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forscooter
04-02-2008, 06:22 PM
Hi Everyone!!!

I'm Beth, and hopefully I won't screw up my first post!:o

I was "talking" to Natalie over on the Cushing's board, as I have two dogs with Cushing's disease (Scooter and Bailey)....and I, myself, am diabetic. I have been trying to help the diabetic pups and their moms and dads by offering what I know about diabetes from a "people" perspective...what it's like, how it feels, what can help, etc....especially since a doggie can't tell us!

I admit I know very little about canine diabetes, but I thought I would offer any help I can to any of you who may have questions that maybe your pup can't tell you. :) So, some things may be different, but I think a lot of things are the same and hopefully I can be of some use.

Jeanne, Kiska's mom, asked me about insulin and what it feels like. I thought I would give you all a copy of my answer here. I will also add on this thread other information I have given her in the hopes it helps someone here too!

And....please feel free to ask me anything about how it feels, what it's like, what I know, what I don't know...I am more than happy to share anything I can.

Just a quick background on me....I am a diabetic for ten years. First treated with oral meds (misdiagnosed as a Type 2), then went onto injections and was up to injecting four times a day with different combos of insulin, and then I went onto using a pump. I am still on a pump and now also have a glucose sensor that goes with it. I have been as low as 11 (and still standing somehow :rolleyes:) and as high as the upper-500s (and still standing somehow :rolleyes:)...I have had ketones, and all sorts of things. So hopefully my experience will help all of you!

OK, this is what I told Jeanne when she asked about the insulin, giving injections and how it feels to be hypo and hyperglycemic:

"I don't know about Kiska but I can tell you from a people perspective! Insulin itself doesn't hurt per se...it's more about sometimes hitting a nerve when you place the needle. And since you can't see where the little buggers are, sometimes you hit one! Cold insulin, or refrigerated insulin, can be more uncomfortable...so if you keep it in the fridge, it helps if you roll the bottle gently between your palms first before giving it. I use mine so much that once I open a bottle, I keep it out of the fridge. But when I use a new one, I "warm" it first. I never noticed a difference between the amount of insulin hurting more....just more where the needle goes.

When I have hurt myself, sometimes it is a quick sting, sometimes I scream OUCH OUCH OUCH and jump around......BUT any pain passes very quickly. It helps to rub the spot where the injection went to get rid of the pain faster. A quick fast jiggly rub!

As for how it feels....it doesn't really feel like anything. If your sugar is high, and the insulin does it's job bringing you back down to closer to normal, you just feel more awake, not as thirsty, not as crummy, more energetic, etc. If it doesn't, you just still kind of feel ho-hum. If you go too low from too much, you feel lethargic and hot and very hungry...sometimes dizzy, numb/tingly. And if you ever rollercoaster, up and down and up and down, you just feel like pure garbage!!! I usually get a headache and feel like a wet noodle bc then the body is more like WHHOOOAAAAAAAA!

So...you don't want to drop too quickly either bc you can set things in motion to go too low....what you are doing is fine!! It's right!! Slowly adjust the insulin up, fiddle with the diet but not to the point where she is hungry, and you will get there! Better to take your time in getting it down. I don't know about doggies, but for people, a slow decrease is better than a very fast one....it just makes you feel badly.

I find if I take the needle out before releasing the pinched skin all the way helps with the pain too. Taking it out while the skin is still pinched up hurts me more for some reason...I don't know why, but it does..." I also want to add here that when you keep the pinch and take the needle out before releasing the pinched skin, it tends to get that wet spot that pushes some insulin out I think.

I hope this is helpful to you! And I will be back with some more pointers as I sort through them!:D

Thank you SOOO much for having me here!! I'm very happy to "meet" you all!
And I'll try to get some pics in here too!
Lots of hugs!! Beth (and of course, my Scooter and Bailey!)

forscooter
04-03-2008, 07:52 PM
Ah, thank you all sooooo much for the warm welcome!!!!:D
And, sainthood??? Ummm...maybe put in a few good words for me then??? BC I was kind of bad today! :cool:

I am so very happy to be here with my friends, and with my new friends, and anything I can do to help, I'll be here!

And Johanna, yes eating is very important to help not go too low...but I also am a big believer in tailoring the insulin to the diet as well as the diet to the insulin. The most important thing is what works. So, I do understand your sister-in-law's concerns about the two meal a day thing, but as long as the insulin is given to kick in when the food has been consumed and those blood sugars are going up, it should all be good.

