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  #31  
Old 10-23-2016, 09:45 AM
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Default Re: Ollie's journey

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Originally Posted by oliversparents View Post
Thanks so much for that information. I had no idea doses could get that big.

So, what would be a complete curve?

Mary
yes they can but its rare and i think there are other medical issues that maybe the need for a higher dose

the key is not going past a dose thats needed if that happens it can create allot problems thats why we do complete curves and dose adjustments are based on the lowest number in that curve

Tonyr gives a good explanation of what a curve is . some even do 24 hour curves
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Jesse-26 lbs - 15.5 years old ,10 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 8 units of NPH insulin .
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  #32  
Old 10-23-2016, 10:00 AM
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Default Re: Ollie's journey

Hi Mary,

Here's another example of what a curve looks like. You test before breakfast and then every 2 hours for 12 hours, right up to dinner.

This is what many would consider to be an ideal curve...

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Lily is a 62 lb English Setter, born 07-27-2007.
Diabetes: Aug 2013 - Hypothyroidism: Dec 2013 - Cataract Surgery: Feb 2014
Insulin: Novolin R/N mix - Meter: ReliOn Prime
Nulo Adult Trim Cod & Lentils, Pumpkin, FortiFlora, Dasuquin, Thyroxine
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  #33  
Old 10-23-2016, 12:28 PM
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He is higher right before dinner because he has likely run out of insulin. That's a guess but is typically the case. You will know more when u do a curve.
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Maggie - 15 1/2 y/o JRT diagnosed 9/2007, Angel status on 6/20/16. Her mantra was never give up but her body couldn't keep up with her spirit. Someday, baby.......
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  #34  
Old 10-23-2016, 12:28 PM
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Default Re: Ollie's journey

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Originally Posted by MikeMurphy View Post
Hi Mary,

Here's another example of what a curve looks like. You test before breakfast and then every 2 hours for 12 hours, right up to dinner.

This is what many would consider to be an ideal curve...

Keep in mind the shown curve is just one example. Curves aren't always the perfect "saucer shape" where the lowest number is at the mid-point.

My Annie's curve would CLIMB for a couple of hours after a meal and injection of Novolin-N. It would then level out, getting the HIGHEST number around the mid-point. After about 6 hours, her numbers would start to decrease (insulin finally working) and her numbers would be the lowest at, or just prior to the next meal / injection.

My thought is that a good curve would be testing about every 2-3 hours where the lowest reading is in the low-mid 100s, while the highest reading generally stays below the low-mid 200s. The actual shape of the curve can vary from situation to situation.

Craig
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Annie was an 18 pound Lhasa Apso that crossed the rainbow bridge on 10-5-17. She was nearly 17 years old and diabetic for 9 years.
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  #35  
Old 10-29-2016, 11:51 AM
oliversparents oliversparents is offline
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Default Re: Ollie's journey

An update on Ollie:

Yesterday we did a more complete curve. Note that his feeding/insulin shot time is 7:30 am and 7:30 pm. He was at 24 units. Here's the numbers, still high, unfortunately:

6:30 am: 437

9:30 am: 619

12:30 pm: 445

3:30 pm 557

6:30 pm: 497

So we increased to 25.5 units last night. Right now he is trying to eat a lot of grass outside. I haven't seen him vomit, but that's what he's trying to do. I know that's bad, maybe ketoacidosis. I will do a urine test asap. We are 2 hours away from vet, so it's not an easy decision to go or not.

We have started giving him Cranberry Relief as a preventative for uti. He doesn't appear to have any symptoms of that yet as far as I can tell (no abdominal tenderness, or discharge).

Will keep you posted, and thanks again for all the advice. He remains peppy, and weight loss has slacked off.

I forgot to mention that he rarely has urination accidents anymore, and has stopped drinking large amounts of water. AND a reminder that my monitor tested high against two others at the vet, one human, one the same model, Alphatrak.
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  #36  
Old 10-29-2016, 12:56 PM
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Default Re: Ollie's journey

Although we agree with small insulin increases, going from 24 to 25.5 units is a tiny 6.25% increase. Possibly a 10 to 15 percent increase would show an improvement without being too much?

Craig
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  #37  
Old 10-29-2016, 02:19 PM
oliversparents oliversparents is offline
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Default Re: Ollie's journey

GOOD NEWS! Ollie's keytones are negative! He's acting fine as well. His urine test said his glucose was at 1+++.

Thanks Craig. I do have trouble knowing how much to increase it by. I think my husband did go ahead and do 26 units this morning, though that's not much different. I guess I'm scared of going too far. I mean, the incremental overall lowering of his blood sugar seems linear, to be progressing at a steady rate. However, I realize the decrease in blood sugar could be non-linear, and the change might come quite dramatically. I imagine it's different for every dog.

Anyway, therein lies my caution and resulting incremental dose increases. But I do appreciate the advice. So, if I did increase by 2 units or more, what kind of numbers would you then slow down at?

Also, I haven't been exercising him much at all, not even short walks. Now that his hind end is working better, what can I expect a short walk to do to his blood sugar? I would think it would increase his metabolism, and use up the insulin faster. Is that right? Or is the insulin pretty stable regardless?

Mary
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  #38  
Old 10-29-2016, 03:16 PM
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Default Re: Ollie's journey

Just my personal idea would be to increase by 10 to 15% until the lowest number breaks into the 200s, then make smaller changes to get into the 100s.

Craig
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Annie was an 18 pound Lhasa Apso that crossed the rainbow bridge on 10-5-17. She was nearly 17 years old and diabetic for 9 years.
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  #39  
Old 11-06-2016, 07:15 AM
oliversparents oliversparents is offline
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Default Re: Ollie's journey

Ollie is not doing so good today.

We now have him at 29 units. We did a curve yesterday, and he's still in the high 300's-400's. He actually did have a reading of 291 this week, though. Keytones are negative.

He's been having trouble with one eye lately, trying to keep it closed. It looks a little swollen. Last night he was very restless, so we let him outside to pee and then got him on the bed. He was shivering for a long time, even after we had him under a blanket. Now this morning both eyes are looking swollen and are maybe photophobic. He's not shivering anymore. He's trying to keep his eyes closed, and seems to be in discomfort.

He didn't want to eat this morning, but we did manage to entice him with an egg on top of his food. So he's had his insulin this morning.

Has anyone had a dog with this kind of eye trouble? It may not be related to the diabetes, I guess. Doing a search on photophobia, it could be anything.

Worried for him. Also...the vet is 2 hrs away, so that is why we aren't rushing to get him to a doc. He's not suffering horribly.

I never mentioned it before, but Ollie has a huge lump on his neck. Two vets have seen it. One thinks it's cancer and will eventually block off his airway. The other did not know and said we could biopsy or do surgery or both. Ollie is a lumpy dog anyway, so it could well be benign. However, the first vet thinks it's cancer because it changes size.

We have a very limited income, and I don't want to have Ollie in a stressful environment like the vet. He really turns to jello there. So I guess we're in a wait-and-see mode.
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  #40  
Old 11-06-2016, 08:21 AM
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Default Re: Ollie's journey

eye complications from diabetes is not unusual and can be serious

now you have to determine if its an eye condition where there is discomfort and pain or something else

my jeeses eyes may close if blood sugar is spiking or dropping thats maybe more of a lethargic feeling causing the eyes to close

are the eyes red maybe swollen does there appear to be pain .

of course the big problem for diabetics is cataracts . they can give discomfort and can lead to other problems

probably the best thing is to get the eyes checked if unsure .
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Jesse-26 lbs - 15.5 years old ,10 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 8 units of NPH insulin .
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