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-   -   Sissy became an Angel December 29, 2016 (http://k9diabetes.com/forum/showthread.php?t=5557)

stylynjm 09-13-2012 04:39 PM

Sissy became an Angel December 29, 2016
 
I am 8 weeks into this journey with my 9 yr old bichon.it has been a lot of reading and trial and error.I have just gotten her within range,100-220!! Woohoo.she is on humilin n,7 u.its twice a day.I have found the most expensive thing is the alpha trak 2 strips. I am using a lot right now.I hope that slows down.Sissy is on 2 meals a day now,we tried 3 but couldn't get her numbers low enough.she was often 500-600. She was on w/d,but DCO by purina has turned out to work better for her. I can't express how much help this site has been.it is wonderful.thank everyone who has posted for their input.:):) I will keep looking for better,safer ideas.!!! I also had to deal with bad food allergie too,however,they seem to have taken a back seat to diabetes,and with dco have not had any trouble,thank goodness because steroids r a no no.:):)

Patty 09-13-2012 05:45 PM

Re: trouble regulating my SIssy
 
Hi and welcome to you!
Sounds like you are doing really well :) Congrats on finding a balance that works for Sissy.
Patty

stylynjm 09-13-2012 06:28 PM

Re: Just found out bob has diabetis
 
Does anyone give their dog a lower insulin dose at nite?? I give 7 units in am and like to give 61/2 at nite,now that Sissys numbers r coming down. I am scared for it to go to low at nite and have her crash????

CraigM 09-13-2012 07:06 PM

Re: trouble regulating my SIssy
 
Sure, I think there are others that give a slightly reduced dosage in the evening for safety.

In Annie's situation, I actually give 1/4 unit more in the evening. Through testing, I've seen she would normally have higher numbers overnight if I kept the dosage the same for both injections. The theory is that she is much less active at night (think of nighttime as anti-exercise:)) and doesn't get the insulin into use. Yea, I know, sounds backwards but works that way for us. Remember, every dog is different.

Home testing would help show what exercise, or in this case, sleep does to the blood glucose.

stylynjm 09-14-2012 03:52 PM

Re: wow,sissy almost crashed!!
 
Scary stuff.Sissy just got low,had to feed her.Does the amount of insulin u give in the morning affect the nite dose or does it wear off so the next dose stands alone?? Wow,there is so much to learn. Still a beginner!

Patty 09-14-2012 04:13 PM

Re: trouble regulating my SIssy
 
Insulin can last more than 12 hours, especially if you've had a low. But it also depends on how much the food you gave raised her blood sugar. I would usually reduce insulin if you've had a low episode.

If she's really low, you would need to give some honey, karo syrup or regular pancake syrup to get into her system immediately then follow up with food which has a longer lasting affect.

CraigM 09-14-2012 04:15 PM

Re: wow,sissy almost crashed!!
 
Quote:

Originally Posted by stylynjm (Post 86101)
Scary stuff.Sissy just got low,had to feed her.Does the amount of insulin u give in the morning affect the nite dose or does it wear off so the next dose stands alone?? Wow,there is so much to learn. Still a beginner!

What was Sissy's reading? Did you discover the low reading while doing a curve, or a single spot test? If you were doing a curve, can you post the earlier readings?

Different dogs use their insulin differently. Some dogs (Annie) "use up" their insulin within about 12 hours. Other dogs seem to get more than 12 hours from an injection.

CraigM 09-14-2012 04:26 PM

Re: trouble regulating my SIssy
 
Can you give us a bit more information about Sissy. How much does she weigh? You are currently giving 7 units, what was the previous dosage, and did you run a curve prior to increasing to 7 units? Can you post that curve? Did Sissy "exercise" within an hour or two prior to today's "low" reading?

momofdecker 09-14-2012 04:27 PM

Re: trouble regulating my SIssy
 
Seems every dog is different. Decker gets overlap (more than 12 hours of duration, spilling into his next injection time) from his morning to evening shot (runs about 14 hours). But evening to morning he gets 12 hours or sometimes less.

