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  #101  
Old 04-26-2010, 07:54 PM
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Patty Patty is offline
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Default Re: Jessie, Min schnauzer just dx-ed

So to recap Jessie's curve history:

4/5/10 she had 6 units at 7 am

8 am 570
11:30 am 362
1:30 pm 398

increased to 8 units for next week

4/12/10 she had 8 units at 7 am

9 am 552
11 am 560
1 pm 580

4/26/10 I wonder what time she got food/insulin if she was supposed to be there at 7:15 for a fasting blood draw and it's usually given at 7am?

10 units

8 am 530
10 am 480
12 pm 402
2 pm 458

told to increase to 12 units

I'm a bit amazed too Kim. Glad she's not having large swings in blood sugar like the 1st curve which swung 200 points. I wish they'd gotten a 4pm reading. Is her food still the same?

What state are you in Kim? I will tell you my experience with an IMS at KState was that they were kind and concerned with my dog's diagnosis. But as far as philosophy, when I was there in '08 they didn't put a lot of stock in curves. I was told by the IMS that curves vary too much from day to day even under the same circumstances and with the same person so they rely on fructosamines.

They also discouraged me from home testing, but in the case I would need to know her blood sugar in an emergency or to get an idea how things were going they agreed to help me get blood from her for my meter. However, the best we could do was scratch her ear with a large gauge needle in the attempt. This was early on, like a week after diagnosis and I hadn't found the boards here yet.

I'm still not in favor of increasing 2 units at once in a small dog as a general rule. I do hope they slow down as she comes into better range. I can't remember Kim, has she had high triglycerides at all? That would effect blood sugar. It's just surprising with the 300s we'd seen on 6 units.

Glad Jessie is feeling good in general!
Patty
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  #102  
Old 04-26-2010, 08:02 PM
frijole frijole is offline
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Default Re: Jessie, Min schnauzer just dx-ed

I am in Nebraska. K State sends specialists to Omaha once a month for appts. Not sure if he phone there or to K State. I also don't know any details of the qualifications on who he talked to.

I asked them multiple times to get a copy of the blood test that was done but didn't get one. My mom did ask about triglicerides and he said they were normal.

It is also strange because that first reading was when I am sure my stepdad was still feeding her lots of treats (feeling sorry for her). Now she's on green beans.

Should be interesting... I have to take my newly diagnosed cush dog in for testing tomorrow. I'm bringing him several articles to read.

I'll keep you posted on Jess. Thanks, Kim
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  #103  
Old 04-27-2010, 01:02 AM
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BestBuddy BestBuddy is offline
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Default Re: Jessie, Min schnauzer just dx-ed

Kim,

Those numbers are not improving and they don't jump around much but the insulin just does not seem to be kicking in.

You have probably said but what is Jessie eating?

Are they giving the injection straight after the meal?

Another thing which we all forget to check is the insulin being mixed before being drawn up. Rolling the vial (not shaking) gets the suspended insulin mixed and have you checked that the syringes are U100 for the "N" insulin.

Also are they drawing up the right amount (without air bubbles) and finally is it being injected correctly just under the skin?

Sometimes the basics get forgotten so I just thought I would mention them.

Something is not right because raising the insulin is not helping so I just hope it is something easy and it can be fixed soon.

Jen
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  #104  
Old 04-27-2010, 02:17 AM
AlisonandMia AlisonandMia is offline
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Default Re: Jessie, Min schnauzer just dx-ed

Couple of other questions: How is the insulin being stored - in the fridge but not getting frozen? (Insulin is delicate stuff with a delicate structure and it is easily "broken" and degraded.) Did the vet use the same vial as was being used at home?

Alison
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  #105  
Old 04-27-2010, 05:19 AM
frijole frijole is offline
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Default Re: Jessie, Min schnauzer just dx-ed

Quote:
Originally Posted by BestBuddy View Post
Kim,

Those numbers are not improving and they don't jump around much but the insulin just does not seem to be kicking in.

You have probably said but what is Jessie eating?

Are they giving the injection straight after the meal?

