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  #1  
Old 05-19-2022, 04:34 PM
PaddysPerson PaddysPerson is offline
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Default Shih tzu recently diagnosed plus Cushings

Hello Everyone. My sweet boy, Paddy, was diagnosed with diabetes a week ago. He's also had Cushing's for 5 years or so and takes 10mg vetoryl once day as well as 3mg melatonin 2x. He had just been to vet for his regular check-up in mid-March and his glucose was 137. He had to have an ultrasound afterward because of his high ALP (@ 3400).
The weekend after ultrasound, he began to drink alot more than normal and peeing more. Thought it could be the cushing's... He went back to vet last week because of dental/mouth problem (my fault for neglecting his teeth) and had not been wanting to eat. While there, at the last minute, they checked his glucose and it was 440 -ish. He now has to have an injection once a day - vetsulin 4 units. And he also is limited to twice a day feeding. He got an rx of Royal Canin Glycobalance food. He's supposed to eat a whole can in one day - but it looks like ALOT for him to eat at once. So he's been getting 1/2 cup.
I added a spoonful of pumpkin today (which he used to eat regularly). He's been having problems with his poop (soft and some are small and more frequent). He did get an antibiotic injection - Covenia - last week, but he had the poop issue before that and it had gone back to normal. Is it alright to give him a probiotic? The one I have on hand is Purina Fortiflora? Should that be ok with diabetes?
He's got some other health issues, which I'll mention later. I posted the results from some of his labwork on the k9cushings board. (The melatonin was discontinued because of it blocking insulin absorption..??)
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Old 05-19-2022, 07:23 PM
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Pippi's Mama Pippi's Mama is offline
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Default Re: Shih tzu recently diagnosed plus Cushings

Hello. Welcome to the group.


I wonder why the vet has Paddy on insulin just 1x daily. Most dogs need insulin after eating a meal as that is when the blood sugar is going to spike. My Pippi was given insulin 2x daily just after eating. Most diabetic dogs are put on a strict 2x a day meal regime with insulin injections just after eating a meal.



Pippi was on Novalin N from Walmart, and it works well for many dogs, but a lot of diabetic dogs use the Vetsulin, also. I would think dogs on Vetsulin would also need it 2x a day just after eating. It is important to feed around the same time in the morning & evening every day to keep the blood glucose as stable as possible. And it is also important to give the same kind of food and the same amount of food each time. I weighed Pippi's food on a scale. Some people don't go to all that trouble, but I would have stressed out if I hadn't weighed it. LOL.



Has your vet done a blood glucose curve? You didn't mention if you are using a glucometer or not. This is extremely important as it helps you keep an eye on the blood glucose levels in case it gets too high or too low. If you have a glucometer, you can learn to do your own blood glucose curves instead of the vet, which can get expensive.



I gave my little Pippi Purina Fortiflora and it didn't bother her blood glucose levels. Interestingly, I also gave her melatonin and it also didn't affect her blood glucose levels. However, every dog is different. What might affect one dog might not affect another.



Plus, Paddy has Cushings, so there might be other factors to consider with that. I don't have experience with Cushings.

Last edited by Pippi's Mama; 05-19-2022 at 07:51 PM.
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Old 06-18-2022, 12:39 PM
PaddysPerson PaddysPerson is offline
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Default Re: Shih tzu recently diagnosed plus Cushings

