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  #491  
Old 12-19-2019, 09:46 PM
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Default Re: Help!! Really really high blood sugar!!!

Thank you Jesse and ray saint. If there wasn't this k9 diabetes site forum I would've gone crazy by now.

Mochi's having another crazy episode today of high blood sugar and drinking a lot of water...I dont understand why he's having these bumps way more frequently than usual...
My dad said he decided to give mochi 5 units of insulin for dinner because he noticed mochis excessive amount of drinking today. He's been getting 4.75units the past 2 weeks and today hes up to 5 units...I'm worried now...and not sure why he would constantly get bumps so often. He has been getting more boiled chicken through out the day to get him to do his rehab exercises.. but boiled chicken never causes his blood sugar to go up.

His blood sugar was pretty good during the weekend and two days ago it was pretty good as well. Today I got home at 7:30pm (1 1/2 hour after his food and insulin) and it was at 31.5mmol (570mg)....then my dad and I took him for a walk and came back around 7:45 and it dropped to 21.7mmol (390 mg). I'm not sure what we're doing wrong and what to do to stop having so many hiccup days..
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Mochi is a 10 year old Pomeranian. Weighing 11.6lbs
Diagnosed with diabetes February 2016
Had cataract surgery June 2016.
On 4.5 units of HumilinN
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  #492  
Old 12-20-2019, 06:31 AM
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Default Re: Help!! Really really high blood sugar!!!

You're probably not doing anything wrong. Every dog is different and some will have more hiccup days than others. The fact that he has good days indicates there's probably not a major issue at play.

I test and record morning fasting every day. I mark every day that his fasting is higher than I like. He averages 6 of those a month. That's 20%.
So 80% of his days start out not bad. I'm happy.
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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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  #493  
Old 01-20-2020, 08:53 PM
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Default Should I reduce his amount of insulin?

Mochi has been receiving around 5 units of insulin during December. His blood sugar seemed to have been getting better and stayed pretty well throughout the day.
However I'm not sure if he's starting to have a rebound affect..can it happen anytime of the day? His water intakes been very good and consistent but the numbers are just a little odd. Last week when I did a small curve it seemed to be quite odd:

Jan 12th curve:
12pm-18mmol (320mg)
2:30pm- 23mmol (410mg)
6pm (right before food and insulin)- 10.2mmol (185mg)
7:45pm (right after a walk)-3.7mmol (67mg)

Today I was only able to take 3 numbers due to work but it was similar:
6am(right before food and insulin): 18mmol (320mg)
6pm(right before food and insulin):13mmol (235mg)
7:30pm(after walk): 3.5mmol (63mg)

Is that indicating that I'm giving too much insulin?
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Mochi is a 10 year old Pomeranian. Weighing 11.6lbs
Diagnosed with diabetes February 2016
Had cataract surgery June 2016.
On 4.5 units of HumilinN
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  #494  
Old 01-21-2020, 06:39 AM
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Default Re: Should I reduce his amount of insulin?

Seems a bit strange. Humulin has no rapid action, so dropping so much soon after eating is odd to me. Are you giving any food/treats when you see the low number?

Riley had a weird curve for a while where he stayed flat for 3 hours after eating, then dropped a bit, then had a big spike. It changed back to a bowl curve months later.
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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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  #495  
Old 01-21-2020, 09:18 AM
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Default Re: Should I reduce his amount of insulin?

The walk may have accelerated the drop . exercise will do that

mochi may need a sugar boost before the walk . I use to give jesse a spoonful of honey before her walk

food doesnt turn to sugar fast enough from what I have seen with jesse that is why I used honey

The honey got jesse about a half hour boost and then it was used up . over time jesses did not need the honey boost

so you can experiment to see if you can reduce that drop after walk
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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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  #496  
Old 01-21-2020, 02:50 PM
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Default Re: Should I reduce his amount of insulin?

Try not taking the dog for a walk, and get an idea of how many points she goes up after eating.
If her fasting is 10, does she go up 5 points in the next 2 hours? Maybe do a short curve, every hour for 3 hours after eating, no walk.
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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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  #497  
Old 01-21-2020, 04:59 PM
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Lchow022 Lchow022 is offline
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Default Re: Should I reduce his amount of insulin?

Should I not reduce the insulin yet and just do the testings first to see if the walk is whats causing the crazy drop?

I know he does drop quite a bit every time we go for walks. So whenever he's on the high side in his 400's mg or 20's mmol we take him for a short walk and he would drop about 5mmol points.

I know back then when he had more of a consistent curve his blood sugar would drop a lot at night after we go for walks too. It would be in the high 300's right before dinner and about an hour after dinner and insulin we take him out for a walk and then it would be down to the 85-125mg or 4-7mmol range. But this is lower than usual...and it dropped all the way down to 50mg(2.8mmol).
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Mochi is a 10 year old Pomeranian. Weighing 11.6lbs
Diagnosed with diabetes February 2016
Had cataract surgery June 2016.
On 4.5 units of HumilinN
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  #498  
Old 01-22-2020, 07:50 AM
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Default Re: Should I reduce his amount of insulin?

determining if the walk is accelerating the drop in sugar and if confirmed you may have to address that . you could try to reduce the dose but remember you need a week to settle . you should hold the dose even if you see higher numbers .

you can give some honey or sugary treat before the walk and see how sugar goes .You need to test before and after walk

you can walk at a different time that doesnt have as much impact on sugar

you do want to walk mochi . Its important to work off some of that energy and get some exercise
__________________
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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  #499  
Old 01-22-2020, 04:00 PM
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Default Re: Should I reduce his amount of insulin?

My concern is that reducing the dose just to offset the drop will have a negative affect on the rest of the 12 hours. You already have some high fastings.

I'd still want to see the drop without a walk, so you can determine if you just need to address the walk. Different time maybe as Jesse suggested.
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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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  #500  
Old 01-23-2020, 10:14 PM
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Lchow022 Lchow022 is offline
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Default Re: Should I reduce his amount of insulin?

I just found out my dad has been giving mochi a slight less of a dose...he was giving around 4.75 units when I've been giving him 5units...
I checked his blood sugar yesterday when I came home from work around 7pm(1 hour after food and insulin)..it was up at 25.3mmol (450mg)...we quickly took him out for his walk and came back half an hour later. I checked his blood sugar right away at 7:30pm and it dropped down to 18.3mmol (330mg). I told my dad to give him 5units today which is what I normally give him.

I got home from work at 7pm and did the same thing.
His blood sugar was still quite high at 18.8mmol (340mg). We took him out for a walk again and it dropped down to 13.9mmol (250mg) at 7:30pm. At 8pm it dropped to 11.9mmol(215mg) and at 9pm it dropped to 9.1mmol (165 mg).

Seems like the walk does cause quite a big drop..
I'll do what raysaint told me to do with not walking him after dinner and insulin and test his sugar out once he consistently gets the 5units for a few days first.
Because of the drastic drops do you guys think his body will use up the insulin very fast and then his blood sugar will go high faster?
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Mochi is a 10 year old Pomeranian. Weighing 11.6lbs
Diagnosed with diabetes February 2016
Had cataract surgery June 2016.
On 4.5 units of HumilinN
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