How to Administer Insulin to a Cat
Article in PDF format Article in PDF format Cats can get diabetes in the same way that their human friends do. In the event that your cherished kitty has just been diagnosed with diabetes, you may be feeling scared or overwhelmed by the prospect of administering insulin injections to your cat. Unfortunately, delivering insulin to a cat is not a tough or sophisticated process, and it is not particularly painful or unpleasant for the majority of felines that get it. Learn how to properly store and manage insulin for your diabetic cat, as well as how to establish a suitable injection regimen and deliver an injection correctly.
- Following the storage recommendations printed on the label is essential. Your insulin will be packaged with specific instructions on how to store and use it properly. Make sure you are acquainted with these instructions, and contact your veterinarian if you have any questions. 2 Keep your insulin in the refrigerator until you’re ready to use it. If insulin is exposed to high temperatures, it will degrade and become less effective. Keeping insulin in the refrigerator door, where temperatures are the most consistent, is the best option.
- It is best to throw away insulin that is hazy or discolored, has been exposed to heat, or has expired and start over with a fresh bottle of insulin.
- 3Gently roll the insulin between your palms to combine the ingredients. Roll the bottle around two or three times to ensure that the contents are evenly distributed. Never shake the insulin bottle since doing so might cause bubbles to appear in the solution. 4 Make sure that the needle in the insulin vial is completely clean before inserting it. Take the needle guard from the end of your syringe and set it aside. Using an upside-down insulin bottle, insert the needle into the rubber stopper located at the top of the bottle
- 5 Make sure you have the right amount of insulin in the syringe. In order to fill the syringe with the amount of insulin recommended by your veterinarian as the proper dosage for your cat, pull back on the plunger. In order to re-send insulin back into the bottle, push the plunger back in one more time, and then pull insulin back into the syringe a second time. This will assist to limit the likelihood of air bubbles entering the syringe, which can make it difficult to correctly estimate the dosage
- Double-check the syringe to make sure you have the correct dosage in the right place. A clear set of instructions from your veterinarian should be provided on the number of units or milliliters to provide to your cat.
- 6 Replace the safety cap on the syringe and place it somewhere secure. Place your cat’s insulin syringe somewhere safe until you are ready to administer the dosage to him. You can store the insulin bottle in your refrigerator and the syringe somewhere safe (for example, on a clean kitchen counter, in your bathroom medicine cabinet, or in some other cool, stable place where it will be out of reach of pets and small children) until you are ready to administer the dosage to your cat.
- If you leave the insulin in the syringe for an extended period of time, it may bond to the plastic.
- Choose a timetable for administering the insulin and stick to it. Your veterinarian may recommend that you provide an injection to your cat once or twice a day. It is preferable to deliver the injections at the same time(s) every day, if possible. It is important to administer insulin shots as soon as possible after the cat has eaten. In this way, the cat’s blood sugar will not fall to an unsafely low level. 2 Allow your cat to eat a meal before providing the injection to prevent nausea and vomiting. The best time to administer insulin to your cat is when he or she is eating, as doing so may make your cat feel frightened and insecure during meal times. Allow the cat to continue eating without being interrupted
- Inquire with your veterinarian about what to do if your cat skips a meal or vomits just after eating. In these instances, they may propose that the cat be given a lower dose.
- 3 Before providing the injection, calm your cat down a bit. A few gentle strokes or groomings of your cat can help to calm him down, as will speaking to him in a low, soothing manner. While you are prepping your cat for the injection, you might want to consider giving him a tiny, nutritious treat, such as a piece of cooked, unseasoned chicken.
- In the event that your cat is prone to struggling or panicking during an injection, you may choose to enlist the assistance of another person to hold or gently distract the cat while you deliver the injection.
- 4Assemble the cat on a flat, level surface. The cat may be placed on your lap if you are convinced that your cat will stay quiet while receiving the injection. If you set the cat on a level, raised surface, such as a table top, the likelihood of damage to both you and your cat is reduced.
- 1Make sure you have your syringe ready. Take the syringe that you loaded with the appropriate amount of insulin and place it next to the cat when it is in the proper position and ready to receive injection. Using your dominant hand, remove the safety cap off the needle and hold the syringe in your hand (for example, if you are right-handed, hold the syringe in your right hand)
- 2 Make a tight grip on the cat’s skin with your thumb and index finger, pinching hard. Identify a tiny flap of skin on the cat’s back, shoulders, side of the chest, or tummy and cut it off. Make a tent-shaped tent out of the cat’s skin by gently pulling it up.
- To avoid scar tissue formation or granulomas from occurring, avoid injecting insulin into the same place again and over.
- 3Insert the needle into the skin at a 45-degree angle to the surface of the skin. Take care not to poke the needle all the way through the fold of skin or into your thumb or finger where you are gripping the cat’s skin while doing the procedure. Continue to keep your thumb on the plunger while you are inserting the needle. In a single swift motion, depress the plunger lever. As soon as you are finished, push in the plunger with your thumb and instantly draw the needle out.
- It is possible that you will want to draw the plunger back somewhat before injecting to ensure that you do not strike a blood vessel during the procedure. Pulling back the plunger of the syringe reveals blood entering the syringe
- Remove the needle and administer the injection somewhere else. As soon as you have completed administering the injection, replace the safety cap on the needle.
