Diabetes in Dogs: The k9diabetes.com Forum
 

Go Back   Diabetes in Dogs: The k9diabetes.com Forum > K9 Biographies / Stories

K9 Biographies / Stories A place for you to post your "story" about your dog, including details of diagnosis, treatment, and management of your dog's diabetes; other medical issues; diets; and any other history or information about your dog that you care to share.

Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 03-28-2008, 07:39 AM
ladysmom06's Avatar
ladysmom06 ladysmom06 is offline
Founding Member
 
Join Date: Mar 2008
Posts: 493
Default Lynne's Lady JRT with Diabetes and Cushing's

Lady is a Jack Russell Terrier who was 8 yrs old when she was dx with cushing's in Sept. 06. She was also diabetic at that time but the vet that was treating her missed the diabetes. Her story begins in May 06 when she started with what sounded like congestion. She was put on antibiotics and a steroid but the congestion wasn't going away. The vet thought maybe it was coming from her teeth - she had a lot of plaque. Routine blood work on the day of the cleaning showed her alk/phos was so high they couldn't measure it and the alt was also high. Vet said she might have cushing's. Lady had to have 11 teeth pulled that day and it took awhile for her mouth to heal. The congestion continued - she had been gaining weight - had a pot belly - could no longer jump on the furniture - and had a sore on her front paw that she would constantly lick. In Sept. she started drinking a lot of water and was having accidents in the house. She had an acth test done that showed she had cushing's. More blood work was done and they still couldn't measure her alk/phos and her alt was even higher. Also her bg was 413. When I questioned the vet about it he said it was from the cushing's. She was started on lysodren for the cushing's and after 2 1/2 days on it she became very sick. She started vomiting so vet had us stop the lyso and give her prednisone. We took her in to have her electrolytes checked and they were fine. The next day she had more vomiting and bloody diarrhea. Took her right to the vet's The vet who saw her that day dx her with diabetes - her bg was 450 - she also had a large amount of ketones. She weighed 15.08 lbs down from 17.48 lbs in the beginning of Sept. She was put on 3 units of Humulin N. We were devistated, worried and scared. I couldn't stop crying - was so scared we were going to lose her. Vet told us we had to get the diabetes under control first - she wasn't sure that Lady even had cushing's - said unregulated diabetes could give false positive on acth test and Lady had been on prednisone that summer. We could not get her bg's down - had to keep increasing the insulin. She was going for curves every couple of weeks. She continued to loose weight and in January 07 she was on 10 units of Humulin N and weighed 14 lbs. She was not herself. You could see just by looking at her how awful she felt. Would just lay in her bed all the time. She was retested for cushing's and all tests were positive. Her vet wanted us to see an IMS - she told us she had treated many patients with cushing's and many with diabetes but never a dog that had both diseases. The IMS said her physical exam was suspicious for cushing's - thinning of fur and flaky skin - pot bellied apperance. He said it was difficult to make the dx of cushing's because in July the blood abnormalities could have been from the steroid usage and in Sept. when she was tested for cushing's she was diabetic. Diabetes can cause similar liver enzyme and cholesterol elevation and can also lead to false positive cushing's tests. She also had an abdominal ultrasound done which did not reveal evidence of adrenal gland enlargement. He wanted us to switch the insulin to Vetsulin and if she requires dose escalation in the range to suggest insulin resistance we would then treat her for cushing's. She was started on Vetsulin and we had to keep increasing the dose. She was on 10 units twice daily and now weighed 13 lbs. We switched back to humulin N and her dose was back up to 10 units twice a day - she was still unregulated. IMS wanted to start treating the cushing's and she was put on 60 mgs of trilostane and he had us reduce the insulin to 7 units because he anticipated the insulin needs would decrease as we treated the cushing's. After 2 days on the trilo she started vomiting. I thought oh no! here we go again. We stopped the trilo for a couple of weeks and then restarted at a lower dose - 30 mgs. and she did fine. Firtst acth test was done after 10 days on the trilo and her cortisol was coming down but her curve showed her diabetes still unregulated. We had to increase the insulin again - she ended up being on 11 units 2x's a day. After being on the trilo for a few more weeks I did a spot check on her and was shocked to see a reading in the 100's. We reduced the insulin but a few days later she started vomiting and when I checked her the bg was only 70. Gave her something to eat and rushed her to the vet's. Bg had come back up by then so the insulin was reduced to 5 units 2x's a day. This all happened at the end of May 07 and she's been on the same dose since then. It wasn't until June that she really started having good bg's. Her trilo has been adjusted after her acth tests. At one point she was up to 120 mgs. but has been reduced since.

Today her cushing's and diabetes are both under control. It took us a long time to get where we are today but she is back to being the little terrier she was before all this started. There are still somethings she can't do - like jump up on the furniture - but she does try. She is very happy, alert and full of energy. She is on 30 mgs of trilostane, 5 units of Humulin 2x's a day, fish oil, pet vitamin and cosequin. I also home cook for her and she finally gained some weight. I hope Lady's story can offer hope to all those just starting out on this journey. I'm sure Lady would of never made it if it wasn't for the wonderful vet and IMS who take care of her. Also the wonderful, caring people on the cushing's and diabetes board who have helped us along our way. Hugs to all.
__________________
Luv,

Lynne and Angel Lady 7/98-3/09 Forever in my heart
Reply With Quote
  #2  
Old 04-01-2008, 09:20 PM
k9diabetes's Avatar
k9diabetes k9diabetes is offline
Administrator
 
Join Date: Mar 2008
Location: Northern California
Posts: 11,050
Default Re: Lynne's Lady JRT with Diabetes and Cushing's

Whew, what a harrowing trip to getting everything diagnosed! It's tough when she was throwing up knowing what was making her sick. I'm thrilled to know that everything is going well now.

I have been kissing up to our two JRT neighbors, Lela and Milo, with cookies offered through a hole in the fence board that my husband drilled just for that purpose! Milo is half Lela's age and twice her size. She's really a tiny girl. Good thing, though, I'd be hard pressed to know which was which. Now they only bark long enough to let me know they're out there and then wait, relatively patiently, for me to reappear with treats.

Sending a hug (or some other form of affection more preferred by JRTs) to Lady,

Natalie
Reply With Quote
Reply

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Forum Jump


All times are GMT -7. The time now is 10:00 AM.


Disclaimer -- The content on this site is provided for informational and educational purposes only. While we make every effort to present information that is accurate and reliable, the views expressed here are not meant to be a substitute for the advice provided by a licensed veterinarian. Please consult with your veterinarian for specific advice concerning the medical condition or treatment of your pet and before administering any medication or pursuing any course of treatment that you may read about on this site.

The views and opinions expressed by contributors to this forum are strictly their own and do not necessarily reflect the opinions and views of the owners, administrators, or moderators of this forum and the k9diabetes.com website.


Powered by vBulletin® Version 3.8.5
Copyright ©2000 - 2017, Jelsoft Enterprises Ltd.
Copyright 2009, 2010 k9diabetes.com. All rights reserved.