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-   -   Ollie's Over the Rainbow Bridge (http://k9diabetes.com/forum/showthread.php?t=7889)

CraigM 09-30-2016 12:30 PM

Re: How fast should I increase doses to avoid ketoacidosis
 
Although giving a dose about a week to settle seems to be the general consensus, I might be a little more aggressive until I see any reading in the 300/400s. I'd then slow down once seeing any 300. Just my thought!

By the way, are you also testing just prior to meals/injection, or only around the +6 hour point? Text books might indicate the +6 hour should yield the lowest number, but MOST PUPS DONT READ THE TEXT BOOKS.;). My Annie has her lowest reading at around the +10 to +12 (just prior to the next meal). In fact, my Annie generally has her highest number around the +5 to +6 hour.

Craig

CraigM 09-30-2016 12:37 PM

Re: New and needing advice
 
I combined your threads to make it easier for folks to look at your history. Don't worry about folks not seeing any new question / comment because most of us read every new post. Generally, we like to keep one thread for each pup:)

Craig

oliversparents 09-30-2016 03:15 PM

Re: New and needing advice
 
He weighs 66 lbs, and has been losing weight. His ideal weight is more like 60.

CraigM 09-30-2016 05:57 PM

Re: New and needing advice
 
Now that you've been on the forum for awhile, would you like a moderator change the title of your thread from "new and needing advice" to something more personal? Maybe something like "Ollie the Lab Mix" or ??? Just write what you would like, and a moderator can change it for you.

Craig

oliversparents 10-01-2016 11:20 AM

Re: New and needing advice
 
Yes, please retitle the thread "Ollie's Journey".

Thanks for mentioning that about the ideal time to test. I was wondering why we don't look for the lowest point to be just prior to meals/insulin injection.

So, the testing we've been doing is 6 hrs after his morning meal.

CraigM 10-01-2016 01:37 PM

Re: Ollie's journey
 
Every pup / situation is different. A few might have their lowest number at the mid point (+6 hours), a few might get the insulin working quickly and have their lowest reading within 3-4 hours, others take longer and don't have their lowest reading until just before the next meal / injection.

I guess it's a combination of factors. How fast each pup gets the insulin working, how fast their metabolism is getting their food digested, and general activity.

For years I've given slightly more insulin with Annie's dinner because (I think) she is much less active in the evening, basically sleeping from shortly after dinner until the next breakfast! So for Annie, less activity seems to require a little more insulin. Of course every dog is different, and this is something you can test for yourself later when Ollie finally gets to better numbers.

Craig

oliversparents 10-02-2016 08:17 AM

Re: Ollie's journey
 
An update:

Yesterday Ollie tested at 592. Still real high, but finally there is some progress here. He's at 17 units now. I'll retest in a few days and see where he's at.

amydunn19 10-02-2016 09:11 AM

Re: Ollie's journey
 
Do you have other numbers from tests during the same day? One numbers can't really gauge where he is at - if you can do a few more tests during different times of the day, that might say more. You don't have to do curves but it will give you a better idea of how he is really doing in context.

oliversparents 10-05-2016 05:22 PM

Re: Ollie's journey
 
OK, we tested Ollie's blood 3 times today, here's the results:

(he gets fed at 7:30 am and 7:30 pm)

10 am: 511

2pm: 643

6pm: 568

He was getting 17 units, and we'll increase it to 18 tonight.


At least the numbers are going down. About two weeks ago, we got these:

8:30am: 720

11:00am: 676

2:00pm: 743

He also seems peppier, and went a whole night without any accidents last two nights. Any advice/comments?

Thanks,

Mary

CraigM 10-05-2016 05:54 PM

Re: Ollie's journey
 
I'd probably go for 19. Still plenty high.


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