Decker made his journey to the bridge Jan 26, 2013

[jesse girl]

Re: Decker

trying a larger dose at night maybe something that might help actually if you are thinking about raising the dose i would just try the one unit at night and leave the day the same with that amount you would think you should see a bit of change in the numbers

as tara said maybe balance the two periods out

[eileen]

Re: Decker

trying a larger dose at night maybe something that might help actually if you are thinking about raising the dose i would just try the one unit at night and leave the day the same with that amount you would think you should see a bit of change in the numbers

I concur with 'Jessegirl', if you are going to increase the p/m dose then that will obviously bring down the a/m fasting and in turn have lower glucose levels to follow.

[Rubytuesday]

Re: Decker

Almost wonder if he would continue to lower if I let him go till 7:15p tonight. Maybe a 13/11 hour schedule? But if I hold food/shot till 7p tonight it will throw off the rest of his 24 hour curve. Thoughts?

myself, I would just go with the increase as it seems you need to increase regardless. Then later you could fine tune and maybe do the 11/13 schedule.

Can you see how much the numbers came down with the last unit increase.
That might influence the decision.

Does Decker have a nadir on the Levemir? For Ruby it is between 10-12 hrs. out.

[momofdecker]

Re: Decker

Decker's 24 hour curve: Eight days on 6u of levemir

6:15a - 474 - fed/shot
8a - pre walk 530
8:15a - post walk 476
9:15a - 516
10:15a - 517
12:15p - 475
2:15p - 440
4:15p - 426
5:15p - 393
6:15p - 346
6:30p - 340 fed/shot
8:15p - 312 - Surprised by this and tested again - 318. Typically he rises his biggest amount two hours post meal.
9:15p - 392
10:15p pre walk 427
10:30p post walk 414 (typically walk at 9:15p but wanted to make sure he was going to continue to rise).

12:15a - 469
2:15a - 461
4:15a - 480
5:15a - 466
6:15a - 427 fed/shot *increased to 6.5u of levemir and will go 7u with the evening shot.

[Rubytuesday]

Re: Decker

Perhaps he is starting to get some overlap. Do you do any targeted spot checks? might be a good time to start testing that. I would do 2 hrs. before and after evening meal to see if this is occurring. I think you've got enough of a cushion for it, but it would be good info on figuring out his trends or if you need to drop the dose back.

I saw on the thread "Sammie Addisons/Diabetes" thread that she has her dog on a different dose at am and pm by 3 units, if memory serves. Haven't read back in the thread yet, but that might be interesting research.


Good job on the 24 hr. curve. I hope you can catch up on your sleep this morning.

[farrwf]

Re: Decker

6:15p - 346
6:30p - 340 fed/shot
8:15p - 312 - Surprised by this and tested again - 318. Typically he rises his biggest amount two hours post meal.
9:15p - 392

A bit of overlap?

Looks like a nice steady decline for most of the day. Will be interesting to see as you acquire more data.

[momofdecker]

Re: Decker

Could be overlap. I do spot check but typically around the 9p (pre walk) time - which reflects a post dinner increase. Maybe he has been lowering for a couple of hours after dinner but rising before 9p and I'm just now catching on. Will do some additional spot checking after today.

So our temps are in the mid 80's all week. Saturday night around 11:30p we went under a boil water advisory. Remaining there till Wednesday at the earliest. Made one bottled water run at 7a yesterday morning and had to make a second this morning. Temps are too hot to be boiling water all day. Plus I hate to not be prepared should Decker go on a large water consumption binge.

No catching up on sleep today. Have a second coat of paint to put on the deck and once that dries the water seal goes on.

Wondering if the first day of this insulin increase will follow the same pattern as the first one. One large rise, followed by a day of lowering.

6:15a - 427 - fed/shot - 6.5u
8a - pre walk 523
8:15a post walk - 489
9:15a - 478

[nibbles-mommy]

Re: Decker

I did the same thing this weekend. I finished stripping my deck and have been trying to seal it since March. I just need 48 hrs. with no rain!!! Can't get it at the right time.

Glad Decker is improving.

[momofdecker]

Re: Decker

Just talked to the vet. She said we could go ahead and increase to 7u morning and evening. Think we will stick with 6.5u morning and try 7u evening for a few days to see how it goes first though. He's still looking slow and steady today.

