Diabetes in Dogs: The k9diabetes.com Forum

Diabetes in Dogs: The k9diabetes.com Forum (http://k9diabetes.com/forum/index.php)
-   Diabetes Discussion: Your Dog (http://k9diabetes.com/forum/forumdisplay.php?f=2)
-   -   Questions about Yuki (http://k9diabetes.com/forum/showthread.php?t=8112)

YukiesMom 09-30-2018 02:39 PM

Questions about Yuki
 
I am new to this forum and I was referred by the K9Cushings Forum. I have a 13-year-old American Eskimo named Yukon. In April 2018, after doing and ACTH stem test he was diagnosed with Cushing's disease. We started him on a very low-dose and Vetoryl and it did not seem to agree with him. We did for their extensive testing through an internal medicine doctor sent to the University of Tennessee and found out that his body was not producing too much cortisol but why is producing three other adrenal hormones. Because of this I ended up putting him on flex hull lignans and melatonin. Things have been going very good the last for 4-5 months with the increase in drinking dropping significantly in the panting as well. I do want to also note that my dog is very complex - he also has allergies, and invertebral disc disease, several bouts of pancreatitis as well as the vet telling me he has inflammatory bowel disease. About six weeks ago he ate a fish up with ham on it and had to have emergency surgery to remove the hook from his small intestine. We thought he was recovering fine, he did get a skin infection at the suture site and had to be put on antibiotics for two weeks. About a week ago I noticed he was starting to have diarrhea and then occasionally vomiting. I brought him to the doctors and they were treating him for a small intestinal inflammation with secondary pancreatitis and had him on metronidazole and Cerenia. He was not getting better after about four days even being on an IV for three days. He is drinking and peeing so much I knew something was wrong so we brought his first morning urine in and found out that he now has diabetes on top of the Cushing's. I have read that having both are very hard to manage. We just started him on insulin and the peeing and drinking of water have not really decreased and he still is very lethargic and you can tell he's not feeling well. I am hoping that someone can please help me to understand what I need to look forward to doing to make him happy and make sure his diabetes and Cushing's can both be regulated. He is my baby and this is very devastating to both myself and my husband. Thank you,

MikeMurphy 09-30-2018 06:11 PM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Hi and welcome to you and Yukon.

Let us know a bit more about Yukon... his weight, insulin type, insulin dose, insulin frequency, food.

labblab 10-01-2018 05:07 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
I’m so glad to see that you’ve registered here with the k9diabetes folks — I know they’ll be a great help to you! I’ll keep checking in, as well, to see if there are further developments on the Cushing’s front. To quickly summarize that side of things for the members here, I believe it was actually a LDDS test that was positive for Yukon last April at the time he was started on a low dose of Vetoryl. However, since he reacted poorly to the Vetoryl, we worried that perhaps the LDDS result was a “false positive” due to other physical stresses including pancreatitis. When he was retested last May with a full ACTH adrenal panel analyzed at University of Tennesse, his cortisol was at the higher end but within normal range. However, he did exhibit elevations in other adrenal hormones and that prompted the therapy with melatonin and lignans, to which he responded well.

As I’ve written over on K9C, if Yukon’s cortisol has remained within normal range, then I don’t believe the other adrenal elevations pose an issue in terms of complimentary diabetic treatment. I do wonder, however, whether his cortisol may have increased since last spring and is contributing to his problems. If so, ultimately that may end up being a factor that requires control as well. However, it seems that the first priority right now is to try to manage the glucose level, especially since Cushing’s testing could be skewed while the diabetes is uncontrolled. So I believe that’s where things stand right now on the Cushing’s front. And as I say, I’ll keep checking in here to see how things develop.

Marianne

YukiesMom 10-01-2018 11:35 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Yukon has actually dropped his weight from 32 pounds to 29.6 pounds over the last 7-10 days due to illness and dehydration. He was just put on the Vetsulin 0.4IU twice a day on Saturday - we give it to him at 7:00 a.m. and 7:00 p.m.

