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-   -   Grand Lady Snickers passes away April 21, 2019 (http://k9diabetes.com/forum/showthread.php?t=7712)

LizE 01-18-2016 12:52 PM

Grand Lady Snickers passes away April 21, 2019
 
Snickers, a Skye Terrier mix, was part of a litter of puppies that was left at a shelter in the early winter of 2000 when they were only several weeks old. Shy and reserved she wouldn't even bark for the first month or so. Eventually her true terrier colors emerged and she grew into a beautiful dog.

Fast forward 15 years. She is doing pretty well for her age with some loss of hearing and vision (not cataracts). She tore her acl in 2010 and that slowed her down a little but not too bad. She walks everyday no matter what the weather.

Then in November 2015 she got a uti. She didn't completely recover from that and that's when she got very sick very fast and was diagnosed with diabetes in early December. Her numbers (pretty much everything they tested) were very bad and the vet felt the only way she might recover would be with round the clock care. Unfortunately my vet and does not do overnight supervision so we would have had to go to an emergency clinic for proper care.

He warned us about the costs to treat her and honestly felt that at her age, there was probably another underlying problem, like cancer, that was not diagnosed and we could spend a lot of money and still lose her.

We opted to treat Snickers on an outpatient basis, and honestly I was just hoping to keep her alive long enough for my son to finish his finals and make it home to say goodbye to her. She was vomiting, not eating, had lost a lot of weight and was leaking urine at night. Needless to say there were lots of tears, lots of prayers.

Well, Snickers fooled us all and has recovered quite nicely, with no small thanks to this forum. It's not totally smooth sailing but after a bumpy start her numbers are settling down and we have gone almost a month without another uti.

One of our biggest challenges is getting Snickers to eat, especially on a schedule, especially in the morning. We were given an appetite stimulant to use but I only like to give it to her when she won't eat, not as a default, partly to monitor how she is feeling.

Snickers is currently about 35 lbs, takes 11 units of Novolin N twice a day, and uses a Reli On human meter for testing. I used to feed her a rotation of grain free food (I would change food often as she becomes bored with her food and changing brands did not seem to cause her any distress) but now I suspect those that contain potatoes cause her problems so I'm down to only to varieties at this point - one from Earthborn and one from Natural Balance. She also gets a glucosamine treat, a collagen pill and d-mannose.

Again, I can't stress enough how helpful everyone here has been and how often I've used the links to videos (bg testing here's looking at you). At 15, Snickers has a limited time left and making everything as painless and stress free as possible can only enhance her quality of life. Thank you so much for everything!

CraigM 01-18-2016 01:13 PM

Re: Snickers' story
 
Welcome to the forum! I copied your post from the biography into a fresh thread just for you and Snickers. You seem to be doing great!

Craig

k9diabetes 01-18-2016 02:07 PM

Re: Snickers' story
 
What a lovely first post!!! :) And I'm glad you put it in the Stories section as it's a great testament to these dogs' ability to persevere and defy the odds and predictions.

For whatever reason, a lot of dogs don't like to eat in the morning. If it is just too much of a pain to manage, you can give insulin using a different regimen where she would get a small dose of insulin and no food at breakfast - 1/4-1/2 or so of the normal dose - and then a large dose and her full day's calories at dinner time - probably more than she now gets at dinner because she would eat more food at that meal.

Since you're home testing you can work on something like this.

Or, you can offer her breakfast and if she eats give insulin as normal and if she doesn't, give her a small dose.

Only about 1/2 of the insulin given goes to the meal. The rest maintains their basal blood sugar level. So they can have some insulin with no food on board.

Natalie

LizE 01-18-2016 02:35 PM

Re: Snickers' story
 
Natalie,

Thanks for the response. Friday morning she wouldn't eat anything, even people food so I opted not to give her any insulin. She was at 141 (unadjusted Relion #) and I wasn't going to be around to watch her.

Three hours later she was at 208 so not the end of the world. I gave her 1/4 cup of food but no insulin because I was afraid of it overlapping with her next dose and again, I wasn't going to be around again for several hours after her evening meal and dose.

Glad to know about the basal blood sugar requirements. I was too afraid to dose her and my vet recommended erring on the high side.

Liz

jesse girl 01-18-2016 02:45 PM

Re: Snickers' story
 
my jesse is a dog that only gets one meal a day and a small snack

so there are options if its just going to be a fight for the long haul

probably wouldn't get a vet to buy into something like this and would work but it has for jesse 6 years later and doing well

the key to this disease is consistency in the routine you are doing . jesse routine is consistent

k9diabetes 01-18-2016 02:45 PM

Re: Snickers' story
 
You usually want to start conservatively - maybe 1/4 of the usual dose. See how that goes and raise it if need be. Our dog could take about half his usual dose without insulin.

Natalie

farrwf 01-19-2016 08:40 AM

Re: Snickers' story
 
Great introduction. Welcome to the best place in the known universe for doggy diabetes information, advice & fellowship!

Looking forward to following Snickers' journey for years to come.

LizE 01-31-2016 09:27 AM

Re: Snickers' story
 
Snickers just threw up all of her breakfast right after she was done with her walk, about an hour after after I gave her 11 units of insulin.

I gave her some chicken and alpo snaps and some other treats. It takes a lot of coaxing to get her to eat dog food so I just wanted to get some food into her as soon as possible. She seems fine but I'm pretty worried about her having all that insulin and not a lot of food.

How worried should I be?

jesse girl 01-31-2016 09:39 AM

Re: Snickers' story
 
i might not have given a full dose of insulin without a full meal and a possible upset belly so i would watch blood sugar today and formulate a plane for the second meal if you are still having a problem

my thought with any upset stomach and no desire to eat i would stay away from force feeding and maybe fast a dog for at least one meal

you usually can give a quarter of the normal dose without any food . testing blood sugar is preferred with this method and if blood sugar is at a lower level at fasting it maybe prudent to skip a dose . the more food consumed the more insulin you maybe able to give

hope snickers feel better

LizE 01-31-2016 09:45 AM

Re: Snickers' story
 
She ate a full breakfast, then I gave her the dose, then she threw it all up.

She didn't seem like she was feeling bad but I did try a new brand of food this morning. I have no idea if that's what made her sick or if she is just being a dog and happened to throw up.

I know they say to watch for lethargy but she's 15 so she sleeps the vast majority of the day even when she's feeling great.


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