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  #41  
Old 08-03-2018, 08:07 AM
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Default Re: Heat and Diabetes...

do you have a recent curve from the vet and can you post it ? If not you may want to ask for it for you personal records. You did pay for it .

I did not see what weight you dog is can you post that also
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Jesse-26 lbs - 15.5 years old - 10 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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  #42  
Old 08-03-2018, 08:12 AM
emz.buckley emz.buckley is offline
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Default Re: Heat and Diabetes...

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Originally Posted by jesse girl View Post
do you have a recent curve from the vet and can you post it ? If not you may want to ask for it for you personal records. You did pay for it .

I did not see what weight you dog is can you post that also
He hasnít had a full curve since this started... he has had mini curves but not a full one which is why she wants to do one next week...

He weights about 5.6-6 pounds... he was down to 5.2 from 10 but she added more fibre into his diet and it stabilised...
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  #43  
Old 08-03-2018, 10:57 AM
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Default Re: Heat and Diabetes...

actually for a dog of your weight a starting dose is about 1 unit . Raising the dose not based on a complete curve is not prudent . Now once a dog is regulated for a time you can test quite a bit less to make sure things are remaining consistent .
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Jesse-26 lbs - 15.5 years old - 10 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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  #44  
Old 08-03-2018, 11:16 AM
emz.buckley emz.buckley is offline
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Default Re: Heat and Diabetes...

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Originally Posted by jesse girl View Post
actually for a dog of your weight a starting dose is about 1 unit . Raising the dose not based on a complete curve is not prudent . Now once a dog is regulated for a time you can test quite a bit less to make sure things are remaining consistent .
When he started he was over 20, so he was on 8 in the morning and 8 in the evening and we were in practically every day for urine tests and blood tests... we got him down to 5 day and night and he has been perfectly fine until this week. Last night she suggested dropping it by 0.5 to see what happened and she took the blood test at the peak of the curve which gave her the result of 2.1, which is the lowest it has ever been and way too low. She doesnít want to mess with the insulin too much because as we know, it is so hard to regulate the levels so what she is hoping is that by not giving him the injection tonight, it will raise the levels to where they should be & then put them back in and hopefully they will stabilise so when she does another peak test on Monday, it is back to where it was and we can keep him on this and then when the weather changes again, itís not that far to reregulate his levels... if he is still low, she will do the full curve and we can take it from there. Apparently we havenít been the only pet she has had in with this problem. She thinks that he didnít have the same reaction to the insulin last night because it was dropped down a bit but his blood sugar still hasnít gone back to where it should be so thatís why he was having his wobble and shaking. If she had any concerns, she would have him in and she would do the curve tomorrow if she was very worried.

I must admit that I have had a wobble over this but I phoned her and she explained her reasoning and I trust her completely.
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  #45  
Old 08-03-2018, 11:34 AM
emz.buckley emz.buckley is offline
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Default Re: Heat and Diabetes...

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Originally Posted by jesse girl View Post
actually for a dog of your weight a starting dose is about 1 unit . Raising the dose not based on a complete curve is not prudent . Now once a dog is regulated for a time you can test quite a bit less to make sure things are remaining consistent .
We called her both days as soon as the surgery opened... if she was concerned when we phoned this morning, which was about 20 past 8 and before his insulin, she would have said bring him in for the curve. She wanted to check his peak result to see if it was just recovery or if it was still low.

We have two vets there who are big on the whole diabetes thing. The other one is so through that when we were concerned about his weight she checked everything, did a full panel, checked his thyroid, you name it she checked it. The main vet is just as through, she did the test twice just to make sure the readings are right. When we say about putting anything in, she will check everything out herself just to make sure it wonít impact him or his health. I mean with the other vet I didnít even know about there being 2 types of blood sugar and if it was this other one it meant something different and it is regulated differently and she checked for that as well... It is reassuring that they know so much but at the same time I think it makes it worse because no matter how much you read there is so much more to it, I am amazed I havenít passed out with a stroke by the time we come out, lol! But at lest they know their stuff which is the main thing... thank god! Lol!
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  #46  
Old 08-03-2018, 06:04 PM
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Default Re: Heat and Diabetes...

Wow 8 units twice a day for a 6 pound dog is allot . My jesse is a 26 pound dog and on 8 units total for the day . Like i said 1 unit would have been a starting dose . The lack of complete curves is also a concern . Your dog is very lucky .

Is this correct that your dog is about 6 pounds ? Please dont take this the wrong way and i understand vets lack some understanding of the disease . My jesses first vet had to look up in a book to see what her blood sugar should be and he said it should look like normal sugar and just that one statement postponed her regulation for months until i figured most diabetic dogs dont have normal sugar
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Jesse-26 lbs - 15.5 years old - 10 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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  #47  
Old 08-03-2018, 08:48 PM
emz.buckley emz.buckley is offline
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Default Re: Heat and Diabetes...

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Originally Posted by jesse girl View Post
Wow 8 units twice a day for a 6 pound dog is allot . My jesse is a 26 pound dog and on 8 units total for the day . Like i said 1 unit would have been a starting dose . The lack of complete curves is also a concern . Your dog is very lucky .

