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  #1  
Old 01-19-2009, 06:34 AM
pgcor pgcor is offline
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Default My Dog Pip is an Angel 08.30.13...

Hi Everyone!

I'm very excited to be here as Natalie was so, so kind to Pip and I when he was first diagnosed. That was a year and 5 months ago!

We started with W/D and Vetsulin (7 units) and he did okay for awhile, but he had bouts of high blood sugar that were not explained. We thought Cushings for awhile, but the Vet put that on the back burner for now.

With the help of Carla, I switched Pip to Humulin N and he now gets homemade food. I've had to steadily increase his food as he lost a considerable amount of weight. He also dropped his insulin requirements with the change in food.

He gets 7.5 oz. of turkey or chicken (ground) and 5 oz. each of ground zucchine and ground green beans, 1 oz. of ground chicken hearts and 4.5 oz. of pumpkin. He's at 5.5 units of Humulin N. Actually, he's more stable than ever on the new food and insulin - so THANK YOU CARLA wherever you are!!!

Over 2008 he's had eye problems. He gets tacrolimus once a day and another "aspirin-type" drop (as the Vet describes it) once a day as well. I can't remember the name of the drop though.

He sees an eye specialist for this. And if he remains free of ulcers they won't need to see him for year. Fingers crossed!

I haven't been able to blood test him at home, but we remain vigilant about testing urine. It may not be accurate, but coupled with his behavior, it does let us know when he's unwell.

Lately, he's been showing sugar in his urine (usually he shows none) and has been vomiting (a little). So, we are calling the Vet today to check him out.

Hopefully it's not pancreatitis again. He NEVER gets anything other than his food and diabetic dog treats. So, I get nervous that maybe he's one of those dogs with chronic pancreatitis. He's had it 3 times since diagnosis.

Anyway, it's been a long haul getting me comfortable with his diagnosis! (It's all about me). But, I'm nowhere near the hysterical point I was a year ago. I never, ever though I could stick a needle in my beloved Pip! Isn't progress wonderful!

Hugs to all! Pam and Pip
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  #2  
Old 01-19-2009, 07:51 AM
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Debbie & Apollo Debbie & Apollo is offline
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Default Re: Pip's Story

Hi Pam and Pip,

Your Pip sounds a bit like Apollo...we even did the Cushings tests..... however we are still using Vetsulin....
anyhow -- do you give Pip any supplements?

I have been giving Apollo - SamE (Denosyl), and Milk Thistle.
both are good for the liver etc... and since we too have a history of pancreatitis - anything I can do to prevent .... it's worth it!

another thought -- Apollo gets 'hungery' and at times he will eat too fast -- that's usually when we might see a bit of upchuck I stand by his food now to slow him down and I also put his food on a larger plate and spread is out to help the speeding.

hope the vet appt goes well.

Debbie and Apollo
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Apollo -13.2 lbs. Since 12/24/06. Vetsulin - 7.0 units 2x's a day. Royal Canin-Digestive Low Fat LF dry & canned. Chlorestoral meds once a day. Fish Oil 2x's a day. Potassium Citrate Granules for bladder stones.
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  #3  
Old 01-19-2009, 08:35 AM
birdk birdk is offline
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Default Re: Pip's Story

Hi Pam and PIP.....Hope the vet visit goes well and Pip is on the road to recovery.....
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  #4  
Old 02-05-2009, 09:30 AM
pgcor pgcor is offline
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Default Re: Pip's Story

Hi Kathy:

We like to get a fasting bg on Pip at the beginning of all of his curves. It's the only time we test his blood and then we can compare his fasting number in the AM and PM to make sure he's on track. Is that not something you would do?

Even considering the delay in urine - based on the 97 blood test, wouldn't you expect his fasting urine tests to have been negative?

I thought there would be at least some correlation between the fasting urine and bg test. If you're below the renal threshold you should be negative, no matter what test you use. Am I correct in my thinking?

I'll post the rest of the curve as it comes in. I wish I was home and could bring Pip to the Vet myself. I told my husband to bring in the urine results, I'll have to see if he does it. (Doesn't like being told what to do!)

Thank you so much for all the information Kathy!

Pam
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  #5  
Old 02-05-2009, 10:03 AM
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We Hope We Hope is offline
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Default Re: Pip's Story

Pam,

I would believe that if you'd done a urine test for Pip this morning, you would have gotten a negative too.

