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Old 11-22-2010, 09:55 AM
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AmyMiller24 AmyMiller24 is offline
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Default New Member: 10 yr old JRT Maggie May

Good morning! My ten year old, overly pampered Jack Russell Terrier, Maggie May Miller, was diagnosed with diabetes on October 17 after a terrible pancreatic attack. Once she returned home, our vet prescibed 6 units twice a day. Routines and consistency are a strength in our household, so everything has been going very well since October 21.

Last Wednesday night, Maggie May had profuse diarrhea throughout the house. She ate her normal morning meal and received her insulin. I took her to the vet first thing that morning. Her BG was 184. The "relief" vet sent me home with pancreatic enzymes, antibiotics, and Endosorb. She ate her evening meal and received her 6 units. At 1:30 am Thursday, Maggie May began vomiting. She vomited about once an hour. I called the vet. I was advised that it may be a return of pancreatitis, though her diet had been specifically regulated. They kept Maggie May for the day, giving her IV fluids and antibiotics. All went well Friday. About an hour after her Saturday morning feeding and shot, she began vomiting again. She retained most of her food. I swapped over some borrowed cans of i/d diet. She has improved a lot. However, about 1 to 1 1/2 hours after the meal and shot, she gets pukey. She is a house dog, so I am constantly monitoring her. However, she usually laps the small amount up before I can get to her. At exactly 2 hours after the meal and shot, the "pukiness" is over.

We are heading back to the vet today. However, upon reading through your posts, it is obvious that there are many champions of canine diabetes that may be able to provide insight to a paranoid parent. I have overcompensated my inability to have children by personifying Maggie May. This unfortunate diagnosis has brought heartache into our household. However, it seems that this is diagnosis is survival with proper management. Any ideas on what is occurring 1-2 hours after EACH meal and shot?
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Old 11-22-2010, 11:19 AM
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Default Re: New Member: 10 yr old JRT Maggie May

Hi and welcome to you!

I know we have people here who have more experience with pancreatitis, so I'll let them chime in.

I do wonder what was Maggie eating prior to diagnosis?

Does she have a history of allergies at all?

Some antibiotics can make them feel quite naseous so that may or may not be helping the situation. Have you noticed a difference since starting the enzymes (gotten any worse)?

Did she used to eat all of her meals at once before diagnosis? I wonder if it's just too much food all at once and needs to be split up a bit. This would require lowering her insulin dose though.

Again, welcome to you!
Patty
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Old 11-22-2010, 01:46 PM
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Default Re: New Member: 10 yr old JRT Maggie May

Texas A&M has a GI lab that offers a number of tests of bowel and exocrine ability - perhaps they could help narrow things down if those tests have not been done already.

http://vetmed.tamu.edu/gilab/service/assays

Patty has raised lots of good questions - let us know more about her history re food, allergies, etc.

Natalie
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Old 11-22-2010, 05:21 PM
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AmyMiller24 AmyMiller24 is offline
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Default Re: New Member: 10 yr old JRT Maggie May

Thank you both for your response. Maggie did NOT eat all of her meals at once before the diagnosis. She has also always had allergy issues. My vet suspects that she has acid reflux. I am now adding an antacid to the plethora of pre and post eating pills. I am not testing her blood glucose level myself at this time. My vet is slowly breaking me in. Everything has been going surprisingly well until the diarrhea and vomiting episodes.

However, it has now been over an hour and a half and she has NOT vomited.

I truly appreciate all of the information shared on this forum. I am obviously a novice in regards to canine diabetes. It is comforting to know that there are many others out their coping, controlling, and succeeding.
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Old 11-22-2010, 05:40 PM
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Default Re: New Member: 10 yr old JRT Maggie May

Amy,
MaryLea is having to split Ruffles meals up a bit so she keeps them down. She feeding 1/2 of the meal then waiting a bit and feeding the other half within the hour then injecting. I don't know if this is enough time in between to make a difference for Maggie or not but something to consider.

What was she eating prior to diagnosis? And what was she eating prior to the recent switch to I/D?

Take care,
Patty
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Old 11-22-2010, 05:55 PM
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Talking Re: New Member: 10 yr old JRT Maggie May

Overly pampered?

I couldn't agree with that; after all, a dog who is truly a proper companion-dog is a member of the family. Any and all care and comfort, too, we can offer them, seems to me, is only their due!

Camellia agrees with me. (Hehe).

Sorry I don't have any assistance I can offer, but quite a few members of this forum surely have some ideas and suggestions for investigations that could assist you and Maggie May. And I see they have already begun. I'm so happy to see that!

