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mprssdbyu
07-21-2011, 11:34 AM
Hello everyone

I've been reading all morning here trying to absorb as much info about the illness as I can. I'm SO overwhelmed emotionally and my head is spinning as I'm not sure where to start really with her. The vet didn't tell me anything other than to watch for hypoglycemia... I think is what you call it. Other than that, she told me to inject her twice a day but didn't tell me I needed to do it 12 hours apart, didn't tell me to warm the solution and didn't say a word about the necessity of monitoring her at home. Now, I feel really guilty because bless her heart she has been so sick this week. My other dilema is that I've lost my job and I'm single so it's just me and her basically. I have asked no one for help...it's just not my nature. Financially, I'm strapped. It took several weeks to save up for a very expensive vet visit but she developed pancreatitis this week and something had to give. She's my child and my mother would never have let me suffer like she has. Anyway, I'm sorry if I'm rambling...just a little overwhelmed. First, she loves a trashcan or should I say what she smells in it. If you don't set it on the counter as it won't fit in my pantry, she will knock it over while I'm sleeping at night and have herself a good time which of course leads to disaster. Pancreatitis here we come, as it has happened twice now! Bless her heart after reading here, I've learned she's not only what I thought was simply wanting more water, she's starving, too. She's down to 7.6 lbs from 12 lbs about 2 months ago. She's sort of a tall min pin so at this point there is NO fat..she's all skin and bones. I've been reading about exercise a little here but she's so thin, I'm afraid of how much exercise to let her get. Doesn't she need all those calories if only absorbed a little? The vet started her on 1 unit of NPH 2X day. Gosh, that seems like nothing compared to what I've read here. I'm just worried as I just don't see how that is going to help her esp when her count yesterday at the vet was in the 600 to 700 range. She said it stopped registering. I don't know if that happened or she just stopped the test when it got that high by then knowing she was definitely diabetic. Any input would be helpful. She wants me to bring her back in 4 weeks to test again as she said they have found weekly testing isn't accurate in the beginning. I had no idea it could take so much time to see a difference in her. Silly me thought I would see her feeling better by this morning. How dumb am I?

Also, I have chosen Innova for Senior animals. Is anyone familiar with it? I've read that can food is the best for them but again that may be a farce too and just an opinion. Here is the ingredients in the Senior Innova. Lexi is 10 1/2years old. I just don't know if it has enough calories. I just have to be careful of the level of fat content as to not bring on another episode of pancreatitis. I just want to see her get a little better soon. I feel so sorry for her. The thought of her starving has broke my heart and it was pretty shattered to begin with watching her suffer and not knowing what to do!

Here are the ingredients in Innova for Seniors. Any input or thoughts on its content would be helpful. I don't know if it is missing anything a diabetic pet should have but it did come highly recommended.

Ingredients
Turkey
Chicken
Brown Rice
Turkey Broth
Chicken Broth
Salmon
Potatoes
Carrots
Mackerel
Herring
Herring Oil
Cottage Cheese
Apples
Alfalfa Sprouts
Whole Eggs
Carrageenan
Pumpkin
Inulin - A highly fermentable fiber
Sunflower Oil

janspack
07-21-2011, 01:10 PM
Hi Lexi's Mum,

First of all, you've come to the right place. Secondly, once you get used to all this, it won't be anywhere as bad as it seems right now. I'm in the UK so can't help with what your costs etc will be but I have read that most of the owners tend to get their insulin and syringes from Walmart - which is one h.... of a lot cheaper than the vets. ;) Being disabled, single and living alone, I know how tight money can be.

Now, most importantly, I'm not at all impressed with what your vet has recommended for a treatment plan. In the early stages, the dog needs more careful monitoring until you can get her stable and know what dose of insulin combined with the food is right for Lexi. Maybe he is trying to keep your costs to a minimum but I sometimes feel that if you can perhaps get her better monitored and supervised in these early days, it will be cheaper in the long run.

I imagine, from the fact that they have said that they can't test her for 4 weeks that they are planning to use a fructosamine test to monitor how she is getting on. This test can be quite useful at times but as you've seen most of us like to be more proactive in our dogs' care. The fructosamine just gives the vet an average of the glucose levels for the past 2 - 3 weeks but doesn't give you any idea of how well the levels are controlled from one day to the next.

Glucose testing machines can be really affordable now if you go for a "human" monitor rather than for the one that is made specially for dogs and cats. (Alphatrak). I'm sure other members will make recommendations based on accuracy and balanced with cost. I use one called GlucoRX but I don't know if you can get it in the USA. I got it from the UK branch of Amazon so it might well be worth a search on their website. The monitor was well under £10 and the test strips are 1/3 the cost of the Alphatrak ones.

If you would feel happier to start with, you can get urine dipsticks which while they don't give you quite such an accurate reading as a BG monitor, they would definitely point you in the right direction so that you can tell if Lexi is getting enough/too much insulin.

I'm not qualified to say if the 1 unit twice a day is enough but to me, it does sound a bit on the low side. However, that can be better than going in too high and having the dog go hypo. High blood sugar in the long term could cause damage but a low blood sugar could be more immediately dangerous.

If I were in your shoes, I think I would like to talk to another vet about Lexi and see what they recommend. However, I know this might not be possible when funds are limited.

I know that you will get lots more and probably much better advice than I can give you but you have made a very positive step to help Lexi by finding this forum. There is a huge resource of collective knowledge about diabetes here.

It will get easier and less confusing as time goes on so hang on in there! Most important IMHO anyway, is that you find some way of monitoring Lexi's sugar levels yourself - be it a glucose meter or urine dip sticks. It will help you and Lexi to get things stabilised and under control.

Dogs live and keep very with treatment. Lexi WILL be OK.

Elokin6
07-21-2011, 02:24 PM
Hi Lexi's mama!

I'm new to this too, but I'll offer you what advice I can. I'm sure the experts will chime in with much better info.

From what you've said, I would be shopping for a new vet. From what I've gathered, the initial insulin dose is kind of a rough estimate (usually a conservative one) of what your dog would need based upon her body weight. The fact that your vet doesn't want to recheck her until 4 weeks later concerns me. That's a long time to go if the dose isn't right.

If you do look for a new vet, you might be able to find a clinic that does low cost care or operates on a sliding scale. We have several in Denver that are very good. Maybe you could find someone who is more familiar with canine diabetes and who is less expensive.

I'm not an expert on food, but looking at the nutrient analysis of the Innova food, it looks pretty good. It's very low fat, which is really good since your dog had pancreatitis. The phosphorous content is low too, which is something you may or may not be concerned about. When my dog had pancreatitis a couple of weeks ago, it really affected her kidneys. Because of this, I'm looking for foods with low phosphorous. The only thing I would wonder about is the fiber content. It may not be high enough, but I'll let the experts weigh in on that.

This is the meter I'm using at the moment: http://www.target.com/Blood-Glucose-Meter-Monitoring-System/dp/B0046Z33SG I chose it because it was cheap, the test strips are really cheap (aprox $8 for 25) and the reviews stated that it is pretty accurate. So far, it has been very reliable (my vet was surprised). It tends to read slightly lower than my vet's Alphatrak at low levels (<200) and higher at high levels (>500). Since you are on a budget, it might be a good choice to get you started.

Also, I saw a thread on here earlier that mentioned that the Walmart Relion insulin is the same as Humulin insulin. If your dog is on a Humulin insulin, you might want to look into getting it there. It is WAY cheaper than any price I've seen on Humulin.

Patty
07-21-2011, 02:29 PM
Hi and welcome to you!
It is a steep learning curve at first but in time it gets much easier :)

I'm glad you found us. You might want to call around and see if any of the vets in your area have more experience with diabetes. It is very important that your dog eat then receive insulin 12 hours apart. I also don't agree with waiting 4 weeks to re-evaluate a dose of insulin in a dog that's currently registering in the 600+ range.

A curve should be done after a week or 2 to see how well the food and insulin are working together. A curve is where blood sugar is measured started before food/insulin (fasting) then every 2 hours afterward until next shot time. You can read more about the relationship between food and insulin here: http://www.k9diabetes.com/insulinfood.html

It is good to have some honey, karo syrup or pancake syrup on hand if your dog does have an episode of low blood sugar. You can rub it on her gums if she's not able to take it to bring her blood sugar up.

As far as finding inexpensive resources, Walmart really does have good prices. I'm assuming your dog is on Humulin NPH? You can buy this insulin at Walmart under their Relion name for about $25. They also have syringes. I would look for the U100, 30cc, 31 gauge, 5/16" needle length, with 1/2 unit markings. The 1/2 unit marks make fine tuning small doses so much easier! I actually think someone told me Walmart's Relion syringes in this size only come with 1/2 unit markings now, which is nice.

Walmart can also order ketodiastix for you which measure the amount of sugar and ketones in the urine. When blood sugar is running high, ketones can be produced and anything more than trace can be dangerous and warrants a trip to the vet.

If you are interested in home testing, you can find some great videos here: http://www.k9diabetes.com/bgtestvideos.html

I would definitely give her full access to water, which may mean more potty breaks. Her body needs the water when blood sugar is running high. Once her bg (blood glucose) levels come down, you should see her weight stabilize. Her body isn't able to fully utilize her food at this point because she doesn't yet have enough insulin to move the nutrition into the cells. That should come in time as you move toward better regulation.

How much exercise did she get prior to diagnosis? I wouldn't worry about trying to incorporate a regimen right now. Exercise can dramatically raise or lower bg depending on how much insulin is at work and you really want to focus on a daily routine of consistency with the basics at this point.

As far as food, what was she eating prior to diagnosis?

I'm adding the guaranteed analysis to what you posted here:
Moisture - 76.51 %
Protein - 8.57 %
Fat - 6.52 0
Carbohydrates - 5.91 %
Fiber - 0.24 %
http://www.innovapet.com/product_line.asp?id=501 (http://www.innovapet.com/product_line.asp?id=501)

How is she tolerating her shots so far?

Let us know as you have questions. Again, welcome to you!
Patty

SandyL
07-21-2011, 05:09 PM
Just want to add my welcome to you and Lexi!!

We have all been in that overwelming stage!! But don't worry, it will get better....then you just have to deal with the frustrating moments ;) You and Lexi will be fine and just remember to ask any and all questions you have, there is always somebody around to help!!

Sandy

k9diabetes
07-21-2011, 05:09 PM
Welcome to you and Lexi!

I do think you are going to need another vet but there is lots you can do in the interim to get things sorted out.

Definitely DO buy your insulin and syringes at Walmart - best price out there for the insulin especially. Just be sure to ask for Relion, which should cost about $25 a bottle.

And get some ketodiastix because Lexi's blood sugar is very high. Ketones can kill and she must have *good veterinary treatment if she has anything more than mild ketones.

The 1 unit per injection is about right for starting an 7.6 pound dog. The most I would want her started on is 2 units, which is 1/4 unit per pound. Some dogs don't need even that much so I think the 1 unit per injection is good.

Definitely do feed and inject at 12 hour intervals, measure her food to keep it consistent, and use the Ketodiastix to get a rough idea of how her blood sugar is responding to the insulin. You may not see the urine strips change for a while as blood sugar of 300s up will pretty much max out the urine strip. But it is important to test to see if it starts to drop.

Home blood glucose testing would really help you manage Lexi with limited vet visits so worth trying to master.

No way I would wait a month - I'd want to know within a week or two at most what the current dose of insulin is doing for her blood sugar.

You also must absolutely completely keep her out of the trash. Any extra food will raise her blood sugar significantly, as will the inflammation from pancreatitis.

If you can read through the main website (http://www.k9diabetes.com), you can get a general idea about managing her diabetes and then let's see how it's going as you start checking for ketones, etc.

Natalie

jesse girl
07-21-2011, 06:26 PM
my jesse had the pancreatitis also and was in the hospital over a week it was touch and go for a while but things did get better

I can understand your burden financially many are in the same boat and must find ways to bring cost down to manage the disease and the good thing that can be done insulin and syringes at wall mart most states you dont need a prescription and there are some meters and strips out there that dont cost much and you can do curves at home much cheaper than the vet and a less stressful place to be

we use the prodigy auto code we bought are meter on ebay for 30 bucks and they usually give a 100 strips with that and buying strips separately cost between 5 and 10 dollars for 50

with the additional issues home testing is the direction you should go pancreatitis can affect the digestive system for some time and that can affect how the sugar is processed it will help with regulation save some money and keep your baby safe

welcome to both of you

mprssdbyu
07-21-2011, 08:19 PM
Hi Lexi's Mum,

First of all, you've come to the right place. Secondly, once you get used to all this, it won't be anywhere as bad as it seems right now. I'm in the UK so can't help with what your costs etc will be but I have read that most of the owners tend to get their insulin and syringes from Walmart - which is one h.... of a lot cheaper than the vets. ;) Being disabled, single and living alone, I know how tight money can be.

Now, most importantly, I'm not at all impressed with what your vet has recommended for a treatment plan. In the early stages, the dog needs more careful monitoring until you can get her stable and know what dose of insulin combined with the food is right for Lexi. Maybe he is trying to keep your costs to a minimum but I sometimes feel that if you can perhaps get her better monitored and supervised in these early days, it will be cheaper in the long run.