Sorry it has taken me so long to reply. I had been waiting for test results from UTK re Paddy's cushings, then to hear from the specialist about that. And Paddy had his first curve done by the vet last week.
Paddy is usually a bit overweight, most always 21 lbs. When he had his regular check-up in March, he weighed @23 lbs on vet scale. In early May, he had not eaten well for a few days due to his teeth/mouth problem & weighed 19-20. I tried to weigh him at home (before vet) & he was 17.2. At vet, he weighed 16.4. He's also been losing ALOT of fur.
He had been getting 4u of vetsulin 1x a day. I fed him at home - 1/2c of RC Glycobalance & gave injection before going to vet for curve (8am, 8:30am) & we got there a little after 9. He was there til after 5pm. The first few results were off the charts (700) & the only time it was below 600 was the last one at 5pm which was still over 500. It had been 430ish in May.
So, of course, he's going to 2x a day now & they want to increase it to 5u. Does that seem like too much for his current weight? I'm pretty sure I read that reccommended dose is 1/2u per 2.2kg & 25% less if 2x a day.
The vet had said in May that he should be fed 1/2 can of food twice a day (one can is 13.75 oz). At first I think she had said 1 cup twice, but then 1/2 can. I have been giving him @ 3/8 - 1/2c of food plus an additional 1/8c pumpkin & a spoonful of the Glycobalance right after his injection (not day of curve, though, as he wasn't interested). I used to feed him 3-4 small meals per day. So much at one time now.....it just looks like alot for him to eat. That's why I wait a few minutes & give a little more.
Also, re his cushings & the test results from UTK...they were understaffed & it took a month to get those back (e-mailed to me) but they seemed to indicate atypical cushings & that Paddy should discontinue vetoryl & change to Lysodren, which requires a month break in between. Lots of phone tag with the specialist followed. After 2 weeks of wondering, I decided maybe I should stop giving vetoryl, anticipating the Lysodren switch. So he went without vetoryl for 2 weeks, which may have been why his glucose was so high on curve day. When I finally spoke with the IMS the day after the curve, he told me to start giving him the vetoryl again as he doesn't want to start anything new until diabetes is better regulated. So, I'm a dummy & should not have assumed...probably made things worse.
Thank you for your answer about the fortiflora. I felt better about giving it to Paddy later.
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Old 06-18-2022, 01:47 PM
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Riliey and Mo Riliey and Mo is offline
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Default Re: Shih tzu recently diagnosed plus Cushings

hi and welcome to you and your Paddy

at first theres alot to take in but in a short time getting Paddy regulated becomes easier

first off dogs do better getting injections twice a da after food every 12 hours. i.d speak to your vet and ask why hes injecing only once a day.

make a log of his daily routine, food fed, how much, exercise when how much

this all adds up to regulating Paddy

more people will be in the forum to help
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20 lb male. 5 1/2 nph insulin. 1/2 cup fromms. black cockapoo, dx Apr 2012 . 5 1\2 yrs diabetic. 2000 to 2017
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Old 06-18-2022, 01:53 PM
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Riliey and Mo Riliey and Mo is offline
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Default Re: Shih tzu recently diagnosed plus Cushings

it would be good to ask the vet why hes lost alot of weight
if its his teeth, infection, does his teeth need cleaning?
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20 lb male. 5 1/2 nph insulin. 1/2 cup fromms. black cockapoo, dx Apr 2012 . 5 1\2 yrs diabetic. 2000 to 2017
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Old 06-18-2022, 02:00 PM
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Default Re: Shih tzu recently diagnosed plus Cushings

feed him all his food at one time without adding more after. its part of the regulation process. feeding the same amount twice a day keeping up the repition. injecting right after food. it takes 1 1/2 hours for the insulin to meet up with food
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20 lb male. 5 1/2 nph insulin. 1/2 cup fromms. black cockapoo, dx Apr 2012 . 5 1\2 yrs diabetic. 2000 to 2017
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Old 06-22-2022, 08:03 AM
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Pippi's Mama Pippi's Mama is offline
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Default Re: Shih tzu recently diagnosed plus Cushings

I would not inject him with insulin before he eats. Give the injection after he eats. The reason being if you inject him and he decides not to eat, his blood sugar could drop too low.


I'm glad that the vet changed his insulin injections to 2x a day. I feel that is the main reason why his blood glucose levels are way out of control. It doesn't make sense that she had you give an injection only 1x if she had you feed him 2x. Since he isn't making insulin himself, he needs the help of an injection every time he eats.


I can't stress enough how important it is to get a glucometer and test his blood glucose levels at home. It is daunting at first, but you will get the hang of it. His blood glucose levels are way too high. If you had a glucometer, you could check him everyday if need be to keep an eye on his insulin levels and do blood glucose curves to figure out insulin doses. You could do your own blood glucose curve once a week to see where he is so you can adjust insulin/food. Every dog food is different. The correct insulin dose for one brand of dog food might be totally different for another brand because of the different ingredients. There are so many factors that go into figuring out how to regulate blood sugar.


We can help you learn how to use a glucomter if you get one. You can post the blood glucose curve numbers on here and we can help you figure out how to adjust the insulin levels.
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