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  #21  
Old 05-02-2019, 01:44 PM
Riliey and Mo Riliey and Mo is offline
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Default Re: Diagnosed today - lots of confusion and questionable veterinary visit/info

Okay glad you got the animal meter. You can now control Beau blood sugar
Start slow start testing before he eats and injection
Then wait 2 hours test again
Post his numbers here okay along with what he eats. How much. When u walk him but not far at first
Start a log book for him
Keep it simple starting your journey

Ps. You just changed the dose so wait a week to do a full curve
Spot check and post here for now
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Riliey . aka Ralphy, Alice, Big Boy
20 lb male 17 yrs. black cockapoo, dx Apr 2012 . 5 1\2 yrs diabetic. 2002 to 2017

Last edited by Riliey and Mo; 05-02-2019 at 01:46 PM.
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  #22  
Old 05-02-2019, 04:04 PM
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MikeMurphy MikeMurphy is offline
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Default Re: Diagnosed today - lots of confusion and questionable veterinary visit/info

Quote:
Originally Posted by Beau1 View Post
Do we really need to wait a few more days to do a curve? We went to the vet last Thursday, and following their orders, we gave her 1 unit insulin twice a day, spaced 12 hours apart. We were supposed to come in to the vet's today so they could do her glucose curve all day, but I cancelled that appointment and said we'll do it ourselves.
Glad you’re home testing now and yes, you need to wait a week before you do a 12 hour curve. It takes a dog’s body 5 to 7 days to adjust to any change in insulin dose. Remember that getting a diabetic dog regulated is a marathon, not a sprint. It takes time and patience. Don’t be tempted to increase too early.

Also... it is recommended that you only increase insulin in .5 unit increments for a small dog.

If insulin is increased too quickly or in big increments, you could inadvertently go beyond the proper dose and go into Somogyi Rebound (big swings in BG).

As Riliey and Mo suggested, post your spot checks and curves here. Especially with the curves, we can help you interpret them.
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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

Last edited by MikeMurphy; 05-02-2019 at 07:33 PM.
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  #23  
Old 05-03-2019, 05:48 AM
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Raysaint Raysaint is offline
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Default Re: Diagnosed today - lots of confusion and questionable veterinary visit/info

By general sugar levels, I meant the range between highs and low. If the whole 12 hours is on the high side, you’re safe to increase.

Vets here in Canada start the dose at 0.5 units per kilogram of weight. A kilogram is 2.2 lbs. And starting doses are usually pretty conservative.

The 2 units is very conservative I would expect.
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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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  #24  
Old 05-27-2019, 07:18 PM
Beau1 Beau1 is offline
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Default Having trouble drawing enough blood w/o hurting her; how do I curb her hunger?

Thanks for your responses.

We've had a lot of trouble using the Alpha Trak 2. I've looked online and watched several YouTube videos. We're still having trouble getting enough blood without my hurting our dog.

I saw a video where the guy drew blood from his dog's upper paw pad - one that doesn't touch the ground. That's the only time I was able to draw enough blood from my dog - but she looked very hurt. Her reading that time was almost 600. So we've increased her insulin dose to 2.5 units twice a day, spaced 12 hours apart.

My AlphaTrak's lancet device seems broken - whenever I push the button, the little top area falls out. So I've been trying to just use the little lancet freehand.

I've tried piercing Laika's ears - but she always looks hurt. I try to push the lancet in just a bit to minimize the hurt, but then not enough blood comes out.

I do always try to warm up the area with a heated rice bag or by rubbing her ears between my hands. But I've still been unable to draw enough blood, and she still looks hurt.

-------

Her health seems greatly improved from before. She's taken all 21 days of her UTI antibiotic.

She still seems hungry all the time, though. Another question - what can we feed her that's good for her, but that can curb her hunger? She's been getting Taste of the Wild canned food in the morning and at night, her old premium kibble throughout the day, and some healthy human food, like vegetables or a bit of fruit.
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  #25  
Old 05-27-2019, 09:26 PM
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jesse girl jesse girl is offline
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Default Re: Diagnosed today - lots of confusion and questionable veterinary visit/info

If blood sugar is high there wont be any amount of food that will subdue hunger as food is not processed very well into the body with high sugar

Its best to stay the course and do a complete curve once a week and adjust the dose based on the lowest number within that curve

I test jesse on her inner lip and at the beginning jesses vet at the time thought i was cruel but letting her suffer through high sugar is much worse than the small discomfort from testing

Now jesse gives me a kiss after testing her inner lip and probably have done it 10,000 times or more

There are simple protocols to follow and not doing them prolongs the regulation process . Once regulation is complete than you may have a bit more flexibility
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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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  #26  
Old 05-28-2019, 05:55 AM
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DebEsco DebEsco is offline
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Default Re: Having trouble drawing enough blood w/o hurting her; how do I curb her hunger?

I highly recommend the Genteel lancing system. Costs about $100 on Amazon, and there are videos of dog owners using it. You shave a tiny area on each side of base of tail (see their videos). Heat the area with beans tied in an old sock, which has been heated in microwave till comfortably warm not hot. You could use a heating pad as well. Use the Genteel, which has a plunger and tiny vacuum pump. Vaseline on the plastic rim helps make a good seal. It helps draw a drop to surface. Other than jumping a bit when lancet lets go (I think it’s the noise of that, not pain) my dog is comfortable while I count to 20 and let the vacuum do it’s work. And I always get a drop using this. On the ears, it’s a guessing game if I will get a drop or not.

