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Old 02-19-2016, 07:34 PM
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Default newbie (coco) need help and support diagnosed DKA and severe Pancreatitis

Coco is a 9 year old Yorkie and currently weighs 8lbs and was diagnosed with sever DKA, UTI and Pancreatitis on 2-14-2016. Day 6 and she still will not eat. She has been cared for by our vet, and now it is time for homecare, she is alert now and being at the vet all day stresses her.
I am to give her 50ml IV twice a day, and also 2units of vetsulin twice a day. Vet did not administer insulin today and I will not either unless her numbers raise.
Please respond if you have any tips on getting her to eat, or reassure me if your dog did not eat for a long period during recovery. how many days?
I have tried all her favorites.
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Old 02-19-2016, 09:37 PM
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Hi and welcome! My dog went through a similar experience. She would eat boiled chicken in homemade broth and only very sparingly. Some can add rice but mine wouldn't eat it. It takes time to heal from a bad case of pancreatitis. They usually refuse to eat because they just don't feel like it. I would start very light and easily digestible foods. What have you tried so far?

Are you monitoring blood sugar at home?
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Old 02-20-2016, 06:48 AM
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Default Re: newbie need help and suport my dog will not eat

my jesse did not really eat the 8 days she spent in hospital and did not really eat for a few more days at home

as amy said its a slow process and really you dont want to rush it with full meals

you probably dont want to give a full 2 units until you see some consistent eating . for most of us you can give a quarter of the normal dose without food and that would be about a half unit for your pup . i know a bit hard to line up on the syringe but it can be done

home testing would be a plus in this situation adjusting the amount of insulin for what is consumed and just keeping your pup safe
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Old 02-20-2016, 09:53 AM
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Default Re: newbie need help and suport my dog will not eat

My dog was also very sick when she was first diagnosed and lost over 20% of her body weight. She was always treated on an outpatient basis since the vet didn't want to stress her out any more than necessary.

After the initial crisis passed she didn't eat very much for the first 10 days. At first I had to cook up burger every time I wanted to feed her. The act of cooking it seemed to get her a little interested in the food. She wouldn't touch food that was reheated. I would try adding rice but she ate around that. I also had to feed her by hand for the first several days but she still didn't eat very much.

My doctor prescribed Mirtazpine, an appetite stimulant, and that helped. She was also given anti nausea meds initially since she was vomiting. We were told to feed her anytime we thought we could get her to eat and not to worry about being on a schedule based on when she was getting insulin.

I slowly changed her over from cooked meat to adding dry dog food to her meals. That took about a week. Now I just use meat as a topper to dog food, just to get her interested in mealtime.

Snickers had back to back Uti's. It wasn't until the second round of antibiotics (different one each time) was done that she started to act more like her old self. She's older and I think being so sick just really took a lot out of her. We're only 2 1/2 months into her diagnosis and she still continues to recover.

As for getting your dog to eat, getting her interested in the smell of the food first might help. Also, I bathed and groomed my dog, even on the worst of the days as I think that makes her feel better. Keeping her bedding fresh and clean helped too.

My dog has always been a picky eater and getting her to eat has turned out to be the biggest challenge for her after her diagnosis. Hang in there!
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Old 02-20-2016, 03:19 PM
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Default Re: newbie need help and suport my dog will not eat

As she starts to feel better her appetite will come back. Maybe a bit of egg or Parmesan cheese sprinkled on her food would help. We all went through this too
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Old 02-21-2016, 08:01 AM
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Default Re: newbie need help and suport my dog will not eat

Hi and welcome. I had a diabetic Yorkie who went thru similar problems. She also had IBS and I used to have to hand feed her at midnight as she couldn't go too long without food or would not eat. With my current diabetic Morkie, I am adding some well cooked and drained (actually patted totally dry) Bison. Bison is very lean and it has really helped him get started. There are also some excellent foods that are very easily digestible. I used to use Hills Prescription I/D or Royal Canine low fat. You can try hand feeding small amounts. I found that if my Yorkie did not eat, she got an upset tummy and then wouldn't eat. How about some ground turkey or chicken? I have also added low fat, no sodium, broth which seemed to help. Tuna water is another thing you might try. It's stinky and Magoo loves that. Just a tsp. from a can of all white meat tuna packed in water.
I wish you all the best. It is so hard in the beginning but does get easier!
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Old 02-21-2016, 10:59 AM
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Default Re: newbie need help and suport my dog will not eat