I imagine, from the fact that they have said that they can't test her for 4 weeks that they are planning to use a fructosamine test to monitor how she is getting on. This test can be quite useful at times but as you've seen most of us like to be more proactive in our dogs' care. The fructosamine just gives the vet an average of the glucose levels for the past 2 - 3 weeks but doesn't give you any idea of how well the levels are controlled from one day to the next.

Glucose testing machines can be really affordable now if you go for a "human" monitor rather than for the one that is made specially for dogs and cats. (Alphatrak). I'm sure other members will make recommendations based on accuracy and balanced with cost. I use one called GlucoRX but I don't know if you can get it in the USA. I got it from the UK branch of Amazon so it might well be worth a search on their website. The monitor was well under £10 and the test strips are 1/3 the cost of the Alphatrak ones.

If you would feel happier to start with, you can get urine dipsticks which while they don't give you quite such an accurate reading as a BG monitor, they would definitely point you in the right direction so that you can tell if Lexi is getting enough/too much insulin.

I'm not qualified to say if the 1 unit twice a day is enough but to me, it does sound a bit on the low side. However, that can be better than going in too high and having the dog go hypo. High blood sugar in the long term could cause damage but a low blood sugar could be more immediately dangerous.

If I were in your shoes, I think I would like to talk to another vet about Lexi and see what they recommend. However, I know this might not be possible when funds are limited.

I know that you will get lots more and probably much better advice than I can give you but you have made a very positive step to help Lexi by finding this forum. There is a huge resource of collective knowledge about diabetes here.

It will get easier and less confusing as time goes on so hang on in there! Most important IMHO anyway, is that you find some way of monitoring Lexi's sugar levels yourself - be it a glucose meter or urine dip sticks. It will help you and Lexi to get things stabilised and under control.

Dogs live and keep very with treatment. Lexi WILL be OK. Hi, sorry for the delayed response. First of all thank you so much for your input. The fructosamine test is exactly what she said the would do in four weeks.

mprssdbyu
07-21-2011, 10:08 PM
Hi and welcome to you!
It is a steep learning curve at first but in time it gets much easier :)

I'm glad you found us. You might want to call around and see if any of the vets in your area have more experience with diabetes. It is very important that your dog eat then receive insulin 12 hours apart. I also don't agree with waiting 4 weeks to re-evaluate a dose of insulin in a dog that's currently registering in the 600+ range.

A curve should be done after a week or 2 to see how well the food and insulin are working together. A curve is where blood sugar is measured started before food/insulin (fasting) then every 2 hours afterward until next shot time. You can read more about the relationship between food and insulin here: http://www.k9diabetes.com/insulinfood.html

It is good to have some honey, karo syrup or pancake syrup on hand if your dog does have an episode of low blood sugar. You can rub it on her gums if she's not able to take it to bring her blood sugar up.

As far as finding inexpensive resources, Walmart really does have good prices. I'm assuming your dog is on Humulin NPH? You can buy this insulin at Walmart under their Relion name for about $25. They also have syringes. I would look for the U100, 30cc, 31 gauge, 5/16" needle length, with 1/2 unit markings. The 1/2 unit marks make fine tuning small doses so much easier! I actually think someone told me Walmart's Relion syringes in this size only come with 1/2 unit markings now, which is nice.

Walmart can also order ketodiastix for you which measure the amount of sugar and ketones in the urine. When blood sugar is running high, ketones can be produced and anything more than trace can be dangerous and warrants a trip to the vet.

If you are interested in home testing, you can find some great videos here: http://www.k9diabetes.com/bgtestvideos.html

I would definitely give her full access to water, which may mean more potty breaks. Her body needs the water when blood sugar is running high. Once her bg (blood glucose) levels come down, you should see her weight stabilize. Her body isn't able to fully utilize her food at this point because she doesn't yet have enough insulin to move the nutrition into the cells. That should come in time as you move toward better regulation.

How much exercise did she get prior to diagnosis? I wouldn't worry about trying to incorporate a regimen right now. Exercise can dramatically raise or lower bg depending on how much insulin is at work and you really want to focus on a daily routine of consistency with the basics at this point.

As far as food, what was she eating prior to diagnosis?

I'm adding the guaranteed analysis to what you posted here:
Moisture - 76.51 %
Protein - 8.57 %
Fat - 6.52 0
Carbohydrates - 5.91 %
Fiber - 0.24 %
http://www.innovapet.com/product_line.asp?id=501 (http://www.innovapet.com/product_line.asp?id=501)

How is she tolerating her shots so far?

Let us know as you have questions. Again, welcome to you!
Patty

I've highlighted your entire response as I don't know how to break it down and answer it little by little to make it easier to read so I'll just break it down in little paragraphs as I answer each question. I hope that makes sense. I am going to research vets. I live in the Raleigh, NC area. There is a great vet school here but you have to be recommended to them by a vet to get in. Right now though, I'm going to concentrate on what I need to do to get a better handle on her insulin levels. Again, I'm overwhelmed at this point as my hand shakes so bad when holding the needle... so bad that I hold her and my son who is in college is coming home to give her the shot while I hold her and rock her and talk to her so that she doesn't get upset. We're giving it to her at 7:30 am and pm. She loves to be rocked. Right now, she doesn't even flinch when he gives it to her but again, she's only had 3 injections. I know I have to do it eventually but watching him is helping me calm down and be less afraid of hurting her. I HATE needles and am terrified of IVS so I guess I associate shots with that. In a few days or a week, I will try to begin testing her bg by doing a curve. I've read those threads and while some of it is foreign to me understanding some of the terms and what those numbers mean ... they are so different with each dog... I got a little confused but I chalked that up to being tired emotionally, too. But I totally get the ability or attempting to make the insulin and food work together and the rhythm of it. It made so much sense to me. It was so helpful in that at least I understand the gist of it! I'm still a little confused when there is too much insulin which brings on hypoglycemia, the numbers are low which seems it would be the opposite but that only requires reading more about hypoglycemia which I will do. Back to the monitoring, just because it sounds like it hurts, it makes me soooooooo nervous and she's suffered so much! I know that sounds silly as this is about her quality of life but I don't know how to explain it any other way. That doesn't mean I"m not going to start testing her in a week or two..I just have to build up to it. I know her numbers are high but I'm going to get the test strips at least in the next day or two praying that her insulin has dropped below the 600 range and that they have come down a little which may be silly as they aren't specific when you get past 300 and they may tell me nothing but I've got to do something for a piece of mind and feeling like an unfit mom. I just feel so darn helpless and until now, I've always had the ability to make whatever just right or pretty darn close to it. She's the only little girl I've ever had. Who cares if she has 4 legs? My son will tell you...don't mess with her baby.

I do have honey on hand. I read here that someone said their vet told them if they start drinking less it could be a sign of too much insulin and the onset of hypoglycemia. Keeping in mind, until tonight she has now had 2 injections. She seems to have had a little less energy or depressed today. I can't put my finger on it... I know this sounds crazy, but I swear she isn't drinking as much water this afternoon and evening. So I keep talking to her to see if she turns her head as if she's listening which tells me she is alert. She always turns her head and looks at me when I talk to her. She is whining wanting something to eat though in between meals. So tonight I gave her an Innova Health Bar dog treat. Is that a no no? I just started her on them yesterday just because the idea of her starving makes me cry! And she's a very vocal little girl...she's been telling me she's hungry for weeks when I thought it meant fill up my water bowl again! But tonight there is water in her bowl which is something new! It doesn't usually last 5 minutes as I refill it every gosh thirty minutes to an hour depending on what she tells me.

I did get the insulin at Walmart... It is called Humulin NPH..the generic one only after a woman overheard me at Target getting ready to buy the 60 dollar bottle and stopped me, bless her heart. I got the Reli On syringes but the box says 3/10 mLcc, 30 gauge, 8 mm and short needle. I'm not sure what exactly what that tells me other than the needle is short and there are 100 in the box and 10 to a package. Again, I'm so tired so obvious things aren't even jumping out at me.

When I order the test strips, I'll check on ordering the ketodiastix.

As far as exercise goes, up until a month ago, she walked 3 1/2 miles a day with me. At one time she ran or jogged it with me but I ruptured a disk in my back requiring surgery after being in a wheelchair so I can't jog it anymore. But after she started to feel bad a little over a month ago, I stopped taking her with me. I felt like it was just too much. So now, it's go potty and come back in pretty much. She does like to go out and sit in the sun after she potties so I let her sit out there until she's ready to get back up and come in. In fact one of the pictures here under my profile or the main album pic is of her about 3 weeks ago sitting in the sun. I think in that pic you can get an idea of how thin she is and how long her legs are.

Okay, last but not least. Silly me thought puppy food was the best for her. I knew it was high in protein and being that she has never been over weight, so to speak I kept giving it to her until about 2 months ago. I was shopping for her food one day, saw a vet tech and ask her if it was okay. Laughing, she assured me it pretty much wasn't. But until that day, she had always had Natural Choice kibbles for puppies. I then switched to Wellness kibbles for adults. She was on that about 3 weeks I guess but as I begin to realize she more than likely had become diabetic, so I started reading about foods for diabetic dogs. Again, the Innova came highly recommended. I'm at a dilema now whether to switch to Innova Evo which is higher in protein and fat or the Innova Senior which is a little higher in carbohydrates. She's had bouts with pancreatitis so the higher fat content concerns me in the Evo but the carbohydrates concern me in the Senior food as diabetic pets don't do well with carbohydrates or at least that is what I've taken from what I've read. Again, I feed her the can food as it should contain more nutrients than the dry as it isn't cooked in the say way as dry. That's just the conclusion I have come to and I realize that may be just an opinion. I called the vet this afternoon but she won't be back in until Monday. Oh and I'm feeding her 1/2 a can twice a day now. I did throw in the health bar tonight as I stated earlier. I don't know if that's a really bad move on my part but she's hungry and she's so thin!

Again, thank you for your concern... thanks to everyone. I'll answer more questions tomorrow as I'm sooo tired tonight and I need to be up early with Lexi.

Sweet dreams,
Cheryl

CarolW
07-21-2011, 11:13 PM
Gosh, Cheryl - I feel SUCH empathy with you! I felt much the same way about Kumbi as you do about Lexi. One thing you can be absolutely sure of on this forum is, ALL of us here feel the same way about our dogs.

Kumbi went through a period of being skin-and-bones, so I know about the heartbreak for us. But gradually, gradually, as the insulin took hold, he began to put on a little weight. I also rather liked the look of the Innova food, but I'm ANYTHING but a food expert.

One thing I noticed about your reports was, you are VERY complete, very descriptive in your writing. That's a truly great way to help Lexi - it will help us help you help her!

Natalie is right about keeping the trash out of reach. I put mine up on a counter, out of my dogs' reach. All food except the dogs' food is always out of reach for my small dogs. (Now I only have one; Kumbi died just over a year ago - of CANCER, NOT diabetes. He went 3.5 years as a diabetic, and really enjoyed his life. My current dog, Camellia, a Havanese, isn't diabetic, but I got so interested in managing canine diabetes that I stay here.)

I also know all about penny-pinching; haha! ANY spare penny isn't spare; it goes to the dogs, right?

I'm glad your son can help you for the moment. I'm tired too, and on my way to bed, but I wanted to leave this BIG FAT WELCOME to you, to this very fine forum.

Sweet dreams to you, too; you have more than earned them. Hope Lexi is cuddled up with you!
Thu, 21 Jul 2011 23:13:22 (PDT)

mprssdbyu
07-22-2011, 02:34 AM
Hi Carol. Thanks for the welcome. I'm awake for the third time tonight. He water bowl is 3/4 full but she's begging for something to eat. Lexi is very vocal when she wants something. Tonight, she decided to check out the little trashcan in the bathroom. It has no food in it or any scraps of paper that contained food but I heard it knocking up against the cabinet in the bathroom as it's close by. She's trying to knock it over.

I wish I had a tape recorder because I swear she talks...just doesn't make sense to her mama and boy does she get frustrated. But tonight, she just will not hush at me. I gave her another Health Bar at like 3:30 because she's fussing fussing fussing at me and kicking her hind legs with each word. When she's kicking her hind legs, you know she's feeling a little better and tonight those little legs are busy! But as you need to become consistent with what you give her and not knowing what her levels are with the insulin, I don't know how safe it is to give her those in between her meals. Do other people give snacks and is it okay to do that? I just don't know what else to do cause she is soooooooooo frustrated tonight for some reason. She's woke me up every hour since I layed down at I think around 1:45. I know 7:30 is only two hours away but she wants something NOW. What on earth do I do?