- 5Give your pet a treat. Gently pat your cat after praising him or her in a soft manner. It’s also OK to give the cat a tiny treat, such as a piece of cooked chicken
- 6 Properly dispose of the needle that has been used. Place the needle in a puncture-proof container after it has been capped. Your veterinarian’s office or your local drugstore may be able to provide you with a customized “sharps” container. Inquire with your veterinarian or the trash disposal agency in your region about suitable waste disposal methods in your area.
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- Once the insulin is in the syringe and just before you inject it, gently warm it between your fingertips between each injection. Insulin that is too cold hurts. Your cat will have a more pleasurable experience if the water is somewhat warmed up. Make sure you have the right syringes for the kind of insulin your cat is taking. There are various different kinds. If you have any questions or concerns regarding syringes, you should see your veterinarian. In most cases, the abdomen aches less, especially if you have a larger cat. Inquire with your veterinarian about using the thinnest and shortest needle possible to deliver your cat’s insulin. For your cat, smaller needles are less uncomfortable to use. Remember to mark each injection off in a calendar or planner as soon as you have through delivering it
- This will help you keep track of your cat’s daily shots.
- Immediately after loading the syringe with insulin and just before you inject it, gently warm the insulin between your fingertips. Insulin is quite irritating when it is cold. Your cat will have a more pleasurable experience if the water is gently warmed up
- Inspect your insulin syringes to ensure that they are compatible with the kind of insulin your cat is taking. It comes in a variety of forms. For any questions or concerns concerning syringes, speak with your veterinarian. Particularly if you have a bigger cat, the abdomen typically hurts less. Inquire with your veterinarian about the thinnest and shortest needle feasible for administering insulin to your cat. It is less uncomfortable for your cat to have smaller needles. Remember to write each injection off in a calendar or planner as soon as you are through delivering it. This will help you keep track of how many shots your cat receives everyday.
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Cats will normally be put on insulin injections as soon as the diagnosis of standard diabetes is obtained, if the patient is otherwise in good health. Due to the fact that cats break down insulin quite fast, practically all of them will require injections twice a day (morning and evening, roughly 12 hours apart, at the same times each day). The injections are normally given beneath the skin of the back with either a syringe and extremely thin needle or an insulin pen that has been specifically created for this purpose.
If you have diabetes, you should start with a low dose of insulin, which will likely need to be progressively increased depending on your reaction.
A veterinarian should be consulted before changing insulin dosages too often (it takes 3-5 days for a new dose to take full effect), and no changes should be made to insulin doses without first consulting with the veterinarian.
How will my cat respond to regular insulin injections?
Most cats handle the injections extremely well and do not report any discomfort as a result of them. This is owing to the small diameter of the insulin needles and the fact that they have a huge quantity of loose skin beneath their skin, which makes injecting insulin under their skin painless (unlike in humans). Keeping this level of comfort over the long term is possible by shifting the injection location throughout a variety of different places of the back. This protects one patch of skin from being punctured on a regular basis, which would eventually result in the formation of inflammation.
What happens if my cat misses an injection?
Due to the fact that an overdose is substantially more harmful than an underdose, there are several crucial considerations to consider when it comes to insulin control and administration.
- In the event that there is any doubt as to whether the proper dose was administered or if the correct amount of insulin was injected, DO NOT repeat the injection. One missed dosage is preferable to the danger of receiving two doses
- If you forget to take your insulin, wait until the next time it is due and deliver the usual quantity. Do not be tempted to administer a dosage (either in full or in part) during this period because this will result in increased instability. It is NOT necessary to provide insulin if your cat appears ill, is vomiting, or is refusing to consume food. Because the quantity of insulin required is proportional to the amount of food consumed, if no food is consumed for more than 12 hours (during which time it would have been anticipated to be consumed) and is refused when presented, do not administer the insulin and consult with your veterinarian. They may advise missing the medication, administering a partial dose, or recommending that your cat be evaluated at the veterinarian’s office.
An excess of insulin can result in low blood glucose (also known as hypoglycaemia or ‘a hypo’), which is dangerous. The majority of the time, this results in no clinical signs and no significant problem; however, if blood sugar drops too low, it can cause weakness, lethargy, poor responsiveness to people or the environment, and strange behaviors; if left untreated, this can progress to collapsing, coma, and death. The cat should be given a sweet substance such as honey or golden syrup to lick on its gums to quickly raise its blood sugar levels, and your veterinarian should be notified as soon as possible if any of these indicators are observed.
Giving Injections to Cats
A number of medical disorders can be managed with the administration of medications that are only accessible in injectable form. Two of these requirements are as follows:
- The management of diabetesmellitus requires daily insulin injections
- The management of some allergies requires frequent injections of allergenic extracts
- And the management of certain autoimmune diseases.
The majority of cat owners are willing and capable of administering these treatments at their residence. If you opt to provide this therapy to your cat, your veterinarian will go through the precise administration strategy with you and make sure that you are comfortable with it before you begin. The following information may be useful to you in making your decision.
Will the injection hurt my cat?
The majority of cats do not appear to be bothered by regular shots. The use of disposable, single-use needles ensures that the needle tip is extremely sharp, resulting in the least amount of discomfort. Your veterinarian will prescribe the needles and syringes that are suited for your pet’s medical needs.
What happens if my cat moves when I give the injection?
Regular shots do not appear to bother the majority of cats. To guarantee that the needle tip is extremely sharp, disposable, single-use needles are used. This helps to reduce discomfort. For the specific needs of your pet, your veterinarian will prescribe the proper needle and syringe combinations.