Yukon loves treats - he has his routine at my Mom's, Home Depot and a neighbors house.

He currently is on Royal Canine Hydrolized Protein Dog Food and Treats - and I mix in Green Beans and now Boiled Chicken Breast.

Since the diagnosis - I have been giving him the Hydrolized Proten Dog Food with Boiled Chicken twice a day and in between I have been giving him Green Beans.

jesse girl 10-01-2018 12:48 PM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
I find it interesting that a cushing dogs becomes diabetic . Maybe the elevated cortisol is the factor as we have seen with dogs given steroids that they can become diabetic .

The multiple times of having pancreatitis probably had an impact of becoming diabetic and something to try to prevent from happening in the future if possible

So you are giving 4 units twice a day which is a bit lower than a normal starting dose for your dogs weight which would be 6 units which i dont have a problem with

A cushing dog not treated with medication usually will see insulin resistance which means a dog is given a large dose of insulin with little movement of blood sugar going lower

Now we have seen thyroid issues and cushing symptoms kind of overlap in there appearance and ended of being a thyroid problem. hopefully mike can address that as his dog lily is being treated for thyroid issues and worked there way through that and is doing well

YukiesMom 10-01-2018 01:18 PM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
We sent out labwork to the University of Tennessee on 5/29/2018 and Yukon's Post ACTH Result for Cortisol was 13.4ug normal range was 7.1 - 15.1. He was high in Androstenedione ng 6.10 Post ACTH Result and normal range is 0.24 - 2.90, also Estradiol Post ACTH Result 77.9pg and normal range is 23.3 - 69.4, and also 17 OH Progesterone ng Post ACHT Result was 3.03 and Normal Range is 0.25 - 2.63.

Because of this we figured that is why he could not be on the Vetoryl and I started the Lignans and Melatonin to reduce the stress hormones. He has had Chronic Pancreatitis for the last 7 years - started when he ate a prime rib end at a New Year's Eve Party and he has had several flare ups since then.

When he had the fish hook removed about 6 weeks ago the surgeon said his pancreas and liver were enlarged and she took a biopsy of the liver. We sent it out and it came back non-specific inflammation possibly caused by Inflammatory Bowel Disease.

Then about 4 weeks later - excessive drinking, peeing, diahrea and some vomiting and now diagnosed with diabetes.

jesse girl 10-01-2018 01:32 PM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
The pancreatitis is the biggest problem . My jesse had it at the beginning of this journey and spent 10 days in hospital

I changed her to a homemade diet and one meal a day and haven't seen a full blown episode . There were a few times with digestive issues and fasted her for 24 hours which got her back on track

Maybe something in the diet that may not be agreeing with the pancreas but diabetes and cushings can stress out organs

do you have any information on blood sugar and what levels your dog is at ?

definitely recommend testing sugar at home especially with added challenges

MikeMurphy 10-01-2018 03:35 PM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Hi again.

With Yukon just starting out with 4 units of Vetsulin every 12 hours, the standard protocol most vets would follow to get a dog’s blood glucose under control would be:

1. Wait 5 to 7 days, allowing your dog’s body to adjust to the current insulin dose.
2. Perform a 12 hour blood glucose curve, testing his BG before eating and continue to test every 2 hours up to his next meal.
3. Evaluate the results of the curve.
4. If his lowest BG reading is greater than 150, increase insulin by 1 or .5 units.
5. Keep repeating steps 1 to 4 until the lowest BG is below 150.

The goal is to get where his BG is between 150 to 250 most of the day and his diabetic symptoms are gone.

As jesse girl said, 4 units twice daily is a very conservative starting dose for Yukon’s weight, but that’s OK. It’s safer to start out lower than higher. And home BG testing is a great way to help manage diabetes.

Stay vigilant with the pancreatitis and watch the fat. It looks like his current food has around 17% fat. That should be OK.