Trace65
07-22-2011, 05:04 AM
I know when ginger was running in the 500s she acted like she was starving and it broke my heart. I would mix up a lil bit dog food with broccoli and lowfat cottage cheese. I don't know how healthly it was but it helped her to sleep. I would reallllllllly get her to another vet. When G inger acted like that her ketones were very high and she had to have fluid ivs to flush her out. It wasn't that expensive not as bad as I thought it would be. How is her breath? That is what made me take Ginger in initially. Her breath smelled like fingernail polish remover, it will smell very much like chemicals. This is a sign of high ketones. My vet started Ginger on 2 units and upped her dose every Friday. We are now on 5 &1/2 units and her numbers are between 180 - 290 range so I'm would be scared to wait 4 weeks to take her back for an increase. I'm still new at this but you can always look at others experiences and learn from them. My heart goes out to you and I hope everything works out.

mprssdbyu
07-22-2011, 05:46 AM
I know when ginger was running in the 500s she acted like she was starving and it broke my heart. I would mix up a lil bit dog food with broccoli and lowfat cottage cheese. I don't know how healthly it was but it helped her to sleep. I would reallllllllly get her to another vet. When G inger acted like that her ketones were very high and she had to have fluid ivs to flush her out. It wasn't that expensive not as bad as I thought it would be. How is her breath? That is what made me take Ginger in initially. Her breath smelled like fingernail polish remover, it will smell very much like chemicals. This is a sign of high ketones. My vet started Ginger on 2 units and upped her dose every Friday. We are now on 5 &1/2 units and her numbers are between 180 - 290 range so I'm would be scared to wait 4 weeks to take her back for an increase. I'm still new at this but you can always look at others experiences and learn from them. My heart goes out to you and I hope everything works out.

Hi, her breath hasn't changed. It's been yuck for years but it doesn't smell like chemicals When they did the labwork this week, she checked her liver well almost everything. The test wouldn't have given those results, too? Or is that a specific test that has to be done singularly. They also did a urinalysis. I'll call the vet to ask. She may have gone over that but I can't remember anything that sounded like keotones but I think my ears were so glued into diabetes I may have not digested some info that at the time seemed insignicant if her range in count was good.

Patty
07-22-2011, 06:04 AM
The syringes you got are fine. You can actually get even thinner ones that are 31 gauge next time if you want. But if she's not feeling them now, what you are using is fine. Here's a link to explain the Relion syringes better: http://relion.com/diabetes/syringes

So glad you ran into the woman at Target! What a blessing :)

Regarding food, is she on the Wellness Adult kibble now then while you're deciding?

I'll look more at the food later today. The one thing that struck me is the fiber is fairly low which diabetics often make use of to prevent a late drop in blood sugar. You can always add fiber though if needed. Maybe there are others than can offer what they are using in canned food.

I would definitely ask Walmart to order you some Ketodiastix. They can often have them in the next day. The ketodiastix measure glucose and ketones, where the Ketostix measure the amount of ketones in the urine. You can read more about them here: http://www.k9diabetes.com/forum/showthread.php?t=958

Patty

mprssdbyu
07-22-2011, 06:05 AM
Since I'm asking about Innova health bars, I thought I would post the guaranteed analysis here as that probably is the only way to judge.

Crude Protein (min) 20 %
Crude Fat (min) 8 %
Crude Fiber (max) 4 %
Moisture (max) 10 %
Linoleic Acid (Omega-6 Fatty Acid) (min) 1 %
Vitamin E (min) 40 IU/kg

Calorie Content:
3,365 kcal/kg
35 kcal/bar

Nutrient analysis

Arachidonic Acid
0.08 %

Beta Carotene
37.98 0

Moisture
7.5 %

Starch
0.01 %

Protein
22.9 %

Fat
8.62 0

Linoleic Acid
1.74 %

Omega 3
0.11 %

Carbohydrates
52.32 %

Fiber
4 %

Ash
4.11 %

Calcium
1.32 %

Phosphorous
0.8 %

Magnesium
0.09 %

Sodium
0.11 %

Iron
193.51 mg/kg

Zinc
167.23 mg/kg

Copper
14.88 mg/kg

Iodine
2.6 mg/kg

Manganese
18.84 mg/kg

Selenium
0.49 mg/kg

Arginine
1.59 %

Histidine
0.51 %

Isoleucine
0.91 %

Leucine
1.25 %

Lysine
1.36 %

Methionine
0.48 %

Met-Cysteine
0.77 %

Phenylalanine
0.99 %

Phe-Tyrosine
1.54 %

Threonine
0.9 %

Valine
1.1 %

Choline
1821.35 mg/kg

Vitamin B2 (Riboflavin)
3.92 mg/kg

Vitamin B1 (Thiamine)
4.97 mg/kg

Vitamin B3 (Niacin)
36.52 mg/kg

Vitamin B6 (Pyridoxine)
1.77 mg/kg

Folic Acid
0.56 mg/kg

Vitamin B5 (Pantothenic Acid)
15.86 mg/kg

Biotin
2 mg/kg

Vitamin B12 (Cyanocobalamin)
5.65 mg/kg

Vitamin A
7221 IU/kg

Ascorbic Acid (Vitamin C)
5 mg/kg

Taurine
0.089 %

Vitamin D
664.12 IU/kg

Vitamin E
72.34 IU/kg

Calories per Sm. Bar
35 0

jesse girl
07-22-2011, 06:36 AM
the thing about extra snacks and food when numbers are at such a high range they really dont process the food very well and it can elevate numbers higher creating more hunger as numbers rise . so you really want to have a strict diet for now when things improve you can figure if snacks are appropriate dont worry about exercise for now

insulin shots and home testing are the new reality for your baby many parents have diabetic children and this is what they have to do I always look at it as there's no choice there is no other thought process it must be done

your a smart intelligent and caring person you know what has to be done it is not easy at the beginning oh I know but it really does get easier when you settle into a routine

mprssdbyu
07-22-2011, 01:09 PM
A little good news. I've been away a couple of hours and there was still water in her bowl when I got home. Sounds silly but it's the first time in a long time. The vet did test for keotones on Tuesday and the test was negative. None of those in her urine. Also, they advised me to stay off of the Evo as they said as she is proned to pancreatis, it's higher in fat and protein and is for really active dogs. They said she was not a good candidate for it but said the Senior Innova and the Health treats sounded like they would suit her well. I'm a little more at ease this afternoon because she's pretty lively and doing circles as she talks! That's the Lexi I know. I will do the urine strips tomorrow and begin the blood testing a few days into next week.

Abby's Mom
07-22-2011, 01:22 PM
. I live in the Raleigh, NC area. There is a great vet school here but you have to be recommended to them by a vet to get in. Sweet dreams,
Cheryl

Hi Cheryl,

Welcome to this forum, my Abby was diagnosed in early May, and when I joined this forum, it seemed like a breath of fresh air. I too live in the Raleigh area, and I have bounced around a bit from vet to vet in attempt to find a good one. You would think with a Vet school nearby there would be a plethora of them.

I do know that VSH (Veterinary Speciality Hospital) in North Raleigh (off of Capital) and in Carey will accept without a referral and there is an IMS there, Dr. Hummel. However, they are costly. I would recommend a good vet, and there are some out there, and it would keep costs down.

Let me know if I can help... and again.... welcome!!

Pepper112
07-22-2011, 01:36 PM
I am so glad that Lexi is acting more like herself. I know my Pepper barked at an airplane yesterday - which is something she has done since she was a pup but hadn't done in a few weeks because she was feeling so bad. It is the little things like that that make you realize that what we are doing is working. Celebrate! :)

mprssdbyu
07-23-2011, 04:28 PM
I'm not sure whether to post this here under Lexi or in another thread pertaining to the medicine itself but I have a question. I've been keeping Lexi's insulin in refrigerator. I noticed when I took it out this morning it was cloudy at bottom and clear at top so I turned bottle upside down so it would mix up. Was I not suppose to do that? I didn't shake it but I did turn it upside down and I rolled it around so all of the insulin looked cloudy. Was I suppose to do that or not? I just didn't think it was as potent with it being clear at top and cloudy at bottom.

CarolW
07-23-2011, 04:48 PM
I find it REALLY helpful when you post anything to do with your dog in your own thread, so I'm glad you posted it here. I think the only reason to start a new thread would be if your question is very general, and limited to a single issue.

WOW, I am IMPRESSED with how well you coped, handling something unfamiliar to you! I think you did just right.

Referring you to two pages - the first, general, with a list of sub-topics:

http://www.coherentdog.org/vek/painlessinj.php

and then, one specifically on rolling the insulin vial to mix the insulin:

http://www.coherentdog.org/vek/rollins.php

Too bad your vet didn't instruct you on this sort of stuff - should be standard practice to cover the basics! But, then, not all vets do that. I think really knowledgeable vets would see to it you received such instruction, even if from a tech, rather than the vet.

You're doing really well; keep up the good work, and keep asking any questions, whatsoever!

Sat, 23 Jul 2011 16:47:48 (PDT)

CarolW
07-23-2011, 05:06 PM
Reviewing your thread, I just caught a typo in Patty's first message to you.

Patty wrote, about buying syringes at Walmart (ReliOn):


They also have syringes. I would look for the U100, 30cc, 31 gauge, 5/16" needle length, with 1/2 unit markings


Patty meant either a capacity of 30 units (of U100 insulin), or a capacity of 0.3 cc. Those two are equivalent, just stated in different terms - one, in how many units (30) the syringe holds and can deliver, and the other, the volume of insulin (0.3cc) the syringe holds.

P.S. Take a REALLY close look, because for Patty to make a typo of that sort is UNBELIVABLY RARE!

Sat, 23 Jul 2011 17:05:26 (PDT)

mprssdbyu
07-23-2011, 05:19 PM
Thank you for answering! Beleive me, my coping skills haven't been the greatest. I'm watching her like a hawk. I'm not sure that I"m not making her more nervous. She makes me nervous when she acts depressed sort of after her meal and her injection. She's not lethargic but I notice a definite difference in her demeanor. She immediately lays down and goes to sleep. But I guess it could be like with humans, you've starved all day as she has been asking for food this afternoon..all afternoon... once I finally gave it to her...she felt full and sort of stuffed. Not sure. I hate to give her those treats... too many of them between meals, so I'm trying to decide on what else I can do to help sustain her. I read where somewhere they gave their dog cottage cheese and broccoli. I have no idea if she'll eat that but I guess I could try. I'm not sure what the cottage cheese does but I'm guessing the brocolli is for digestion. I just don't know and sort of still winging it, believe me but thanks for all the encouragement! I'm literally still scared to death I'm not going to get the hang of understanding it all. I'm so amazed how much you guys seem to know!

Patty
07-23-2011, 05:45 PM
LOL...Carol you give me too much credit. My fingers often don't type what my brain is telling them. ;) Thanks for the correction. I think at the time I meant to type 3/10cc.

I'm wondering if the timing of Lexi's "begging" is consistent with a certain time of the day? Could be a blood sugar drop or could just be she's hungry because of the new routine and higher blood sugar so she's not getting the full use of her food yet.

Patty
07-23-2011, 05:45 PM
Also glad you mixed the insulin. Before each use you should remix it. I roll it between my hands about 20x times until it's uniform looking.

jesse girl
07-23-2011, 05:49 PM
oh you'll be surprised how much you will know in a few months

it is mostly managed at home so it is usually a crash coarse and you become so in tuned with your baby and very focused you cant just leave it to others most of the work will be done by you

in the future you will look back and say why was I so crazy running around with my head cut off it will be just be a distant memory

pgcor
07-24-2011, 04:18 AM
Hi Cheryl!

I don't get on here as often as I should, but I wanted to say welcome and I have a min pin as well.

I had to laugh when you said Lexi was vocal! OMG these dogs are so vocal!!! My Pip was a horrible begger and wouldn't take no for an answer. So, when he was diagnosed, I thought "how am I going to get that to stop"? We used to have to put in out of the room we were eating in.

Not really sure how this happened, but I was so afraid to feed him between meals that eventually he actually stopped begging. He's ben diabetic for four years, gained weight to an optimal amount, and is back to his usual feisty self.

I can so relate to what you're going through and when I read through your posts I can honestly say it will get better and a lot of this initial stress will dissolve and you'll hardly remember it!

My Pip always (and I means always) lays down and quiets down after food and insulin. I used to worry about that too, but he's done that for years now.

Just so you know, you'll pick up this information and eventually your friends won't want to listen to you talk about your diabetic dog anymore!!! That's why this place is so GREAT!!

You are doing a fabulous job, btw!

Pam and Pip

Abby's Mom
07-24-2011, 05:05 AM
I hate to give her those treats... too many of them between meals, so I'm trying to decide on what else I can do to help sustain her.

We were driven by treats, prior to Abby being diagnosed. I know what you mean that they keep on craving for something. But I found that it is almost like a habit, eventually they know when the time is for them to be fed, and realize those treats are not there.

I withhold all treats, unless I am either giving a shot or doing a reading. I have found that boiled chicken breast (which was suggested to me earlier on) did not seem to increase BG levels.

It becomes a balance between food, insulin and timing.

You are doing great, as Jessie Girl stated, you will be surprised on how much you will know in a few short months.

k9diabetes
07-24-2011, 01:13 PM
Hi Cheryl,

When you have a chance, go through the videos on the home blood glucose testing page - not so much to show you how to test as you're not quite there yet but just to see how uneventful insulin injections and home blood glucose tests are for these dogs.

www.k9diabetes.com/bgtestvideos.html (http://www.k9diabetes.com/bgtestvideos.html)

You will see a half dozen or so dogs varying anywhere from bored to happy about their testing and injections! :)

And it always helps to check out the cat video... I mean, if a cat can sit quietly and calmly for testing, a dog would be embarrassed not to! ;)

So it will be very important for you to separate your feelings from Lexi's feelings.

