But if you have a fairly agreeable dog, you might want to try the inner
lip which is an excellent peripheral source and surprisingly painless to most
dogs. Lap hold small dogs or have large dogs lie on their side on the floor.
Roll back upper lip and stick, closer to the lip edge then to the gum area.
Use palm of lip-holding hand to block possible tongue licking away the blood
drop. It is preferable to manually stick instead of the clicking cap, but do
whatever way that your dog prefers. Wait a couple of seconds for spot of blood
to appear. Can pinch area to produce large enough blood drop. This is
especially easy when using the Glucometer Elite since you can have it right
at hand to dipstick, but you can also transfer the drop by lift/scraping onto a
small curette or blade. This is how I teach most non-medical caretakers to
obtain small samples. Healing is rapid and optimal because of the tissue type.
The chance of bloodrun or infection is minimal because of the protected site.
Note: If dog has been already lying on side for awhile resting, use lip closest
to the floor where there will be some pooling. Ceiling-facing lip will take
longer to form drops, especially in a less fleshy dog.
This may take some practice, but when it works for you, it's probably the easiest.
For the first couple of times on untrusting dogs, at the exact moment of stick
(quick and firm), blow quickly on dog's face to create sensory conflict--he/she
won't even notice the stick. After a time or two, both you and your dog will
realize that it doesn't hurt.
Insulin dosage changes should be made cautiously and only with
your veternarian's approval and supervision. Errors in treatment can
cause serious illness or death.
for Home Testing of Blood Glucose using a Glucometer Elite Meter
and a Lancet Device -- Ear Sticks or Paw Sticks by Kathy .
Glucometer Elite meter and test strips
Penlet II lancet device or equivalent
B-D ultra-fine lancets or equivalent
chose the Penlet II lancet device because it is relatively quiet and causes
little startle reaction in our cat Ginger. Several other lancet devices may work
equally well. Ginger prefers the use of a lancet device to me holding the lancet
manually and sticking the vein. Some pets disagree, so try manual sticks too.
first wash my hands and warm them in hot water or with a small blue gel
I position the Glucometer Elite test strip in the meter but do not push it in far enough
to activate the meter. I hold Ginger on my lap facing forward or a bit to the side, so
I am looking at the back of her head. I massage her ear from the base upward to
warm it for increased blood flow (she likes it). I find a vein by holding the flashlight
behind her ear, shining through the ear toward me. Note: Do not use alcohol to clean
the ear immediately before testing. If the ear is dirty, it may be cleaned with water and
the beginning, the procedure is easier to manage with two people.
If you don't
have a partner, go to the section "One Person" below.
I hold Ginger's ear steady over a cotton ball while my partner positions the Penlet
over the vein(or a little toward the edge of the ear) using the notch on its cap as a
guide. He pushes it down firmly so the ear is securely pinned between the Penlet
and cotton ball held behind the ear, and pushes the button to release the lancet.
Ginger may jump a little but not much. Then, unless we hit the large vein directly
and get plenty of blood, I massage the ear to get a blood drop a little larger than an
"o" and hold her ear steady so she can't flick the drop off (very important).
If there is not enough blood (soon you will be able to tell in advance), we reposition
the Penlet and try again. If we think there is enough blood, my partner pushes
the test strip into the meter to activate it and removes the foil (save it). When the
meter is ready, he touches the test strip to the blood drop, and the blood is drawn
into the test strip automatically. We continue holding the test strip in the blood a few
seconds after the meter beeps (see Note 1 below). Then I use the cotton ball to dry Ginger's
ear and release her (yeah!) while the Glucometer Elite counts down and displays the
blood glucose (BG) value. We record the BG number manually along with the date
and time, and use the foil to remove the test strip from the meter and discard it.
If we misjudged and there is not enough blood for valid reading, we discard the test
strip and start over. Some people have reported inaccurate results (too low) if they try
to re-stick and add more blood from a second drop before the meter beeps.
When I do the test by myself, I have the meter with test strip inserted, but the meter
not activated, sitting beside me. I hold Ginger's ear steady over a cotton ball with one
hand and position the Penlet with the other, then push down firmly and release the
lancet. Then I massage the ear to get a blood drop.
the only tricky part: I hold her ear steady with the thumb and index
my left hand, bring the meter to it with my right hand, move the meter to my left hand
(I hold it between my index and middle fingers), and use my right hand to push the
test strip into the meter and remove the foil. Then I switch the meter back to my right
hand. When the meter is ready, I hold the test strip to the blood drop and continue
as described above.
when you are confident of getting an adequate blood drop before the meter
out in three minutes, you can activate the meter before beginning the lancing process.
If the time limit expires and the meter turns itself off before you're ready,use the foil to
pull the test strip out of the meter, push it back in to reactivate the meter, and continue.
We have found that with the Glucometer Elite, the blood must completely fill the round
collection area in the test strip AND two tiny "legs" that reach toward the bottom "C".
If the blood sample has legs, the blood sample size should be adequate. Like some
other people have reported on the Net, we have had the meter beep to tell us it got
enough blood, but the reading was incorrect (too low, verified by retesting immediately).
When you're a beginner, it can take 10+ tries before you get a blood drop of adequate
size, so don't get discouraged. Now it takes us only one or two tries.
1. To greatly reduce the number of sticks, use the lancet device head designed for
deeper penetration. It does not seem to bother Ginger any more, and IF it goes
completely through the ear, you can get a blood drop on both sides. This seems
to be easier on her than multiple sticks.
2. Use a lancet larger than ultra-fine.
You may need to stick with the lancet manually or use a lancet device that gives
deeper penetration (e.g., SoftClix with adjustable depth) and larger lancets to get
enough blood. Otherwise it shows real promise as an alternate site to give the ears
a break. Our cat doesn't even move, like she doesn't even feel the stick.
First wipe off the large pad on one of the paws with warm water and dry it.
Press the lancet device FIRMLY against the pad and release the lancet.
Then squeeze the pad to get a blood drop. Continue as described with ear sticks.
After the test, I discard the lancet and clean the lancet device cap with a generous
amount of alcohol on a cotton ball and let it air dry. It is recommended that you
soak the lancet cap in alcohol for 10 minutes onces a week to disinfect.
the end of the day's testing period, I enter the BG results in to a spreadsheet
(e.g., Microsoft Excel) and print a graph showing the Glucose Curve (BG vs. time).
The graph is a lot easier to interpret than a list of numbers (a picture's worth a
thousand words), and if desired you can label the insulin onset, peak, and duration,
low BG,as well as any notes (insulin dosages and injection times, feeding amounts and
times, symptons like excessive thirst or urination or hunger, etc.) in text boxes
on the graph. It's awesome! I give copies of the BG curves to our veternarian for
your pet's ears or paws for a few days afterward for signs of swelling,
or excesssive bruising. Most bruises are small and heal within a couple of days.
If problems develop, see your Veternarian.
the site of ear and paw sticks, just as you do with insulin injections.
use both edges of each ear, or any food pad (the largest pads may work best).
Good luck to you and your diabetic pet!
Ken's Daisy has posed for a step by step picture tutorial of taking blood from above the tail area.
Daisy's Blood Testing Pictures
Gill's Jake has posed for a step by step picture tutorial of taking blood from the lip area.
Jake's Blood Testing Pictures
Click Here - For a Step by Step Tutorial on taking blood from the ear!
Buffy having blood taken from the ear
Christy's Cheyenne and Sue's Toby
Cheyenne and Toby having blood taken from a callus
-- Blood Glucose Meter designed for Animals - NEW