Is there any danger if she doesn’t keep still?
The majority of owners are anxious that they will break the needle while it is still in the skin, however this is exceedingly unlikely to happen in most cases. It is possible that the needle will bend, but when dealing with a wiggly creature, it is far more probable that the injection will end up outside the pet than than within it. For further instructions, contact your veterinarian if you are unclear if your pet received the complete dose of the injection. It is generally recommended that if you are unclear of how much you injected, you do not administer any more unless instructed to do so by your veterinarian.
Can you explain the exact technique of giving an injection?
Rather than in the skin, the injections are administered into the subcutaneous tissue (sub = beneath, cutaneous = skin), which is far more flexible in the cat than in the human.
- Begin by squeezing some loose skin around the back of your cat’s neck between your thumb and forefinger
- This will help to loosen the skin. Maintain tight control of the syringe in your dominant hand in whatever manner seems most comfortable. Avoid putting your hand or finger over the syringe’s plunger in case your cat suddenly shifts and pushes your hand, resulting in the contents of the syringe being wasted or mistakenly injected
- Using a thirty- to forty-five-degree angle, insert the needle quickly into the fold of skin with the needle tilted downwards. Most syringes are tiny enough that the plunger can be depressed with the palm of the same hand after the needle has been inserted beneath the skin
- However, some syringes are too small for this. Administer the contents of the syringe as rapidly as possible and then remove the needle. Gently massage the affected area.
It will be easier to complete the treatment if you have someone to assist you. Most pet owners, however, discover that with a little experience, they have no trouble delivering regular shots to their cat without the aid of another person.
How should I dispose of the needles and syringes?
It will be easier to complete the treatment if you have someone to help you out.
Fortunately, with a little experience, the majority of pet owners discover that they have no difficulty delivering regular shots to their cats on their own.
CVC Highlight: 8 tips to make life easier for owners of diabetic cats
Pet owners must make a significant commitment to managing diabetic mellitus, which can be a demanding endeavor. Here are eight suggestions that might make life a little simpler for diabetic pet owners. Dr. Ellen N. Behrend is a neurologist. 1. The sooner diabetes is managed, the greater the likelihood of achieving remission. Approximately 55 diabetic cats were included in a study evaluating remission in diabetic cats initially treated with insulin. The diabetic cats’ owners were required to follow a highly intensive monitoring and blood glucose regulation protocol that included the use of insulin glargine and a low carbohydrate diet.
- The likelihood of achieving diabetes remission was higher in cats who had received glucocorticoid treatment within six months of being diagnosed with diabetes, who required a lower maximum insulin dose, and who were intensively managed with glargine within six months of diagnosis.
- 2.
- Most cats with diabetes mellitus should be fed a low-carbohydrate, high-protein therapeutic diet such as Purina Veterinary Diets DM (Nestlé Purina) or Prescription Diet m/d (Hill’s Pet Nutrition), which are both available via veterinarians.
- The carbohydrate level of many canned over the counter diets (5 grams per 100 calories) is reasonably low, but information on individual brands and tastes must be obtained from the producer in order to guarantee that the desired nutritional composition is achieved.
- It may thus be more difficult to discover high-quality dry food with low carbohydrate content if a therapeutic dry veterinary low carbohydrate-high protein diet is not a possibility in this situation.
- Make feeding insulin a pleasurable experience for both the cat and the owner by incorporating it into the routine.
- The practice of including the injections as part of a pleasant experience is recommended.
Others might have the injections given to them while they are engaged in a joyful activity.
When he was diagnosed with diabetes, I began brushing him twice daily and administering the insulin shot halfway through each brushing.
Low-dose syringes are what these are referred known as.
A critical consideration is the place of insulin infusion.
In dogs and cats, the dorsal neck, also known as the scruff, has traditionally been utilized as an injection site.
It is possible that administering the insulin along the lateral abdomen and thorax might be a better alternative.
64.
Glipizide is the only oral medication that has been proved to be effective in diabetic cats.
The long-term success rate is believed to be roughly 35% 7,8; however, it is impossible to anticipate which cats will react to the treatment.
Patients who are malnourished, dehydrated, or debilitated, who have a concurrent condition, or who have recently lost 10% of their body weight are not suitable candidates for this procedure..
It may take up to 12 to 16 weeks to determine whether or not glipizide will be effective.
This, in my opinion, is the most serious concern with glipizide.
Taking 12 to 16 weeks to attempt glipizide is a concern based on empirical evidence.
Acarbose may be taken in conjunction with insulin in some cases, depending on the diet being followed.
9The dosage is 12.5 to 25 mg/cat twice day with meals, given in divided doses.
5.
It is not possible to have a perfect glucose curve since deviations from the typical routine might cause fluctuations in glucose levels.
10,11 As a result, glucose curves should always be evaluated in the context of clinical indications and symptoms.
Glucose curves, on the other hand, are extremely beneficial for two reasons that other approaches are not.
When a glucose curve is performed, it can detect moderate hypoglycemia that can be corrected before a seizure develops.
Second, and perhaps more crucially, additional diagnostic results and clinical symptoms might indicate that control is weak; nevertheless, there are other reasons for poor control, including the use of insulin at too low or too high doses.
Sixth, it is impossible to overstate the significance of home surveillance.
If a diabetic is not polyuric, polydipsic, or polyphagic, and if his or her weight is steady or growing, it is likely that the condition is under control.