If you are willing to run a night time curve, starting before evening fasting through morning fasting, every two hours, it may give you a better picture of how Sissy process the insulin day time vs night time.

Have run a couple of 24 hour curves with Decker because his morning and evening fastings are about 100 points difference. Just set my cell phone alarm for every two hours, get up, test, record and thankfully am able to fall back asleep until the next alarm. Still find myself a bit tired the next day though - lol!

Patty 09-16-2012 07:00 PM

Re: trouble regulating my SIssy
 
From Visitor Message:
Quote:

Hi party,I did lower Sissy dose.we e now at 61/2. I don't understand how u know whether the insulin lasts less or more than 12 hrs.what tells u that. Thanks,Jackie
Hi Jackie,
I wanted to bring this info to Sissy's thread. To determine whether you have overlap of insulin you would need a few curves to compare. Often you'll see a drop at the end of 12 hours and no or very little rise after the next food/injection. The overlapping insulin can push numbers down further into the next 12 hour time frame. But your curves can help sort that out.

I would wait about 5 days to let the new dose settle in, as long as you don't have any more lows. Then do another curve to see how things are looking.

Patty

Patty 09-18-2012 11:19 AM

Re: trouble regulating my SIssy
 
Quote:

Hi Patty,went over her numbers with vet yesterday.we r going to leave her on 61/2 for a week, then if no lows,do a 12 hr curve. I like to give her 6 at night,but not sure.I worry about lows.if she goes low during day again,ur experience is to go back 1/2???? Then would u stay at the lower amount,or would it just be for the one dose after the low???? Thanks,Jackie
Hi Jackie,
Bringing this to your thread so all the info is in one place. I think if the lows you were getting were with 7u then backing off to 6 1/2u would be fine. I'd leave it there for 5-7 days then do another curve to determine how this dose is doing.

Patty

stylynjm 09-18-2012 11:46 AM

Re: trouble regulating my SIssy
 
Hi Patty,thank u so much.I am having trouble navigating the site on my phone. Hope this is posting right. I am doing 6 units at nite and 61/2 in am. I am checking her during peak??? Time. The vet thinks she is peaking between 4 - 8 hrs.I think so too.will k.ow better after this week. Then I am doing curve.then I will be able to figure it out better with the help of all of u. Don't know if I can post curve,but I can list numbers.!! Lol,is new computer is in the plan in the next few months!!!! Woohoo:):):):):):):)

stylynjm 09-18-2012 11:56 AM

Re: trouble regulating my SIssy
 
Patty,is there a way,from the main page, that can save my thread so i can get to it easier.I have a horrible time finding.I go to diabetes discussion.,them regulation ,then find my thread,etc.is there an easier way?? Lol

Patty 09-18-2012 12:09 PM

Re: trouble regulating my SIssy
 
Jackie,
Are you able to save a link to "favorites" in your phone? I would save the link once you're on Sissy's thread to your phone maybe.

You can also click on your name stylynjm and it will take you to your profile page. From there click on Statistics and then all threads created by you. That will list Sissy's thread.

Or there's a way to subscribe to a thread and I'd have to walk through it because I've not used it before. It would be under Options I think in the User CP.
Patty

stylynjm 09-18-2012 06:42 PM

Re: trouble regulating my SIssy
 
Thanks again Patty.I saved it to my bookmarks!! Also I did find it in user cp I am concerned tonite because Sissy threw up.it was before food and insulin,but what do u do if they throw up after insulin???;;.

Rubytuesday 09-19-2012 05:33 AM

Re: trouble regulating my SIssy
 
Hey Jackie, Patty ended up at the emergency room with her girl last night, so I will try to help.

Do you home test? That can really help when they vomit. I think.....the level of danger is determined by how long the food was in the belly and how much digestion had taken place. If the vomit was right after eating it is more dangerous then say four hrs. later.