Diabetes is a thoroughly manageable condition, one that doesn't shorten their lifespan or significantly impact their health and happiness as long as it's well managed. If Chris could have suffered *only from diabetes... heck, he might still be here today. And that's true for the vast majority of dogs - I might even say all diabetic dogs. They don't die of well managed diabetes.

So there's no need to feel so panicky about Lexi. She will be fine.

As far as needle phobia goes, I'm right up there. I'm the worst about needles in me. Watching a needle being stuck in or pulled out can make me pass out thanks to an oversensitive vagal nerve I inherited from my dad.

But as you'll see in the videos, most dogs really don't care much about it. Make it fun for them, and they will look forward to it! Chris used to get a mini milkbone after each insulin injection and he would get a little impatient for me to hurry up and give him his shot so he could have his treat.

Natalie

mprssdbyu
07-24-2011, 04:43 PM
I'm a happy mama tonight! I gave Lexi her injection all by myself. I did it while she was eating! She looked up for a minute at me as if to say...."What was that, but decided it wasn't worth interupting her meal and went right back to eating!!! I also got some brocolli florets this morning from grocery store, cut the heads off the brocolli, shreaded them with the scissors really finely and mixed it in with her food. I'm pretty sure it will help with her digestion and I'm pretty sure fiber swells when digested and makes you feel fuller longer! We'll see.

Elokin6
07-24-2011, 04:45 PM
Awesome! Congratulations!!!

Trace65
07-24-2011, 05:10 PM
Good Job!
You will be a pro before you know it.

mprssdbyu
07-24-2011, 05:16 PM
Patty, I reviewed the videos. These are the calmest dogs I've ever seen. I tried playing with Lexi's lip earlier and her pad on the back of her hind legs. It's going to be a challenge but she listens to my son better than me. I can't cut her toenails cause if you touch those front feet.. and I do mean even touch them, she starts screaming! I have no idea why but she has always been that way so we decided trimming toenails was a job for the vet a LONG time ago so the lip may be our only choice. It's so small and has no meat and ears are definitely out but we'll get through it. For me the shot was the hard part! To get my hand to stop shaking while holding that needle was huge!

Abby's Mom
07-24-2011, 05:24 PM
Congratulations! I know how you must feel. I hate needles as well, but it does get better, especially when you have a good patient!!

k9diabetes
07-24-2011, 05:30 PM
Chris wasn't that calm the first week! ;) He wasn't upset but he was confused about what I was doing and fidgety.

And though Chris was the most tolerant dog, he did have one absolute freak-out button... nail trims!

Hate, hate, hated them!

But that seems to be pretty common. The dog we have now is even worse about them.

Natalie

Patty
07-24-2011, 05:36 PM
Congrats on the shot! :D
You could always try the base of the tail (top area). You might have to shave a small spot. There are some pictures in the same tutorial area as well.

mprssdbyu
07-27-2011, 09:15 AM
Good afternoon everyone. I just read that I should give Lexi her shot 30 minutes after her feeding? Somehow, I missed that before as I have started to give them to her while she is eating. I'm trying to let her eat 1/2, make her wait 10 minutes at least and then give her the injection while she is eating the second half. It's hard because she's screaming for her food. Poor thing starts screaming sometimes an hour after feeding wanting something else. I know most say they will stop that. HA! With her there is no break until you give her something. Shake the flyswatter at her... oh she may stop for 30 minutes and that's a maybe but she comes talking or should I say yelling in her doggy language pretty quickly. I have noticed though she has gained a little weight in this past week (makes me happy because she only weighed 7.6 lbs at the vet last Wed)while on insulin and she's not nearly as thirsty. She still drinks a lot but I'm not filling up the water bowl every hour anymore. I'm waiting for the bg meter to arrive so I should start testing soon but I was curious if most wait after eating to give their shot?

Judi
07-27-2011, 09:26 AM
I only wait long enough to make sure she is eating. My Jenny eats like your Lexi! I do the same, give her the shot while she is finishing up her food.

I think the reasons people wait is to make sure they really do eat and/or to make sure they don't throw it up.

At least twice Jenny stole her brother's food and vomited the rest of the day making me worry about low blood sugar.

I'm pretty new too but I'd keep doing what you are doing.

hugs to you and Lexi!

Judi

janspack
07-27-2011, 09:29 AM
I give Dazzle her injection while she is eating too. I just make sure she is tucking into it before I give the insulin.

I think it depends on your dog - how they eat (fussy or ravenous) and if they have a habit of upchucking after eating.

If what you are doing is working, I wouldn't change anything.

mprssdbyu
07-27-2011, 09:35 AM
Thanks! I have my grandbaby alot who is a min dachsund and I've gotten him on the same schedule as Lexi and I stand guard until they are both finished eating as they get different meals. Lexi is a senior where he is only 3. No problem getting her to eat and no problem yet with getting sick or not eating. According to her she's starving every minute of every day.

SandyL
07-27-2011, 09:36 AM
I agree... If what your doing works, keep doing it :). I generally give Tiggy her shot about 15 min after she eats. I have to wait for my other dog to finish because they both get duck jerky at shot time :)

Sandy

Abby's Mom
07-27-2011, 11:10 AM
I wait, but it is immediately after she eats. I fix her food, and then while she is eating, I fix her shot, warm it up, and then I inject. So I might as well be injecting while she is eating, because it is only minutes from when she ate.


I think you can wait or should wait depending upon how her body may react to the insulin. From what I read on other forums, when you are tweaking their curve, this may be an option, or possibly a method to postpone the insulin reacting.

pgcor
07-27-2011, 12:14 PM
Ah the joys of the min pin!!! I put Pip up on the counter after he eats with a plate in front of him. I make him lie down so I have good leverage with the needle.

The plate has two broken diabetic cookies and a small piece of cheese with a pill in it. He's like Lexi and eats like there's no tomorrow.

As he's eating I give his shot. This process took a while to get to, but it has worked!

They are hyper dogs, but even they will settle into the routine.

Hang in there, you'll find what works!

farrwf
07-28-2011, 04:07 AM
Good afternoon everyone. I just read that I should give Lexi her shot 30 minutes after her feeding? Somehow, I missed that before as I have started to give them to her while she is eating. I'm trying to let her eat 1/2, make her wait 10 minutes at least and then give her the injection while she is eating the second half. It's hard because she's screaming for her food. Poor thing starts screaming sometimes an hour after feeding wanting something else. I know most say they will stop that. HA! With her there is no break until you give her something. Shake the flyswatter at her... oh she may stop for 30 minutes and that's a maybe but she comes talking or should I say yelling in her doggy language pretty quickly. I have noticed though she has gained a little weight in this past week (makes me happy because she only weighed 7.6 lbs at the vet last Wed)while on insulin and she's not nearly as thirsty. She still drinks a lot but I'm not filling up the water bowl every hour anymore. I'm waiting for the bg meter to arrive so I should start testing soon but I was curious if most wait after eating to give their shot?

Otis weighed about 24 lbs. when he was first diagnosed. That scared me because he's always been right around 30 lbs. He's a big bone pug and carried the 30 pretty well. The vet thought an ideal weight for him was around 27.

Like you, I was in panic mode when I first learned about O's diabetes. Was really concerned about the weight loss. Like Lexi, he began to put the weight back on right away once we started the insulin. He got back to his good weight in just a couple of months.

He could empty a water bowl too, before the insulin injections were started. That stopped after about a month when his insulin dose was first increased.

The weight gain and the thirst becoming "normal" again were the first real indications I had that the insulin was actually having an impact on O. Looks like Lex is going through the same drill as O did.

Like pgcor, I give Otis his shot immediately after his meal, as he is gobbling up his dessert (small amount of chicken and a broken up LivaSnap). I'm comfortable doing that because Otis has never puked right after eating, as some dogs may. I know the food's gonna stay put, ... PLUS eating his dessert is a great distraction for him which allows me to get "in & out" with his shot before he has a chance to even get "suspicious" about what I'm doing.

mprssdbyu
07-29-2011, 02:23 PM
Hello everyone. Quick question. I now have the one touch ultra meter. Now, I'm not sure when to begin testing? I have to run to Walmart to get the lancets so that will put me back home about an hour before I give her her injection. I've observed that when doing a curve most do it every two hours. I'm just not sure at what point to begin. I can't get it done today two hours before her shot so does that mean I need to wait until in the morning and start two hours before I feed her on an empty stomach.

HarrysMom
07-29-2011, 02:35 PM
Congratulation on starting home testing.
I usually do my first reading right before AM breakfast / injection - not two hours before.
If your dog is sensitive to exercise (mine is), then you may want to test before and after each exercise.

mprssdbyu
07-29-2011, 04:45 PM
I thought I would test it just to see where she was at tonight before eating. Tried four times before I could get the lancet to come up far enough and even then it was barely above hole of device. I must be doing something wrong because the needle of lancet is barely showing. I hope that makes sense. Ugh! Oh well, I'll try again in the morning cause she's hungry NOW!

Patty
07-29-2011, 05:36 PM
Cheryl,
You should be able to take the lancing device apart. The cap comes off so the lancet can be inserted. Then twist the top off the lancet and replace the cap. Try these instructions: http://www.onetouch.com/support/products/use-device Then you can adjust the depth. Push the button and the lancet will stick the area using a spring to quickly insert into the skin and pull back. You can try doing it to yourself to learn.

What gauge lancets did you get?
Where to you think you'll try to test on Lexi?

I'd just get the idea of testing for now. When you get ready to do a curve, I would test just before food/insulin then every 2 hours after until just before next shot time.

Good luck!
Patty

mprssdbyu
07-29-2011, 05:57 PM
Oh me oh my Patti! I did exactly what those instructions said to do. It took four times to get the needle to come through the hole. Maybe I am pushing the lancet too far into the device. I got the one touch ultra soft lancets. I shaved her back in near the tail as she has a little nub being a min pin and I tried her lip but got nothing. The lady at Walmart said it's the only lancet the one touch will take??? I so wanted to get a reading of some kind because I really think her dose needs to be increased. I'm almost sure her sugar was high this afternoon as she drank two bowls of water within an hour ... she drank every last drop of both. Since then, she has settled down and drank very little. It was about halfway through her 12 hour cycle that she became soooooooo thirsty. I've been giving her strips of yellow bell peppers at about the 6 hour mark to tide her over until the next feeding. Maybe I shouldn't do that. I dunno, I'm just so disappointed I failed at getting blood to test. And if I don't get it before she eats, do I wait until the next day in the am to try again?

SandyL
07-29-2011, 06:12 PM
The one touch will take different sizes of lancets... If you do the base of the tail, you need a fairly large lancet... I use Walmarts relion brand 26 gauge lancet in my OneTouch. Works great. You need to set the depth on the device to the deepest setting which is 9. Take a look at the thread of me testing Tiggy near the tail

Don't worry about doing a full curve just yet. Get used to getting the blood samples first, because when doing a curve every 2 hours, you want it to be as easy as possible and getting it on the first try. Considering when doing a curve they get stuck at the minimum of 6 times!!!

Sandy

Patty
07-29-2011, 06:42 PM
When you're learning you can try whenever. No set time. It's a learning process. It took me a couple of weeks to get blood from Ali. That was before I was a part of the board and learned all the great advice here. We were a mess :rolleyes:. I'd try different areas with no luck, then I'd finally get a drop of blood and my meter had timed out. Comical really.

I believe the UltraSoft lancets are 28 gauge. That may be too small for the base of the tail. I know Sandy uses 26 gauge with Tiggy (smaller the number the larger the lancet).

When I tried the OneTouch on Ali's lip, I couldn't get blood but with the Accuchek Softclix I could. I think they are beveled different. You may also have to move around a little if trying the lip. If too far forward or back you may not have success. There seems to be a sweet spot that works best across from the canine tooth, it's just a matter of finding it.

I'm not sure what the problem is with the lancing device I'm afraid. Maybe others can offer advice who use the OneTouch.

Take the process slow and keep it upbeat for Lexi :)

As far as the pepper strips, that sounds like a wise choice to hold her over. I'd keep it to the same amount and same time every day so it becomes a consistent part of her curve results.

Hope that helps!
Patty

Patty
07-29-2011, 06:43 PM
Glad Sandy posted to you. I got pulled away half way through my post to you and had to come back and finish it ;)

CarolW
07-29-2011, 08:06 PM
Patty is right about the OneTouch UltraSoft lancets - they are 28-gauge. Their Fine Point lancets are 25-gauge. I asked LifeScan (makers of OneTouch) Pleeeeeze to put the gauge number on the box - but they never did.

I always hand-held my lancets, so didn't have to worry about a device. Always, I sank the lancet needle to its full depth. Thinking about this, perhaps the devices spring the lancet with some force, maybe making a slightly bigger hole than you'd do holding the lancet in your hand (fingers).

Whenever I'd have trouble getting a sample, I'd dunk a paper towel in hot water from the tap, make sure it wasn't so hot it would burn, and then warm the prick-site with the wet paper towel. I used the lip. Then I'd blot dry with a dry paper towel, and THEN prick.

Patty mentioned the meter timing out. Well, if you insert a test strip into the meter JUST enough so it will stay, but not far enough to turn the meter on, you can do that ahead of time, till you see you have a blood drop that looks big enough to test. THEN you can pull the strip the rest of the way into the meter, turning it on.