Hopefully, you won’t see any insulin resistance. Proceeding slowly is really the only way.

Natalie(k9diabetes) has provided some great info on managing a dog’s diabetes here...
http://www.k9diabetes.com/

If you have any questions, we’re here to help.

YukiesMom 10-01-2018 04:37 PM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Thank you Jesse Girl and Mike Murphy for your responses and insight. I am going to give you all the high numbers in his blood work. On the ProCyte Data his Mono was 1.23 with the normal range between .16 - 1.12 K/ul. On the Chemistry Data (HSZ) his GLU was 486 normal range between 74-143 MG/DL, p02 was 92.6 normal range between 24-54mmHg, cS02 is 97.6 normal range between 40-90%. On the Chemistry Data (ICD) his GLU was 478 MG/DL, and his Liver Enzymes which have been elevated for at least a year are ALT 150 U/L normal range between 10-125 U/L, ALKP is 796 U/L normal range is 23-212 U/L.

What is very strange is that his Pancreas levels are fine. AMYL is 1277 normal range is 500-1500 U/ L and LIPA is 1240 normal range 200-1800 U/L.

He has been eating grass lately as well. What do you recommend using to test his sugar at home? I am going for the test Wednesday to find out more. I wonder if the cushings and diabetes is enlarging his liver and pancreas.

MikeMurphy 10-01-2018 06:47 PM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
As far as home testing meters go, the AlphaTrak2 and Advocate PetTest are the most popular dog meters. A lot of us use human meters like the OneTouch Ultra2 and OneTouch UltraMini. I have been using Walmartís ReliOn Prime for 5 years.

Just be aware that human meters generally read a bit less than pet meters. For me it doesnít matter because Iím looking for trends when testing and the BG readings in the lower ranges are very close.

Your biggest expense will be test strips. Pet test strip can be as high as $1 each. Human test strips are way less. The ReliOn Prime strips are less than $.20 each.

YukiesMom 10-02-2018 03:15 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Thank you for the information. I have one more question. It seems like Yukon is drinking more and all of a sudden urinating in the house at night because he has to pee almost every 3 hours.

Does this calm down once the diabetes is regulated? I haven't been getting much sleep lately listening to him go to the water bowl and gauging how much he drinks before I feel he needs to go out. :-(

MikeMurphy 10-02-2018 04:03 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Quote:

Originally Posted by YukiesMom (Post 166023)
Thank you for the information. I have one more question. It seems like Yukon is drinking more and all of a sudden urinating in the house at night because he has to pee almost every 3 hours.

Does this calm down once the diabetes is regulated? I haven't been getting much sleep lately listening to him go to the water bowl and gauging how much he drinks before I feel he needs to go out. :-(

Yes. His diabetic symptoms should get better once his BG approaches the 150-250 range. This chart might help...


https://i.postimg.cc/1tMKLSJD/7_D1_C...A097_AF986.jpg

YukiesMom 10-02-2018 08:15 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Thank you for the chart. It helps greatly. We go tomorrow for the curve test. We are going to stay at the vet the entire day because Yukon has major seperation anxiety.

jesse girl 10-02-2018 10:54 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Quote:

Originally Posted by YukiesMom (Post 166030)
Thank you for the chart. It helps greatly. We go tomorrow for the curve test. We are going to stay at the vet the entire day because Yukon has major seperation anxiety.

you may want to figure out how to do curves at home in the future because anxiety can skew the results . Usually make the numbers higher than they would be at home

YukiesMom 10-02-2018 02:43 PM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
That is my plan - to start doing it at home in the near future. I just keep hearing it is going to be very hard for me to manage both the cushings and diabetes.

I have one more question. I was told by the emergency vet that Yukon could have as many green beans as he wanted because they don't raise his sugar levels. I have been trying to find a good "treat" to give in between meals because since he has cushings he is hungrier as well and is constantly begging. Also I am changing his dinner time from 4:45 to 7 which is driving him crazy.

