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Old 03-31-2020, 03:26 PM
Neirracul Neirracul is offline
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Default Newly Diagnosed, having issues

Hi everyone,

My pooch, Maura, is an 8 year old Siberian Husky who was recently diagnosed (2 weeks ago). She was in dka when we figured out what was happening and she had a hospital stay, and they released her when her blood sugar came down some. They gave her an initial prescription of 20 units of Vetsulin and we’ve been following all the rules, two meals a day 12 hours apart, insulin directly after. She seemed to be getting more lethargic and our alphatrak 2 came in and I decided to do a blood glucose curve to see what was happening since the spot reading I did was around 400. Her bg only went up from there during the day (I can post the full curve if needed) and came back down into the 400s later in the day. Called the vet with my worries and he was irritated that I’d done a home curve because they don’t recommend owners doing their own curves at home (???). Either way, his solution was to increase her dose to 22 units and see how that works out. Today I did a spot check 8.5 hours after her morning dose and her bg was 655. I am extremely frustrated and not sure what to do at this point. I know it’s early on but the readings I’m getting just keep getting higher, not lower.
Anyone have any ideas? I was doing a lot of reading about insulin resistance and somogyi overswings/ rebound but the vet just brushed me off when I asked about possibilities.

Edited to add:
Maura is 62 lbs
Eating 2.5 cups of Ketona salmon per day


Erin and Maura

Last edited by Neirracul; 03-31-2020 at 03:35 PM. Reason: Weight and diet
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Old 04-01-2020, 05:42 AM
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Raysaint Raysaint is offline
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Join Date: Mar 2017
Location: Toronto
Posts: 845
Default Re: Newly Diagnosed, having issues

vets try to maintain control, and some don't like owners doing things themselves. Home testing is crucial, doing your own curve is quite ok.

This whole process of regulation takes a lot of time, don't expect changes right away. Increasing insulin willy nilly is not the way.
Starting dose is 0.5 units per kg (2.2 lbs).
Stick with that for a week, do a curve, and increase insulin a unit at a time each week.
The body is going thru lots of changes so it takes time to adjust to changes, and things will sometimes be opposite of your expectations. Stay the course.

Don't get too focused on numbers right now, get the routine down and be consistent.
Patience is your best friend.
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 04-01-2020, 01:32 PM
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MikeMurphy MikeMurphy is offline
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Join Date: Jan 2014
Location: Western New York
Posts: 774
Default Re: Newly Diagnosed, having issues

Hi and welcome to the forum.

I agree with Raysaint. The starting dose of 20 units is way to high for a 62 lb dog. The normal starting dose should have been 12 to 14 units, twice daily. Then adjust insulin in .5 to 1 unit increments, based on the results of weekly 12 hour curves.
Going beyond the correct dose can cause Somogyi Rebound.
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; 04-01-2020 at 01:46 PM.
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Old 04-01-2020, 03:56 PM
Neirracul Neirracul is offline
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Join Date: Mar 2020
Posts: 15
Default Re: Newly Diagnosed, having issues

Thank you guys for your responses! I feel a lot better that my suspicions are being confirmed. I went onto the Vetsulin webpage about dosing and did some math last night about the recommended starting doses and decided to use their starting dose of .5 units per kg once daily and a 25% reduction of that twice daily and started her with 10 units that we will move up from. Itís a bit lower than you said but honestly, she seems to be doing better already. Her 330 PM spot check was ~550 today which is way better than the 650 bg we got yesterday at the same time. As long as she is feeling better itíll be easy to stay the course and be patient. I expect some bumps in the road but this is reassuring. Thank you!
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Old 04-01-2020, 04:00 PM
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Riliey and Mo Riliey and Mo is offline
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Join Date: Mar 2013
Posts: 1,779
Default Re: Newly Diagnosed, having issues

thats good news

just wanted to mention the amound of food twice a day is important
it goes by weight also
i would check the mfgs website or the dog food bag to see how many cups per day then divide by 2
looks like 3.5 cups
Riliey . aka Ralphy, Alice, Big Boy
20 lb male. 5 1/2 nph insulin. 1/2 cup fromms. black cockapoo, dx Apr 2012 . 5 1\2 yrs diabetic. 2000 to 2017
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Old 04-01-2020, 05:37 PM
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jesse girl jesse girl is offline
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Join Date: Jul 2010
Posts: 8,424
Default Re: Newly Diagnosed, having issues

I just want add to all the good advice you received has your dog been spayed ?
Jesse-26 lbs - 16 years old ,10.5 years diabetic, one meal a day homemade and a vitabone snack . 3 shots of Novolin a day . Total insulin for a 24 hour period is 6.5 units of NPH insulin .
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