Glucotest (Nestlé Purina) is the product I recommend for monitoring urine glucose levels in cats at their homes.
Positive values on urine glucose that are consistent over time may suggest that insulin dosages are either appropriate or high.
The presence of consistently high urine glucose levels in conjunction with unresolved clinical symptoms indicates that the insulin dosage is being administered at an improperly low level.
If the owner and the physician see changes in urine glucose concentrations, they may suspect that the dog has lost glycemic control and that the dog needs to be reevaluated.
The most precise curves are most often those found at home.
Capillary blood is suited for this purpose.
Because of the discomfort connected with wearing the gum and footpads, I do not suggest them.
13 There are two different types of lancing devices available.
After that, the optimal depth for each patient may be determined.
Globulimeters that require only a little quantity of blood are preferable, as as those that sip blood into the strip.
A duty of this nature is not appropriate for all property owners.
15 Over time, two dogs became increasingly resistive to the procedure, and the owners decided to quit it.
The standard procedure must be maintained when performing a glucose curve (see page 157).
As a result, it is necessary to maintain a routine.
The standard operating procedures, on the other hand, must be followed to the greatest extent practicable.
The owner must provide the insulin in front of the veterinarian, which may necessitate a variation from the scheduled administration at that moment.
Keeping to a timetable, on the other hand, is typically more important.
Recognize the signs and symptoms of hypoglycemia, as well as what to do in these situations.
The early indicators of Parkinson’s disease are generally modest, and include muscular tremors, anxiousness, restlessness, and a strong need to eat.
Pet owners should keep a high-glucose syrup (e.g., Karo or honey) on hand at all times to provide to their animals.
An emergency veterinarian should be called immediately, and if the cat’s owner is competent of doing so, the blood glucose level should be tested at home as well.
Second, if hypoglycemia develops in a diabetic who is being treated, it might take several days for it to resolve, necessitating close monitoring, as well as possible hospitalization and medication. If you are doubtful, it is always preferable to treat.
REFERENCES
Pet owners must make a significant commitment to managing diabetes mellitus, which can be a difficult undertaking to do. Here are eight suggestions to help diabetic pet owners live a more stress-free life: Professor Ellen N. Behrend is a physician who practices in the state of California. 1. A remission of diabetes is more likely to occur the sooner the disease is treated. When 55 diabetic cats with insulin-dependent diabetes were included in a study evaluating remission in diabetic cats who were initially treated with insulin, the owners were required to follow a highly intensive monitoring and blood glucose regulation protocol using insulin glargine and a low carbohydrate diet.
- The likelihood of achieving diabetes remission was higher in cats who had received glucocorticoid treatment within six months of being diagnosed with diabetes, who required a lower maximum insulin dose, and who were intensively managed with glargine within six months of diagnosis.
- 2.
- Most cats with diabetes mellitus should be fed a low-carbohydrate, high-protein therapeutic diet such as Purina Veterinary Diets DM (Nestlé Purina) or Prescription Diet m/d (Hill’s Pet Nutrition), which are both low in carbohydrates and rich in protein.
- The carbohydrate level of many canned over the counter diets (5 grams per 100 calories) is modest; nevertheless, information on individual brands and tastes must be obtained from the producer to ensure that the desired nutritional composition is achieved.
- Consequently, if an appropriate therapeutic dry veterinary low carbohydrate-high protein diet is not available, it may be more difficult to find a high-quality dry food with a low carbohydrate content.
- 3.
- Although insulin syringes are preferred over other types of injection devices due to the smaller needle size, a needle prick can still be a painful experience.
To administer insulin to diabetic pets who are meal-fed and who seem to love their meals, inject them while they are eating and when they are about to finish the meal.
Daily brushing was a favorite activity for my cat Madison.
To ensure proper dosage for any patient who requires a little quantity of insulin, tiny insulin syringes (0.3- or 0.5-ml in size) should be utilized.
When administering little dosages, the scale on the syringe makes it simpler to read.
Because insulin absorption vary depending on where it occurs in the body, it is necessary to choose a suitable location.
However, because of limited blood flow and increasing fibrosis induced by repeated injections, this area may not be the best choice.
Daily rotation of the targeted region is necessary to avoid fibrosis at the injection site.
64 Only glipizide, an oral diabetic medication, has been found to be effective in diabetic cats.
According to current estimates, the long-term success rate is roughly 35% 7,8; nevertheless, it is impossible to anticipate which cats will respond.
Ineligible candidates include those who are malnourished, dehydrated or debilitated, have concurrent illness, or who have recently lost more than ten percent of their body weight.
Whether or if glipizide will be effective might take up to 12 to 16 weeks to learn.
glipizide is a significant drawback in my opinion.
Taken in the context of empirical research, attempting glipizide for 12 to 16 weeks is a cause for concern.
Depending on the diet, acarbose may be administered in conjunction with insulin in some cases..
Ninety-five milligrams per kilogram of body weight of the cat, administered twice daily with food Gas, semi-formed stools, and diarrhea are all possible side effects that are dosage dependant.
It is not possible to have a perfect glucose curve since deviations from the typical routine might cause fluctuations in glucose levels.
10,11 As a result, glucose curves must always be evaluated in the context of clinical indications and symptoms.
10.
Glucose curves, on the other hand, fulfill two extremely important functions that are not served by other methods.
A glucose curve can detect moderate hypoglycemia, which can be corrected before a seizure develops, according to the National Institutes of Health.