Can anyone confirm that it's ok to have green beans between meals?

Thanks for all the information so far. It has really helped me to start my long journey of managing two diseases at once.

MikeMurphy 10-02-2018 05:48 PM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Frozen green beans are a great treat for our diabetic dogs. They have zero effect on my Lily’s BG.

One of the big advantages of home testing is that we can see how exercise, food, treats, medications and anything else effect our dog’s BG.

labblab 10-02-2018 05:52 PM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Quote:

Originally Posted by YukiesMom (Post 166032)
That is my plan - to start doing it at home in the near future. I just keep hearing it is going to be very hard for me to manage both the cushings and diabetes.

Hi again! I just want to try to lessen your anxiety a bit here about the combo of Cushing’s and diabetes. Per the ACTH testing performed last spring, Yukie exhibited elevations in certain adrenal hormones other than cortisol. So per that testing, he was NOT diagnosed with traditional Cushing’s. As far as I know, those other adrenal hormone elevations do not increase glucose levels in the same manner or as significantly that elevated cortisol does. So for the time being, I’d encourage you to put worries about traditional Cushing’s on the back burner. If you end up having a hard time controlling Yukie’s glucose levels down the road, then cortisol retesting may enter the picture once again. But for right now, I really encourage you to try to set the Cushing’s worry aside. Deep breaths, and one step at a time. Traditional Cushing’s may never be an issue for you at all.

Marianne

P.S. Just to clarify, I don’t know for certain that those other hormone elevations don’t interact with glucose levels in some manner. But I think that elevated cortisol has a more definitive impact on increasing glucose levels. But I’ll try to help research possible interactions with those other hormones as well and let you know if I find out anything significant.

Judi 10-03-2018 06:37 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
we managed cushings and diabetes at the same time for our dog for 3 years. Did we have some scary moments? yes. were there ups and downs? yes

but it is doable. She did not die from cushings or diabetes. Her little body and mind just wore out. During the 3 years she had a lot of happy times chasing squirrels and bossing us around.

Learn what you can, monitor what you can, and try not to obsess too much. for the last year we just focused on whether she was happy. If she was happy, I was happy.

We did wind up monitoring her blood sugar at home (it was very hard for me to get blood) because her blood sugar got scarily low a couple of times

The people on this forum and the cushing forum were invaluable as people in my real life just didn't get it.

hang in there, if I can do it, you can do it! Judi

YukiesMom 10-03-2018 06:58 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Thank you all so much for the information about Cushings/Diabetes and the Green Beans.

After staying up all night letting Yukon out because he was drinking so much and had to pee we took him for his Glucose Curve Test this morning.

They did the first blood draw and his Blood Sugar levels is 539 an hour after giving him the insulin.

I am so sad and disappointed. The vet upped his insulin to 5 units from 4 units and wants him to come back in a week for the Curve Test. I am just so afraid that his level won't drop and it will hurt him.

What can I do?

YukiesMom 10-03-2018 07:01 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
And Judi - thank you so much for your note about your dog. It really made me feel good reading it that there would be some hope for Yukon. We are very diligent in keeping him happy and healthy and will do whatever it takes to achieve this.

I am glad to hear from someone that their dog lived 3 years with both diseases - it gives me some hope.

labblab 10-03-2018 07:50 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
OK, it’s me back again. I’ve tried to do a little more research about those other elevated adrenal hormones. And maybe the folks here will know more about possible interactions. But from my limited reading so far, I’ve not found an association between androstenedione and glucose levels. Estradiol may interact, but I’m not sure that it’s in a damaging way. However, it looks as though elevated Progesterone/17 OH Progesterone can be associated with insulin resistance. Elevated cortisol levels, on the other hand, can frankly increase glucose levels. That’s why the standard concerns about the combo of diabetes and Cushing’s typically relate to elevated cortisol.