One thing my diabetic cousin taught me: not all lancing devices, nor lancets, are equal. I have about a dozen lancets that I experimented with. I like the blue AlphaTrak lancets the best but did not like their device. I use the Care Touch device on ears. I also use the orange lancets that come with the PetSure strips that work in AlphaTrak but are half the price of the AlphaTrak strips, and come with 100 orange lancets. Whatever testing strips you use, make sure you adjust the AlphaTrak for the strip numbers. PetSure number is 20.

I’ve also used the sock to heat the ears before drawing there, but don’t use Genteel on that, just a normal lancing device. After heating, holding a flashlight with a wide surface behind the ear helps to see the blood vessels. I hold it there while I draw the blood. Stick to the blood vessels around the outside margins if you can, those work best and are least painful for the dog. The closer you get to the ear canal, the more painful. If I’m doing a two hour curve for a day, I rotate the sites between two sides of butt and two ears.

I experimented with saliva test strips, hoping I wouldn’t have to draw blood, but it was not reliable and ranged about 50 points different from blood test. My vet discouraged testing urine bcuz the sugar in urine would be a few hours behind where the dog is currently.

My dog won’t let me do lip and there are not big enough pads on his tiny feet. I would think pads would be most painful site.

The more practice you get the easier it will be. I give a diabetic friendly treat after, a tiny bit of freeze dried meat or all turkey jerky (no sugar). Good luck. Let us know how it goes.

Deb
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Romeo, toy poodle dx diabetic Feb 2019. Natural Balance L.I.D. Sweet Potato Bison, Whole Life freeze dried turkey snacks. Vetsulin 2 units in am, 1.5 units pm, every 12 hrs. Ocu-Glo supplement to hopefully slow the growth of his cataracts. Bladder support (cranberry and d-mannose).

Last edited by DebEsco; 05-28-2019 at 06:12 AM.
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  #27  
Old 05-28-2019, 05:59 AM
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Raysaint Raysaint is offline
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Default Re: Diagnosed today - lots of confusion and questionable veterinary visit/info

Another place to get blood is on either side of the base of the tail, on the haunches. You may have to freehand lance it, or buy larger size lancets. And you can buy just a better lancet device. I use the Softclix by Accu Chek.
If you contact them they may send you one. Just email them and tell them you lost yours. They've sent me devices, caps, anything I requested.

I agree the Alpha lancet device is pretty basic. They use the same one even for their human meters.
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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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  #28  
Old 06-10-2019, 06:11 PM
Beau1 Beau1 is offline
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Default Re: Diagnosed today - lots of confusion and questionable veterinary visit/info

Laika seemed to be doing better for awhile. But in the past couple of days, she started urinating in the house again. And this time, her urine is sticky - before she got the insulin, her urine was clear and not sticky at all. What does this mean?

Also, I'm afraid her urinary tract infection might be back - I see her licking her genital area, and there seems to be something like pus or clear stuff coming out of it.

We've been having a heat wave the past couple of days - it's usually cool year-round here. She's been panting a lot, but she's not drinking that much water. Maybe it's because of the very hot weather, but she's not hungry as she usually is. She's breathing rapidly and panting a lot right now. Her tongue and gums have turned a little purplish. Her underside is purplish-reddish, when it's normally not much of a color at all .

We just did her glucose, and it was 593. She got her 2.5 units of insulin just 20 minutes earlier. Then I gave her another .5 units of insulin. Is it safe to increase her insulin by a full unit, or should we just increase by .5 unit?

She's 12-14 pounds and she's a chihuahua mix.

Last edited by Beau1; 06-10-2019 at 07:59 PM.
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  #29  
Old 06-10-2019, 07:10 PM
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jesse girl jesse girl is offline
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Default Re: Diagnosed today - lots of confusion and questionable veterinary visit/info

Insulin adjustments should only be done based on complete curves

Urination without drinking water may not be caused by high sugar because you should see both . Puss could point to a uterus infection which can be life threatening if your dog is intact female . My jesse was rushed for emergency surgery with this diagnosis when this all began over 9 years ago

It does sound like you are seeing some sort of infection . if not drinking with high heat and urinating more can lead to dehydration and that something to be concerned about
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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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  #30  
Old 06-10-2019, 08:04 PM
Beau1 Beau1 is offline
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Default Re: Diagnosed today - lots of confusion and questionable veterinary visit/info

Quote:
Originally Posted by jesse girl View Post
Insulin adjustments should only be done based on complete curves

Urination without drinking water may not be caused by high sugar because you should see both . Puss could point to a uterus infection which can be life threatening if your dog is intact female . My jesse was rushed for emergency surgery with this diagnosis when this all began over 9 years ago

It does sound like you are seeing some sort of infection . if not drinking with high heat and urinating more can lead to dehydration and that something to be concerned about
We still hadn't done a complete curve because we've had so much trouble getting enough blood from her to do a reading. She always struggles when I try to prick her, and she shakes, too.

Today was extremely hot, maybe well over 100 degrees outside. It's normally a high of 50-60 degrees outside in my area. I think we were able to get enough blood from her ear today because it was unusually hot.

She's a spayed female.

Last edited by Beau1; 06-10-2019 at 08:20 PM.
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