In addition to these diagnostic results and clinical indications, there are a variety of additional factors that can contribute to poor control, including the use of insulin at too low or too high a concentration.
Sixth, it is impossible to overstate the value of home surveillance.
Diabetes is normally well-controlled if the diabetic is not polyuric, not polydipsic, and not polyphagic, and if the diabetic’s weight is either steady or growing.
Glucotest (Nestlé Purina) is the product I recommend for monitoring urine glucose levels in cats at their residence.
It is possible that consistently negative urine glucose values are indicative of either appropriate or excessive insulin administration.
It is possible that the insulin dose is too low if the patient has consistently high urine glucose values and unresolved clinical symptoms.
If the urine glucose concentrations change, the owner and clinician may be alerted that the dog has lost glycemic control and that the dog should be re-evaluated.
It is likely that the most precise curves are those at the house.
A capillary blood sample is appropriate for this procedure.
In order to avoid the related discomfort, I do not propose wearing gum or footpads.
13 It is possible to obtain two different types of lancing devices: When working with typical mechanized equipment developed for pricking the skin of human fingertips, look for devices that have variable needle depth.
14 In some cases, a needle may be required, particularly if blood is being drawn from the marginal ear vein.
It takes time to train owners to conduct home glucose curves.
It was discovered in a small study conducted on nine owners of diabetic dogs (7 dogs) and two owners of diabetic cats (2 cats) that, at least in that population, the most frequently encountered problems were the need for multiple punctures to obtain a blood drop, the creation of a sufficient blood drop, the need for assistance in restraint, and resistance on behalf of the pet.
- Especially because the approach was done at a location selected by the cats, the two felines grew more docile.
- In order to measure how well a specific dose of insulin is behaving under specific dietary and scheduling conditions, a glucose curve is used.
- It is true that maintaining a normal routine is tough when caring for a patient in the hospital or even when the dog or cat is being “poked” every two hours at the family’s residence.
- It is critical for a veterinarian or technician to check that the insulin is being administered appropriately at the beginning of the process.
- It is still preferable to have the insulin administered in the hospital so that the patient’s pre-insulin blood glucose may be assessed once administration difficulties are no longer a problem.
- Know the signs and symptoms of hypoglycemia, as well as what to do in case of an emergency.
- Muscle tremors, anxiousness, restlessness, and hunger are some of the initial symptoms that may appear.
- A high-glucose syrup (e.g., Karo or honey) should always be available for use by pet owners to provide to their animals.
- An emergency veterinarian should be called immediately, or if the cat’s owner is competent of doing so, the blood glucose should be tested at home.
Second, if hypoglycemia begins in a diabetic who is being treated, it might take several days for it to subside, necessitating close monitoring, as well as possible hospitalization and medical treatment. Even if you are doubtful, it is always best to treat.
Diabetic Cats
Cats require a low-carbohydrate diet to remain healthy. The good news is that there are a wide variety of appropriate foods accessible at your local grocery shop. The bad news is that none of them are free of water stains. Every single one of these dry feeds has an excessive amount of carbohydrates for diabetic cats. Click here for a comprehensive list of cat meals that are appropriate for your cat. You can substitute any food on the list that has no more than 7 percent carbohydrates. That’s the third column down from the top of the page.
- The consistency of your cat’s eating in the morning and evening, when insulin injections are scheduled, is critical.
- You must be able to regulate when they become hungry for you to succeed.
- However, if the cats do not eat when it is time to administer insulin, there might be serious consequences.
- Foods high in protein and fiber, such as lean meats and cottage cheese, must be used instead of traditional dairy products.
Insulin Administration
Insulin is a sterile suspension, and it must be handled with care to ensure that it remains sterile and suspended at all times. Make sure that your fingertips do not come into contact with the rubber stopper. It is not recommended that you attempt to wash or clean the syringes. Do not come into contact with the needles. Mixing the insulin before using it is critical when removing it from the refrigerator. DO NOT, however, SHAKE THE INSULIN. It is sensitive and might be destroyed if it is shaken too hard.
If the color of the insulin changes, you will need to purchase a new bottle.
Insulin, like all medications, must be stored in the refrigerator.
Dosing and Administration
In order to properly mix the contents of the bottle, place the needle into the bottle and draw up more than the recommended dose. Make certain that all of the air has been sucked out of the syringe. If required, flick the syringe with your finger to get the air bubbles to ascend to the top of the syringe. Then press the plunger all the way in to the prescribed dosage. Then, with the needle inserted beneath your pet’s skin, administer the injection. Needles and syringes may be re-used a few times before being discarded.
Insulin should only be given with meals
Diabetic animals should not be given the option to eat at their leisure. Feed them food on a regular basis, usually twice a day. During the day, it is OK for your cat to munch, but not at night. The reason for this is because we require the cat to feed regularly during insulin administration. When it comes time to deliver insulin, be sure your pet has been fed first. If your pet feeds right away, you can proceed with the insulin injection as normal. If your pet does not eat right away, do not inject insulin into him or her.
Injecting insulin into diabetics who have not eaten can result in catastrophic complications.
Then, if that doesn’t work, try a small amount of “special” food.
Additionally, you can try hand-feeding your pet. As a last ditch attempt, you might try some low-carb delicacies, such as beef or cottage cheese, to see if they help. If your pet consumes food, continue to provide insulin as normal.
If your pet still doesn’t eat, it could be a problem, and your pet needs to be examined by the veterinarian before any insulin is given.