Honestly I rely very heavily on my home testing during times like these as Ruby had in the past gone down to a 30 without showing any signs of hypo.

If they do show signs you want to give a quick acting sugar followed by a carby snack that can kick in after the sugar is gone. A lot of folks use syrup/honey and a biscuit.

stylynjm 09-19-2012 08:14 AM

Re: trouble regulating my SIssy
 
Thanks ruby , thoughts go out to Patty,hope all is ok. Thanks for the info.I do test at home,alpha trak 2. I don't know how u could handle this without home testing.its like a lifeline.lol. Sissy seems fine this am and didn't throw up any more. Honey and a biscuit sounds good.Lolol,we could both have one!!!!! Thanks for help.I continue to learn from this site.it is such a help.:):):):):):):):)

stylynjm 09-26-2012 09:40 AM

Personality change makes me sad:(:(
 
Has anyone else noticed that their dog losses her spunk?? Sissy has never been very active,but she actually seems depressed.we r at a hard point right now,she's not terribly stable with numbers. 80 - 300 .doing curve next week. Also,I don't exercise(walk) her,the vet said to wait until regulated.I think she would feel better if we did a little walk. 100 yards or so to start. I just feel stuck and it is up to me to be the leader....some ideas please.!!!!! Also,can she have a few raw vege snacks without regard to bg's or r they affected. Broccoli,gr beans,carrots r her favorites.

Cebe 09-26-2012 09:50 AM

Re: Personality change makes me sad:(:(
 
Can you tell us more about what's going on with you dog?

Weight
food
amount of insulin
complete curve results?
Are you home testing?

I think there's a tendency in the beginning of the diagnosis and treatment to think our animals are so fragile that they will break with the slightest pressure. It's not necessarily true.

I exercise my dog regularly, but you do need to know that it can lower bg significantly. However, it is important for their quality of life and to help with the disease.

I think a glucose curve is a good idea. That's testing every two hours for 12 hours to see how the insulin and food are interacting.

The low numbers you are getting are worrisome, but without a curve, it's hard to know why you get such drastic lows and highs.

My dog has her spunk back. I'm not sure she ever lost it. I think I myself was so depressed that I projected my feelings on to her, but I also didn't restrict her exercise, and that can be depressing to a dog who is used to going outside.

stylynjm 09-26-2012 10:21 AM

Re: Personality change makes me sad:(:(
 
Sissy is 13 lbs. She gets 5/8 cup DCO am and pm. She is on humilin N 6 1/2 units am, 6 units pm. I will do a curve next week when I can get more alpha strips!!!!

Can't wait to see what's going on. I think I am guilty of thinking she will break, but am adjusting better I think. The more knowledge I get, the more comfortable I get.

Yulismum 09-26-2012 10:49 AM

Re: Personality change makes me sad:(:(
 
Hi and welcome.

I am just learning but you will get lots of help from the forum.

Humans can get depression with diabetes. Dogs can get depressed or she may be picking up vibes from you. She may also just be feeling rotten with the condition.

My dog is definitely feeling more like his old self. Hang in there she will improve as you get things under control.

Judi 09-26-2012 11:05 AM

Re: Personality change makes me sad:(:(
 
hang in there, it will get better. I can definitely tell a difference in Jenny's personality based on where her blood sugar is. When she is back though she is BACK! LOL

Your vet may be discouraging exercise because he is trying for regulation but if a walk will make her happy and you can check her to make sure her blood sugar hasn't gone low, I'd do it.

