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  #41  
Old 09-27-2017, 09:49 AM
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Raysaint Raysaint is offline
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Default Re: Mollie's Story

Being she's at 6 units now, and with that low 98 number, maybe cut her back to 5.5 or 5.0 units. Even tho the other numbers are still a bit high, too much insulin can be difficult for the body to use properly consistently, and that can cause those big swings. Cutting back a bit may help level things out.

That sweet spot dose can be within a fraction of a unit. My dog has been getting 7.8/7.9 units I'll say, but nadir was still a bit higher than I like. I gave him a full 8.0 units the other day and his nadir was 21.0 (375), when it's been at 190. May have been an anomaly, but it makes you wonder.
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Riley, 8 yr. old maltipoo, 25 lbs., diagnosed Feb 2017, taking thyroid meds, had pancreatitis and DKA mid March, eating Wellness Senior formula can food. NPH dosage now at 9.0 units Humulin N. Adding either pumpkin, spinach, blueberries, yams, or green beans to his food. Also omega-3 oil.
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  #42  
Old 09-29-2017, 07:55 PM
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KathyLindly KathyLindly is offline
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Default Re: Mollie's Story

Thank you everone for your responses.. saw the vet today and we are scheduled for some tests on Tuesday to check for any underlying medical issues. The curve yesterday was not good
6 am 496
8 am 639
9 am 598
10 am HI >750
11am 622
12 pm 517
2 pm 548
4 pm 551
6pm 571
Has anyone who switched from Humulin to Novolin experienced issues with having to modify the dose?
The tech checked the meter, Alphatrack2 again today and i used the test solution 2 times yesterday so i am comfortable that the meter is OK. The vet advised to leave her at 6 units until Tuesday but to spot check her glucose around noon a d midnight, 6 hours after insulin.
I could tell that she was not feeling well yesterday lethargic and not interested in anything, today she is almost like her pre diagnosis self.
She is fed the same meal everyday at 12 hour jntervals and i have been using a scale to weigh her food to ensure the 1/2 can is exactly the same at each meal. I am hoping that jt is the dose that must be modified and no other medical condition
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Miss Mollie, rescue pup, Malti-Poo, 12 years old, 10 pounds, diagnosed on 4/3/2017
She is eating Hills w/d, kibble 1/4 c green beans, 1 tbsp Pumpkin 2X a day, insulin is Novolin currently at 6 units 2X a day
Using AlphaTrack2 for home testing
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  #43  
Old 10-13-2017, 12:08 PM
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KathyLindly KathyLindly is offline
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Default Re: Mollie's Story

Mollie had a complete work up, there is no underlying condition, no infection, pancreatitis, cushings, complete blood panel with nothing out of the acceptable range. The vet indicated that she thought it may be rebound and to reduce the insulin to 4 units 2X a day and do a full curve in 7 days,

She is eating 1/2 c of Hills w/d, 16 pieces of Hills w/d kibble and 1/4 cup of frozen green beans at 12 hour intervals 6 AM/PM insulin injection (Novolin N) immediately after she finishes her meal.

This curve looks much better to me but I am a bit concerned about the 85 at 4 PM, she had been playing with toys and chasing them down the hall between the 2 and 4 test. Could that exercise have caused the drop, it was actually the first time since she was diagnosed in April that she wanted to play.

6 AM 130 fasting
8 AM 193
10 AM 186
12 PM 161
2 PM 104
4 PM 85
6 PM 201

I really appreciate all of you comments and knowledge hopefully one day I will be in a position to help others through the initial process of trying to regulate diabetes.
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Miss Mollie, rescue pup, Malti-Poo, 12 years old, 10 pounds, diagnosed on 4/3/2017
She is eating Hills w/d, kibble 1/4 c green beans, 1 tbsp Pumpkin 2X a day, insulin is Novolin currently at 6 units 2X a day
Using AlphaTrack2 for home testing
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  #44  
Old 10-13-2017, 12:34 PM
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jesse girl jesse girl is offline
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Default Re: Mollie's Story

yes exercise can have a big affect on blood sugar and it can be dramatic depending how active insulin is

its possible you may have to lower the dose even further depending how the numbers go

glad mollies feeling better sometimes that can be a clue that you are doing something right
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Jesse-26 lbs - 15 years old - 9.5 years diabetic - one meal a day homemade and a vitabone snack - 3 shots of Novolin a day sometimes Novolog or r as a correction to higher sugar but that is rare. total insulin for a 24 hour period is between 8 and 10 units of NPH insulin depending on her fasting number
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  #45  
Old 10-13-2017, 02:27 PM
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Default Re: Mollie's Story

The exercise could cause the drop between 2 & 4, however, because the rest of the curve is so good, maybe a carb treat mid afternoon would help compensate for the exercise.
I'm just worried if you reduce the dose, all the other numbers could rise. If the low sugar is just caused by exercise, compensate for that. It's also what we humans do before exercise.
If she has lows without exercise, then a slight dose decrease might be in order.
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Riley, 8 yr. old maltipoo, 25 lbs., diagnosed Feb 2017, taking thyroid meds, had pancreatitis and DKA mid March, eating Wellness Senior formula can food. NPH dosage now at 9.0 units Humulin N. Adding either pumpkin, spinach, blueberries, yams, or green beans to his food. Also omega-3 oil.
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  #46  
Old 10-13-2017, 03:23 PM
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MikeMurphy MikeMurphy is offline
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Default Re: Mollie's Story

The exercise certainly could have caused the drop to 85. The 100 at 2:00 pm really doesnít give you enough of a safety factor to compensate for a BG drop due to exercise or any other factor.