Hypoglycemia is characterized by low blood sugar levels. If your pet suffers from hypoglycemia, he or she will look sluggish, slow, or drowsy, among other symptoms. Your pet may potentially have seizure-like symptoms. If you believe that your pet is suffering from hypoglycemia, the first thing you should do is try to feed your pet. If that does not work, provide Karo Syrup orally to your pet while calling the veterinarian’s office for assistance. In the event that hypoglycemia is allowed to continue, it can be fatal.
Don’t get too worked up over it!
There are several ways we monitor the effect of our insulin therapy
In diabetes, hypoglycemia is characterized by low blood glucose levels. A hypoglycemic state manifests itself in your pet as lethargy, sluggishness, and/or sleepiness. Squeezing may occur in your pet’s body. Attempting to feed your pet is the first step to take if you fear your pet is suffering from hypoglycemia. Give your pet Karo Syrup orally if that does not alleviate the situation and call the veterinarian’s office for assistance. In the event that hypoglycemia is allowed to continue, it can be life-threatening.
You shouldn’t get too worked up over this!
- In the event that you normally feed and provide insulin at 7:30 a.m. or later, you should refrain from feeding or administering insulin to the patient before bringing him or her into the clinic. Bring the food you normally eat, as well as the insulin you normally use. If you normally feed and provide insulin before 7:30 a.m., continue to feed and administer insulin as usual, and then bring the patient to the clinic at 8:30 a.m. It is essential that you bring both the insuklin and the meal
Feline Diabetes Part 4: How do I give my cat insulin injections at home?
Start by making sure you have the right insulin syringes for your cat before you proceed any further with the procedure. U-40 and U-100 insulin syringes are the two varieties of insulin syringes that are available for purchase. Each has its own set of advantages, but they are only effective when used in conjunction with the proper insulin. Always double-check your insulin vial before drawing any insulin, and double-check it again every time you intend to use it. In order to ensure that the insulin seems normal, that there is no foreign material floating about in the insulin, that the vial is not cracked or otherwise damaged, and that the insulin you are about to administer is, in fact, the proper insulin, you will want to inspect the insulin.
- You will want to make sure that your cat has eaten something before preparing and injecting him with insulin (or is eating when the injection is given).
- This might cause the cat’s glucose level to drop dangerously low – a condition known as hypoglycemia – and can result in serious complications if left untreated for an extended period of time.
- If any insulin has settled at the bottom of the vial, you will want to repeat the process.
- Pulling back on the plunger of the syringe will force the insulin out of the needle.
- To remove bubbles from the syringe, gently flick the syringe with your finger until the bubble floats to the very top of the syringe, and then simply push the air out with the plunger.
- If you are not planning on administering your cat’s injection right away, you will want to replace the cap on the syringe immediately.
- Please double-check the amount of insulin in your syringe to ensure that the appropriate amount was drawn up.
Avoid going all the way through your skin and into your underlying tissues.
Make careful to squeeze the plunger all the way down to ensure that he receives all of the insulin.
Some veterinary clinics will give you with a biohazard container that you may use to dispose of the syringes once they have been used (for a fee).
Some pharmacies will even dispose of them for you if you request it.
You will learn the sensation of putting a needle under a cat’s skin the first time you do so.
Always speak with your veterinarian before making any changes to your cat’s insulin dosage, as doing so might be extremely hazardous to your cat’s health!!
If you would like to see a demonstration on how to administer insulin injections to your cat, please call us at Park Road Veterinary Clinic in Brantford..
Giving Your Cat Insulin Injections
When it comes to felines, diabetes is one of the most prevalent health problems, especially in those that are overweight. As part of their therapy, many cats will require daily insulin injections as well as dietary modifications to their diet. Veterinary technicians or your veterinarian will demonstrate the method in the office before you begin performing it at home if this becomes required. Make sure to ask as many questions as you need to until you feel comfortable with this crucial procedure.
- Your cat should not experience any discomfort from the needle because of its narrow gauge when it is used properly.
- The timing of meals is important.
- Having food in her stomach will ensure that she doesn’t have a low blood sugar level following the insulin injection, which will help to prevent low blood sugar.
- “The key is to pinch and move the skin just enough so that your cat doesn’t notice and is only concerned with eating,” says Sophia Yin, DVM, author of Low Stress: Handling, Restraint, and Behavior Modification of Dogs and Cats.
- When giving an injection, Dr.
- In order for your cat to realize that pinching is related with positive things, such as earning food incentives, you should teach him to pinch.
- Experts underline that you must always use the correct syringe in conjunction with the correct amount of insulin.
Failure to adhere to this critical guideline might result in the administration of an incorrect quantity of insulin, with potentially catastrophic consequences.
Making this a pleasurable and stress-free experience for your cat on a daily basis is critical to his or her well-being.
Insulin must be kept refrigerated at all times during use.
Insulin is a delicate substance, therefore resist the impulse to jiggle the container.
To ensure that your cat does not receive additional insulin doses (from other members of the household, for example), you should note the time of each insulin injection on a calendar that is specifically for this purpose.
Wait until the next scheduled dosage to administer extra insulin.
Managing a difficult feline situation Consider the following strategies for cats who attempt to squirm away or strike out with their claws while restrained: Wrap your cat in a bath towel, making sure to keep her head and claws covered and just exposing her rear region for the injection.
Fit your cat with a muzzle before administering the injection to prevent it from biting you.