stylynjm 09-26-2012 11:33 AM

Re: Personality change makes me sad:(:(
 
Thank u all. I am going to go with some of ur ideas.she is running high this week,was just 355.last week she was running 70-140!!!!!! Nothing has changed. What is going on??? She and I both need a little walk when it cools off....:):):):)

jesse girl 09-26-2012 02:36 PM

Re: Personality change makes me sad:(:(
 
just to put it out as a possibility your baby might be getting to much insulin for what her body likes a clue for jess is giving more insulin makes the numbers more erratic and getting worse with each adjustment higher multiple curves from different doses can help with that and you can post them

you show numbers from 140 to 70 yes that is good but maybe in a range that is to low for her wright now my jesse does not seem to like those low 100s for an extended period of time and what happens her body releases sugar from a protective response thinking she may go to low and she bounces back up very quickly sometimes a 100 points in an hour

now she doesnt go as high as the 300s or 400s anymore maybe high 200s i think her body has a little better control over sugar dumping but that took some time

jesses tail did not come up too 12 o'clock till after about a year after diagnosis insulin and the disease was very hard on her at the beginning and for sometime but she slowly improved

it would be nice to let her explore her world a bit you may want to walk when insulin is at its weakest for us it is hour 10 or 11 after shot some dogs are the opposite. if walking always carry some liquid sugar just in case

k9diabetes 09-26-2012 03:23 PM

Re: Personality change makes me sad:(:(
 
It sounds like Sissy desperately needs to have a curve done so you can know what her blood sugar is doing throughout the day instead of having to guess.

Would it be possible to do one ASAP?

You could use Freestyle Lite Strips with your AlphaTrak meter and get a general idea what's happening if you are unable to get the AlphaTrak strips right away.

Even though the readings from the FLS strips may be somewhat off of actual, they would be close enough to tell you whether her blood sugar is going through a roller coaster of highs and lows, going too low, staying high all day.

With your description of her lack of energy, for example, that can come from both high blood sugar and low blood sugar. It is dangerous if the blood sugar is high enough to create ketones and especially dangerous if her blood sugar is going very low. So it's really important to know what is actually happening.

Natalie

stylynjm 09-26-2012 04:15 PM

Re: Personality change makes me sad:(:(
 
I have 14 strips to last until Oct 3rd. Income problem. I know, I could do the curve, but then would not have them for the week. I have wondered many times whether she is on to much insulin. However, 4 days ago she was 134, 179, 148 from 10 am to 10 pm!!!! Today she was 355 at 11 am, 335 at 1 pm and 307 at 3:30 pm. She got Insulin at 7 am. Any ideas?

I have wanted to lower her insulin,but vet keeps wanting to raise it. What would happen if I lowered by 1 unit am and pm??

stylynjm 09-26-2012 05:17 PM

Re: Personality change makes me sad:(:(
 
Sissy has very yellow urine. Would that indicate to much or to little insulin.. I think I might do a 16 hr curve tomarrow and take my chances on just a few strips for the weekend.

k9diabetes 09-26-2012 05:19 PM

Re: Personality change makes me sad:(:(
 
The urine is concentrated, which leans toward lower blood sugar. When the blood sugar is high, they tend to be very thirsty and wash the sugar out so the urine will be weak and straw colored.

But.... (there's always a but, isn't there? LOL)...

Some dogs don't get very thirsty with blood sugar in the 300s. Ours didn't. He wouldn't start drinking a lot of water until his blood sugar was staying above 450 for some time.

Is she drinking a lot of water?

Is she urinating often?

Higher blood sugar can be a sign of a urinary tract infection, which is common in diabetic dogs because of the sugar in the bladder.

Natalie

stylynjm 09-26-2012 05:47 PM

Re: Personality change makes me sad:(:(
 
Her numbers today in 300's except for just now before supper 283. She does not drink or pee a lot anymore.Lolol to exceptions. She is holding weight now too.:):)

stylynjm 09-26-2012 05:49 PM

Re: Personality change makes me sad:(:(
 
Signs of urinary tract infections????