There's a detailed description of how I did all this with Kumbi, here:

http://www.coherentdog.org/vek/bgtest.php

Patty is right about finding the "sweet spot" if you use the lip.

Fri, 29 Jul 2011 20:06:13 (PDT)

mprssdbyu
07-30-2011, 05:23 AM
Good Morning. I decided to get some sleep and calmly try again this morning as I was so frustrated last night. I thought the injection was the hard part...that's a piece of cake compared to getting a drop of blood and holding her still afterwards! The lip and the pad on bottom of front feet are out. There's just no way. I got a drop of blood on the front foot but she started screaming and jumping around... and then trying to hold her still just wasn't going to happen. And holding her lip and feeling that puncture tore her nerves up... she was all over the place afterwards. So that's out. So, if anyone has a video of getting blood from an ear especially on a min pin, that would be great. If I have no success in the next day or two, I'm going to go get another box of lancets so maybe I'll have success on the tail cause this size lancet isn't going to work there for sure! Thanks to everyone for the advice.

Patty
07-30-2011, 05:30 AM
I will tell you the ear can be a tricky place to get blood from, however we do have some members that use this area. Craig uses this with Annie and Louise had a unique way of getting blood from her Buddy here. You can see her description in this link http://www.k9diabetes.com/forum/showthread.php?t=2787.

It might be worth your while to pick up some larger lancets for the base of the tail method.

You're doing great. Just set it aside after a couple of tries and start again later.

SandyL
07-30-2011, 06:31 AM
I thought with as big of ears that Tiggy had I'd have no problem getting blood there.... Boy was I wrong!! Every time I tried I'd go right through it to the other side and end up sticking myself :(

Sandy

Abby's Mom
07-30-2011, 07:51 AM
Cheryl,

I get blood from the base of the tail as well, and Sandy has a GREAT video, which gave me additional tips. I Use the Relion 26 gauge in my One touch lancet. I could NOT get blood anywhere else. The dew claw pad, she would not sit still, and had the same problem with the lip. Tail it was - but I will tell you that a small piece of boiled Chicken breast really did the trick for me. She realized that once she sat still and I was successful, she would get her treat. Alot of praise, even if you are not successful, otherwise it is a chore for both of you..... and you need a willing partner.

I couple of things I learned from the video, was to push down when using the lancet. I was bringing up a piece of skin, and I was not as successful. Also, Carol has a great advice and that is to warm the skin before trying. This especially helps first thing in the morning (my toughest time).

It does take some time... for both of you, but it does get better.

Hang in there.

k9diabetes
07-31-2011, 03:25 PM
Remember, as you're viewing the videos, that no one ever makes a video of their testing process the first week they try! :)

We had decent sized lancets but a meter that required a large drop of blood when I started testing Chris and it took us a couple of weeks of daily attempts to get good at it.

One thing I did right at the time was not rush it. We tried once or twice in the morning and once or twice in the afternoon and that was it for the day. If we didn't succeed, we just set everything aside calmly and tried again later.

The last thing you want is to thoroughly frustrate either yourself or your dog. So take it slow, expect to struggle some at first, and be sure and let your dog know they were Perfect!!! even if they weren't. The more fun you can make it, the better.

I do think you will have much better luck with thicker lancets also. Some insulin syringes are 28 gauge - that's pretty thin.

We used the Accuchek Softclix and loved it.

Natalie

mprssdbyu
07-31-2011, 05:26 PM
Hello everyone. Well if we are ever to be successful at my house getting blood, it's going to be with thicker lancets! I'll be picking those up in the next day or two. After watching those videos, I realized what a piece of work Ms. Lexi is. Standing still and popping her in the gum, holding her front feet any which way I can or folding her ear...well let's just say....she looks at me like...what's your problem all of a sudden....if you think I'm going to okay this... it's gonna be a long road to hoe cause it ain't happening if you need me to stand still! I've searched youtube... if anyone runs across a min pin successfully getting blood and they hold still... I want to see it!!! I do think if I EVER get blood on her rump, I can teach her a treat comes next by being a good girl but lawdy we have to get there first! But there is a little good news.... she seems to be gaining a tiny bit of weight still. And her thirst level is WAYYYYYYYYY down. I would be worried about Cushings cause she's starving when the eighth hour gets here until the next feeding and very VOCAL about it but the vet tested for that and said her lab results show she could rule out Cushings disease.

Abby's Mom
08-01-2011, 06:45 AM
Hello everyone. Well if we are ever to be successful at my house getting blood, it's going to be with thicker lancets!

I use the 26 gauge from Relion, and the setting on my clicker to 9. Even if you are not successful, give her a piece of chicken. Just use the clicker without the lancet, and she will realize that it doesn't hurt and she gets rewarded for it. Do this for a day or two and I bet you may have a willing partner, especially if she is hungry all the time.... she is even a better candidate.

Patty
08-01-2011, 09:21 AM
LOL...minpins are full of personality that's for sure. ;)

I'd take it slow and just get her used to the process as Barb indicated, even without the lancet if you need to and offer a tiny piece of chicken or part of a bell pepper you've been giving her. Tiny pieces of cucumber are another idea if she goes for them.

mprssdbyu
08-01-2011, 01:15 PM
Quick question. I'm going to go tomorrow morning and pick up the 26 gauge lancets. She had a bad night so this morning was out. When she's extra hyper I can't do a thing with her other than hold her which I did most of the morning until it was time for food. Rocking her from side to side calms her down. I called the vet and verified again the test was specific enough so that we could rule out Cushings totally cause she has three of those symptoms! She assured me her test results were not specific or indicative with Cushings disease. Anyway, she told me to feed her wet food and fiber... I told her I already do..Innova Senior and I steam brocolli or the brocolli florets. I've been only giving her the florets and cutting the stem completely off. I read that you need to boil it in water for at least 3 minutes(I think that was the amount of time) to kill some type of something so she can digest it. Is there any other type of fiber I can give her to add to the brocolli or are the stems just as safe and effective as the florets? Maybe I shouldn't cut those off. I'm just trying to soften her hunger pains cause barking at me all night wanting something else to eat is getting tough! She really didn't start this until we started the insulin injections....not like this! The vet told me her hunger was of course due to her not being regulated yet and it was too soon for that. I wanted to say... Well, DUH! I'm getting a little edgy, I think!

Abby's Mom
08-01-2011, 03:10 PM
Cheryl,

Green Beans are a good source of fiber. I heard these can be used steamed or raw, but other vegetables should be lightly steamed, because they digest them better and get the nutrients from the vegetables.

Pumpkin is also a good source of fiber, but not sure if that will fill them up.

Another snack you can do, is dehydrate sweet potatoes, but take care of how this will increase Lexi's levels. I have not seen a rise in Abby, but only if I give more than I should have (I typically will give 1 or 2 a day). They are a good source of fiber as well, and it will take longer to chew. I thinly slice the sweet potatoe lenghwise, and then place them on a cookie sheet. I bake them at 200 degrees in the oven on one side for 1 hr and then the other side for 1 hr. They can be kept in the fridge for about 1 week.

Abby was very hungry when initially diagnosed, but it as subsided. She did test for Cushings and was positive, but since her Diabetes as been under control, she has no symptoms.

Patty
08-01-2011, 03:48 PM
Cheryl,
You could try adding a fiber supplement. I've used psyllium husk powder before and I know others use Benefiber.

It's important to be sure it's not flavored or have sugar derivatives in it. I mix it with warm water to dissolve and pour it on Ali's food when I use it.

I started with 1/8 teaspoon because Ali's so sensitive to things. Maybe others can give you a good idea for dosing a small dog.

Patty

SandyL
08-01-2011, 05:08 PM
Tiggy's an EXTREMLY picky eater and I learned quite early in the game that I was going to have work WITH her than try to make her eat something that she didn't want!!!

Before her diagnosis she would eat kibble mixed with people food.....after, no way. Because she likes variety, we settled on a variety of wet foods....3 main kinds...Innova low fat, Nutro Chicken and rice, and Merricks Turduncan.

Early on she became very bored with green beans, and brocolli and she wouldn't even sniff the pumpkin....I used Benafiber for a couple of months, but with her allergies I have switched to Metamucil to see if psyllium is better for her skin than the wheat in Benafiber. I add 1/2 tsp per meal....mix it right in with the wet food, and she doesn't even notice it. I must admit, on doing poop patrol and when taking her to the vet to have her gland expressed things have been better on that end than it ever has since using the powder fiber supplements :D

Her carbs went from brown rice, to white, lentils and have finally settled on 2 Tbs of thin spagetti noodles chopped up.

For added protien she finally settled on boiled chicken breast.

I generally go by calorie count for her feedings to be consistant....she has been quite a challenge!!!

Sandy

mprssdbyu
08-02-2011, 12:50 PM
Lexi isn't picky...only when she feels bad and of course, then she eats nothing. But thank goodness, that isn't the case these days. I feed Lexi the Senior Innova adding in brocolli and cottage cheese each meal. The can of Innova says... 1062 kcal/kg, 397 kcal/ can... which means 397 calories a can doesn't it? Then I add 3 tablespoons of cottage cheese which is about 33 calories. I'll figure out the brocolli later... at the moment sitting here I can't remember how many calories it contains. You know I really don't know how much to give her. Is there a chart somewhere. I was just going by the can and it says a can per day per 15 lbs of weight. She weighs about 8 lbs now I would say but no way will she survive only 1/4 can twice per day. Also, when she starts fussing at me non stop, which is about 4 to 6 hours after I feed her/inject her, I give her yellow bell pepper strips and Innova health bar. She's just not going to hush until I give her something.

I am curious, though how much psyllium do you give her with her food. It made me a little nervous when it says not enough water consumed with it could cause one to choke.

Patty
08-02-2011, 12:59 PM
Sandy, I can't remember...how much does Tiggy weigh for the 1/2 t you're giving of psyllium powder?

Cheryl, here's some data for the broccoli though I think this is boiled and not steamed as you're cooking it. It's pretty negligible http://nutritiondata.self.com/facts/vegetables-and-vegetable-products/2359/2. 8 cal for 1 ounce.

Here's also a couple of caloric calculators on this page http://www.mycockerspaniel.com/mer.htm You'll want to enter the weight you feel she should be at.

SandyL
08-02-2011, 01:13 PM
Tiggy weighs 16lbs. I've been giving it to her for a couple weeks now and seems to be working well

Sandy

k9diabetes
08-03-2011, 08:37 PM
I give my nondiabetic dog, who weighs 55 pounds, about a teaspoon twice a day of Benefiber / Metamucil.

In his case, it helps bulk up the stools, which helps him effectively express his anal glands.

Natalie

mprssdbyu
08-04-2011, 03:11 PM
Hello everyone. I feel bad for only posting in Lexi's thread but I really don't know diddly so I have no advice to offer. We're just having NO LUCK with the bg testing. It's truly turned out to be a nightmare. Lexi gets so worked up now, she's panting when I continue to try. All those extra treats for being a good girl who is not giving up a drop of blood is the only thing that has been positive as far as she's concerned.

I do have another question though. Does the psyllium husk powder added to her diet cause them to want more water? Yesterday was the first day I added it to both her meals and last night she was SO thirsty and it hasn't been that way lately. I cut back today to 1/2 of a 1/4 teaspoon. She's still drinking a little more than she was but not as much as last night.

CraigM
08-04-2011, 04:58 PM
Does the psyllium husk powder added to her diet cause them to want more water? Yesterday was the first day I added it to both her meals and last night she was SO thirsty and it hasn't been that way lately. I cut back today to 1/2 of a 1/4 teaspoon. She's still drinking a little more than she was but not as much as last night.

I believe psyllium is the ingredient of Metamucil. Metamucil warns that it should be mixed in water and not be taken dry due to possible choking hazard. I personally wouldn't want to put this powder on dry, or even moist, food. I believe a fiber such as Benefiber would be safer. Just MY opinion.

Craig

CraigM
08-04-2011, 05:19 PM
I've done some Googling and found this on the Metamucil web site:


"Is it OK to take Metamucil with food? Should I take it before or after meals?
Any time of day is appropriate to take Metamucil as long as an adequate intake of fluids (at least 8 ounces of water or liquid per serving) is consumed. We recommend taking Metamucil three times per day at mealtimes as a convenient way to remember to take Metamucil. Our powdered product must be mixed with liquids, not taken in its dry form. Capsules should be taken one at a time; we do not recommend dissolving them in water. Please take Metamucil with at least 8 ounces of liquid, as indicated. For Metamucil Capsules Plus Calcium, we recommend taking them four times per day with at least 8 ounces of liquid, as indicated."

Craig

Patty
08-04-2011, 06:36 PM
It's also possible she got a rise in blood sugar from adding it in. Every dog responds a bit different.

As far as testing, I'd set it aside for a day or so. Let her relax a bit again.

SandyL
08-04-2011, 08:16 PM
I believe psyllium is the ingredient of Metamucil. Metamucil warns that it should be mixed in water and not be taken dry due to possible choking hazard. I personally wouldn't want to put this powder on dry, or even moist, food. I believe a fiber such as Benefiber would be safer. Just MY opinion.

