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-   -   Hershey (http://k9diabetes.com/forum/showthread.php?t=7541)

Phyllis Diot 02-12-2018 10:34 AM

Hershey
 
Hi. I am new to all of this. Hershey is a 8.5 year old vizsla who was diagnosed with diabetes on 2 Nov. Our vet started her on vetsulin, 17 units twice a day starting on 6 Nov. with a curve one week later. After her first curve he said we are almost there and increased to 18x2 with next curve in two weeks. On 20 Nov after curve said he seen something he didn't like and increased dosage to 20x2. With Holidays her next curve was not until 5 Jan which once again said he didn't like something and increased to 23x2 with next curve in 3 weeks. On 26 Jan he said her glucose did not go down during curve and didn't want to kill her so went back to 17x2 (another drastic change from 23x2). two weeks later another curve and back to 19x2 as of 8 Feb and next curve scheduled for Mar 1. Also said something about may have to give her a lot of insulin to regulate her. Never shows us the curve but when he dropped from 23 back to 17 indicated glucose was still around 400 in last check. All this makes me very nervous as I can not imagine all this jumping around can be good for her. Also concerned is ideal weight according to vet is 80-85. Before diagnosed she weighed 86. When diagnosed she was 76. Now 69 seems to be the new weight and looks thin and sickly to me. Any advise or ideas appreciated.

Lolo 02-12-2018 11:46 AM

Re: Hershey
 
Iím totally new to this (newer than you) so I donít have any good advice, but is it possible for you to do curves or testing at home? I bought an alphatrak2 on amazon and do some testing on my dog at home. I donít have any answers for my dog yet, but thereís at least a sense of control that I can test at home when I see something that concerns me and Iím hoping it may help figure out patterns if there are any. I think my dog tests lower in the vetís office (and possibly after exercise) which I and the vet wouldnít know if I wasnít also testing at home. Itís very easy.... much easier than giving injections.

k9diabetes 02-12-2018 01:08 PM

Re: Hershey
 
Request a copy of all of her records from the veterinarian so you can see exactly what the curves looked like.

Vets vary widely in what they consider a large dose and high or low blood sugar. We can use those vet records to sort out whether the treatment seems to have been managed well - sometimes it isn't.

And then you would benefit greatly from learning to test her blood sugar at home.

23 units is not a huge dose in even a 69 pound dog. And that does sound too thin unless she's quite small.

Did you switch to the prescription diet?

That is quite low in calories and we found with our dog that originally we weren't feeding him enough of it to regain the weight he lost. You can calculate calories against what she used to eat or how much she used to eat to see if you are feeding her enough.

If she's getting enough food, then her blood sugar likely hasn't been adequately regulated - something we can determine from the curves the vet did.

The other thing that happens is at first their bodies are somewhat resistant to insulin and that goes away once they've had insulin for a while. So the dose can change in the first six months or so as that resistant goes away.

Lots of possibilities - please let us know what her curves were showing and we will help you sort things out.

Natalie

How is she at home?

Normal amount of water consumption and urination?

Phyllis Diot 02-12-2018 03:18 PM

Re: Hershey
 
I've been learning a lot from reading a lot of info and posts on here and really appreciate it. She is a big dog so can see some visible ribs. She was on and still is on beneful healthy weight. Vet said to continue to keep her on current food. When we first took her in for testing she had suddenly started to need to get up in middle of night, drink a bowl of water, potty and more water. Once insulin was started at 17 units and even 18 that went away. But since going from 18 to 20 to 23 it came right back. Then when we went back down to 17 it continued and at current 19 is still going on and once was two trips at night I will request info from vet as soon as I can and post it. Also been reading about glucose testing and thought I would give that a try as well. Just been trying to figure out what glucose meter to get and what all I need to order to go with it. We were also researching after reading thru some of the forums that perhaps she would do better on the novolin.

Thank you

Phyllis Diot 02-12-2018 03:30 PM

Re: Hershey
 
Thanks Lolo. Been thinking about the one touch ultra, just trying to figure out what all I need to order with it. Good luck. It seems scary, but hoping it gets better.

Phyllis Diot 02-12-2018 03:47 PM

Re: Hershey
 
Was looking at the easy touch sold at amazon. Any thoughts.

CraigM 02-12-2018 04:32 PM

Re: Hershey
 
I think the Easy Touch is a newer meter (hadnít heard of it before). From what I saw on Amazon, it looks like an OK choice. Iíd get the kit because it comes with everything you would need to get started. The one additional thing you might want would be different lancets. The kit comes with 30 gauge (thin for humans) that some find too thin for thick dog skin. I generally used thicker 26, or 25 gauge lancets. Keep the 30 gauge lancets for testing yourself:D.

Keep in mind human meters generally read dog blood lower than true. This ďerrorĒ isnít really a bad thing and can be considered a safety margin. Many use human meters because the test strips are generally less expensive than the strips for doggy meters.

Craig

Phyllis Diot 02-12-2018 06:11 PM

Re: Hershey
 
okay, new at this, is there a better one to try that comes in a kit.

Lolo 02-12-2018 06:30 PM

Re: Hershey
 
I bought this one. Itís actually the brand my vet uses.
Just be warned that the test strips are expensive! $50 for 50 strips. If thereís a way to get the strips for less I would love to know.
https://www.amazon.com/AlphaTRAK-Blo...ing+system+kit

I ordered the kit and promptly ran out of strips on my first curve because the vet wanted every half hour for first 6 hrs so you may want to order a pack of strips while youíre at it and more lancets. These are the strips...
https://www.amazon.com/AlphaTRAK-Blo...17G4G6DYM4TDMG

CraigM 02-12-2018 07:19 PM

Re: Hershey
 
Quote:

Originally Posted by Phyllis Diot (Post 163770)
okay, new at this, is there a better one to try that comes in a kit.

The AlphaTrak Lolo mentioned is excellent, but is expensive to use. As mentioned, the test strips are about $1 each. I tested my Annie 2-3 times a day, and the occasional ďcurveĒ that took 6 test strips. Maybe $100 per month?

The Easy Touch test strips seem to be $8.38 for 50! Thatís 17 cents each!

I think Iíd try the Easy Touch. If for any reason you donít like it you really arenít out very much money.

Craig


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