Re: Daisy Vee
I think Marianne meant a fasting blood glucose check and then a check 1 hour after food and then every 2 hours after that. It gives you an opportunity to look at that first hour after you give the insulin and see how that compares to the second hour after, with checks done over several days at the same times to allow you to see how consistent she is too.
NPH usually doesn't cause a sharp drop so I'm not too concerned. Vetsulin has been known to cause a sharp drop in the first two hours so with that insulin I like to see some monitoring of that time frame.
Most common lowest blood sugar with NPH is around 6 hours.
We did actually use NPH at one time. It worked great for Chris' blood sugar as long as we gave it three times a day - didn't ever last a full 12 hours. But then he was allergic to the protamine so we went back to Regular insulin.
Without home testing, you really can't safely maintain such tight blood glucose control, which is why so many vets try to keep a dog's blood sugar between 200 and 300. With the variation that just happens and no home testing, they need that cushion.
A "fasting curve" can be a very interesting exercise because it allows you to see how the insulin behaves without the interaction of food. I know some dogs put on Lantus have had a fasting curve done first - insulin and no food - so it was possible to see whether the Lantus gave a smooth basal insulin supply.
With the steroid drops, it seems okay to me to let her run a little higher. After all, the cataracts are gone so you don't have to worry about those anymore! Once things settle down, you can get back to tighter regulation. It's great that you've been able to compensate for the effect of the drops.
I think I'm rambling.... !
Natalie
I think Marianne meant a fasting blood glucose check and then a check 1 hour after food and then every 2 hours after that. It gives you an opportunity to look at that first hour after you give the insulin and see how that compares to the second hour after, with checks done over several days at the same times to allow you to see how consistent she is too.
NPH usually doesn't cause a sharp drop so I'm not too concerned. Vetsulin has been known to cause a sharp drop in the first two hours so with that insulin I like to see some monitoring of that time frame.
Most common lowest blood sugar with NPH is around 6 hours.
We did actually use NPH at one time. It worked great for Chris' blood sugar as long as we gave it three times a day - didn't ever last a full 12 hours. But then he was allergic to the protamine so we went back to Regular insulin.
Without home testing, you really can't safely maintain such tight blood glucose control, which is why so many vets try to keep a dog's blood sugar between 200 and 300. With the variation that just happens and no home testing, they need that cushion.
A "fasting curve" can be a very interesting exercise because it allows you to see how the insulin behaves without the interaction of food. I know some dogs put on Lantus have had a fasting curve done first - insulin and no food - so it was possible to see whether the Lantus gave a smooth basal insulin supply.
With the steroid drops, it seems okay to me to let her run a little higher. After all, the cataracts are gone so you don't have to worry about those anymore! Once things settle down, you can get back to tighter regulation. It's great that you've been able to compensate for the effect of the drops.
I think I'm rambling.... !
Natalie
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