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  #1  
Old 09-24-2017, 02:30 PM
Jbeemer2 Jbeemer2 is offline
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Question First curve/more of a flat line

Hi! I'm new to the forum and my 10 year old lab mix, Toby, is newly diagnosed. I'm testing with Alphatrac2.
Toby eats 1 cup Taste of the Wild, 2 eggs, 1/4 cup chicken breast, and 3/4 cup of green beans twice a day.
He was on 13 units of Vetsulin (originally started on 9 and worked up slowly to 13 over the last 2 months going off the urine testing strips per the vet.

Last night after the curve I backed him down to 9.5 units because the curve looked wrong; I thought it was rebound or somogyi. Am I wrong? I just want to get Toby regulated soon.
P.s. I haven't tested him today because I just got home.

9-23-17
7:20 am - 328 fasting. Then fed and gave 13 units Vetsulin
9:20 am - 496
11:20am - 466
1:20 pm. - 488
3:20 pm.-493
5:20 pm - 483
7:20 pm - 490. (Fed and gave 9.5 units after seeing the "curve")
9:20 pm - 490

Thanks for your help!
Jennifer
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  #2  
Old 09-24-2017, 03:31 PM
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MikeMurphy MikeMurphy is offline
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Default Re: First curve/more of a flat line

Hi and welcome to the forum.

What is Toby's weight.

At first glance that doesn't look like rebound because it is a very flat looking curve after the jump at 9:20, and the high numbers would imply that he needs an insulin increase.

Do you have a prior curve that you can post.
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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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Old 09-24-2017, 03:45 PM
Jbeemer2 Jbeemer2 is offline
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Default Re: First curve/more of a flat line

Thanks! Toby weighs 53 pounds. It is the first curve I've ever done. I just got my supplies Friday.

Toby's first fasting BG at the vet was 526 6ish weeks ago. If that matters.

Also, how soon can I do another curve or are a few
carefully chosen timed BG readings ok?

Last edited by Jbeemer2; 09-24-2017 at 03:47 PM.
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Old 09-24-2017, 04:06 PM
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MikeMurphy MikeMurphy is offline
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Default Re: First curve/more of a flat line

Quote:
Originally Posted by Jbeemer2 View Post
Thanks! Toby weighs 53 pounds. It is the first curve I've ever done. I just got my supplies Friday.

Toby's first fasting BG at the vet was 526 6ish weeks ago. If that matters.

Also, how soon can I do another curve or are a few
carefully chosen timed BG readings ok?
A conservative starting insulin dose for a 53 lb dog would be 53 x .20 = 10.6, or 10 units every 12 hours. So your vet did a good job starting him at 9 units.

How long has Toby been on 13 units? After increasing insulin, It's good practice to wait 5 to 7 days, do a curve and then evaluate the results, increasing by .5 or 1 units and repeating the process until the low BG reading is in the mid 100s.

In between curves you can spot check at fasting and mid day.

Good job with the home testing
__________________
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; 09-24-2017 at 04:15 PM.
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  #5  
Old 09-24-2017, 04:19 PM
Jbeemer2 Jbeemer2 is offline
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Default Re: First curve/more of a flat line

Toby has been on 13 units for 2 weeks now. The vet told me to test with the urine strips and keep adjusting every 5-7 days. I got really nervous because I've never seen a middle of the road reading on the diastix when I test him. They're always the darkest color. I got my nerve up and ordered the blood testing supplies last week. Using the Genteel it's a piece of cake to test him.

I appreciate your advice! I'll go ahead and bump him up to 14 units tonight and test him before bed.

I'm wanting to switch to the Walmart brand of the "N" insulin. Thoughts on that? The Vetsulin is pretty pricey.
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Old 09-24-2017, 06:34 PM
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Raysaint Raysaint is offline
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Default Re: First curve/more of a flat line

If the curve in your first post is after being on 13 units, he's ready for an increase to 14. Test him with the Alpha, not sure why your vet said to use the pee strips. You need numbers.
Leave him on 14 for a week, then do a curve. But you can spot check fasting sugars, and midday just to watch any nadir changes.

Pretty sure the N insulin would be Ok. Many use it.
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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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Old 09-24-2017, 06:46 PM
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CraigM CraigM is offline
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Default Re: First curve/more of a flat line

Quote:
Originally Posted by Jbeemer2 View Post

I'm wanting to switch to the Walmart brand of the "N" insulin. Thoughts on that? The Vetsulin is pretty pricey.
just remember you must also switch syringes to U-100 syringes to use with Novolin-N. This is good because U-100 syringes are available at any pharmacy, unlike the U-40 syringes used with Vetsulin. 100 syringes at Walmart is $12. You can also get shorter length needles on the U-100s that might make injections easier.

Craig
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Annie was an 18 pound Lhasa Apso that crossed the rainbow bridge on 10-5-17. She was nearly 17 years old and diabetic for 9˝ years.
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Old 09-24-2017, 06:53 PM
Jbeemer2 Jbeemer2 is offline
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Default Re: First curve/more of a flat line

I tested Toby tonight 2 hours after his meal and 14 unit shot that are given simultaneously and he is at 506. Could it be rebound or insulin resistance?
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Old 09-24-2017, 06:57 PM
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CraigM CraigM is offline
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Default Re: First curve/more of a flat line

Just would like you to verify what syringe you are using with the Vetsulin. Should be marked on the package: U-40 or U-100?

Craig
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Annie was an 18 pound Lhasa Apso that crossed the rainbow bridge on 10-5-17. She was nearly 17 years old and diabetic for 9˝ years.
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Old 09-24-2017, 07:02 PM
Jbeemer2 Jbeemer2 is offline
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Default Re: First curve/more of a flat line

I use the U40 with Vetsulin.
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