So, all I can do is offer you a big, fat welcome, from Kwali and Kumbi at the Bridge, and Camellia and me here on Earth. And here it is: Welcome to you and Maggie May!

Mon, 22 Nov 2010 16:54:00 (PST)
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Old 11-22-2010, 06:15 PM
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AmyMiller24 AmyMiller24 is offline
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Default Re: New Member: 10 yr old JRT Maggie May

Thanks again for your responses. I have changed Maggie May's food almost once a year. Over a year ago, she was eating Blue-Lamb and Rice. Because it was a dry food, she was not very motivated and grazed during the day. I then switched to Pedigree Chopped Chicken (I realize now that was not a great choice). When diabetes was diagnosed, I asked my vet if I should change foods. He told me to stick with what I have for now. She was eating 1/2 a can at each feeding (6:30 am & 6:30 pm). She did not eat it straight out of the bowl. I had to hand feed her twice a day to get her to eat most of the meal. I was trying to be consistent. My vet told me that once the gastrointestinal irritation is over, I can go back to her original food. However, I plan on swapping to an all natural food such as those recommended here. I do try to drag out the feeding (about 30 minutes) so that she is not just packing it in. The antacid seems to be working this evening. We have only had one small blurp of water and food pieces. I have been told by others that my constant mothering, staring, touching, and panicking is causing my dog to have a nervous stomach. My stomach has certainly been in knots since all of this. Perhaps, like twins separated at birth, we have phantom symptoms of each other's ailments. Ironically, because of all of this, I have discovered that diabetes has been in my "human" family for three generations. Weird, huh?
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Old 11-22-2010, 07:28 PM
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Arrow Re: New Member: 10 yr old JRT Maggie May

People will say just about anything, which has just about any significance you want to give it. Ha!

Surely it IS tricky to mother constantly - and well - without putting some emotional load on the dog! Staring at ain't so great; glancing at is better, or, at times, having a close look, perhaps with some cheerful crooning to go with it! Well, I expect you have a good feeling for how far to go.

The trick is, for us, to remember to breathe. When we start holding our breaths, dogs NOTICE that, and tense up. It can be quite an art to don a magic cloak that fakes relaxed un-concern - when we are, in fact, deeply concerned. It's an art I tried to practice with Kumbi; Kwali also, though she wasn't diabetic.

I think since you're so very much both attentive and aware, you'll find ways to continue your wonderful mothering, without adding undue stress.

I did find I had to relax my attempts at times, and give Kumbi some relief from stress of really constant attention. And my vets suggested I do that.

Mon, 22 Nov 2010 18:27:28 (PST)
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Old 11-23-2010, 07:06 AM
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Default Re: New Member: 10 yr old JRT Maggie May

I felt compelled to post here. . . Carol you are so right about what "signfiicance" we want to give to the comments we hear. Since Pip has been diagnosed, I've heard everything! And I mean that. From both sides of the coin and at the extreme ends....

1. My boss says I do way too much for my dog and that if I polled the office it would be hard to find someone who feels like I do.
2. My husband says I worry far too much about the dog and that I need to relax.
3. My sister thinks I've taken years off my life with worry.

Then, I come on the board and read and see that I don't know the half of it!

All I can say is I'm so sorry Amy. I'm sorry for eveyone who goes through this. I hope that you come to an understanding of what you can do to help Maggie May without driving yourself to distraction. I hope you come to this balance far quicker than I did.

The support here will help you as will the knowledge. Natalie and Patty have helped me so much.

I've been at this for 3 years and when I get particularly frustrated and sad I remember what Natalie told me several years ago..... "so be it"

Natalie - those three words have been a life saver for me more than once! Listen to Carol and "breathe". The fact that you came here means you can do this.

Good luck to you Amy and to your precious Maggie May!
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Old 11-23-2010, 07:07 AM
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Default Re: New Member: 10 yr old JRT Maggie May

Quote:
Originally Posted by AmyMiller24 View Post
Good morning! I just saw the comment below about blood sugar levels fluctuating after flea/worm medicine. Everything with Maggie May had been going swimmingly until last week. On Monday, November 15, I gave her her montly Heartguard Plus medicine. Over night Wednesday, we awoke to severe diarrhea in 3 carpeted rooms. Could the dewormer and diarrhea be related? Or did Maggie May just get a hold of something in the yard. We have an isolated farm house, constantly visited by deer.
Either is possible, but I'd guess with her sensitive stomach the Heartguard Plus may have been the culprit. Are you using the flavor chew?

You might consider talking to your vet about using Interceptor instead. It's more of a chewable tablet without the added flavor ingredients in the Heartguard beef-type chew.
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