Craig

The Metamucil comes in the natural coarse psyllium husk and smooth variety. The smooth is very comparable to Benafiber and readily dissolves in wet food with no problem

Sandy

CraigM
08-04-2011, 08:31 PM
The smooth is very comparable to Benafiber and readily dissolves in wet food with no problem

Sandy

I admit that I'm only going by the Metamucil web site, and the label on the generic Target brand of psyllium that says to take with 8 oz of water / liquid. Might not be required, but...

One not so nice experience with the Target branded psyllium was when I mixed it into my hot coffee and some of it turned into slimy goo! :p I currently use Benefiber in my morning coffee (no taste, grit or goo), and Metamucil in cold water in the afternoon (gritty, but no goo).

mprssdbyu
08-05-2011, 05:20 PM
Well, the psyllium powder is out! Lexi had a horrible day and night. She panted all night almost. I prepared it with water and added to her food but it's obviously not for her. I gave it a day and 1/2. First day she was extra thirsty and the second, she panted most of the day and still very thirsty. From what I've read.... panting is also a sign of high bg. It's funny how one thing might affect one dog but not the other. I'm going to try the green bean rout. I've been boiling and cutting up broccolli but it just doesn't fill her up. I'm curious...I hate green beans so I've never cooked them for myself....only for others and they were seasoned and I know that will not work for Lexi and diabetes! I'm guessing you guys buy green beans from the market. How do you prepare them?

SandyL
08-05-2011, 07:18 PM
So sorry the psyllum powder didn't work....so much easier IMHO! Did you ever try the Benafiber...it's a wheat fiber

As far as the greenbeans, yep, buy them fresh at the store, and for Tiggy all I did was boil them for about 10-15 min. Not so long that they were mush but so they were tender. Kinda boring without seasonings but you can sprinkle a little Pharm cheese on them to make them more appealing.

Sandy

buddingartist
08-06-2011, 07:06 AM
When brocoli is cheap, I cut it in pieces and freeze it. Otherwise I keep a few bags of frozen ones in the freezer. I also buy the frozen beans.

I tried the green beans lightly cooked, cooked fully, raw, frozen as a treat and neither Buddy or Cleo would go near them.

Now I make a mix of brocoli and green beans which I boil slightly and then put it all in the food processor. To every meal, I add 1 heaping tablespoon and mix it to the wet kibbles, a mix of cooked ground beef and chicken.

At one time, I also used to add spinach to my mix.

Louise

farrwf
08-06-2011, 12:07 PM
When brocoli is cheap, I cut it in pieces and freeze it. Otherwise I keep a few bags of frozen ones in the freezer. I also buy the frozen beans.

I tried the green beans lightly cooked, cooked fully, raw, frozen as a treat and neither Buddy or Cleo would go near them.

Now I make a mix of brocoli and green beans which I boil slightly and then put it all in the food processor. To every meal, I add 1 heaping tablespoon and mix it to the wet kibbles, a mix of cooked ground beef and chicken.

At one time, I also used to add spinach to my mix.

Louise

Ditto on the green beans. Otis hates em! If I cut them up and mix them in with anything, when he's done eating ... the green beans are left on the plate.

In fact, now that I think about it, ... green beans are about the only thing he won't eat.

mprssdbyu
08-07-2011, 02:17 PM
Hello everyone. I hope everyone is having a good day. I'm thinking of changing Lexi's food or should I say altering it. She's never been overweight as she is sort of a tall min pin and the most I've ever known her to weigh is 12.5 lbs. I'm guessing before I began to control her diet, she was close to 500 calories a day. I think that's a little too high but I fed her Natural Choice for puppies until she was 10 years old! Oops! I thought puppy food was good for her even if she was an adult. Because of the undiagnosed diabetes, she's down to 7.6 lbs or was about 2 1/2 weeks ago. I do think she's gained a little. Not as much as I had initially thought though. Anyway, after diagnosis I started her out on 1/2 can of wet senior Innova twice a day adding in two tablespoons of cottage cheese and broccolli. It just isn't satisfying her. She starts begging and I do mean begging for food about 4 hours after she's eaten and it's a long day for both of us... the next 8 hours. She's very vocal and so stressed by the time I'm able to feed her again as in a meal. I feel so bad. So.... I've decided to change her food to 2 ounces of cooked turkey, 1/4 can of wet innova for seniors and add in green beans and two tablespoons of non fat cottage cheese. She's not going to eat those green beans without mixing them in the wet food but I've got to add fiber somehow, someway. I'm just concerned about it being too much protein in her diet or meal. When you add those up, that's about 230 calories. I've just read so many threads about who is feeding what that I'm turned upside down about her diet. I do think she needs the wet food because there are measured nutrients and vitamins in there and I'm not sure I would provide those every day or remember to if her diet was totally raw! So, in a nutshell it looks like this... I just don't know how to break down the percentages.

Cooked Turkey, 100 calories, 8 grams of protein
1/4 can Senior Innova 99 calories, can says guaranteed analysis 4.4 percent protein, I'm just not sure what that equates
to in grams. But that would be a uniform 4.4 percent throughout no matter how much I gave her,
correct?
Fat free cottage cheese 22 calories(11 calories per tablespoon) 14 grams of proteins
Green beans cooked... no seasoning 2 tablespoons of greenbeans strictly for fiber. I have no idea how many to give her to make an impact
so I'm guessing here. May be too much!

Does anything jump out at anyone who reads this as not being a good diet? The protein scares me a little. I gave her 4 small chicken breasts one day and she had severe diarrhea the entire next day. I'll never do that again!

Patty
08-07-2011, 06:27 PM
Cheryl,
What do you consider her ideal weight to be? About what she was before at 12.5 lbs?
Based on the calculators on this page http://www.mycockerspaniel.com/mer.htm (http://www.mycockerspaniel.com/mer.htm) a typical 12 lb dog would get about 393 calories a day depending on activity level. A 12.5 lb dog about 405 cal per day.

Previous diet: (220 calories twice a day = 440 cal)
1/2 can of wet senior Innova twice a day (198 cal)
2 T cottage cheese (22 cal)
2 T broccoli

New diet: (230 calories twice a day = 460 cal)
1/4 can of wet senior Innova twice a day (99 cal)
2 tablespoons of non fat cottage cheese (22 cal)
2 T green beans
2 oz cooked turkey (100 cal)

Iím not a nutrition expert, but I donít believe thatís too much protein. Do you have a kitchen scale you can weigh each item on? That might help with consistency as well. It can be hard to measure 2T green beans, etc.

Patty
08-07-2011, 06:29 PM
Just as a comparison, I know Sandy (Tiggys Grandma) is using Innova low fat canned and the protein content is higher on it at 8%. http://www.innovapet.com/product_line.asp?id=1673

I'll let others offer their input on the change as there are many that have added to a canned diet to help extend the insulin and abate hunger.

mprssdbyu
08-07-2011, 06:32 PM
Patty, I'm thinking anywhere from 11 to 13 lbs should be fine for her. If you will look at the pics in my profile, you'll see her at that weight. Again, she's a little tall so she weighs a little more maybe than some min pins. She's never been what I call stocky! And she may not be tall for a min pin... just appears that way to me cause she's always appeared to be long and lean. So you can imagine her now at 7.6 lbs.

SandyL
08-07-2011, 08:07 PM
Tiiggy's diet is actually pretty high in protien. I didn't want her to lose weight and I wanted her to keep her muscle mass. When I was trying to figure her diet at the beginning I found then that a higher protien diet kept her curve fairly flat and she wasn't starving all day. As well as a high protien wet food, I also add 1/4 cup boiled chicken to each of her meals. She gets approx 500 cal per day for a 16 lb furbaby :)

mprssdbyu
08-09-2011, 03:13 PM
Oh My Gosh. I'm so happy! I have finally found a great recommendation for a Vet. A friend just loves him and I spoke with the office staff and they were great. They totally agreed on where to start and it wasn't a fructosamine test...doing her first curve on Monday since she will have been on her new diet 7 days!

CarolW
08-09-2011, 03:22 PM
It's so GREAT when you have a good vet who will work with you as a team-mate. With the office staff so friendly and cooperative too. Sounds just WONDERFUL!

I'll look forward to your further reports. Do plan to post Lexi's curve numbers, when the curve is done! I'd really like to see them!

Tue, 9 Aug 2011 15:22:05 (PDT)

mprssdbyu
08-09-2011, 03:38 PM
It's so GREAT when you have a good vet who will work with you as a team-mate. With the office staff so friendly and cooperative too. Sounds just WONDERFUL!

I'll look forward to your further reports. Do plan to post Lexi's curve numbers, when the curve is done! I'd really like to see them!

Tue, 9 Aug 2011 15:22:05 (PDT) I really want to see them too, Carol! I've tried so hard to get blood from her but it's just not working between the two of us and I know she needs an adjustment. It's way past due as far as I'm concerned. But finding a vet who convinced me they were worthy of Lexi hasn't been easy. I've been so stressed over it. Last night as we have started doing mini walks, she walked into a car wheel at the lake as we were going toward the path that circles the lake. She's going blind, too. So now I"ll have to take her leash and guide her. I put a night light just above where her water is so at night she can hopefully pick up on that as I know she can see at least shadows where there is light. At least for now, she can. I see her head or eyes follow me in the light.

Patty
08-09-2011, 06:42 PM
Fantastic news on the vet, Cheryl!

I like the night light idea.

Here are some links to other threads with regard to diminished eye sight and tips to help your dog:
http://www.k9diabetes.com/forum/showthread.php?t=2379

http://www.k9diabetes.com/forum/showthread.php?t=1506

http://www.k9diabetes.com/forum/showthread.php?t=1513

Judi
08-09-2011, 06:46 PM
I'm so glad you found a vet. The night light is exactly what Jenny's eye doctor suggested we do for her.

Let us know how your vet visit goes!

mprssdbyu
08-11-2011, 05:42 PM
I have a quick question. Lexi and I have not been successful with the meter yet. Today I used the ketodiastix mid day about 7 hours after her shot... just to see. Anyway, it says to judge the results for the glucose in her urine 30 seconds after testing. So, does that mean after 30 seconds with the presence of glucose it's going to get darker no matter what? And when your vet does a curve, do they use the same procedure we do? Or do they actually draw blood? I was going to request to observe her first reading as she really can't see me now and maybe I can be quiet so she won't know I"m there. I really want to see someone successfully do it cause lawdy I've tried everything I know to do after watching videos. It's imperative now that he'll raise dose on Monday that I become successful at curves somehow!

BestBuddy
08-11-2011, 06:14 PM
It just means that after the elapsed time (30 secs) the readings will not be accurate. The strips can continue to get darker after that time.

Once you activate the strip (with urine) check it at 30 secs for color. I think the ones I used were 30 secs for glucose and 60 secs for ketones.

Jenny

Abby's Mom
08-11-2011, 06:22 PM
I have a quick question. Lexi and I have not been successful with the meter yet. Today I used the ketodiastix mid day about 7 hours after her shot... just to see. Anyway, it says to judge the results for the glucose in her urine 30 seconds after testing. So, does that mean after 30 seconds with the presence of glucose it's going to get darker no matter what? And when your vet does a curve, do they use the same procedure we do? Or do they actually draw blood? I was going to request to observe her first reading as she really can't see me now and maybe I can be quiet so she won't know I"m there. I really want to see someone successfully do it cause lawdy I've tried everything I know to do after watching videos. It's imperative now that he'll raise dose on Monday that I become successful at curves somehow!

When a vet does a curve, they draw blood. They do not use the Ketodiastix strips. These strips will only determine if their BG levels are high, but you do not have any way of knowing if the BG levels are low.

If you need help in watching me with Abby, please let me know. I would be willing to meet somewhere close to you.

Patty
08-11-2011, 06:42 PM
I think the Bayer ketodiastix are 15 seconds for ketones and 30 for glucose. But Jenny's right they can continue to get darker and aren't accurate after the time period indicated.

Some vets draw venous blood and run on their lab machine for curves, usually from the leg vein.

Others use a meter. Good question on how some vets typically get blood for meter use. I think Eileen said the alphatrak can measure venous blood accurately if they are drawing it then putting it from syringe onto the strip. But a human meter needs capillary blood.

Couldn't hurt to ask and see if you can be a fly on the wall ;)

mprssdbyu
08-13-2011, 06:46 PM
When a vet does a curve, they draw blood. They do not use the Ketodiastix strips. These strips will only determine if their BG levels are high, but you do not have any way of knowing if the BG levels are low.