A small number of cats are suitable candidates for weaning off insulin and being placed on specialized commercial meals. — Catnip Company Personnel
How to Care for a Diabetic Cat
Cherished Companions Animal Clinic posted on April 16th, 2019
If you recently learnedyour cat has diabetes, take heart…
A diabetic cat can lead a relatively normal life if the following conditions are met:
- Your cat has excellent glycemic regulation, and you are devoted to your cat’s well-being.
And, certainly, your cat may be able to live a life that is comparable to the average! While there is no definitive treatment for diabetic cats, it is possible for your cat to cease exhibiting diabetes symptoms for a period of time if you provide him with the proper nutrition and care. Here are four diabetic cat suggestions to help you be as successful as possible with feeding, insulin injections, and glucose tests.
Tip1: Consider prescription foods that are formulated just for diabetic cats
Diabetic prescription diets are often the finest meals for diabetic cats since they are low in carbohydrates. Why? Protein content of these feeds is often higher than that of ordinary cat diets. Royal Canin and Purina both make diabetic cat meals, and you can get them here (to name a few brands). Some consumers are hesitant to use prescription cat meals because they are more expensive, and we completely appreciate their reluctance. Although it may seem expensive, if the objective is to help your cat live as long as possible, your expenditures may really be less than you expect.
- Fortunately, your cat’s glucose levels are usually easy to control. Consequently, you won’t have to check your cat’s blood glucose levels as frequently… You’re paying to have fewer trips to the veterinarian made. Your veterinarian expenses are reduced, which helps to balance the cost of prescription food
Tip2: Make sure your diabetic cat eats before receiving an insulin shot
Fortunately, your cat’s glucose levels are usually easy to manage. In order to save time, you shouldn’t check your cat’s blood glucose levels very often. You’re paying to have fewer trips to the veterinarian made on your behalf. Veterinary expenses are reduced, which offsets the price of prescription food;
Let’s say your cat has a healthy appetite…
Your cat might be able to finish the entire meal in one sitting if he wants to. If this is the case, you should have two equal portions of meals every day prior to the insulin injections. We, as veterinarians, can assist you in calculating the right amount of food to give your cat in order for your cat to maintain an appropriate weight.
Tip3: Come up with a game plan for feeding your diabetic cat when you have another cat in your home
Ideally, you don’t want your non-diabetic cat to consume the food that your diabetic cat consumes. (Or the other way around!) There are a variety of tactics you might examine, including the following:
- Affixing foods at key locations throughout your home
- Feeding your pets in separate rooms is recommended. The use of high-tech solutions, such as special collars that automatically trigger the lid to open on the correct cat’s bowl (yes, this is a real thing! )
Because every scenario involving numerous cats is different, it is advisable to consult with your veterinarian for advice on how to care for your cat family. If you reside in the Castle Rock region, our veterinarians will be pleased to assist you with your needs.
Tip4: Stick to a consistent insulin shot schedule (twice a day) and follow your veterinarian’s suggested schedule for glucose checks
The first step in making your diabetic cat feel better is to put him or her on a treatment regimen. Your strategy may comprise the following elements:
- Changing the food that your cat eats
- Increasing your cat’s activity level
- Providing insulin injections, or a mix of the aforementioned options
Change the food that your cat eats. More physical activity for your cat; Providing insulin injections, or a mix of the aforementioned;
Once your cat’s glucose is at a regulated level, your cat’s check-ups will start to spread out
Changing the food of your cat; Increasing the amount of activity your cat gets; insulin injections, or any combination of the foregoing;
For more insights on cat diabetes, check out:
- What Colorado pet owners should know about feline diabetes
Relax and enjoy yourself. If you reside in the Castle Rock area and want to be sure your diabetic cat is receiving the proper treatment, call us at (303) 688-3757 or schedule an appointment online by clicking here. A veterinarian facility located in Castle Rock, Colorado, known as Cherished Companions Animal Clinic. Because we specialize in the care of cats and dogs, our objective is to make both you and your pet feel more at ease, while also keeping your stress levels as low as possible. This page is meant to give general assistance on diabetic cat tips, such as feeding regimens, insulin injections, and glucose tests, to cat owners who have diabetes.
If you have any particular queries or concerns, you should consult with your local veterinarian. For those in the Castle Rock area, we would appreciate your call. Cherished Companions Animal Clinic retains ownership of the trademark and reserves all rights.
Injecting insulin
An example of the bevel, tip, and heel of a syringe needle in close up. Insulin injections at home are done subcutaneously, or beneath the skin, rather than into a muscle or vein. In addition, see Syringe and Insulin pen.
How to inject subcutaneously
As a rule, it’s better to gather some loose skin into a tent and then enter the needle firmly and comfortably with the bevel facing up. When “tenting” the skin, the correct manner to administer an injection is critical. This ensures that the insulin is injected into the skin flap that has been produced by “tenting” the skin flap. When the “tent” on the skin is released, the insulin that was injected is under the skin, or subcutaneous. The incorrect approach to administer a shot: the needle has completely penetrated the “tented skin.” insulin or any other injectable medicine will be injected into the air, as will any other injected substance.
The injection location is located closer to the body in the accurate illustration.
Although it is not recommended to mix two insulins in the same syringe, it is possible.
In addition, the presentation is quite clear and unhurried.
