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  #1  
Old 11-22-2010, 12:27 PM
silkiegal silkiegal is offline
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Default Silkies Diabetes Story Please Read !!!

Hi...It is nice to have support here. My Silky terrier, named "Silkie" is almost 13 years old. He weighs 20 lbs. He was diagnosed last week. He was peeing a lot; long streams, drinking a lot, and one morning we awoke and found he peed all over himself, poor baby! We rushed him into vet, and got the diagnosis. his levels were at like 540!!! She put him on Humulin, 2 units, to start. She said to come back in in 2 weeks to retest his levels, and adjust as needed. He has been acting normal, not drinking/peeing as much. All seems to be going well, for now. We feed him Natural Balance wet and dry, and R/D Hills wet, mixed in, for fiber.
My husband and I were overwelmed at first, but now it is getting to be a routine with the shots. I just pray he doesn't get catarats too badly. So far he has some cloudyness normal for a dog of his age.
We give him his shot at 7 am and 7 pm. But sometimes, we feed him his evening meal around 6 pm, and give him a bitmore right before his shot. We split it up. Is this ok???
The other thing, have you noticed if you ask two vets, they say different things?? One said, Silkie needs to do a curve next week, the other says, no, just a reading. It all gets confusing! We are grateful for everday we have with Silkie, and are hopeful he will do fine! Glad your all here!

Sincerely,
Silkigal
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  #2  
Old 11-22-2010, 01:37 PM
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k9diabetes k9diabetes is offline
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Default Re: Newly diagnosed, questions....

Hi and Welcome!

I would agree with the vet who wants to do a curve. Spot checks don't tell you very much because you don't know if the blood sugar reading you get is the lowest it will be, the highest it will be, or something in between. With a curve you get a full picture of how high and low the blood sugar is going and how well the action of the insulin matches the digestion of the food.

Would you be interested in learning to home test blood sugar so you can do a curve at home?

Especially so early in the process of regulating him, I recommend sticking strictly with 7am/7pm. Obviously things come up sometimes but the stricter you are with the timing, the faster you will be able to figure out if he is getting the right amount of insulin.

I'm glad he seems to feel better - are you monitoring him at all, such as with urine tests?

Natalie
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  #3  
Old 11-22-2010, 01:56 PM
silkiegal silkiegal is offline
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Default Re: Newly diagnosed, questions....

Hi! Thank you for your response. I see what you mean about the difference bet curve and no curve.It makes perfect sense. Crazy how two different vets say two different things..With the curve, the vet says we have to leave him all day with his food, etc. Yes, we would like to test at home! I was told we can test through strips. I dont want to have to prick his lip, looks like it hurts. Can you test just with urine strips? My vet says, one step at a time. I tend to get ahead of myself. By the way, Silkie had NO ketones in his urine when tested at the vet. I want to do everything I can do to keep his diabetes under control.
And, I see people suggest using Karo syrup in emergencies, can I use pancake syrup, if I am in that situation ever??
Ok to give a few treats in middle of day?

Thank you so much!!
Silkiegal
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  #4  
Old 11-22-2010, 02:02 PM
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k9diabetes k9diabetes is offline
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Default Re: Newly diagnosed, questions....

Pancake syrup is fine. That's what we used since our dog disliked karo.

There are virtually no nerve endings in the upper lip so it truly doesn't hurt. When you have a chance, check out the videos at www.k9diabetes.com/bgtestvideos.html. You will see several videos for each place to test. We used the lip and loved it.

Unless the snacks are vegetables or maybe pure protein like tiny bits of meat, it would be best not to give snacks between meals and injections. You can sometimes put them back in later when your dog is regulated and you know how they affect him. But for now, best to stick to an extremely rigid schedule because it eliminates variables and gives you the clearest picture of how the food and insulin are working together.

www.k9diabetes.com/insulinfood.html

Urine strips are a little better than no monitoring at all but the information is very vague and they can't tell you anything about blood sugar that falls below 180 mg/dl.

http://www.k9diabetes.com/monitoring.html

Take a look at some of these resources and then you can decide whether you want to do some monitoring and what kind.

Natalie
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  #5  
Old 11-22-2010, 02:29 PM
silkiegal silkiegal is offline
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Default Re: Newly diagnosed, questions....

Ok, I watched the video, the lip thing doesn't look that bad. What brand do you reccomend?
I see what your saying about the food timing.When I give Silk a treat, it's usually lean, ground beef or turkey. He is grain fee. I suppose giving him a little of his food at 6:30 would be ok, though? Just not much earlier then that though, huh? We eat early, and dont want Silk to be left out!! I know it sounds silly. we had such a routine for over 12 years, and now he thinks we are crazy, like; why are you guys eating and i am not..I have to wait. It is all taking time to get used to. I try to absorb and learn a little every day from people like you.
I would get up at 6 am and walk him, feed him, give him his shot, but he is so lazy in the morning, hard to get up. He has had two major surgeries, in the past, so he's arthritic. Thank you so much by the way!
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  #6  
Old 11-22-2010, 02:34 PM
silkiegal silkiegal is offline
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Default Re: Newly diagnosed, questions....

I think we need to rethink how we are feeding him and when. We give him breakfast/shot no problem. Its dinner that is an issue. We have been giving him a spoonful of wet food at around 4:30 pm and the rest around 6:00 pm, then shot around 6:45, with a bit more food.
We dont like to feed him too much at once because he throws up.

What would you suggest?