Again, if Yukie’s glucose level ends up being quite difficult to control, then repeated testing of all his adrenal hormones may be warranted. If necessary, there is a prescription medication that can help lower progesterone, 17 OH progesterone, androstenedione and cortisol, as well. So do not despair! Right now you’re at the very start of the road. I’m sure the K9D folks will tell you there’s still a heck of a lot of insulin tweaking that can be done before we need to start worrying about a lack of response from Yukie.

Marianne

jesse girl 10-03-2018 08:12 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Quote:

Originally Posted by labblab (Post 166046)
OK, itís me back again. Iíve tried to do a little more research about those other elevated adrenal hormones. And maybe the folks here will know more about possible interactions. But from my limited reading so far, Iíve not found an association between androstenedione and glucose levels. Estradiol may interact, but Iím not sure that itís in a damaging way. However, it looks as though elevated Progesterone/17 OH Progesterone can be associated with insulin resistance. Elevated cortisol levels, on the other hand, can frankly increase glucose levels. Thatís why the standard concerns about the combo of diabetes and Cushingís typically relate to elevated cortisol.

Again, if Yukieís glucose level ends up being quite difficult to control, then repeated testing of all his adrenal hormones may be warranted. If necessary, there is a prescription medication that can help lower progesterone, 17 OH progesterone, androstenedione and cortisol, as well. So do not despair! Right now youíre at the very start of the road. Iím sure the K9D folks will tell you thereís still a heck of a lot of insulin tweaking that can be done before we need to start worrying about a lack of response from Yukie.

Marianne

As Marianne suggested if you see insulin resistance that may give another clue to the hormone imbalance . If you dont see resistance the diagnosis would be more difficult to guarantee

MikeMurphy 10-03-2018 08:15 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Quote:

Originally Posted by labblab (Post 166046)
OK, it’s me back again. I’ve tried to do a little more research about those other elevated adrenal hormones. And maybe the folks here will know more about possible interactions. But from my limited reading so far, I’ve not found an association between androstenedione and glucose levels. Estradiol may interact, but I’m not sure that it’s in a damaging way. However, it looks as though elevated Progesterone/17 OH Progesterone can be associated with insulin resistance. Elevated cortisol levels, on the other hand, can frankly increase glucose levels. That’s why the standard concerns about the combo of diabetes and Cushing’s typically relate to elevated cortisol.

Again, if Yukie’s glucose level ends up being quite difficult to control, then repeated testing of all his adrenal hormones may be warranted. If necessary, there is a prescription medication that can help lower progesterone, 17 OH progesterone, androstenedione and cortisol, as well. So do not despair! Right now you’re at the very start of the road. I’m sure the K9D folks will tell you there’s still a heck of a lot of insulin tweaking that can be done before we need to start worrying about a lack of response from Yukie.

Marianne

Marianne is right about there being a ways to go with getting to the right insulin dose.

As jesse girl mentioned, the normal starting dose for a 32lb dog would be 6 units every 12 hours. You’re at 5 units right now. So don’t get discouraged. It’s very important to wait 5 to 7 days after each insulin increase, so that Yukon’s body adjusts to the increase. So it can take several weeks, even months, of repeating the process of weekly curves and insulin increases until you get to the proper dose.

YukiesMom 10-03-2018 11:58 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Thank you so much everyone. I will keep you posted :-)

YukiesMom 10-03-2018 03:45 PM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Ok another question where is the best place to give the insulin injection? We were told at the emergency vet to get it on the side of his body between his legs but the vet today told me to give it on his scruff of his neck.

jesse girl 10-03-2018 05:41 PM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
i probably would not inject long term in the scruff as buildup a scar tissue can occur

Vets probably suggest that because its easy . the side of the body is good anywhere you can grab some loose skin . i use the back area kind of on the side for jesse

YukiesMom 10-04-2018 11:22 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
We were told that we needed to get Ketone Strips and a Glucose Meter. Can anyone recommend what brands to use on both?