Is this correct that your dog is about 6 pounds ? Please dont take this the wrong way and i understand vets lack some understanding of the disease . My jesses first vet had to look up in a book to see what her blood sugar should be and he said it should look like normal sugar and just that one statement postponed her regulation for months until i figured most diabetic dogs dont have normal sugar
He was about 14 pounds when he started... his blood sugar was off the chart, I think it was about 24-28 could even been over 30, I can remember it too well with the shock, he had high cholesterol which was also off the chart, his pancreas was shot to hell, everything was just dire... she thought he wouldnít last to be honest... she put him on the diabetic food, nearly a can a day but Bichons have really sensitive stomachs and he threw up all night so we switched him to a raw food diet... we came down from 8 to 7, 7 and 7, 6 and 7,etc, morning and night and he lost weight steadily, he went from 14 to 10 in about 3 months, his cholesterol started going down and his pancreas showed signs of improvement... but we did have a time where he dropped too much weight, his blood sugar was steadying and she was happy with it, he was on 5 units day and night but he dropped from 10 to 8 and then to 6, which was fine, one of our previous bichons was about 6 pounds but then he dropped from 6 to 5.2 in about 2 weeks and thatís when the other vet did the full panel, checking his thyroid, checking he wasnít having problems with the insulin, you name it she checked it... his kidneys are perfect, his cholesterol is completely normal, his pancreas has recovered... his liver has had some damage from the diabetes and that is showing signs of some recovery, itís not perfect but it has slowed the damage down especially with his pills, injections and we have supplemented with milk thistle as well... as she said he is as healthy as he can be for a diabetic dog... but he had lost weight so she upped the fibre and he stabalished blood sugar wise and it was all good..

The last time she did one of these tests was in May and his blood sugar at its peak was 4-5... which was a little lower than it was meant to be, I think he should be about 6-8 but she wasnít overly concerned and she didnít really want to start messing with the insulin because as she said it is hell to stabilise... we come down in units so he started at 8 units morning and night, then after the curve was dropped down to 7 in the morning and 8 at night and we have slowly come down like that. Itís why this time she has only taken him down 0.5 so itís not too much of a dramatic change because if the weather turns again, it wonít be as bad to put the insulin back up, it may be he stays at this or it goes down to 4... but she takes it down slowly in order not to put stress on the system. We spend weeks in and out, having urine tests and blood tests, tracking the movement of the sugar in his blood, if there is any change in the urine strips we are straight in and she tests his blood... she is very cautious and very through... if she isnít sure about anything she will research it herself or she would refer us to the specialists hospital in England... she has had a lot of diabetic pets in the surgery and she is as thorough with them as she is with griff...

But thatís the reason he started so high was basically because his blood sugar, for his size was off the chart and so he had to have a large dose to bring it down to start with and we have come down in increments... for her itís about balancing the blood sugar and the insulin... there is never a normal rate with her and as long as they are balanced and his urine tests stay blue to green, she is happy with him... she knows, like we did earlier in the week, if there was anything we werenít happy with, he would be straight in with him for tests... when we phoned her yesterday morning and said what had happened, we asked her what she wanted to do, if she had said bring him in for a curve tests he would have been straight in no problem, she wanted to do a peak test just to see where the sugars were... she will test him on Monday and if she still isnít happy he will be in for the full curve and we will start the process that we did at the beginning again but lower... but we take it really slowly and he is watched like a hawk... he will be blood tested every few days, he will have urine tests every day and this will be done cautiously...
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  #48  
Old 08-04-2018, 12:31 AM
emz.buckley emz.buckley is offline
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Default Re: Heat and Diabetes...

Ok...

I checked with the vet and itís kilos not pounds... I thought it was but itís kilos... sorry, iím Dyslexic and I got them mixed up, lol!

So he is 5-6 kilos...
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  #49  
Old 08-04-2018, 03:23 AM
emz.buckley emz.buckley is offline
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Default Re: Heat and Diabetes...

So...

We did as the vet recommended and skipped his dose last night... he was perfectly fine, no shaking, no head movement, he was perfectly fine... did his usual morning routine of getting us up early, he starts at 6am and wonít stop until one of us gets up with him so he can have company while he takes a nap... went for his walk and had his breakfast, had his injection and he is back to normal... trying to like his blood test site but he is good...

I asked the vet what to do should he have the same kind of wobble like he did Thursday night and she said if it does happen again, to skip the dose again to keep the levels up and she will test him Monday again, probably do a curve Tuesday just to see what is going on... itís either that or I halve his nightly dose...

Am I the only one who gets nervous about doing things like this? I swear to god I am so paranoid at the moment and it is really stressing me out... I think itís because he was stable for so long that this happening has thrown me through a loop...
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  #50  
Old 08-04-2018, 05:48 AM
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Default Re: Heat and Diabetes...

so your dog is about 13 pounds so that would have been a normal starting dose at 2 units . It appears you vet worked backwards starting high and then lowered the dose . I have never heard a vet starting out this way . I do understand his methods trying to get sugar lower quickly but its very risky and i think your dog has been affected by these consequences with hypoglycemic events which actually is quite rare to see on the forum .

Adjusting the dose to just hypoglycemic symptoms is dangerous as you dont want to even be in that place to start . Low sugar is the immediate danger not high

The best thing you can do is get a meter and i would not wait . all meters even human will work but human meters can be off mostly in a higher range but they will give patterns and trends and most importantly tell if you dog has low sugar

Sometimes you just have to take charge as i did with my jesse if i did not she would not be here today and that was over 8 years ago . Testing sugar at home will change your situation for your dog and you for the better . Now you wont have your head in the sand anymore and you will see the reality of what blood sugar really is . Now that can be worrying also but its better to know than not to know

Glad you understood what low blood sugar looks like and how to take care of it . Now you want to make sure it never happens again
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Jesse-26 lbs - 15.5 years old - 10 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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