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Old 01-16-2012, 07:42 AM
Lexi_Mom Lexi_Mom is offline
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Default Missed Dose - What do I do?

Sometimes I feed Lexi (dog) then I am interrupted and forget to administer her Insulin. This happens at least once every two weeks.
What should I do?

This is what I have been doing: If I remember within the hour, I give her the Insulin without extra food, if I remember 1-4 hrs later, I give her 1 cup of food (vet said do not give on empty stomach). If I remember about 6 hrs later, I give her half the dose with food. And if it is 1-3 hrs before her next scheduled dose, I do nothing).

Sometimes I can't even remember if I gave her the Insulin, so I set up a system where I stick (put) the evening needle out the lid of syringe box Ė if no needle exists = I didnít give her the morning shot. If needle exists = I did give her the morning. If it is night, and no needle, then I gave her the evening needle (I havenít missed a whole day yet - evening less busy, so I remember better).
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Old 01-16-2012, 08:44 AM
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Cebe Cebe is offline
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Default Re: Missed Dose - What do I do?

Lately, I've had that happen a couple of times, and all I do is just wait until the next feeding/shot.

Do you log the shots? I have an application on my iphone that helps me keep track of insulin and blood glucose. It's intended for humans, but it works pretty well for my dog.
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Zoe: 9 yr old Black Lab/shepherd mix. Diagnosed 6/1/11. Currently on 15 units Novolin NPH 2x day, and hopefully as close to regulated as possible. Feeding Hill's Science Diet Ideal Balance Grain Free Salmon and Potato. Weight 69lbs.
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Old 01-16-2012, 09:17 AM
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Abby's Mom Abby's Mom is offline
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Default Re: Missed Dose - What do I do?

Routine is best. I will normally test/shot/feed. Abby is a good eater, so I don't have to worry if she will eat or not.

In the beginning I would Feed, then test/shot. Also, as Cebe mentioned keeping a log sure helps. Write down when you have given the shot and if you are home monitoring what the reading is.

Alot of us do record in a log book.
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Old 01-16-2012, 11:32 AM
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Chase Chase is offline
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Default Re: Missed Dose - What do I do?

I missed a dose a week ago but not because I forgot but because I actually physically missed with the syringe. Chase has very thick fur and the needle gets buried. I pinched and made the "tent" and the needle went in one side and out the other. Needle must have been on an angle. I noticed all the insulin on him.

However, I didn't know how much he did receive so I played it safe and gave him no more.

His BG at the next fast was high but after 24 hours his BG came back down to normal levels. So all in all, I don't think it's a big deal if you miss.
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Old 01-16-2012, 12:19 PM
pgcor pgcor is offline
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Default Re: Missed Dose - What do I do?

I have made it a habit to never feed Pip without filling the needle and putting it on a plate with his post-meal, bribery cookies.

I make his food, put in all his supplements, break up two cookies on a plate with the syringe. I also bring out his eye drops - everything he needs before I put the food down.

I also have a list on my kitchen cabinet all his supplements AM/PM. I can just look up if I get confused.
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Old 01-16-2012, 02:33 PM
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farrwf farrwf is offline
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Default Re: Missed Dose - What do I do?

Dunno ... When O misses a dose, it's because he won't eat.

Depends if, and when, he eats as to how much, if any, insulin he gets. Missing a dose isn't the end of the world. Sure beats the heck out of too much.
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Old 01-16-2012, 07:38 PM
Lexi_Mom Lexi_Mom is offline
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Default Re: Missed Dose - What do I do?

I asked the Vet again - same Clinic, differnet Vet, this is the response I got:

Ideally it's best to give the insulin right after feeding but within the hour is okay much later and it would become a problem. If it's 2-3 hours later I would give a half dose without extra food. Her blood glucose would be high for the rest of the day but it's better then going to low
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Old 01-16-2012, 07:53 PM
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MaryLea MaryLea is offline
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Default Re: Missed Dose - What do I do?

That respose makes more sense to me than what you were told earlier. Just IMO.

Mary
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Old 01-16-2012, 10:14 PM
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Shellie Shellie is offline
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Default Re: Missed Dose - What do I do?

I agree with the last response. I've done that with Hank once or twice. You just don't want to overlap your insulin by too many hours. So giving a full dose four hours late isn't a good idea.

But it sounds like you just need to get a routine going. My morning routine isn't great and have forgotten once or twice but my evening routine is always the same. Feed the dog then get his insulin BEFORE I sit down and eat. So somewhere between his eating and mine...he'll always get his shot. It's always within half an hour of his eating so it works very well.
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