Diabetes in Dogs: The k9diabetes.com Forum
 

Go Back   Diabetes in Dogs: The k9diabetes.com Forum > Diabetes Discussion: Your Dog

Diabetes Discussion: Your Dog Anything related to your diabetic dog.

Reply
 
Thread Tools Search this Thread Display Modes
  #141  
Old 09-23-2022, 07:57 AM
Zoology1603 Zoology1603 is offline
Senior Member
 
Join Date: Sep 2022
Posts: 107
Default Re: Diabetic Australian Cattle Dog

Riliey, since my dog and I both have bladder conditions that interrupt our sleep, we get out of bed when we get out of bed. I cannot change this. I also cannot change her evening dose at 6pm as I may go to bed sometime after that. It's as accurate to 12 hours as I can make it given our day to day life. Farmers simply don't have a lot of time to spare.
Chewy doesn't seem to want to ship our w/d. I've called and verified my identity but there is no change in status. All we have locally is Pure Balance so it's what I will be using until otherwise. Or Freshpet if I have to switch because our store runs out. It's 25 miles to town for us. We try to time shopping on doctor visits and such.

9/22 Evening
5:56pm :: 537
5:58pm :: Meal (118g Wet, 70g Dry)
6:06pm :: 9 Units Insulin

9/23 Morning
6:43am :: 491
6:48am :: Meal (118g Wet, 70g Dry)
6:57am :: 9 Units Insulin
9:05am :: 493
9:39am :: 33.8lbs
Reply With Quote
  #142  
Old 09-23-2022, 08:22 AM
Riliey and Mo's Avatar
Riliey and Mo Riliey and Mo is offline
Senior Member
 
Join Date: Mar 2013
Posts: 2,031
Default Re: Diabetic Australian Cattle Dog

can you feed this food, is it available continuously?


day 9



33 lbs is 15 kg 7.5
the blood sugars starting to normalize, good job. food and insulin are starting to meet up


please post her night time bg
i.d reduce 1/2 unit to 8.5
__________________
Riliey . aka Ralphy, Alice, Big Boy
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
Reply With Quote
  #143  
Old 09-23-2022, 08:24 AM
labblab's Avatar
labblab labblab is offline
Interim CC
 
Join Date: Apr 2009
Posts: 138
Default Re: Diabetic Australian Cattle Dog

I definitely understand your conflict! If only we had a crystal ball…

Unfortunately, there’s no set time frame for seeing side effects. Some dogs may end up feeling “off” soon after starting the meds not because their cortisol is being lowered to a level that is actually unsafe, but just as a reaction to a rapid lowering of cortisol from that previously elevated level. But I don’t mean to be overly dramatic about all this. Obviously, many dogs do just fine, and the first changes that owners see are happy ones — reduction in excessive thirst and urination, for example. One symptom that may be harder to judge with Bear is appetite. Since most Cushpups have ravenous appetites, actual inappetance after starting trilostane can be a red flag for overdosing. But I know that Bear has been picky, already, so that might not be a sign that’s as easy to read for her.

Also, in most cases, if the dose is high enough to cause symptoms, simply discontinuing the med for a few days and resuming at a lower dose will solve the problem. So I don’t want to paint a picture that’s too scary. But dogs *can* get into trouble, and that’s why you’re wanting reassurance that your vet is aware of the risks and how to deal with them.

As far as the cortisol testing, though, as long as they’ll draw the blood at the right time, then you’re honestly as capable as they are of checking the results with that monitoring chart. The timing of the blood draw is important, though. Over the years, a lot of research has been done to try to make the Cushing’s monitoring easier and less expensive. At one time, it was hoped that baseline cortisols, in general, would work. But it turns out that levels that are taken at any random time of day are not accurate dosing indicators. If you’re using a baseline cortisol instead of an ACTH stimulation test for monitoring, you really need to know what the level is right before you’d be administering the next dose.

I just want to tell you that I think that Bear is very, very lucky to have you for a dad. You’ve been putting so much time and effort into educating yourself and advocating for her with the vet. I grew up in midwestern farmland and I know firsthand that many farm dogs and cats, although well-loved, just aren’t able to receive the specialized care of their city cousins. You are really doing an outstanding job of trying to keep her as healthy as possible. These decisions you are making are not easy ones. And sometimes when all is said and done, you’ve just got to go with your gut. In retrospect, I know I ended up making mistakes with my own Cushpup that I’ll always regret. But I tell myself that I did the best I could with the information I had at the time. It’s likely that Bear would have had no chance for a future at all without the care you’re giving her now. So carry on! And let us know what you find out.
Reply With Quote
  #144  
Old 09-23-2022, 11:10 AM
Zoology1603 Zoology1603 is offline
Senior Member
 
Join Date: Sep 2022
Posts: 107
Default Re: Diabetic Australian Cattle Dog

Quote:
Originally Posted by jesse girl View Post
Another factor is I got a discount meter (prodigy code ) on ebay and could find strips in quantity for as low as $5 for 50 . I think at one time I bought 500 at one time . Did not worry if I run out of strips . I compared the meter with other human meters and they registered all about the same . I used this meter for most of her diabetic life and took the numbers as is . Now out of all those eBay test strips purchases I had one bad batch that I was refunded . Some could be close to expectation dates but had no problem with strips that passed the date
Just wanted to let you know that I got a Prodigy AutoCode and ran a test using the same drop of blood seconds apart. Here is what I got. I've always thought this Alpha was reading high so I don't know. I tried testing the Alpha on one of our other dogs last night but that was impossible. I'll keep trying when one is in a more docile mood. (Never mind, I tried again and it's not going to happen.)

