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Old 04-28-2020, 07:56 AM
Section1 Section1 is offline
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Location: Illinois
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Default Not sure what to do.....

We have a lab/Collie mix who was diagnosed with diabetes several months ago. Our vet started Henry on Vetsulin at 10 units twice a day. We have been doing all the tests and curves that he has wanted. Henry's numbers are slowly getting better but he is now getting 22 units of Vetsulin twice a day. On the last follow up visit the vet said he was getting better although not where we needed to be yet. He also said he spoke to another vet who is a internal medicine specialist and if needed we could increase the insulin up to 30 plus units twice daily.

A problem I'm having now is the cost of insulin. We are paying close to $60 a bottle and at these doses it doesn't last long, by my math it's about 9 days a bottle. I asked about switching to NPH and he said he had thought of that and mentioned it while speaking with the internal medicine specialist. He said that specialist was opposed to NPH and said that would be going in the wrong direction and recommend staying with Vetsulin only. Our vet is going with that advice.

I don't want to go against my vets advice but I can't really afford this insulin either. If the dosing keeps increasing I could be buying 4 bottles a month. I'm already at 3 now. I'm thinking about just switching Henry to NPH from Walmart and hoping for the best. I am really worried about what to do. I don't want to harm our dog and he is a family member in our eyes but it's getting expensive at the same time. I know we will come up with the money somehow.

I guess I'm just venting about medicine pricing but I can't help but thing there is something more affordable that could work just as well for Henry.
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Old 04-28-2020, 12:49 PM
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jesse girl jesse girl is offline
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Default Re: Not sure what to do.....

Hi and welcome . If you have some recent curves you can post them to have a look see . NPH works very well for diabetic dogs . My jesse has been the Walmart relion brand for $ 25 for over 10 years

My jesse was on vetsulin originally and there was problems with it back at that time . I demanded my vet to go to NPH from Walmart and they protested and said we have plenty of vetsulin but I said it was going to be pulled off the market at that time and they finally agreed to switch . Two weeks latter I took over the management of jesses diabetes and have not had a vet involved and glad i did because she needed more attention to get her regulated and that only could be done at home .

How much does your dog weigh ?
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Jesse-26 lbs - 16 years old ,10.5 years diabetic, one meal a day homemade and a vitabone snack . 3 shots of Novolin a day . Total insulin for a 24 hour period is 6.5 units of NPH insulin .
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Old 04-28-2020, 01:33 PM
Section1 Section1 is offline
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Default Re: Not sure what to do.....

Henry weight is 71 pounds. This is the last curve we did on 4/25/20.

8:00 AM 385
9:00 AM 375
10:00 AM 395
11:00 AM 298
12:15 PM 391
2:30 PM 497
4:15 PM 579
5:30 PM 554
6:30 PM 573
8:00 PM 591

This one is from a week before on 4/18/20

7:30 AM 246
9:00 AM 301
10:30 AM 304
11:30 AM 350
12:30 PM 337
1:30 PM 384
2:45 PM 419
4:00 PM 363
6:00 PM 298
8:00 PM 424

Insulin times are 8 AM and 8 PM. The curves we done before were similar although it is somewhat better now. Our dog is overweight but has been losing some now. Last month was 76 and before that we was 80 to 85 pounds.

We keep him on the same food and feed the same amount twice a day also. Our vet wants him to eat Royal Canin Ultamino but he won't eat it. Also cost about $90 a bag which seems high. We are feeding him Natural Balance limited ingredient lamb formula.
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Old 04-28-2020, 03:14 PM
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jesse girl jesse girl is offline
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Default Re: Not sure what to do.....

Well a normal starting dose for your dogs weight is about 15 units so the 22 is not a large dose

Is your dog showing any diabetic symptoms ? Is there any lethargy maybe a couple hours after shot ?

Has your dog been tested for thyroid problems as that can lead to weight gain and can lead to insulin resistance and hamper regulation

From what I see with the 2 curves which is a small sample size going to the Walmart brand of NPH insulin looks like a good candidate for your dog . Dosing is usually about the same in the number of units but use different syringes that can also be purchased at Walmart under the relion name

As far as dosing you could give a preliminary try at 15 units which would be a normal starting dose . Do a curve in a week and if higher than the past curve you maybe able to move up by 2 units . Remember your baseline which took 7 months to get to is 22 units which normally is comparable to vetsulin not on volume size but units from the 2 different syringes
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Jesse-26 lbs - 16 years old ,10.5 years diabetic, one meal a day homemade and a vitabone snack . 3 shots of Novolin a day . Total insulin for a 24 hour period is 6.5 units of NPH insulin .
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Old 04-28-2020, 04:03 PM
Section1 Section1 is offline
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Default Re: Not sure what to do.....

Our dog seems to be acting fine most of the time. He is a older dog, maybe 10 or so years old, and usually heads back to his bed after his insulin in the morning. If we go somewhere he will get up and go with us plus we go on walks through the day.

The vet does yearly lab work for thyroid and has never mentioned any problems. It all seemed to happen all of a sudden. He seemed to be doing fine then suddenly quit eating, wouldn't get up, and just looked sick. Took him to the vet and glucose was really high. He was admitted to the dog hospital for treatment.

He has had problems and always seems to be going to the vet. Seems to be allergy related causing skin infection and rashes. Was always placed on antibiotics and steroids. Some of the allergy problems we have been able to figure out like chicken which really breaks him out. The vet is convinced we will never figure it all out and believes it's best to manage symptoms.

I just know it's expensive and I don't want him to suffer. I think I've spent more money on this dog at the vet than I ever did my children growing up.
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Old 04-28-2020, 07:36 PM
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jesse girl jesse girl is offline
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Default Re: Not sure what to do.....

It costed me about 10 grand when jesse got sick . Thats when i decided to manage the disease on my own . Very scary at the beginning as I had no medical background but the forum helped me through . Tested at home and I became an expert of my jesses diabetes . I am no expert on thyroid tests but more specific tests gives a better diagnosis I hear . Here are some physical symptoms you could see with thyroid problems .

Lethargy.
Exercise intolerance.
Mental dullness.
Weight gain without a change in appetite.
Obesity.
Cold intolerance.
Changes in coat and skin, like increased shedding, hair thinning, and hair loss.
Thickening of the skin.

Usually treatment is inexpensive .
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Jesse-26 lbs - 16 years old ,10.5 years diabetic, one meal a day homemade and a vitabone snack . 3 shots of Novolin a day . Total insulin for a 24 hour period is 6.5 units of NPH insulin .
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