I think you have room to drop her insulin dose by .5 unit and then do another curve in 5 to 7 days. Her nadir should come up a bit and hopefully her fasting numbers and the rest of the curve will look good.

Youíre getting very close
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Lily is a 62 lb English Setter, born 07-27-2007.
Diabetes: Aug 2013 - Hypothyroidism: Dec 2013 - Cataract Surgery: Feb 2014
Insulin: Novolin R/N mix - Meter: ReliOn Prime
Nulo Adult Trim Cod & Lentils, Pumpkin, FortiFlora, Dasuquin, Thyroxine
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  #47  
Old 12-02-2017, 08:54 AM
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KathyLindly KathyLindly is offline
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Default Re: Mollie's Story

Hi,
The vet has recommended that I go back to using Humulin for Mollie, these were her numbers in June before switching to Novolin N, the absolute best that she has ever had.
We have gone up to 6 unit 2x a day, and backed slowly from 6 to 4 units. My vet consulted with a specialist and she also recommended switching back to Humulin at 4 units 2X a day which I will do beginning today.

4 units of Humulin 2X a day
6 8 10 12 2 4 6
9-Jun 137 164 192 343 296 296 209


Her numbers since the switch have been all over the place, these are the results of 4 consecutive day tests

23-Nov 453 592 579 312 453 579 312
24-Nov 684 308 245 206 308 312 579 308
25-Nov 558 493 369 297 301 147 199
26-Nov 370 443 389 242 291 332 499

Has anyone else had a problem switching from Humulin to Novilin ? She does not have any underlying condition and was tested for pancreatitis and cushings. She does not exhibit any symptoms, negative for keytones, +1 for glucose in her urine, no excessive drinking or peeing.

Hoping that the return to Humulin will work for her but the expense is crazy. Yesterday, $81 for 3ml bottle of Humulin at Walgreens, Walmart does not carry the small bottle only the 10 ml for $161. Does anyone have a
suggestion for a less expensive place to buy Humulin?

Her diet has stayed the same 1/2 c of Hills w/d 1/4 c frozen green beans 2X a day 6 am and 6 PM I weigh and measure everything that she eats
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Miss Mollie, rescue pup, Malti-Poo, 12 years old, 10 pounds, diagnosed on 4/3/2017
She is eating Hills w/d, kibble 1/4 c green beans, 1 tbsp Pumpkin 2X a day, insulin is Novolin currently at 6 units 2X a day
Using AlphaTrack2 for home testing
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  #48  
Old 12-02-2017, 09:15 AM
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jesse girl jesse girl is offline
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Default Re: Mollie's Story

the curve you posted on the 13th looked pretty good

my jesse has always been a bit erratic over her diabetic life .we switched her from novolin to humulin and back to novolin without a change in her regulation this was do to walmart switching there manufactures for there relion brand so we changed with them and most others at the time on the forum did also and i dont believe anyone switched back do to problems with the change

i dont think there is much to do with the price just have to hunt around and maybe find a discount

hope the switch helps
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Jesse-26 lbs - 15 years old - 9.5 years diabetic - one meal a day homemade and a vitabone snack - 3 shots of Novolin a day sometimes Novolog or r as a correction to higher sugar but that is rare. total insulin for a 24 hour period is between 8 and 10 units of NPH insulin depending on her fasting number
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  #49  
Old 12-02-2017, 12:31 PM
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KathyLindly KathyLindly is offline
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Default Re: Mollie's Story

Quote:
Originally Posted by jesse girl View Post
the curve you posted on the 13th looked pretty good

my jesse has always been a bit erratic over her diabetic life .we switched her from novolin to humulin and back to novolin without a change in her regulation this was do to walmart switching there manufactures for there relion brand so we changed with them and most others at the time on the forum did also and i dont believe anyone switched back do to problems with the change

i dont think there is much to do with the price just have to hunt around and maybe find a discount

hope the switch helps
I know I was so hopeful that we were on the right track after that curve and one week later back to hi 650 and low 0f 376 and since that time all over the place, very much like the ones that ZI posted today.
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Miss Mollie, rescue pup, Malti-Poo, 12 years old, 10 pounds, diagnosed on 4/3/2017
She is eating Hills w/d, kibble 1/4 c green beans, 1 tbsp Pumpkin 2X a day, insulin is Novolin currently at 6 units 2X a day
Using AlphaTrack2 for home testing
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  #50  
Old 12-02-2017, 06:22 PM
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farrwf farrwf is offline
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Default Re: Mollie's Story

Don't recall anyone having big problems with switching from Humulin to Novolin, or vice versa. I'd try another vial of the Novolin before throwing in the towel on Novolin and start paying $161.00 for 10 ml of insulin instead of $24.88. Could there be an infection playing in the background??
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Otis Farrell dx'd 12/10, best friend to his dad, Bill, for over 14 years. Left this world while in his dadís loving arms 10/04/13. Sonny Farrell dx'd 1/14, adopted 5/15/14. Left this world while in his dad's loving arms 9/06/16. Run pain free, you Pug guys, til we're together again.

Last edited by farrwf; 12-02-2017 at 06:27 PM.
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