The vet gave me a brochure for the Alpha Trak 2.

Thanks,

MikeMurphy 10-04-2018 02:04 PM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Quote:

Originally Posted by YukiesMom (Post 166075)
We were told that we needed to get Ketone Strips and a Glucose Meter. Can anyone recommend what brands to use on both?

The vet gave me a brochure for the Alpha Trak 2.

Thanks,

I’ve never used ketone strips, but the most popular Glucose meters are:

AlphaTrak2
PetTest
OneTouch Ultra2
OneTouch Ultra Mini

I’ve been using Walmart’s ReliOn Prime for 5 years and so far so good.

In general, the human meters test BG a bit lower than the pet meters. However, the test strips cost way less than the $1 per strip that you would pay for a genuine AlphaTrak2 strip.

Judi 10-04-2018 03:29 PM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
we just bought some ketone strips at the pharmacy. We used the One Touch Ultra for all 3 years.

I'd compare it to the vet's reading when we went in for checkups so I had a baseline

YukiesMom 10-05-2018 03:32 PM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Thanks again for all your information. We went to the vet today and they let us borrow an alpha trak monitor. We give him his insulin injection at 7 AM and we went to the vet about 10 AM and his blood glucose was 495. I am going to test his blood glucose every morning before the injection for the next few days to determine whether or not to increase the dosage.

I am really concerned because his BG has been higher on the insulin then when we brought him to emergency vet a week ago tomorrow.

I cut out all of the hydrolyzed protein treats. I am only giving him 3/4 of a cup of hydrolyzed protein dog food twice a day with a couple tablespoons of boiled chicken in each meal. If he bugs me throughout the day I give him green beans maybe one or two times a day not much though.

He bugs me so much for food and I tell him to just go lay down. It's very frustrating and upsetting to see him laying around and not feeling well.

Raysaint 10-06-2018 07:53 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Make sure the dog food has some carbs in it. The insulin is going to metabolize carbs, and if there isn't enough carbs, the liver can start releasing glucose, which can make BG numbers higher.
You must have enough carbs to balance with the insulin dose.

A high protein, low carb diet doesn't work for insulin dependent humans or dogs.

Judi 10-06-2018 11:15 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
they are hungry when the diabetes isn't controlled and if it is cushings or like cushings, that makes them hungry too

the hardest part is being patient. It can take 5-7 days for an insulin change to acclimate in their body

if they have any ear or tooth infections that can raise blood sugar too

my Jenny's blood sugar barely budged for over 6 weeks when she was diagnosed. My vet didn't want to overshoot the insulin dosage so it just took forever

YukiesMom 10-07-2018 11:58 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Yukonis on the Royal Canin hydrolized protein dog food right now. I was reading about the Royal Canin glycobalance dog food for diabetes.

Has or does anyone have their dog on this food or know anything about it? I am thinking about switching over to this food.

MikeMurphy 10-08-2018 05:08 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Quote:

Originally Posted by YukiesMom (Post 166109)
Yukonis on the Royal Canin hydrolized protein dog food right now. I was reading about the Royal Canin glycobalance dog food for diabetes.

Has or does anyone have their dog on this food or know anything about it? I am thinking about switching over to this food.

Iíve never used it, but with the glycobalance having less fat, more protein and more fiber than the Hydrolyzed, it should help to manage the pancreatitis.

There are so many possibilities for diet. Iíve found that low fat, moderate protein and moderate fiber works best for my dog.

YukiesMom 10-09-2018 10:37 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Hi Everyone, I am getting a little discouraged because Yukon has been on the Insulin for 10 days now and his Blood Sugar is not going down at all - in fact today it started at 543 at 6:30 a.m. then I gave him his meal and insulin and took it again at 12:00 p.m. and it jumped to 567.

I spoke with the Internal Medicine assistant (we have an appointment on 10/29) and she said that there could be various things that are not allowing the insulin to work in his body. Mentioned it could also be some type of stomach or bowel inflammation since they did suspect IBD in the past.

