Tweet
Hi All,
My sweet child Franklin has atypical cushing's (after originally being dx'd with PDH cushing's), proteinuria, and since the end of July has shown glucose in his urine, ranging from + to 4+. On both multistix and lab urinalysis.
Our vet had said that it's probably nothing to worry about, and that they go by blood glucose to dx and monitor diabetes. I originally thought it might have been caused by my attempt at home cooking (a fair bit of rice- because of the proteinuria he needs a moderately restricted protein diet). We've since gone back to commercial food.
We had some blood work done on 30 Aug, and it showed just a slight glucose elevation. 7.2mmol/l (3.5-6.7) converting from http://http://www.childrenwithdiabet.../converter.htm makes those numbers 129.6 mg/dl (63-120.6) which I realise is extremely minor, and truthfully I don't know if we need to be here, but I am extremely grateful for this forum and the knowledge you all provide.
I've been trawling through the links and info, but haven't had much time to go through threads so far. Our vet did say it's very slight, and quite probably nothing to worry about (yet), but that's not going to stop me from worrying
or trying to learn about the condition. The IMS hasn't given her opinion yet. The vet said that if an und'xd diabetic pup came in, he would expect readings of 10+
I've bought an Abbots freestyle lite glucometer, just in case. I like the idea of just a small blood drop, and it was written up here as being a good choice for little pups, and fairly accurate. It seems pretty easy to use also. Don't worry, I tried it out on me, not Franklin 
.
Considering we got the results on Thursday, I haven't had too much time to study. Well, it's not sinking in to my head. So I havn't had a lot of time to come up with decent questions, so I apologise in advance if these are incredibly stupid.
If glucose is showing in his urine, that means that it's over the renal thresh-hold of 180 ish, correct?
So even if it's not diabetes, it still needs to be addressed?
Is there such a thing as pre-diabetes? Early diabetes?
If it turns out that it is diabetes and we need to home glucose test, is there a difference in glucose readings depending on where the blood is taken from? ie: inside lip, outside lip, base of tail, ear flap?
What is a spot test?
Can a glucometer be used for a curve (say in between curves from the vets)?
I've read that when the meals are given depends on what brand of insulin used- but on one of the threads it said to give the meal first, just in case it's rejected or only half eaten, so the insulin dose can be adjusted accordingly. Does it sometimes depend on the brand?
Other info- Franklin is a maltese and weighs 7.7kg (16.9lbs) - not fat but stocky. He's on melatonin and lignans for the atypical cushings, and 2.5mg enalapril for the proteinuria. Because of the cushings, he has an increased risk of pancreatitis, but spec cpl (July 2010) was 59ug/l (<201), often has high cholesterol, triglycerides and lipids.
Blood pressure has mostly been within range, except once when we were using 5mg enalapril. Repeated testing that day gave results of 60/30 with their oscillometric, and their doppler wouldn't give a consistant reading, even with other dogs. We stopped the enalapril until we could get a proper reading (8 days later). It was back to normal, so we started enalapril again but at 2.5mg.
He gets omega 3, vitamin e, vitamin b, milk thistle, carnitine, taurine, glutamine, and coenzyme q10, but not all of them each day.
I thank you in advance for any help or insights you have,
Jane and Franklin
My sweet child Franklin has atypical cushing's (after originally being dx'd with PDH cushing's), proteinuria, and since the end of July has shown glucose in his urine, ranging from + to 4+. On both multistix and lab urinalysis.
Our vet had said that it's probably nothing to worry about, and that they go by blood glucose to dx and monitor diabetes. I originally thought it might have been caused by my attempt at home cooking (a fair bit of rice- because of the proteinuria he needs a moderately restricted protein diet). We've since gone back to commercial food.
We had some blood work done on 30 Aug, and it showed just a slight glucose elevation. 7.2mmol/l (3.5-6.7) converting from http://http://www.childrenwithdiabet.../converter.htm makes those numbers 129.6 mg/dl (63-120.6) which I realise is extremely minor, and truthfully I don't know if we need to be here, but I am extremely grateful for this forum and the knowledge you all provide.
I've been trawling through the links and info, but haven't had much time to go through threads so far. Our vet did say it's very slight, and quite probably nothing to worry about (yet), but that's not going to stop me from worrying
or trying to learn about the condition. The IMS hasn't given her opinion yet. The vet said that if an und'xd diabetic pup came in, he would expect readings of 10+I've bought an Abbots freestyle lite glucometer, just in case. I like the idea of just a small blood drop, and it was written up here as being a good choice for little pups, and fairly accurate. It seems pretty easy to use also
. Don't worry, I tried it out on me, not Franklin . Considering we got the results on Thursday, I haven't had too much time to study. Well, it's not sinking in to my head. So I havn't had a lot of time to come up with decent questions, so I apologise in advance if these are incredibly stupid.
If glucose is showing in his urine, that means that it's over the renal thresh-hold of 180 ish, correct?
So even if it's not diabetes, it still needs to be addressed?
Is there such a thing as pre-diabetes? Early diabetes?
If it turns out that it is diabetes and we need to home glucose test, is there a difference in glucose readings depending on where the blood is taken from? ie: inside lip, outside lip, base of tail, ear flap?
What is a spot test?
Can a glucometer be used for a curve (say in between curves from the vets)?
I've read that when the meals are given depends on what brand of insulin used- but on one of the threads it said to give the meal first, just in case it's rejected or only half eaten, so the insulin dose can be adjusted accordingly. Does it sometimes depend on the brand?
Other info- Franklin is a maltese and weighs 7.7kg (16.9lbs) - not fat but stocky. He's on melatonin and lignans for the atypical cushings, and 2.5mg enalapril for the proteinuria. Because of the cushings, he has an increased risk of pancreatitis, but spec cpl (July 2010) was 59ug/l (<201), often has high cholesterol, triglycerides and lipids.
Blood pressure has mostly been within range, except once when we were using 5mg enalapril. Repeated testing that day gave results of 60/30 with their oscillometric, and their doppler wouldn't give a consistant reading, even with other dogs. We stopped the enalapril until we could get a proper reading (8 days later). It was back to normal, so we started enalapril again but at 2.5mg.
He gets omega 3, vitamin e, vitamin b, milk thistle, carnitine, taurine, glutamine, and coenzyme q10, but not all of them each day.
I thank you in advance for any help or insights you have,
Jane and Franklin
Cushings symptoms aren't a problem, just a few days in the past month he was begging, barking and tapping at me for more food. 
!
. As you know, we have a few cross-over members, and when a diabetic pup's parent comes over to k9c and links to their thread what they've been going through, I've been known to poke around over here as well 
Comment