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  #51  
Old 03-14-2018, 12:20 PM
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jesse girl jesse girl is offline
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Default Re: Hershey

Quote:
Originally Posted by Phyllis Diot View Post
But she is on vetsulin. I will try and get a test done on her early morning run timeframe and see what it shows, but with the recent change from 20units down to 15 just started last night may be hard to tell anything at this point.
Thats another choice you may have if you do not get the results you look for to move to another insulin like NPH

Its going to take a week for the dose to settle and get a true result of the adjustment lower

Now if you see any diabetic symptoms returning or degrading it may point to the dose not being enough and rethink your options
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Jesse-26 lbs - 14 years old - 9 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 6 and 8 units of NPH insulin depending on her fasting number
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  #52  
Old 03-14-2018, 02:15 PM
Phyllis Diot Phyllis Diot is offline
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Default Re: Hershey

Okay, will be back I am sure. fingers and paws crossed.
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  #53  
Old 03-17-2018, 08:33 PM
Phyllis Diot Phyllis Diot is offline
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Default Re: Hershey

OK, not been a week yet but did a good curve and want thoughts. Vet dropped her to 15 units on Tues. so first lower dose was not until Tues night. So been Tues night, and Wed thru today. Here is what I got:
yesterday :
536pm 332 before food and insulin
700pm 2c dry and chicken cubes and green beans
720pm insulin 15units
1102pm 512
early morning:
150am 536
900am 342
905am food (over slept) same food
910am insulin 15 units
940am walk 1.5 miles
1125am 503
130pm 466
330pm 406
530pm 415
655pm food (same)
705PM insulin 15 units
1020pm 494
So I think we can rule out the somogyi effect. But after having a curve with all numbers in the 300 range except one this makes me nervous. Vet wants to keep it at 15 units for the two weeks and said not to adjust dose without his approval. And always closed over the weekend. Will spot check again to insure it doesn't get worse.

Last edited by Phyllis Diot; 03-18-2018 at 06:24 AM. Reason: additional info
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  #54  
Old 03-18-2018, 08:38 AM
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jesse girl jesse girl is offline
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Default Re: Hershey

Usually i dont like to comment on something until the prescribed time has been exercised . I can understand the desire to see how things are going but a dose needs time to settle to get a true understanding of how it will work . We have seen some dogs need 2 weeks for a dose to see its true colors

Now this curve will be helpful for a comparison after the week is completed and that curve is done . You maybe able to draw a better conclusion between the 2 when its completed .

If diabetic symptoms return than you may want to do an increase sooner but if all is normal steady she goes with the program
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Jesse-26 lbs - 14 years old - 9 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 6 and 8 units of NPH insulin depending on her fasting number
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  #55  
Old 03-18-2018, 10:22 AM
Phyllis Diot Phyllis Diot is offline
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Default Re: Hershey

Thank you. I was planning on waiting unless I see things get worse as far as numbers climbing.
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  #56  
Old 04-22-2018, 11:10 AM
Phyllis Diot Phyllis Diot is offline
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Default Re: Hershey

It's been a while since I have posted. Since Nov. Hershey has been on vetsulin anywhere from 17 units up to 23 back to 17, down to 15 and back to 17. Still not regulated. Vet took her record to a specialist to consult with him. Wed morning we changed to 8 units NPH. I am to take two curves within two weeks and call them in. Now I know it has only been 4.5 days thus far but her glucose has gone up with all varying spot checks. Lowest in mid 400 range and highs in low 600 range. Never a good thing. I think I will be giving him a call tomorrow. Any thoughts?
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  #57  
Old 04-22-2018, 12:16 PM
Lolo Lolo is offline
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Default Re: Hershey

Since you just changed insulin from Vetsulin to NPH it may take some time to get to the right dosage. 8u is probably the starting dosage for your pupís weight. You may have to just do a slow and steady increase of no more than 1u or .5u every week based on a curve after being at that same dose for a week. I know itís a frustratingly slow process and itís torture seeing high numbers, but thereís no easy answer to finding the right dosage. My vet raised my dogís dosage WAY too fast taking big jumps in the first month and it totally set everything back.
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  #58  
Old 04-22-2018, 12:35 PM
Riliey and Mo Riliey and Mo is offline
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Default Re: Hershey

I switched from to nph also. its recommended to start nph a at a lower dose because its more concentrated. dropping back to 8 units is to low. recommended starting dose for a 67 lb dog is 13 units

I.d o up to at least 11 units wait 5 days tdo a curve with spot checks during the day
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  #59  
Old 04-22-2018, 12:41 PM
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Default Re: Hershey

It is tough to do but maybe a reset will be good to get on the right track. I know we probably asked before, but what are you currently feeding?

You might want to get some of those ketone urine test strips if the numbers get too high. If ketones are present, action would need to be taken.

I know you are frustrated but keep in mind that many dogs have had higher range blood sugar and still lead normal lives. You do the best you can.

Have they ever checked for possible resistance issues like thyroid function? Just a thought.
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  #60  
Old 04-22-2018, 01:28 PM
Phyllis Diot Phyllis Diot is offline
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Default Re: Hershey

Thanks everyone. Yes I was thinking too low of dose as well because my pre calculation came out to about 12 units, but will call vet in morning and see if we should make a move up to say 9 units for a week. She is eating Beneful healthy weight with sometimes a little beneful grain free mixed in. Also try to toss in a little chicken tender a couple times a week.
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