She told me that his sugar levels should be coming down some and the fact that it is not signals there is a problem.

Has anyone experienced this with their animal? Where the blood stayed the same for almost 10 days?

I hung up so upset and discouraged :-( Am I feeding him too much? He is begging for food and I only give him almost a cup of the Hydrolized Protein with some boiled chicken twice a day.

Raysaint 10-09-2018 10:54 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
If you are newly diagnosed and just starting insulin, the starting dose is usually pretty conservative and won't cause great changes in BG.
THIS TAKES TIME.

It took me a year to reach good regulation. I had lots of weird periods that defied expectations. It takes a while for the body to decide how it wants to respond. Curves will change, nadir times can change. And dogs can handle high sugar for a time, while you slowly figure out dose, patterns, foods etc.

Higher sugar 6 hours after eating and insulin, why can't that happen? My dog's curve pattern has changed 3 times, from a bowl, to a half mountain, and now back to sort of a bowl.

Please don't expect textbook results.

jesse girl 10-09-2018 11:03 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Just to give some perspective it took jesse about 6 months where i considered her regulated but she was difficult for whatever reason

543 and 567 is basically the same number because of the variables of handheld meters especially at a higher range . Now if it was a 100 points lower or higher you may be able to draw some conclusion or if you dog was in the 100s and numbers with a 30 point gap you maybe able to draw some conclusion but not in the 300s or higher

basically at that point in time between those two tests you are seeing resistance in the 500s and if thats the trend throughout the day . Now that maybe because your not giving enough insulin or other medical issues or a combination of both .

Remember full curves are the only way to know how to go forward but spot tests are helpful taking them in a full context over time .

MikeMurphy 10-09-2018 11:14 AM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Right... donít get discouraged. If Yukon is still on 5 units, thatís below the normal starting dose of 6 units for a 32lb dog.

Are you planning a full 12 hour curve soon?

YukiesMom 10-09-2018 12:06 PM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
Hi,

We were supposed to have the Glucose Curve again tomorrow, but my vet said not to do it because it is still in the 500's.

She wants me to do a blood glucose test 3 times a day for a couple days and see what the results are. Starting today I will be doing the glucose test at 6:30 a.m., 12:00 p.m. and 5:00 p.m. and tracking it.

She said to give it a few days and then she would decide whether to increase his insulin or not.

I am just concerned that it was under 500 when he was diagnosed and now all of a sudden it is sometimes almost 50 -75 points higher. But mostly I am concerned of the long term effects of high blood sugar on his organs.

According to the Emergency Vet they said not to mess with the dosage - the opposite of what my vet is saying. She told me that even if he was on a low does, it would have lowered the Sugar a little and not keep it at the same level.

I am so leary about those 24 hour Emergency Care vets. Seems like all they want to do is give you a price list of how much it is going to cost you and they don't actually care about your dog.

YukiesMom 10-09-2018 12:52 PM

Re: Diabetes, Cushings and Pancreatitis in my Dog
 
So Yukon's primary vet has basically just given up on him. Texted me back and said it sounds like he is not responsive to the insulin. She knows he didn't do well on the trilostane but she wonders if he is not responding well to diabetes treatment because his cushings is a factor. Said she wasn't sure what to tell me - I probably need to go see and Internal Medicine doctor.

I have been doing some research on the internet and one thing that stood out to me is that Melatonin could possibly interfere with the positive actions of insulin.

Has anyone heard of this? Yukon is on 3mg of Melatonin 2x a day for his Cushings. I am thinking about not giving it to him for a while to see if the levels go down.


All times are GMT -7. The time now is 07:46 PM.

Powered by vBulletin® Version 3.8.5
Copyright ©2000 - 2020, Jelsoft Enterprises Ltd.
Copyright 2009, 2010 k9diabetes.com. All rights reserved.