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  #421  
Old 03-11-2013, 06:05 PM
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Geoff Geoff is offline
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Default Re: Regulating Bailey

Goodness how time flies! Well, Bailey seems to be back to his normal dose of 15 units of protaphane and 4 units of Humalog after he changed from 4 drops of pred forte per day to 2. Initially he went quite low but now he seems to be back to what it was before changing to 2 drops meaning I need to give him 15 units again to bring his levels down. Also recent curves have not been good, I am getting some more insulin today as after 28 days it really does seem to lose effectiveness. Even after 2-3 days past 28.

I would of thought the levels would of stayed the same after stopping the morning eye drops (meaning less insulin to bring him down) but it seems not.


Apart from that he is ok I think. He seems to be having trouble coming down the stairs, he is ok with the first 2-3 then he jumps the rest onto the floor and lands (mostly!) ok. I am not sure why he has started doing this. There is only 4 steps in total. He walks ok, runs up the hills with me and jumps up onto me with his paws on my thighs so not sure if he has a sore back, legs or just wants to come down the stairs differently!! I have phoned the vet to get some advice and may need to take him in for a checkup.

Hope everyone is well.

Geoff
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  #422  
Old 03-11-2013, 06:11 PM
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Default Re: Regulating Bailey

glad you are figuring him out and hope it is just a pulled muscle or something
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  #423  
Old 03-12-2013, 04:32 PM
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Default Re: Regulating Bailey

Hello well the new insulin didn't do much. I find it hard to keep up with him! His body and his BG levels are continually changing, sometimes he goes low, other times he stays high, so if I give him more insulin I might drop him too much. I might raise him 1/2 an IU and see how he goes. I am afraid the vet will want me to start the Cushings meds if I go too high with the protaphane dose.
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  #424  
Old 03-12-2013, 05:44 PM
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jesse girl jesse girl is offline
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Default Re: Regulating Bailey

this disease can create it own patterns and cycles

it could be as simple as dropping to low at 2 am in the morning which may give sustain higher numbers for a day or two

my jesse has epilepsy and her blood sugar can correlate with that disease creating different patterns i do understand them on most occasions and adjust to them but we will never be 100 percent sure.
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  #425  
Old 03-12-2013, 07:21 PM
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Geoff Geoff is offline
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Default Re: Regulating Bailey

Goodness, all these poor poochies!! My Bailey has epilepsy also, is on drugs for it and hasn't (touch wood) had a seizure in years. So yes, he sometimes, as I believe most dogs do, throw some curve balls into the mix, we all want low BG's 24/7 dammit with no variations!! :-)
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  #426  
Old 04-30-2013, 07:34 PM
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Default Re: Regulating Bailey

Hello all, time certainly is flying isn't it! I am still juggling Bailey's insulin however I have finally got a cable for his blood glucose meter which makes it easier to upload the information, doing it manually took too long! His levels are OK, I am really leaning towards giving him a midday shot of 4 units of Humalog as his morning readings stay high until noon and the protaphane insulin seems to kick in around 3pm (starts to peak at least).

Do people do this with their pups or is it usually 1 shot in the morning and one at night? I would think whatever works, humans take insulin all day to regulate their BG so why not dogs?! His is sitting between 10-20 (180-360) every day. At dinner time he is around 13mmol and morning around 16mmol. But midday/afternoon he sits around 17-20mmol hence my leaning towards a midday shot.

I am hesitant to raise him from his 16units of protaphane as I figure sitting between 180-360 is not terrible. He used to be 450+ so he is "stable" to a point. My concern is does he have cushings? He was on the threshold 12 months ago after a stim test but his hair is ok. He is strong, barks strong, plays with the kids, loves his ball, loves walking, his hair is ok, looks a bit funny in places due to my amateur grooming skills but other than that he is great!

I am scared to be honest taking him to the vet for an opinion as I really don't want to put him on Cushings meds if I can help it but is more insulin bad for him AND is the cushings doing him damage (assuming he has it?!)

Hope everyone is well, getting cold over he in Australia as winter slowly creeps in!

Regards,

Geoff
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  #427  
Old 04-30-2013, 08:25 PM
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CraigM CraigM is offline
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Default Re: Regulating Bailey

Annie was sort of like Bailey. Annie could have a fasting in the mid 100s mg/dL, and climb into the high 200s within an hour or two. She would stay in the high 200s / low 300s through about 6 hours, and then start to come back down, having her lowest number just prior to the next meal / injection. This was on NPH.

I now sometimes mix a little Novolin-R (short acting) to counter that food rise. I believe Novolog / Humalog (quick acting) has been used by some as you described.

The advantage of "R" insulin to me is that it lasts a bit longer than Humalog, others find the longer duration a problem. Another minor advantage of "R" is that it and NPH can be mixed in a single syringe. Also, in the States "R" doesn't require a prescription, and is inexpensive bought at Walmart.