Silkiegal
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  #7  
Old 11-22-2010, 02:42 PM
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CraigM CraigM is offline
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Default Re: Newly diagnosed, questions....

Welcome to you and Silkigal,

Just wanted to say hello and welcome. Lots of great info on the web site and in this forum.

Just wanted to add my 2 cents about snacks. We ALMOST never give Annie anything between her meals. If we (humans) are having chicken, we MIGHT give her a piece of white meat the size of my thumb nail. I can't see how Annie could actually taste it, its so small. More often, I would save the small piece of chicken and add it to her kibble. She might get a preemptive "snack" if her blood glucose (BG) appears to be going lower than we like (the advantage of home testing with a meter). We have found that just four kibbles of her dry food will cause her BG to rise. So, with Annie any snack other than a VERY small vegi or protein would be a no-no. Of course, every dog is different and they don't all react the same.

Annie and I will be reading your adventures with Silkigal. Don't get discouraged!
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Annie was an 18 pound Lhasa Apso that crossed the rainbow bridge on 10-5-17. She was nearly 17 years old and diabetic for 9 years.
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  #8  
Old 11-22-2010, 02:44 PM
silkiegal silkiegal is offline
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Default Juggling injection times, anyone?

(Thanks for your help Natalie!) Anyone else having the evening shot and dinner issue? We are early dinner eaters, and we have been giving Silkie his shot at 7am/7pm...the 7pm is so late for us to eat, and we feel bad to make Silkie wait that long to eat. So, we give him a little wet food when we eat, around 6 pm, and then he gets the rest of his dinner at 6:45 pm, shot at 7 pm. Is this ok???? Thanks!

Silkiegal
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  #9  
Old 11-22-2010, 04:32 PM
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MaryLea MaryLea is offline
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Talking Re: Juggling injection times, anyone?

Not exactly the same issue, but related. B4 diabetes, we fed Ruffles about 7-8 AM (twice, spaced about 30 mins. apart), 5 PM and 8-9 PM; times and amounts chosen because she would eat everything too fast. She received 1 cup/day divided among those feedings.

Now she receives 1/2 cup twice a day, divided into two "servings" but not very far apart, about 7-8 AM and PM. It took less than a week for her to "forget" the 5 PM feeding. She was also used to snacks, but has lost her interest in eating, so has not been looking for them lately, even when we are eating our meal. Either she's figured out she won't get a bite or she's not interested. Won't know the answer to that until she's feeling better and closer to being regulated. (That will eventually happen, right?!?)

We try to keep the feedings and insulin injections within a 11-13 hour slot from one sequence to the next. For example, she received her injection at 6:45 PM last night. Her morning feeding and injection today needed to be between 5:45 and 7:45 AM; the closer to 6:45, the better. It's best to keep the injections about 12 hours apart, but sometimes the dog does not cooperate with that schedule.

Due to an additional issue during the past week, we've had somewhat of a roller-coaster ride, too, though not nearly as wild as yours and Bob's. We both need to just hang in there until everything settles down a bit and we can tell how much the insulin is effecting the BGs. Requires patience!
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Ruffles was a Cairn Terrier mix born May 1997~~RIP 12/6/2010~~She was "a heartbeat at our feet"~~Gone, but not forgotten~~
Izzy--BD unknown;~~ RIP 7/13/2013 ~~; she was a sweet Yorkie spirit and we miss her
Bella--Yorkie rescue; BD 9/2013 +/-; RIP 5/2015
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  #10  
Old 11-22-2010, 05:12 PM
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MaryLea MaryLea is offline
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Default Re: Newly diagnosed, questions....

Silkie is really a cute pet, er, person! Welcome to you and him.

We were feeding three times a day, with occassional treats inbetween, B4 diabetes. Since diagnosis, we've gone to two feedings/day, 12 hours apart, or as close we as can get it. It took less than a week for Ruffles to stop asking for the 5 PM feeding. She's lost her interest in eating, which is not a good thing, but it's helped us stop the treats and afternoon feeding.

The reason we were feeding three times a day was that she would eat so fast that her stomach got upset. If she really ate fast, she would throw up.

Although we're feeding twice a day, we give 1/4 cup twice at each feeding, a few minutes apart (for a total of 1/2 cup, AM and PM). So far, that's worked OK. We give the insulin immediately after she finishes the second 1/4 cup serving.

BTW, we test BG immediately B4 meals (and at mid-day if someone is home to do it). We use those readings to determine when and if to increase the insulin. We took her to the vet for a curve to see if our numbers were even in the ballpark. We use a ReliOn meter, calibrated for humans. The vet numbers were higher than ours, but the curve was the same. We anticipate taking her for another curve (after completing the extra meds) b4 increasing the insulin again.

The issue with the anal gland has caused us to not increase the insulin lately because the vet said she needed more fiber; we were told to increase the amount of w/d, so we have "held" the insulin at 6.5u for now. Advice from the good folks on this forum is to change only one thing at a time. We intended to keep upping the insulin until BG was lower, but were pre-empted by the other issue. It's been a roller-coaster ride for the last week.

Keep asking questions and reading the links on this board. The people here are great! The info is valuable.
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Ruffles was a Cairn Terrier mix born May 1997~~RIP 12/6/2010~~She was "a heartbeat at our feet"~~Gone, but not forgotten~~
Izzy--BD unknown;~~ RIP 7/13/2013 ~~; she was a sweet Yorkie spirit and we miss her
Bella--Yorkie rescue; BD 9/2013 +/-; RIP 5/2015
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