Another thing which we all forget to check is the insulin being mixed before being drawn up. Rolling the vial (not shaking) gets the suspended insulin mixed and have you checked that the syringes are U100 for the "N" insulin.

Also are they drawing up the right amount (without air bubbles) and finally is it being injected correctly just under the skin?

Sometimes the basics get forgotten so I just thought I would mention them.

Something is not right because raising the insulin is not helping so I just hope it is something easy and it can be fixed soon.

Jen
Iams Minichunk Proactive Health

Crude protein 25% minimum
Fat 14% min
Fiber 4% min
Moisture max 10%
Omega 6 2.5%
Omega 3 .17%

--------
Every time I have been there, yes right AFTER the meal
-----------
Unknown if he mixes it up and no I didn't confirm the syringe but he did buy them at the same time. I forwarded your questions to my mom.
---------
He scrunches the skin around the neck and inserts there. He does check the amount (though he is in his 70s) I know he checks for bubbles too

Thanks Jen.
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  #106  
Old 04-27-2010, 05:23 AM
frijole frijole is offline
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Default Re: Jessie, Min schnauzer just dx-ed

Alison I know it is refrigerated - the vet asked them that after week 2 to be sure. I believe that they brought in a syringe for the injection yesterday along with the food.
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  #107  
Old 04-27-2010, 11:29 AM
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k9diabetes k9diabetes is offline
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Default Re: Jessie, Min schnauzer just dx-ed

There are, rarely, dogs that do not respond at all to human insulin. Kathy's Lucky was one. Jessie's dose isn't high enough yet that I'm necessarily deeply concerned but it's heading in that direction. If she gets up into 17-18 units and the blood sugar still hasn't budged, I would definitely be concerned.

I have also seen a few small dogs who just need a lot of insulin to regulate and maybe Jessie will be one of those.

But...

This picture just doesn't make sense... it seems odd to me that she's stopped urinating in the house even though her blood sugar is still so high.

I wonder if she could be stressing at the vet and that's artificially raising her blood sugar?

It doesn't happen all that often with dogs, not nearly so much as cats, but it is a possibility.

This is one time where a fructosamine test might help confirm or put to rest the possibility that her blood sugar at home is different than her blood sugar at the vet.

I sure you wish you had your hands on that dog... something here is not right but I don't know that from such a distance we will be able to figure out what it is.

Natalie
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  #108  
Old 04-27-2010, 04:47 PM
frijole frijole is offline
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Default Re: Jessie, Min schnauzer just dx-ed

Nat, appreciate your thoughts as always. I am torn because I can only get so involved yet my heart goes out to Jess. My mom replied that no Jess did NOT go in early (I swear my stepdad told me he was opening up early and thus my post) and she had her food and shot before going in and thus the 8 am reading.

She said that the vet said it wasn't necessary to do a whole days curve but he would if they wanted him to.

I took my dog in for an acth test for her cushings today and didn't see the vet but the front desk was "ice cold". This is not going to be fun. Kim
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  #109  
Old 05-03-2010, 04:55 PM
frijole frijole is offline
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Default Re: Jessie, Min schnauzer just dx-ed

Update on Jessie's latest curve at the end. Progress?

4/5/10 she had 6 units at 7 am

8 am 570
11:30 am 362
1:30 pm 398

increased to 8 units for next week

4/12/10 she had 8 units at 7 am

9 am 552
11 am 560
1 pm 580

4/26/10 she had 10 units at 7am

8 am 530
10 am 480
12 pm 402
2 pm 458

increased to 12 units

5/3/10 she had 12 units at 7 am

9 am 225
11:45 am 172
1:45 pm 108
4:30 pm 414

Dosage stays the same for 2 weeks and then another curve check

Kim
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  #110  
Old 05-03-2010, 05:09 PM
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peggy0 peggy0 is offline
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Default Re: Jessie, Min schnauzer just dx-ed

Well the numbers between 10 and 12 are quite different. I'm a little concerned about the 108 to 414 and wondering if she dropped too low in between. If it were me, I'd go to 11 and spot check her.
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