You probably know the insulins available in the States better than what we know about insulins in Australia. Here is a quick list of some of the insulins:

http://www.ehow.com/about_5385391_ty...n-insulin.html

http://www.dlife.com/diabetes/insuli.../insulin-chart

In addition to the small amount of "R", I've also been adding extra fiber to her meals. Don't know the brands you might have, but we are using a generic version of Benefiber (sugar free, non thickening, grit free). I really think the extra fiber has also flattened her curve.

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.

Last edited by CraigM; 04-30-2013 at 08:45 PM.
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  #428  
Old 04-30-2013, 08:48 PM
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Default Re: Regulating Bailey

Thanks Craig, exactly. At the moment Bailey seems to "almost" be at his peak at next meal time. Then dinner brings him up to 20 again even with Humalog, without I would imagine 25+ I find he still comes down to low teens (12 ish) without Humlaog but it's much quicker with.

I have to get all this through my vet, the vet does the prescription then I go to chemist to purchase the Humlaog ($40AU) which ATM is around $40US so not cheap, but so worth it. I am not sure about fiber intake, the US foods are different to Oz foods although similar brands. Overall I am pretty happy. I am after thoughts on midday insulin shot of Humalog which seems to last 2-2.5 hours at best.

It's funny, I guess he eats, which raises his BG, then I insulin him, which drops it, after 2-3 hours the Humlaog wears off and his BG goes up again before the Protaphane can "kick-in fully" His food rise must last 4-5 hours or more! Which to me is weird but perhaps that is how it all works. I "expect" his BG to drop and stay dropped but no, the food must be turned into glucose for hours, albeit less than the initial spike.

Geoff
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  #429  
Old 04-30-2013, 09:48 PM
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CraigM CraigM is offline
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Default Re: Regulating Bailey

Quote:
Originally Posted by Geoff View Post

It's funny, I guess he eats, which raises his BG, then I insulin him, which drops it, after 2-3 hours the Humlaog wears off and his BG goes up again before the Protaphane can "kick-in fully" His food rise must last 4-5 hours or more! Which to me is weird but perhaps that is how it all works. I "expect" his BG to drop and stay dropped but no, the food must be turned into glucose for hours, albeit less than the initial spike.

Geoff
Yep, that is pretty much how Annie would work.

The slightly longer lasting "R" might help Bailey?

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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  #430  
Old 05-01-2013, 05:39 AM
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Geoff Geoff is offline
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Default Re: Regulating Bailey

Hello, latest curves for Bailey along with spot checks.
According to the software that came with the meter he was within target (71%) of the time (between 10-20 mmol) in the last 30 days
Between 10-15 44% of the time
Glucose Average 16.2 which I think is not too bad?!


Date Time mm/ol mg/l
1/05/2013 22:17:44 21.59 388.62
1/05/2013 16:25:58 13.49 242.82
30/04/2013 20:02:54 11.93 214.74
30/04/2013 18:14:15 12.32 221.76
30/04/2013 16:33:39 23.15 416.7
29/04/2013 17:29:29 12.77 229.86
28/04/2013 19:58:20 13.21 237.78
28/04/2013 15:52:06 15.43 277.74
28/04/2013 10:59:04 18.87 339.66
27/04/2013 19:47:24 12.99 233.82
27/04/2013 17:25:10 12.21 219.78
27/04/2013 15:53:01 14.32 257.76
27/04/2013 13:54:18 15.49 278.82
27/04/2013 12:26:49 19.54 351.72
26/04/2013 19:38:26 15.04 270.72
26/04/2013 17:42:38 9.27 166.86
26/04/2013 16:15:39 11.71 210.78
26/04/2013 11:33:08 21.81 392.58
25/04/2013 15:50:33 11.05 198.9
25/04/2013 11:44:19 18.82 338.76
24/04/2013 19:58:48 14.76 265.68
24/04/2013 18:14:10 10.99 197.82
24/04/2013 16:25:18 8.83 158.94
24/04/2013 12:55:14 21.65 389.7
24/04/2013 12:35:49 23.2 417.6
23/04/2013 19:56:05 13.32 239.76
23/04/2013 17:27:03 14.93 268.74
23/04/2013 13:35:03 20.54 369.72
23/04/2013 12:21:57 20.43 367.74
23/04/2013 10:31:30 16.21 291.78
23/04/2013 8:37:00 19.32 347.76
22/04/2013 18:04:47 11.05 198.9
22/04/2013 16:15:53 15.76 283.68
22/04/2013 12:22:54 13.49 242.82
21/04/2013 22:40:08 21.15 380.7
21/04/2013 18:25:27 17.76 319.68
21/04/2013 17:03:52 14.82 266.76
21/04/2013 15:26:54 11.27 202.86
21/04/2013 14:14:32 14.38 258.84
21/04/2013 12:24:53 19.26 346.68
21/04/2013 10:12:16 19.04 342.72
21/04/2013 8:29:20 20.93 376.74
20/04/2013 22:26:37 18.82 338.76
20/04/2013 18:36:48 16.43 295.74
20/04/2013 15:05:12 19.21 345.78
20/04/2013 9:31:18 14.65 263.7
20/04/2013 8:23:15 12.82 230.76
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