So many things can influence blood glucose levels. Stress, illness, hormones, the way the wind blows (OK, maybe not that!;)) can all impact blood sugar. And sometimes, things can be a bit out of whack "just because". So, this is why I think food is just one part of the picture. Individual metabolism varies as can metabolism on any given day for a variety of reasons.

Sometimes, when I am under stress (not that I have any..right Jeanne, Lynne, Jo-Ann???? :eek:) my blood sugars can run really high or really low...or from really high to really low really fast. :confused: And I never know which way. One of the reasons I got put on this sensor bc they don't know what to do with me! And there is only one way to really know which is to test.

I think I am actually following in Jeanne's footsteps here...my good boy, Bailey, bit my hand for the first time last night (I startled him when he was sleeping....and all day long my mom's voice was in my head, "Let sleeping dogs lie")...and Kiska and I seem to have some trouble following the diabetes "rules"...

I am looking forward to reading all about all of your pups and catching up with all of you! :D Tonight, I seem to have one of those darn headaches Jeanne is also sharing with me, so I will be back!

Hey, are we allowed to share chocolate on this board??? :confused: BC we always send each other hugs, chocolate and margaritas on the other board...well, until I know, I wish you all a great night!!!
And....lots and lots of hugs!!!!!!
Beth and the boys

forscooter
04-04-2008, 06:49 PM
Now if I told you how I was bad, you wouldn't make me a saint now would you??? LOL:D:D:D

I'm happy to tell you about my pump and sensor. I've been on the pump since 1999, just got my new and improved model a year ago. The sensor I just got a few months ago....which I thought would be a great thing...and it is...BUT, when it alarms all night long, a happy Beth it doesn't make!

My pump works by delivering insulin 24/7. I use Humalog, although many people use Novolog in the pump. Every three days or so, depending on how I am eating, I fill a reservoir (looks like a fat syringe) with insulin. That gets attached to this thin tubing which has a needle on the end. The reservoir goes into the pump. the needle gets put into my stomach or leg or wherever my next site is. The needle comes out and this little tiny bit of plastic stays in to let the insulin through. The pump is programmed to deliver a "basal" rate of insulin...this is the amount I need to just keep breathing and moving. You can program different rates for different times of the day if you need to. My rate changes 5 times a day. I need more insulin starting at 3am bc I have a very bad "dawn phenomenon" where my "wake-up" hormones make me more insulin resistant. Then I go to a lower rate at 9am and so forth.

When I eat, I put in the amount of carbs I am going to eat, and the pump figures out how much insulin I need to cover them (this all of course if programmed in there by me and my doc). I can also put in what my BG is and the pump will also calculate how much insulin I need to cover the high sugar if it is high. I can over-ride the pump at any time I need to. I can also set to have my mealtime insulin delivered over a period of time so if I eat a higher fat meal, for example, or a carb that tends to make me go higher later (like pasta for me) then I can get that bolus to give me some now and some over the course of an hour or two or whatever I want/need.

The sensor I had to fight with insurance to cover bc it is very new. I was the first one in the country to have my particular health insurance cover it bc I fought with them for it! Anyway, that is inserted with this needle thing too but then you pull that out and this tiny strip of what looks like test strip material stays in under the skin. I attach a transmitter, about the size of a quarter to it. It transmits my BG to my pump every 5 minutes. I have to calibrate it twice a day bc it measure the glucose in the interstitial fluid whereas the meter the blood itself. It alarms when the BG are getting too high or too low. And it shows you with arrows on the pump when the sugars are rapidly falling and rising. It has to be changed every 6 days.

You can then download all this info to your computer and print out all sorts of pretty graphs that show your trends, etc. Except I am so busy with "life" right now, I don't journal as much as I should which would give an even better picture. Right now my sugars are very out of control which they think is bc of all the stress and the perimenopause so we are trying to figure me out!

I can shower with the sensor but not the pump, so I just temporarily disconnect.

They should have one for doggies!!!! It has helped a lot before my life went haywire!

And you get where you need to be just by trying different combos and schedules and doses. The problem is every person/doggie is just so different...it takes some time. But I also read your thread and I think you got some really terrific advice! Maybe a different type of insulin is the way to try...and maybe a different time?

Do doggies only use a long acting insulin or is there a shorter one too like for meal coverage? BC I am wondering if there is, if maybe you need both?

OK.....ready??? Here they come!!! Margaritas and chocolate and tons of hugs!!!! :D:D:D
Beth and the boys

k9diabetes
04-19-2008, 12:14 AM
Information about what it's like to have diabetes from a person's perspective, copied from the main forum.