Quote:
Originally Posted by amydunn19 View Post
Hi and welcome! My dog went through a similar experience. She would eat boiled chicken in homemade broth and only very sparingly. Some can add rice but mine wouldn't eat it. It takes time to heal from a bad case of pancreatitis. They usually refuse to eat because they just don't feel like it. I would start very light and easily digestible foods. What have you tried so far?

Are you monitoring blood sugar at home?
Last 3 days she's ate about 1-2 tablespoons food. I am giving her whatever she will eat, trying to make good choices but I will look into easily digested foods.
First day was sweet potato/ chicken rice.
Second day nibble of ham am, (little avocado, kielbasa pm)
3rd chicken broth 2 tablespoons, 3 spoons baby food beef /veg, spoon short rib nibble pieces.
This morning 3 ml chicken broth, 3 ml baby food.
All through syringe, except for meat nibbles. She always ate eveything(good choices healthy options we called her porky) now I get excited when we find something she likes but next offering she puts her nose up to it.

I am monitoring at home, and the vet is helping me through text. We are adminestring 1-2 units while not eating. Usually 1 unit around 5 pm. She gets 220-260. Most the day she's 160 currently.
Is there a recommended table for dosing/ levels somewhere?
And is mild panting a concern? We are on day 2 of home are after 5 days of vet care. So many unknowns for us. Thank you
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Old 02-21-2016, 11:00 AM
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Default Re: newbie need help and suport my dog will not eat

Thank you! So much everyone for your responses.
coco is eating 1-2 tablespoons of food in evening last 2 nights. I will look into easy digestion foods, at this point I'm giving her what she'll accept. Sweet potato, avocado, chicken and rice, meat, just bought chicken broth and some baby food. She is mainly being fed with a syringe, and taking a couple nibbles of meat. I get excited when we find something she'll eat, but she never wants it the next time I tried to feed her. Last night it was a few bites of our short ribs for dinner that interested her. I bet if I buy it for her tonight she won't be interested��

I am glucose testing at home and thankfully the vet is in contact through text! She was treated 5 days at the vet, now she is on day 3 of home care.
The vet has recommended 1-2 units while not eating, then 2 units twice a day when eating, we do her first curve in about a week.
She is reading 160 in morning, not eating
Early evening she's reading 220,230 last two nights she received 1 unit Friday 9pm,sat 5:30pm 150. 119 before bed, I dab honey on her gums to avoid low since she's getting insulin in evening, last night when she was 119 @10:30 I gave her a teaspoon Karo


I check her every 2-4 hours. Depending on if she ate, I gave her insulin or she's low, then I check with in the hour, otherwise I check every 3-4 hours.

Is there a post with guidelines for glucose numbers? Safe numbers, when to give insulin, when to give Karo? Is honey as good as Karo or is Karo preferred?
I'm great full for the info shared. I had not realized recovery could take so long. Thanks for the reassurance.

Last edited by coco; 02-21-2016 at 01:04 PM.
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  #9  
Old 02-21-2016, 11:03 PM
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Default Re: How often should we be visiting the vet?

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Originally Posted by Monsters Momma View Post
Hi Chirsteen and Balto!

We have actually never had a curve done at the vet. We have always done them at home because we knew Vinny would be too anxious to get a good reading at the vet. We share our numbers with them and everyone is happy! There's lots of info on this forum about testing at home and many of us do it if you're interested!

Good luck!
Mel and Vinny
Where can I find the info on this forum to test at home? 7 days new to this and trying to figure it out. Thank you
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Old 02-21-2016, 11:23 PM
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Default Re: How often should we be visiting the vet?

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Originally Posted by coco View Post
Where can I find the info on this forum to test at home? 7 days new to this and trying to figure it out. Thank you
Here's a starting point: http://www.k9diabetes.com/bgtestvideos.html

You can also find videos on YouTube.

Craig
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