6:15a - 427 fed/shot increased to 6.5u levemir
8a - 523 pre walk
8:15a - 489 post walk
9:15a - 478
10:15a - 480
12:15p - 455
2:15p - 414

A bit worried about the upcoming weekend. Day trip to my brother's house for a Memorial Day BBQ. Excited because my other brother and his family are coming home for the picnic as well. Not often we all get together.

Dogs are coming with us because it's a two hour trip one way and we'd never make it home in time for his evening insulin. Brother lives right around the corner from my folks. Boys will stay at my folk's house. Don't want anyone sneaking Decker picnic food. Plus my brother has a chocolate lab pup who would likely wreak havoc on Decker's bg. The hesitation is that Decker has not been to my folks house in a long time. My mom is a collector of stuff and her stuff is everywhere. Plan to get there early to give us extra time to get him adjusted. Will run his next curve Saturday but may way to adjust till Monday. Picnic is Sunday and I'm nervous about adjusting when there is travel and unfamiliar territory involved.

[Abby's Mom]

Re: Decker

Holli,

Actually for Abby, road trips lower her BG, so hopefully you will be pleasantly surprised. Who knows, may be what EVERYONE needs....

Have fun, and safe travels.

[eileen]

Re: Decker

With all of the upcoming unknows I would make a conservative insulin increase at this point which will give you 2-3 days to monitor before the road trip.

I would just be content with monitoring Decker's glucose levels so not to have him dropping too low with all of the activity and being in a different environment but forgo putting any sort of overall credibility in what you see as being how his actual levels will be with this changed insulin dose.

Once settled back into the normal routine next week you can then work at tweaking again.

[Rubytuesday]

Re: Decker

Good luck with the travel Holli. I wonder if you should bring his bed if he has one. You could wear a t-shirt to bed for a few nights and then put that on his bed too. Could be a home base of sorts that the familiar smells will make it easier to find.

When I go to visit my dad it is always a period of adjustment for Ruby with being blind. Hope he doesn't break any collectibles.

Did he come down into the 300s again this afternoon?

[momofdecker]

Re: Decker

Good luck with the travel Holli. I wonder if you should bring his bed if he has one. You could wear a t-shirt to bed for a few nights and then put that on his bed too. Could be a home base of sorts that the familiar smells will make it easier to find.

When I go to visit my dad it is always a period of adjustment for Ruby with being blind. Hope he doesn't break any collectibles.

Did he come down into the 300s again this afternoon?

Thanks Tara. I had not considered taking his bed but that is a great idea! Don't think he'll break any collectibles - more worried about him running into them or tripping over those type of things. Us big kids, on the other hand, have quite a track record with those collectibles - lol! Funny thing is that there has always been a dog that has taken the blame for them breaking. Then there are all the candy dishes I'll have to put up. All the grandkids will be home and my mom loves to spoil them - always has dishes of their favorite candy all over the house - at kid (and dog) level.

He had a great day with numbers - for him anyway. Only hit one 500 for a short time - walk was able to lower it to 400 range and kept it there. 300's from about 4p till 9p (I crashed at 9p so don't know if he stayed there longer). Even had a 285 in that mix. Morning fasting today was 395. First one under 400! Hoping as the new doses settle in things will continue to lower.

[DocWatson]

Re: Decker

You are a go getter Holli. I figure Decker appreciates all you are doing for him. Hang in there. It looks like things are getting better and better.

[Abby's Mom]

Re: Decker

Holli,

When I travel with Abby, I have a softsided crate, and I take her existing bedding she has in her current crate. I also take her bed that she has, and place it in the car ontop of alot of her other soft bedding, and then she is harnassed and seat belted in. I think having ALL of her belongings with her has helped her settle in wherever we are going, and we stay at hotels, multiple family/friend homes.

When we can't find her at times, she is in her crate (a safe place), because she watches where it is going and where it is setup.

Speaking of harnassing her in, I know that it sounds awful, but I had a friend that traveled with her dog ALL the time on long trips. Her dog was sleeping on her husbands lap, and her husband had a dream that she was drifting off of the road, just when she was passing another car. He woke up, and grabbed the wheel, and they struggled, and they ended in an awful accident. She walked away with a broken hand, her husband with no scratches, but unfortunately her Misha went through the sun roof and died.

Ever since that I have strapped Abby in her harnass.

Again, safe travels.