Injection tips
- Do NOT clean the needle with alcohol as this will destroy the protective coating from the needle. As a result of the coating, injection is easier and less unpleasant
- Using a blunt needle or repeatedly injecting insulin at the same spot can result in alipodystrophy, which can manifest as either lipoatrophy or lipohypertrophy, depending on the kind of insulin being used. Either of these factors renders absorption unreliable. However, altering the injection location can also result in variations in the activity profile. Using illustrations, this page shows the most frequent sites where people with diabetes inject insulin and explains how insulin absorption changes in different parts of the human body. This is true for ANY and ALL insulin formulations. The next shot region does not need to be too far away from where the last shot was given—a distance equal to the width of two fingers would suffice as a guideline. The majority of us who deal with pet diabetes alternate the sides on which we provide the injections—right side in the mornings and left side in the afternoons, for example. This is another another tool for preventing repeated injections in the same places.
- Many people administer insulin needles to their pets through the scruff of their neck, which is now recognized to be a less-than-optimal method. Due to the lack of capillaries, veins, and other blood vessels in the neck region, insulin absorption is limited in this location (vascularization). Dr. Greco also recommends using the flank and armpit as additional locations. On either side, from 1 to 2 inches behind the shoulder blades to just in front of the hipbone on either side, Intervet suggests delivering injections 1 to 2 inches from the centre of the back.
- If you’re drawing insulin from a vial, set the syringe plunger to the amount you want to draw, insert the needle into the top of the vial while the vial is still upright, and squeeze the syringe until all of the air is out of it. Once you have drawn the dose from the vial, this will help to preserve air pressure balance in the vial and, because the vial is upright, it will prevent air bubbles from mixing with the solution. Turn the vial over down and slowly take the insulin out of the vial.
- However, if you do acquire air bubbles in your syringe, most insulins allow you to re-inject the insulin into the vial and draw from it again until the air is completely gone. Check to see whether this is compatible with your insulin. In addition, see insulin injection. Bubbles are less likely to be drawn while drawing at a slower pace.
- Another method for getting rid of syringe air bubbles is to hold the syringe upright and tap it on the end with your finger a couple of times. Having air bubbles in your insulin injection means that you will not receive the entire amount of insulin since the bubbles will take the place of it
- This is a problem.
- To gently jiggle their vials, some individuals like to gently shake them to cause any air bubbles that may have formed to climb to the top, away from where the needle would draw.
Insulin tips
Insulin may hurt, no matter what species, kind, or brand it comes from. Allowing the insulin to get to room temperature by taking it from the refrigerator before administering it can help to reduce the discomfort of injections. The similar effect may be achieved by gently warming the capped insulin syringe in your palms. Some individuals like to warm the syringe by tucking it under their arm for a few minutes after it has been sealed and loaded. Do NOT try to reheat insulin using a stove, microwave, or other heat source; doing so may cause the insulin to degrade.
Do not use the insulin if
Before each usage, take a minute to scrutinize the insulin before drawing it into the syringe; clear insulins should seem clear and not discolored; and flavored insulins should appear clear and not discolored. The cloudiness of suspendedinsulins should be consistent throughout.
- Clear insulin that seems discolored or has become foggy, as well as any containing particles or haze are prohibited.
- Insulin that is cloudy and appears yellowish after mixing, or that stays lumpy or clotted after mixing
Injection problems
When the needle is withdrawn from the skin, there are occasionally leakage issues, which result in some insulin being lost. Some probable causes and “solutions” for this include holding the “pinch” or “squeeze” that you used to administer the injection for an excessive amount of time. After the insulin is injected beneath the skin, the skin is still pressed in the same manner as it was before the insulin was injected. Some of the insulin is forced back out of the newly generated hole in the skin as a result of the “pinch.” Initially releasing the “squeeze” or “pinch” and then counting to ten before withdrawing the needle from the skin may give the insulin enough time to permeate the fat layer and prevent leaking from the needle.
Short needles can also cause insulin leaking; upgrading to longer needles can assist to alleviate this problem as well. Diluting insulin, precise dosages, mixing insulin, rolling insulin, syringes, and insulin pens are all topics covered in this section.
Further Reading
- BD Diabetes-Selection of Injection Sites in Cats
- Sugarpet Tatty is about to get injected
- Similarly, Bob injects his cat Stranger, and Steve injects his cat Jock. A Slideshow of Insulin Injections
- Cats have gotten another one.
Cats – Online videos
- Cats in Video
- Cornell Feline Diabetes Center-Giving Insulin Injections to Cats in Flash Movie
- Cornell Feline Diabetes Center-Giving Insulin Injections to Cats in Video
Dogs – Pictorials
- For dogs, there is a BD Pictorial. A Slideshow of Insulin Injections
- Another one for the canines
- Selecting Injection Sites for Diabetic Patients
- Infection of the dog’s ear Dogs suffering with pancreatitis
- Ivermectin for dogs is a kind of insecticide. How long do dogs remain pregnant? Constipation in a canine
- What causes dogs to eat grass
- Coupons for Purina dog food
Dogs – Online Videos
- Giving Dogs Shots: Tips for Making the Experience Less Stressful
Injection Site Rotation
- Giving Insulin Injections at Cornell University’s Feline Health Center (Flash Video) This document offers useful general information on drawing insulin and administering insulin injections—it is not limited to cats. Diabetes Mellitus Research at Washington State University Excellent basic information, with photographs and suggestions for sketching insulin
- The Tent Method Technique is an alternative to the Tent Method Technique, according to PetTalk.com-Tips and Tricks from Pet Owners Animations by BD: Insulin Illustrations