If you're below that renal threshold, as you said, you would be below it whether you were testing urine or blood. The glucose starts going into the urine at the "threshold" and will be seen if you pass that point and stay there for a while. While your urine stick will show a negative, using a meter would put you somewhere below 180 mg/dl.

If Pip's urine tests didn't make it there, you might be able to send them to your vet via fax rather than "via DH".

We'll be waiting to see what Pip's willing to tell all of us!

Kathy
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  #6  
Old 02-05-2009, 11:43 AM
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k9diabetes k9diabetes is offline
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Default Re: Pip's Story

It may be that curves are just too stressful for Pip. In which case you might as well skip them and save the money! (well, and the stress too, of course!)

This is the one time when a fructosamine test may be of some value. It could potentially confirm your urine test results.

Otherwise, I'd just stick with urine tests and see what you can do working at the "edge" of the threshold for glucose spilling into the urine.

If you start getting negative tests, you can drop back just a tiny bit on the insulin - estimate a quarter unit if necessary - and see how that affects the urine tests.

If more sugar immediately shows up after such a tiny reduction in insulin, then you can figure that his BG is hovering close to the threshold.

If the urine stays negative, drop it a tiny bit more and test again.

How much you have to drop the insulin to push his blood sugar back over the renal threshold can give you an idea of how far below it he has been while testing negative on the urine strips.

Then you can adjust with a permanent slight drop in insulin if he seems to be running too far below the threshold.

Hope that makes sense.

You can do sort of the same thing in reverse. If his urine tests always show a small amount of glucose, increase the insulin very slightly... like a quarter unit... and see what that does. If the urine tests drop to negative from a tiny itty bitty increase, he's probably been hovering somewhere around the threshold. If it doesn't drop to negative glucose, he's probably been consistently higher than 180 throughout the day.

Curves are nice but they aren't necessary. Pip wouldn't be the first dog for whom even curves are impossible. So you work with urine tests and whatever signs he shows you and go from there! It sounds like he's been doing well overall, no hypos and limited glucose.

Natalie
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  #7  
Old 01-19-2009, 10:05 AM
pgcor pgcor is offline
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Default Re: Pip's Story

Hi Kay and Debbie!!!

I will let you know how the appointment goes. Debbie, I forgot to mention that Pip is on Denosyl and Sam-e. I'm getting so forgetful as I get older. I have to have a list of his foods and supplements in front of me - everday - or I'm afraid I'll forget something!

Pam
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  #8  
Old 01-19-2009, 11:36 AM
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eyelostit eyelostit is offline
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Default Re: Pip's Story

Hi Welcome,

Nat and Kath are the greatest, Nat helped me with Niki alot back at DX.

I hope with Nick it was just an up chuck thing. Changing or adding food etc, is always hard on me and Niki

Niki has lost enough weight to have me concerned, so I am working with new diet and insulin, not easy as you know.

You've come a long way, good job
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Dolly & Niki passed 2010, 45 lb Border Collie Mix 8 yrs as diabetic, 13yrs old. Blind N 10.5 U 2 X * Dog is God spelled backwards*If there are no dogs in Heaven then when I die I want to go where they went. Niki's food Orijen & Turkey & Gr. Beans, See you at the bridge my beloved & cherished Niki, I miss you everyday
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  #9  
Old 01-19-2009, 12:09 PM
birdk birdk is offline
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Default Re: Pip's Story

Pam sounds like you are fighting dry eye like I am with Nick. Nick is on cyclosporine drops. I also had him on antibiotic ointment and then some lubricant in between times. His eye is puffy around it. The other eye looks fine. The infection looks much better but I am trying to figure the puffiness. I read about it this am of Marvistavet but now forget what I read!!! Oh age and menopause!!!!
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  #10  
Old 01-19-2009, 02:12 PM
pgcor pgcor is offline
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Default Re: Pip's Story

Hi:

My husband just came back from the Vet and first of all Pip lost weight again. I can't believe it! He was doing so well. He actually gained a pound. He has been acting like he's starving lately - and that could account for the vomiting. He eats like it's his last meal.

Secondly, at about 3PM his bg was 66! The Vet didn't want us to drop his insulin, but give him more food. I have suspected that Pip might go low at the Vet because of nerves, but I have no proof.

I'm worried about 66 at 3 because based on previous curves, his lowest time of the day is usually noon.

He has not shown signs of hypoglycemia that I've been able to detect, but he never has actually gone hypo. My husband is home with him all day.

I'm quite depressed with this news - I just hope tomorrow isn't more of the same.

Pam
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