12:59pm
565 Alphatrak
471 Prodigy AutoCode

Last edited by Zoology1603; 09-23-2022 at 11:38 AM.
Reply With Quote
  #145  
Old 09-23-2022, 11:42 AM
Riliey and Mo's Avatar
Riliey and Mo Riliey and Mo is offline
Senior Member
 
Join Date: Mar 2013
Posts: 2,031
Default Re: Diabetic Australian Cattle Dog

are you using code 36 on the alphatrack? thats a 100 point difference good catch. 565 doesnt make sense. 471 is more like it jessegirl will have her readings on both. prodigy doesnt have codes. i used the onetouch ultra2 it was the closet of the meters i tested against the alphatrack. amazon customers reviews are saying at the vet bg was 300 then 500 on their alphatrack i.d still be reducing to 8.5 tonight or tomorrow. goodluck with testing your other dog. i.d try to get a few onetouch strips to clarify the prodigy meter readings. still post evening tests

tomorrow we need 3 tests

fasting

at 2 hour bg food and insulin meeting up

at 4th hour, possible drop in bg time
__________________
Riliey . aka Ralphy, Alice, Big Boy
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

Last edited by Riliey and Mo; 09-23-2022 at 11:51 AM. Reason: yup something making more double spaces
Reply With Quote
  #146  
Old 09-23-2022, 11:54 AM
Zoology1603 Zoology1603 is offline
Senior Member
 
Join Date: Sep 2022
Posts: 107
Default Re: Diabetic Australian Cattle Dog

I bought some more Pure Balance. I can always get it, so far so good anyways. I don't know what is holding up my shipment from Chewy. So I haven't changed the type of food for a few days now.

I thought I posted it above but I guess not but I did give her half a dose of Trilostane this morning with her food.

I should mention I always test my dog on her elbow calluses. I don't know if it makes a difference where the test is performed.

Poop Report:
2:10pm
Solid coming out but of a softer consistency than previous. Easily squished with a stick. Light brown and dark brown mixed.

Activity Report:
Normal, high energy. Ran to the barn and back. Explored the pasture. Played fetch a couple times.

My Alphatrak 2 strips say code 35 on them. I'll use the Prodigy side by side with my Alpha for a while and see what it consistently reads.


labblab
The vet wants to reevaluate cortisol levels in 60 days, not 10. They wouldn't let me have any prednisone either.

Last edited by Zoology1603; 09-23-2022 at 12:57 PM.
Reply With Quote
  #147  
Old 09-23-2022, 01:18 PM
labblab's Avatar
labblab labblab is offline
Interim CC
 
Join Date: Apr 2009
Posts: 138
Default Re: Diabetic Australian Cattle Dog

Quote:
The vet wants to reevaluate cortisol levels in 60 days, not 10. They wouldn't let me have any prednisone either.
I’ve been active on canine Cushing’s forums for 18 years. Virtually every day. In 18 years, I have never heard of, nor read about, any professional veterinary trilostane protocol that recommends waiting for 60 days to test when first starting treatment. Never. One month out is the longest time period I have ever heard of. There is absolutely no reason to wait for 60 days to test if you, the owner, are willing to pay to have the blood drawn.

Once a dog has been stabilized on a specific dose (showing satisfactory symptom resolution and desired cortisol level), the testing time can shift to as long as 90 days. But not to begin with. I can give you multiple citations if that matters in any way. And I won’t abandon you here, no matter what you decide to do. But I have no idea why they want to wait so long to do a simple blood test, especially on a diabetic dog who has so many issues involved. They are really jeopardizing her safety, and I wouldn’t know why.
Reply With Quote
  #148  
Old 09-23-2022, 01:27 PM
Riliey and Mo's Avatar
Riliey and Mo Riliey and Mo is offline
Senior Member
 
Join Date: Mar 2013
Posts: 2,031
Default Re: Diabetic Australian Cattle Dog

so the reduction in insulin drop back 1 unit brought her bg down or was it 1/2 the trilostane or both.

either way she dropped down, reduce by 1/2 to 8.5

adding in the pure balance will change things up

we.ll test keep her safe compare both meters

nice catch, glad shes doing better
__________________
Riliey . aka Ralphy, Alice, Big Boy
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
Reply With Quote
  #149  
Old 09-23-2022, 02:01 PM
Riliey and Mo's Avatar
Riliey and Mo Riliey and Mo is offline
Senior Member
 
Join Date: Mar 2013
Posts: 2,031
Default Re: Diabetic Australian Cattle Dog

lablab hi

her insulin is dropping because of the reducing insulin and another 1/2 reduction coming.


how long does it take for the trilostane to work please?
how long does it last?
how long does it take to leave the system?
__________________
Riliey . aka Ralphy, Alice, Big Boy
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
Reply With Quote
  #150  
Old 09-23-2022, 02:31 PM
Zoology1603 Zoology1603 is offline
Senior Member
 
Join Date: Sep 2022
Posts: 107
Default Re: Diabetic Australian Cattle Dog

labblab - I didn't get to talk to the doctor. I had to write my questions down and have the secretary take it back to the vet. To say the least, I came home upset and a little depressed. I've already talked to other vets, some won't take new patients while the others say they can't handle my dog's condition. I'm still taking the dog in come October to see the doctor.
We had a dog die a few years back. I went through some pills and found Prednisone 5mg (3/2020), they should still be good if a little weaker strength. I trust your input on this.
They agree having her spayed would be good but now is not a good time, which I agree.

Last edited by Zoology1603; 09-23-2022 at 02:45 PM.
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 11:10 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 - 2022, Jelsoft Enterprises Ltd.
Copyright 2009, 2010 k9diabetes.com. All rights reserved.