If you need help in watching me with Abby, please let me know. I would be willing to meet somewhere close to you. Yes, I knew they didn't rely on ketodiastix for glucose testing, I just used them to help get an idea how high her bg was running and to check for ketones. I know she's still running on the high side...I can just tell by her hunger and her panting at times. Thank goodness the ketones continue to show negative. And about 2 to 3 hours after her shot, the test strip changes color to a more postive result on the test strip. It's still not great but it isn't maxed out either. At least the insulin is having some effect. On Monday, I expect her dose to be increased. Thank goodness for Lexi's sake...she's such a trooper. She's got to be tired, it's been a very trying month for her.

mprssdbyu
08-13-2011, 06:56 PM
I haven't been around a great deal as the last 3 days have been probably 3 of the hardest days of Lexi's life. We're adjusting to being totally blind now. It happened that fast. She's beginning to respond to words from me, understanding to alter her course. Her poor little nose has got to be sore. At first she was very timid and of course nervous. But she's getting better. We went for a walk last night...I'm giving her no choice cause I want her to still feel free to sniff and feel the freedom of being outdoors...she just has to listen to my voice now to know which way to go for sure. I'm not giving directions per say, just encouragement and letting her know mama is right by her side and it's going to be okay! I'm worried the most about her at night when I'm sleeping. I'm afraid to put her on the bed as I dont' want her to fall off and wondering around the house by herself has got to be no fun esp these first few days..as I often hear her and know what she's bumped into before she settles down at night. Usually she knows what bed means but now it's dark all the time as she can't see the lights go out anymore. Please keep her in your thoughts cause Mama can't fix this one. I hope this post doesn't upset anyone cause she still turns in circles when she hears her turkey being cooked .... she knows din din is coming and that makes her ol so happy!!! She doesn't care if she can't see cause she can SURE smell it and it's smellin pretty good every 12 hours to her! Smiling.

Judi
08-13-2011, 07:10 PM
You sound like you are handling this so well. I'm sure Lexi and her little nose will come through it like a champ.

That was fast.

Keep us posted

xoxo Judi & Jenny

Patty
08-13-2011, 07:51 PM
Cheryl,
You two are doing so well really. Did you get a chance to look through some of the links I posted earlier on blindness? Carpet runways might help some with navagation in the house. As far as the bed, I know Natalie actually put hers on the floor off the frame so Chris didn't do any more flying leaps and miss.
Patty

mprssdbyu
08-13-2011, 08:24 PM
Cheryl,
You two are doing so well really. Did you get a chance to look through some of the links I posted earlier on blindness? Carpet runways might help some with navagation in the house. As far as the bed, I know Natalie actually put hers on the floor off the frame so Chris didn't do any more flying leaps and miss.
PattyI thought I had read them all but somehow I missed that idea. She's so funny. Up until a few months ago, she always slept under the covers.. and I do mean always with only her head stuck out... like I do but for some reason now, she wants to sleep under the couch...even though the air vents blow directly on the bed and it's very cool. So, I tried to put a sheet under the couch.... spread it out so it was be cool and soft but she WILL NOT have any of that. I made her a bed beside my chair and covered it with a sheet tucked around it, again, she WILL NOT sleep on that cool sheet. She wants to lay on the carpet underneath the couch and beside my chair. She will not lay on anything other than the carpet... I'm even having a hard time getting her to sit with me on couch. I'm hoping after her bg is a little more regulated, she'll go back to snuggling with me and not insist on being under that couch! But that's where she is happiest at the moment, so I give in.

Also, I've noticed lately she holds her nose between her paws at times when sleeping. She's never done that before. Is that a sign of anything?

Patty
08-13-2011, 09:05 PM
Also, I've noticed lately she holds her nose between her paws at times when sleeping. She's never done that before. Is that a sign of anything?

Not that I'm aware of, but it sure sounds cute. :D

mprssdbyu
08-13-2011, 10:43 PM
Not that I'm aware of, but it sure sounds cute. :D Good, I was afraid it was a sign of a headache or something I wasn't aware of.

mprssdbyu
08-15-2011, 03:57 PM
Today was the big day. Bless her heart she's had a very long day! A new veterinarian, dogs barking all day, blind...has no idea where she is and stuck with needles in her feet all day does not make a good day esp as she HATES for you to touch those front feet. She's exhausted. I'm a little nervous about his recommendation, too.

Her fasting number this morning at 8:20 was 554. He then gave her 2 units which is 1/2 unit more than she had been on for 12 days. After the 2 units, here are her numbers.

10:31 am 362
12:36 pm 432
2:42 pm 479
4:44 pm 548

He said he would like to get her in the range of 60 to 150. I'm hoping for the best but for Lexi, after reading here I'm not sure that realistic. He said to increase her to 4 units 2xday. That's alot for an 8 lb dog!

Judi
08-15-2011, 05:14 PM
poor Lexi.

Ok, Jenny is 8 pounds, has Cushings and wound up at 7 units twice a day before she was in the 100's. But I agree with you, jumping from 2 units to 4 units seems like a huge jump for a small dog but her #'s are high.

I know every dog is different but when Jenny was at 5 units her #'s were similar to Lexi's. Going to 6, knocked them into the high 200's and 7 (knock wood) seems to be the magic #.

I'll let some of the pros weigh in. We did move from 1 1/2 to 3 with Jenny when her #'s were not budging

Give Lexi an extra hug from me & Jenny tonight. She had a rough day.

Judi

SandyL
08-15-2011, 05:15 PM
Poor Lexi! She's had a rough day and you too!!!

Sometimes I really wonder about these vets.... Between 60 and 150????!!! Really? 60???:eek: Personally I don't want my baby below 100... Too risky for me
My Tiggy is 16lbs and she's only on 3 3/4 units right now. Does he want you to go up to 4 now and make a 2 unit jump? With little dogs the MOST I'd go up at a time is 1/2 unit and wait a few days for it to settle in then go from there

Sandy

MaryLea
08-15-2011, 05:31 PM
Sorry she's had such a rough day. :( It's hard on us, too, when they have a difficult time.

Personally, I'd hope for a range in the 100s. Below 100 makes me nervous because of an experience with Ruffles. 4u for an 8 lb. dog doesn't sound excessive. Seems like the upper threshold I've heard about is more like 1u per lb. If that's true, you are fine so far. Natalie and the moderators can weigh in better on this issue. I agree with Sandy about the 2u jump, though.

Wishing you the best,

Mary

mprssdbyu
08-15-2011, 06:06 PM
poor Lexi.

Ok, Jenny is 8 pounds, has Cushings and wound up at 7 units twice a day before she was in the 100's. But I agree with you, jumping from 2 units to 4 units seems like a huge jump for a small dog but her #'s are high.

I know every dog is different but when Jenny was at 5 units her #'s were similar to Lexi's. Going to 6, knocked them into the high 200's and 7 (knock wood) seems to be the magic #.

I'll let some of the pros weigh in. We did move from 1 1/2 to 3 with Jenny when her #'s were not budging

Give Lexi an extra hug from me & Jenny tonight. She had a rough day.

Judi You know Lexi may get to 7 units eventually but I wonder if Jenny having Cushings makes her require a little higher dose. I was worried about Lexi and Cushings but after seeing her numbers today, no wonder she's panting and starving still.

mprssdbyu
08-15-2011, 06:10 PM
Poor Lexi! She's had a rough day and you too!!!

Sometimes I really wonder about these vets.... Between 60 and 150????!!! Really? 60???:eek: Personally I don't want my baby below 100... Too risky for me
My Tiggy is 16lbs and she's only on 3 3/4 units right now. Does he want you to go up to 4 now and make a 2 unit jump? With little dogs the MOST I'd go up at a time is 1/2 unit and wait a few days for it to settle in then go from there

Sandy

Sandy,

He did want me to go from 1 1/2 units which is what she received up until last night up to 4 units tonight. I asked the receptionist to go check with him and make sure he wanted that jump all at one time and she came back and said yes. It's easier for me to go up than it is down so I won't be going up 2 units in one day, that's for sure! What he doesn't know won't hurt him. He has great bedside manner but I wonder how many diabetic patients he has after that suggestion!

Judi
08-15-2011, 06:17 PM
oh I bet you won't wind up needing as much as Jenny I was just trying to give you a comparison.

At least if you take the increase slowly you can give her little paws a rest for a day or so.

Judi

mprssdbyu
08-15-2011, 06:35 PM
oh I bet you won't wind up needing as much as Jenny I was just trying to give you a comparison.

At least if you take the increase slowly you can give her little paws a rest for a day or so.

Judi Yes, I'm going to give her 2 1/2U for a few days and use the test strips as a guide for a day or two and see if they show any reduction at all. That's a full unit greater than yesterday. If not after a few days, I'll go up to 3U 2xday and see what that does. And I'll work on the testing her myself again in a day or two. I knew her numbers would be high but a very stressful day at the vets which could cause her numbers to be a little higher than they might range otherwise. Stress can cause them to increase too, can't it? Does anyone who may have read this thread have an example to go by as maybe a lightning storm outside and they are afraid of storms??

jesse girl
08-15-2011, 07:22 PM
jesse has bouts with anxiety and that can dramatically raise her blood sugar wright before are eyes I know the signs

the body can dump sugar for many diffident things stress illness big drop or low blood sugar and maybe a 100 more things we dont know about

for us food is not a problem as much as her body releasing sugar for us it is easy to tell higher numbers from previous days well outside of digestion and very steep rise very quickly and much higher fasting numbers from previous low fasting

finding ways to keep jesse calm and finding ways to release her anxiety is important to prevent or lessen the event

most of these things can be outside of are control because they maybe spontaneous like storms but they can have the opposite affect also during active insulin and drop so testing a bit during these events at differant times when they happen in the cycle might be a good idea to see how your baby reacts

I do make small adjustments to jesses routine because it can be fairly common for her but for most it would be just a bump in the road

Patty
08-15-2011, 07:38 PM
I knew her numbers would be high but a very stressful day at the vets which could cause her numbers to be a little higher than they might range otherwise. Stress can cause them to increase too, can't it? Does anyone who may have read this thread have an example to go by as maybe a lightning storm outside and they are afraid of storms??

Stress is pretty individual as well. Real stress where adrenaline is released, such as in a fight or flight response, will raise blood sugar. http://en.wikipedia.org/wiki/Epinephrine

Stress from a vet visit, or rather the hightened alert level, will drop my dog's bg quite significantly sometimes when her insulin is active. At the end of a curve when insulin is waning though, she may rise.

Same with thunderstorms. I think Linda's Ladybug often rises with storms due to stress.

Abby's Mom
08-16-2011, 07:01 AM
Whenever we have made a change, it has always been 1/4-1/2 a unit. It seems like to me, that the insulin takes a while to settle in and sometimes a week, so you really do not know how your Lexi will react to the change. With such a big change.. her numbers could be driven too far down.

I get really, really nervous when her numbers are at 60 (on my meter). Of all of the reading I have done on this forum... 60 does not give you much wiggle room.

When I first took Abby home after she was first diagnosed, I just can't imagine that my vet had suggested "10 units 1x a day... see you in a week and we will check her BG". I often wonder where Abby and I would be today. I breaks my heart to think about it.

k9diabetes
08-16-2011, 03:54 PM
He did want me to go from 1 1/2 units which is what she received up until last night up to 4 units tonight. I asked the receptionist to go check with him and make sure he wanted that jump all at one time and she came back and said yes. It's easier for me to go up than it is down so I won't be going up 2 units in one day, that's for sure! What he doesn't know won't hurt him. He has great bedside manner but I wonder how many diabetic patients he has after that suggestion!

Yikes! That's an extremely scary recommendation!

If you look at it terms of percentages, which I think helps to clarify (for the vet...) why such increases are not appropriate when you're dealing with small doses, that's more than 200% of her previous insulin dose.

More experience with diabetics would show him that some dogs are very sensitive to insulin. Our dog weighed 66 pounds and on Regular faster acting insulin he used just 6-8 units per injection. On NPH he never needed more than 12 units.

Natalie

MaryLea
08-16-2011, 05:00 PM
:) Good for you! We changed vets when the clinic said to double Ruffles' dose, which I did not realize was dangerous until we posted the info on this forum. We followed the advice here--never more than 1u at a time, for 5 days with continual BG testing. Once we got her numbers below the 500s, we dropped to 1/2u increments. As it turned out, she never got to the "double" dose amount and was considered regulated. We could have had a hypo or even killed her if we had not backed off that recommendation. Scares me now to think about it.

I'm grateful for the people here, their knowledge and encouragement.

Mary

mprssdbyu
08-16-2011, 05:31 PM
You're not kidding! You know I hate confrontation but I wanted to ask him...exactly what do you think would be a dose that may cause hypoglycemia when her dose was only 1 1/2U the day before. Geeze Louise! But of course, I didn't. I knew when I got home the experts would tell me or guide me in the right direction!

pgcor
08-17-2011, 08:24 AM
I certainly feel for those who do not belong to these forums! The bad advice I've been given over the past four years has been unbelievable. I've always, always thought that you could trust the advice from a Doctor, any Doctor. The older you get....so, so glad you are here and Lexi has such great care from you!

SandyL
08-17-2011, 08:34 AM
I certainly feel for those who do not belong to these forums! The bad advice I've been given over the past four years has been unbelievable. I've always, always thought that you could trust the advice from a Doctor, any Doctor. The older you get....so, so glad you are here and Lexi has such great care from you!

SO TRUE!!!

Sandy

mprssdbyu
08-17-2011, 05:38 PM
This little girl of mine is one tough cookie to get a drop of blood from. I squeeze it together but it's mostly just skin. She just doesn't have enough fat on her to get fat and skin. It's so hard to believe with such big dogs having such an easy time...I know their hide is tougher than hers... gotta be!

Her ketodiastix readings are as follows today

Fasting this morning.... 1000 8 am
250 10:30
500 2:15 ish
500 8 pm Could not believe it

While 500 isn't good, it's better than this morning/fasting and it means I think her overall higher numbers are starting to come down a little.

