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multiple conditions/conflicting requirements
Hi, I am looking for guidance....specifically should i look into trying combo-insulins. (Short acting + Intermediate acting).
My issue is that my dog Izzy has:
Because of her EPI, she cannot handle fiber or carbohydrates. Her EPI has been well managed for 7+ years. And then all hell broke loose last year and she developed the other conditions.
I was able to get the Diabetes under control but she lost so much weight that that did not work- -so she is on Novolin N (intermediate) twice a day. Last week she developed Uveitis (inflammation in middle eye) which means there is some health condition going on. We think her diabetes triggered this.
My problem is if i control her diabetes via food... she is literally starving- - way too much weight loss.
If i feed the foods that agree with both EPI + Diabetes, i have to give her so much volume of food to meet the 1200 daily calories she needs that her BG spikes with just two meals given with the Novolin intermediate. (mostly protein)
If i give her 3-4 smaller meals her BG spikes.
She can handle (in small portions) chicken, tuna, beef, pork, celery, kale, free range eggs, low fat cottage cheese, a tiny bit of sweet potato... but i cannot give her enough to cover her daily needs.
My thought is to maybe continue the intermediate acting insulin but give (try) a small dose of a fast acting insulin after each small 3-4 daily meals. Does this sound like something i should try to get this under better control?
I have done so many curves on this poor thing that her inside lips looks like a meat grinder got at it... but it helped me understand that Izzy cannot handle fat, carbs or volume because of her diabetes. (she is fluttering in the 400's now... and to make matter worse, she has to be on prednisone until the Uveitis clears up.... but she is spiking so much that i am scared at this point!)
Generally her BG curves will start to go down SLOWLY after a meal with intermediate insulin... but it never drops and then goes back up like a normal curve after 4-6 hours...... it continues to go slowly down even at the 11th-12th hour before the next meal... hence when i feed a small meal in-between it spikes the BG.
So again.... would this maybe be another reason to try a combination of insulins.... such as short + intermediate acting insulins???
SHe has never had low blood sugar. Her vision is already going...
Any suggestions would be greatly appreciated!
~olesia
Hi, I am looking for guidance....specifically should i look into trying combo-insulins. (Short acting + Intermediate acting).
My issue is that my dog Izzy has:
- EPI (Exocrine Pancreatic Insufficiency) under control
- IMHA (Immune Mediated Hemolytic Anemia) under control, but simultaneously she was diagnosed with
- Low Thyroid (under control) and
- Diabetes.
Because of her EPI, she cannot handle fiber or carbohydrates. Her EPI has been well managed for 7+ years. And then all hell broke loose last year and she developed the other conditions.
I was able to get the Diabetes under control but she lost so much weight that that did not work- -so she is on Novolin N (intermediate) twice a day. Last week she developed Uveitis (inflammation in middle eye) which means there is some health condition going on. We think her diabetes triggered this.
My problem is if i control her diabetes via food... she is literally starving- - way too much weight loss.
If i feed the foods that agree with both EPI + Diabetes, i have to give her so much volume of food to meet the 1200 daily calories she needs that her BG spikes with just two meals given with the Novolin intermediate. (mostly protein)
If i give her 3-4 smaller meals her BG spikes.
She can handle (in small portions) chicken, tuna, beef, pork, celery, kale, free range eggs, low fat cottage cheese, a tiny bit of sweet potato... but i cannot give her enough to cover her daily needs.
My thought is to maybe continue the intermediate acting insulin but give (try) a small dose of a fast acting insulin after each small 3-4 daily meals. Does this sound like something i should try to get this under better control?
I have done so many curves on this poor thing that her inside lips looks like a meat grinder got at it... but it helped me understand that Izzy cannot handle fat, carbs or volume because of her diabetes. (she is fluttering in the 400's now... and to make matter worse, she has to be on prednisone until the Uveitis clears up.... but she is spiking so much that i am scared at this point!)
Generally her BG curves will start to go down SLOWLY after a meal with intermediate insulin... but it never drops and then goes back up like a normal curve after 4-6 hours...... it continues to go slowly down even at the 11th-12th hour before the next meal... hence when i feed a small meal in-between it spikes the BG.
So again.... would this maybe be another reason to try a combination of insulins.... such as short + intermediate acting insulins???
SHe has never had low blood sugar. Her vision is already going...
Any suggestions would be greatly appreciated!
~olesia
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