jesse girl 09-26-2012 06:01 PM

Re: Personality change makes me sad:(:(
 
what i look for in a clue to maybe to much insulin if your getting big fluctuations in blood sugar highs and lows if you get consistent numbers say in the 300s then it is possible for a need for more insulin

as natalie said there are buts and since you have seen numbers in a lower range its possible this is temporary and if the body did respond to a lower range with higher numbers that can stay in the system a bit giving the impression of higher numbers and if there is an infection that can lead to higher number also and once gone insulin needs can decrease

the only way you can determine this as you know is more testing its good you do take into account of the lower range and nothing wrong in being cautious . well it might be a good idea keeping your strips spot check at normal times and fasting until you are able to get more

now there are discount meters out there for us people who have limited funds i am able to get jesses strips on ebay from 5 to 10 dollars for 50 you just need to compare and if and check consistency in low range ( priority) and high range you maybe able to afford a bit more testing in the end it may save you allot of money in vet bills

stylynjm 09-26-2012 06:42 PM

Re: Personality change makes me sad:(:(
 
Thank u for the strip info.I checked freestyle and one touch and the strips r more than alphatrak her numbers have gone down all day.!!!! Isn't that backwards.???? She is due for insulin at 7 pm and I am very confused about numbers going down all day sams not up???????

jesse girl 09-26-2012 06:49 PM

Re: Personality change makes me sad:(:(
 
if the numbers are in a lower range coming off some highs as i said it might point to a need for less insulin you definitely dont want to raise many times vets do not catch these things because testing is so infrequent but as we discussed and your concerns he was in a lower range just a short time ago

so you can try a lower dose but if insulin has been dropping all day it is possible he will spike up with any amount of insulin

jesse girl 09-26-2012 06:59 PM

Re: Personality change makes me sad:(:(
 
another factor is being lethargic my jesse was overdosed in the beginning and she didnt budge till after her sugar spiked up sometimes that can be another clue

stylynjm 09-26-2012 08:41 PM

Re: Personality change makes me sad:(:(
 
Jesse girl,what meter you use. I understand calibration to the alphatrak so I would have an idea about range. What one has worked for u.wow,what a deal on strips.I have spent 200.00 this month on strips.!!!! Thank u so much for great input. This forum is far more info than vet! :)

jesse girl 09-26-2012 09:05 PM

Re: Personality change makes me sad:(:(
 
i have used the prodigy auto code its the talking meter i bought the meter on ebay usually comes with a 100 strips i paid 30 something it has been consistent for us but i dont know of anyone else using it

like i said we cant afford the alpha track for the amount of testing jesse needs to keep her safe 4 times a day

check out on ebay i believe amazon carrys it too but ebay is cheaper you can always compare with your alpha track takes very little blood also

remeber a meter does not need to be perfect just consistent

stylynjm 09-26-2012 09:30 PM

Re: Personality change makes me sad:(:(
 
Thanks so much.yes,with a lot of testing the alphatrak is to expensive.I believe someone else on here said they use one touch ultra and just the alphatrak for curves. That might work as I have it,but must find a cheaper solution for everyday. I will check out eBay!!!

CraigM 09-26-2012 09:53 PM

Re: Personality change makes me sad:(:(
 
You might consider the Walmart ReliOn Prime. The test strips are only 18 cents each, compared to over a dollar for the AlphaThak2.

http://www.relion.com/diabetes/blood...g/relion-prime

I use both the Prime and AlphaTrak2. As with most human meters, the Prime reads lower than the AlphaTrak2, but it is easy to figure out a fairly accurate conversion (percentage difference).

stylynjm 09-26-2012 10:40 PM

Re: Personality change makes me sad:(:(
 
Craig,thank u so much.I will go check it out tomarrow.I will use both strips with one blood sample and go from there. Sounds like a good solution.I will do a full 16 hr curve next Thursday and post results with alphatrak.!! All of u have been volumes of info. I don't k.ow how I would get through this without this forum.I don't feel so alone in this journey.

CraigM 09-26-2012 10:58 PM

Re: Personality change makes me sad:(:(
 
Just don't get in a panic when you use a human meter after using the AlphaTrak and see much lower readings:). Just as an example when I compare my AlphaTrak2 reading of 108 to the ReliOn Prime I might see 70.


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