which doesn’t really work with pens and I didn’t really think about it because I was overwhelmed with all the contradictory advice that seems to come with feline diabetes. So now the pen isn’t going to work but I have 5 pens still that I really do not want to waste. I did see that you can draw from the pen but when I went to the pharmacist to get her to show me how to draw it seemed much more difficult then just using the pen.

I JUST got use to using the pen which after research seemed like the better choice until I real more on these message boards. I’m just super confused and overwhelmed and have a hard time processing all this information with my adhd.

I’m worried my vet has no idea what they’re doing and is just following the small amount of old school information theywere given in vet school!

if anyone has some helpful advice I would very much appreciate it. I do not test every day , my vet has said on two occasions that it’s not necessary every day and to do curves instead which obviously sounds concerning after what I’ve read! I do struggle to test still but I watch her closely and have tested when she seemed off but I may start doing it daily now that the dose is being raised. Help please I almost had a panic attack today just stressing out so much on how to do right by my cat while struggling to afford everything (currently on stress leave)

Lastly I have my cat on nulo wet food , after contacting thecompany all the food is under 7% carb! I have been feeding my cat only nulo wet food for a month before diagnosis and it’s low carb high protein but she still became diabetic whichis confusing to me because I’ve seen on here a lot that usuallythat diet will put them into remission but the low carb dietdidn’t stop her diagnosis so I’m so so lost sorry for the book.
 
Hi there, I’m sorry for everything you’re dealing with right now, I’m sure it’s very overwhelming. It will get easier and you’re in the right place!

I’m too new to give any advice, but the folks here are awesome and they’ll get you situated in no time.
 
Hi Ames ( is that correct?) and Zola.
My cat is on glargine insulin, and now after doing a curve to see what’s going on ,he wants to raise her insulin dosage by .5 increments each dose. That is 5 units total a day. He neglected to inform me before starting with the pens that the dosage may have to be increased in .5 increments which doesn’t really work with pens and I didn’t really think about it because I was overwhelmed with all the contradictory advice that seems to come with feline diabetes. So now the pen isn’t going to work but I have 5 pens still that I really do not want to waste. I did see that you can draw from the pen but when I went to the pharmacist to get her to show me how to draw it seemed much more difficult then just using the pen.
You can draw the insulin form the pen into a syringe. You need to make sure you have the correct syringes though as there are many different ones.
These are the syringes you need to buy. There are several different brands. Don’t let them sell you anything else, by telling you they are the same.
U100, 3/10 ml, 30 or 31 gauge, 6 or 8 mm insulin syringes with 1/2 unit markings

And here is a diagram how to draw up the insulin from the pen.
upload_2024-12-11_14-42-8.jpeg
 

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Can I suggest you set up a spreadsheet and a signature so we can learn about Zola and we can help you with dosing. But to do that we have to be able to see your blood glucose data.
Here is a link to HELP US HELP YOU which has the link to the spreadsheet and the signature, and the hypo box and more.

I don’t agree with your vet saying there is no need to test the blood glucose.
It is the only way to ensure you can keep Zola safe. Just watching her will not tell you if the blood glucose (BG) is low. By the time a cat shows signs of a hypo, the BG is very very low.
I would encourage you to retest before every dose of insulin to see if it is safe to give the dose and then test around midway through the cycle to see how low that dose is taking Zola.

Continue to feed the low carb food. I know you swapped over a month before she was diagnosed, but by then the damage was done and it is going to take more than just a change of food to hopefully get her regulated.
Keep asking questions, we are happy to help.
 
Hello and welcome. We all remember how overwhelming it is in the beginning. We are here to help.

If you keep your glargine insulin vial in the fridge, it can last for months. Humans go through the vial a lot quicker due to larger doses and it's only good for a month if kept out of the fridge. Pens, if you are using the pen needles, have to be stored outside the fridge, but only the one you are currently using. The unused ones can be stored in the fridge. If you use syringes, all pens can stay in the fridge.

To be fair to your vet on dosing, one our Lantus/glargine dosing methods uses a starting formula based on weight, or 0.25 units per kg of weight, which would be 1.9 units for Zola. However, that dosing method does require testing the blood sugars several times each day.
 
Okay thank you so much for all this helpful information ! I will deffinelty start testing when I raise her dose because I was worried about increasing it anyways !

that does make me feel better about the dosing amount, because I kept hearing from him it was the right amount


She has already had a curve done and she was stable on 4 units. So I guess that means it wasn’t too much , but maybe I just got lucky?

7:00 am -16.8 (food given)

9:00 am-13.8

11:00 am-14.6 ( food given)

1:00 pm-16.8

3:00 pm-15.6

5:00 pm -18.0

7:00 pm-18.6(food given)

9:00 pm 18.3

Thank you again
 
Can I suggest you set up a spreadsheet and a signature so we can learn about Zola and we can help you with dosing. But to do that we have to be able to see your blood glucose data.
Here is a link to HELP US HELP YOU which has the link to the spreadsheet and the signature, and the hypo box and more.

I don’t agree with your vet saying there is no need to test the blood glucose.
It is the only way to ensure you can keep Zola safe. Just watching her will not tell you if the blood glucose (BG) is low. By the time a cat shows signs of a hypo, the BG is very very low.
I would encourage you to retest before every dose of insulin to see if it is safe to give the dose and then test around midway through the cycle to see how low that dose is taking Zola.

Continue to feed the low carb food. I know you swapped over a month before she was diagnosed, but by then the damage was done and it is going to take more than just a change of food to hopefully get her regulated.
Keep asking questions, we are happy to help.

okay thank you for this information it’s super helpful !

my next problem is that when I went to the pharmacy to ask for help on how to draw from the pen … she put air into the pen which I’ve read your not suppose to do, they said they didn’t recommend doing it that way, because it will be harder to draw from pen if not putting air into it. This to me seemed to ruin my pen. It has tons of bubbles small and some large ones and now a part of the stopper is floating in there ….Do vets or pharmacist know anything ?
They won’t replace it even though they destroyed it which is fustrating considering how much everything costs! They just keep telling me to get a vile instead which I really don’t want to do since I already have 4 pens left.
 
I would ask to talk to the store manager. If the pharmacist (or more likely the pharmacy tech) was the person drawing up the insulin, this is their error and they should replace the pen. If they give you a hard time, suggest that you will call the pharmaceutical company and file a complaint about their pharmacy. You can also let them know that you will call the pharmacy licensing board and register a complaint. You can also complain to the Better Business Bureau. And lastly, you can post on social media. I suspect the store manager will intervene.

The pen mechanism is different than a vial. The black stopper moves down the barrel of the pen and keeps the insulin at the stopper. If there is a piece of the stopper floating around, they clearly did something wrong.
 
In fairness to the pharmacist, pens weren’t designed and aren’t marketed to be used like vials so they probably guessed. You need to inject air in a vial. Someone recently posted how to get the bubbles out, I will find that and link to it—so hopefully you can salvage that pen; then just follow the instructions given above
 
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