I'm going to bump her to 3U in the morning but I think I'll hold steady there for at least 5 days and she where she is at unless the next few days numbers seem to have risen again. Patty, Natalie anyone? Any thoughts on doing something different and thoughts on her holding steady after 6 hours?

Patty
08-17-2011, 06:12 PM
Hi Cheryl,
She's been on 2 1/2u for 5 injections now (2 1/2 days)? I think I'd go at least another day and if her pattern remains consistent, then make the increase. Perhaps by just 1/4 unit. You can eyeball 2 3/4 by placing the top of the plunger between 2 1/2 and 3u. (I always look for landmarks like lining the 'center' of the black lip on the plunger at 3u which places the 'top' at 2 3/4u - Hope that made sense ;))

I think as you get closer to the correct dose, you may have to watch that morning drop time:
8:20 am 554 - Fasting 2u at vet which is 1/2 unit more than she had been on for 12 days
10:31 am 362 <-- This may have been due to the excitement at the vet office with active insulin on board, or this could be a pattern. But the drop here is significant at 192 points.
12:36 pm 432
2:42 pm 479
4:44 pm 548

Take care,
Patty

Patty
08-17-2011, 06:16 PM
I can't remember what you said about Lexi and her ears. They aren't the easiest to get blood from, but we have a few here that have had success. Thought I'd add a link to Louise's unique way of testing Buddy for another idea http://www.k9diabetes.com/forum/showthread.php?p=53531#post53531

mprssdbyu
08-17-2011, 06:33 PM
I tried wrapping her ear around my finger... all I got was a screeching yelp and if you think I'm gonna hold still again and let you mess with my ear... you have a bet on who wins mama!

She dropped this morning quite a bit in the first two hours. Wonder why she drops so quickly like that....you're right it happened at the Vet, too?

On a different note, I was at pet store tonight and the lady in front of me was purchasing w/d dog food so I ask her if she had a diabetic pet. She did and he was a min pin. I told her about this website but I'm not sure by her reaction she felt anyone could offer advice to her as she said she had researced it all over the internet. But she said he was only 4 years old and suffered from diabetes and Cushings disease already. I felt so bad for her!

Patty
08-18-2011, 09:32 AM
If the initial drop persists there are ways to level it out. Adding a small amount of something that is faster to digest (for example, unenriched white rice, oatmeal, white bread, pasta, etc) may keep her from dropping so far initially.

mprssdbyu
08-19-2011, 12:33 PM
Just an update. Her progress has come to a halt. For some reason with the same diet, I can't get her below 500 and she's back up to 1000.

Today

Fasting 8 am `1000 (I think she tends to run higher at night for some reason)
11 am 500
3 pm 1000

I haven't given her any snacks the last day or two either. I gave her 2 3/4U starting yesterday. For some reason, her stools are really loose today. I think she's a little under the weather.

Judi
08-19-2011, 12:50 PM
Cheryl: are those her blood sugar readings? If she has an infection that could be affecting them but isn't that really really high?

I don't know a lot and am a worry wort but I'd call my vet if I were you

Does she have ketones?

Poor Lexi, she needs to feel better

jesse girl
08-19-2011, 01:05 PM
it may be a good idea to check those numbers at the vet human meters can be off quite a bit at higher numbers

you might give the vet a call to give a check on the meter it might be a good idea for you to do the blood sample not the vet to see if the sample you are getting is good you want to eliminate humane error . if that 1000 is true the vet maybe the place to be anyway to see whats going on

CraigM
08-19-2011, 01:12 PM
A test I'd like to see is for you to poke your own finger and see what the meter reads. That might give an indication if the meter isn't reading correctly.

mprssdbyu
08-19-2011, 01:16 PM
I'm sorry. I know that scared you to death. Those readings are from ketodiastix. But I had gotten her highs to 500 and her lows down to 250 with the increased dosage earlier this week. No, she doesn't have ketones. That is negative ... don't worry, if I was having success at bg meter testing with her and it was 1000, I'd meet him at the front door or back door!

Judi
08-19-2011, 01:41 PM
whew. I didn't think you were blood testing yet but wasn't sure. Glad she was negative on the ketones.

I hope whatever Lexi has passes quickly. She has had one crummy week.

hugs to both of you from me & Jenny

Chance's mom
08-19-2011, 03:13 PM
Hi Lexi's mom,
I know exactly how you have been feeling. I cried for days when my Boston Terrier, Chance, was diagnosed in May. He was off the charts close to 700+ bg when diagnosed. It has taken until recently to get him much more regulated. That being said I know things can change at any time.

We were having curves every 7-10 days, sometimes seeing very little improvement. He started with 4 units of Humulin N twice daily. Now he is at 15 1/2 units twice daily, and doing very well....his numbers are from low 300's down to 120.

He eats Hils w/d dry and canned mixed in. He eats it very well too. I give his injections right after he starts eating, because he is distracted by the food and doesn't mind. He never misses a bite, so I have no fear of giving him insulin without food.

I agree with what all the others have said. I have been reading these post since May too, and learned a lot.

I carry karo syrup with me at all times when he is with me...and keep honey on hand too. He has never had an incident yet, but it could happen as his numbers get lower.

He was experiencing the extreme hunger in the middle of the day also. My vet said I could give him a mini meal. It is protein, he loves it. I boil chicken, fix scrambled eggs, and then add some steamed broccoli or green beans and he nearly inhales it whole...LOL It is a small amount, but it satisfies him until shot time.

I watched him every second for days at first, I was afraid he would die suddenly! I have since realized that it isn't that way if care is taken properly. He could go blind and that disturbs me, but we will deal with that if it happens.

Like you, Chance is my 'child', my kids are grown, so he is the only one here with me now.

Take care, you will do fine!

Patty
08-19-2011, 06:06 PM
I think the 2 3/4u was a good idea at this point. Give it a few days and see how she does. :)

Any chance she got into anything to cause the loose stools?

k9diabetes
08-20-2011, 10:32 PM
Did you eliminate snacks you were giving before?

You could have been seeing rebound high blood sugar after 2.75 units sent the blood sugar too low. I think it would be worth cutting the insulin dose back - maybe to 2 units and see if her ketodiastix tests improve on less insulin.

Sorry to hear about the loose stools. With a dog or cat with diarrhea, I usually withhold a meal or two to give the system time to rest and get back to normal.

This can be done with a diabetic dog by giving about 1/4 of the usual amount of insulin and no food. In her case maybe 1/2 a unit or 3/4 if you give no food.

So if the diarrhea persists, that might be something to consider.

If it persists more than a day, consider a vet visit too. Something like pancreatitis is best if caught early. And pancreatitis or other inflammation could also be responsible for the higher blood sugar.

Hope she's already feeling better and you don't have to do anything about diarrhea.

Natalie

Judi
08-22-2011, 07:13 PM
How is Lexi?

Patty
08-22-2011, 07:23 PM
Also wondering how Lexi's doing?

Natalie had a good thought about if the snacks were eliminated, perhaps the higher dose could have sent her too low without them.

Hope she's feeling better,
Patty

Shellie
09-02-2011, 10:30 PM
Hi....was reading this and now it's been awhile since we've heard anything on this thread...how is Lexi doing? My thoughts are with you!

Shell and Hank

mprssdbyu
09-16-2011, 10:42 AM
Hi....was reading this and now it's been awhile since we've heard anything on this thread...how is Lexi doing? My thoughts are with you!

Shell and HankHello everyone. I'm sorry I haven't visited lately but my heart is so broken, I still can't talk about it. Lexi now waits at the rainbow bridge for me. Thank you all so much for your support when Lexi became diabetic. You have no idea how much it helped. For some reason, her little body just shut down. She was so tired and she was suffering and as much as I loved her, I couldn't ask her to struggle another day. She's resting down by lake she so dearly loved. I could not cremate her because she was terrified of smoke and smoke alarms. Please give your babies a kiss and a hug for me today. I'll be back to check in when my heart isn't still so heavy. Thank you again for all your kindness.

Patty
09-16-2011, 10:50 AM
Oh Cheryl,
I'm so very sorry to hear this. My heart hurts with you. Lexi has been on my mind often lately.
I like the idea of her being close in a place she loved.
You are in my thoughts and prayers,
Patty

MaryLea
09-16-2011, 10:51 AM
I'm so sorry to hear and I understand your grief. Ruffles body just shut down also, and having to put her down so soon caught us by surprise. Looking back, we should have seen the trend, but evidently the vet didn't see it either. They are both waiting for us at the Bridge, running pain free.

My thoughts and hugs are with you.

Mary

beachnut55
09-16-2011, 10:52 AM
Hugs to you at this hard time. I know first hand how hard it is. I have been there with my past furbabies. You know you did the best thing out of love for your sweet Lexi. She will be with you and watching over you each and every day. If you have not read the book "A Dog's Purpose" by Bruce Cameron it would be a wonderful time to read it. Just know that I will be sending prayers your way. Also, I have asked my Skoshi and Jazzie who are also at the Rainbow Bridge to watch over your Lexi.

Much love,
Shirley

k9diabetes
09-16-2011, 10:54 AM
Cheryl.... I'm so very very sorry. Looking through your album, it's impossible to miss what a treasured part of your life Lexi was, what a beloved member of the family she was.

Natalie

Judi
09-16-2011, 10:54 AM
Cheryl: I have been thinking of you and Lexi and worried since we had not heard from you. Please know I send my love and I'm so very very sorry.

Judi

farrwf
09-16-2011, 10:55 AM
So sorry to hear of your loss. You're in our thoughts & prayers.

Bill & Otis

Soaphie & Sydney's Mom
09-16-2011, 11:07 AM
Oh my goodness. I'm so very very sorry for your loss. We are all here for you when you are ready...

Hugs to you.

Tami, Soaphie and Sydney

jesse girl
09-16-2011, 11:58 AM
your responsibility to lexi is over but your undying love will remain and you will reunite some day and it will be a joyous time for both of you

Abby's Mom
09-16-2011, 12:16 PM
Cheryl,

I am so sorry for your loss. I have been checking in, to see if you have posted anything. If I can do anything for you, please let me know. Sending much love, hugs and prayers your way.

SandyL
09-16-2011, 01:12 PM
That everlasting love we hold in our hearts for our pets will be with you as Lexi runs pain free at the bridge. Prayers and thoughts with you and your family

Sandy

jjefferjo
09-16-2011, 01:35 PM
We are so very sorry for your lost, what a comforting thought that she is close in place that you knew she loved.
Jj

Shellie
09-16-2011, 09:24 PM
Oh no! I am so, so sorry about Lexi! We cry with you! Take care and remember the joy she brought to you life just as you brought joy to hers. You're STILL a good mom! And she's waiting for you so you WILL see her again! I know it!

Hugs!!!!

buddingartist
09-17-2011, 08:27 AM
So very sorry to read about Lexi and many of us understand how you feel right now. Just think of Lexi as being free of pain and running and playing with his other furry friends. I still think my Buddy is looking down on me and protecting me.

We are there for you.

Take good care of yourself

Louise

HarrysMom
09-17-2011, 08:37 AM
I am so sorry to hear about Lexi. These little guys leave a huge hole in our lives and hearts when they leave, don't they?
I really feel for you. Take care of yourself.

janspack
09-17-2011, 12:34 PM
Sorry to hear of your loss. Lexi is now fit and well again at the Bridge. You have a huge hole in your heart that will never quite heal but it will get easier.

mprssdbyu
09-18-2011, 03:41 PM
Thank you all for your kind words. I take it one day at a time. I'm up every morning early, getting up to give shots is a hard habit to break or just getting up early when you hear them stirring! But I use that time to go to lake to visit and talk with her. It helps. :) If only I could have her back.

I'm not sure where to post this but I ran across a food I had not seen anyone mention. For those struggling with the right diet, it may be something you want to look into. I was looking into dry foods because Lexi came down with sinus infection about 3 weeks ago, maybe 4. She was so hungry when it came time to eat and being blind, she couldn't see exactly where the food was so her little nose would dive right in and she got into her sinuses. She would sneeze so bad her little body would lerch forward. It was the beginning of the end. Although we got it cleared up, she started to dodge the shots and sometimes jerk..needle would come out and then I wasn't sure how much she got...afraid to give more...and then her little organs started to shut down. Everything just went wrong.

But anyway, it's by Dogswell and it's call Nutrisca. It doesn't have any white potatoes and it's very high in fiber. It's also a 5 star dry food. It may help someone. I gave Lexi human food and commercial dog food because I was afraid ...with me preparing her meals, I wouldn't provide enough vitamins for her. But I thought it did sound like a great alternative for a pet with diabetes. Please give your babies a kiss and a hug for me. Every pet here has the best mommies and daddies. That I'm sure of!

pgcor
09-20-2011, 07:44 AM
Oh Cheryl, I was so sorry to read this. You did what you could for her, and you should feel proud of that. There's a lot to know about this disease and others illness that affect diabetes. You learned all you could for Lexi and I know wherever she is now, she knows that.

My sincere condolences,
Pam

CarolW
09-20-2011, 08:22 AM
Dear Cheryl,

I trust you know fully that you did everything possible for Lexi - and that you did right to help her take her flight to the Bridge. No dog could have had better care and attention than Lexi had.

I reviewed your photos - just beautiful.

My deepest sympathies on your loss.
Tue, 20 Sep 2011 08:22:07 (PDT)