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  • In dire need of recommendations with re-regulation

    Its been a while since I have navigated this forum. Jude is now 8+ years diabetic, hypothyroid and as of a few months ago was diagnosed with IBD as well. We had a really good run, he was like clock work, very well regulated. Now we are starting over and unfortunately limited on what foods we can choose. So this is where we really need some help, we have not had a good night sleep due to his late night BG drops. Exhausted and tired, feeling hopeless, I hope someone out there is willing to share a few suggestions.

    He was originally on royal canine glycobalance dry food mixed with a blue buffalo canned food for years. He was good twice a day with about 11 units plus his food, he has a mountain curve and was consistent landing in the 80-130 range every 12 hours. Fast forward to now trying to re-regulate on new food, we have tried a few hydrolyzed dry foods mixed with hydrolyzed canned and his BG levels are all over the place. The hydrolyzed foods are mostly high in carbs (~60%), moderate protein (10-15%) and lower in fiber (5-8%) on average. So we bought Purina Gastroenteric High Fiber dry food, its about 48% carb, 24% protein and 21% in fiber. We are doing 3/4 cup of the hydro food and 1/3 cup of the new high fiber food. Its a delicate balance with his stomach, and increasing the new food will upset his stomach. We have see his numbers stabilize a bit thanks to adding in the new food. Now let me get into the struggle.

    For the most part, the day time numbers are good and consistent. He slightly comes down a little lower than I would like at the end of the day, but its not too bad. The night time is our current nightmare scenario, his BG levels drop within the first 2-3 hours after meal and shot. This does not occur in the morning, it seems to be a big issue at night. Heres an example of yesterdays BG curve:

    TIME - BG Reading (AlphaTrak 2)
    7AM - 137 11 units NPH, Food
    9 AM - 119
    11 AM - 142
    12 PM - 201
    2 PM - 203
    4 PM - 177
    6 PM - 147
    7 PM - 119 11 units NPH, Food

    9 PM - 60 1 Tablespoon Karo Syrup
    9 30 PM - 86
    10 PM - 59 1 Tablespoon Karo Syrup

    11 PM - 123
    12 AM - 153
    2 AM - 177
    7 AM - 108 11 units NPH, Food
    9 AM - 148


    My only theories right now is that his metabolism slows at night, and the insulin is beating the food. No changes to his routine such as exercise. Is this a thing where I need a little more starch and protein at night? I need stomach sensitive safe foods though, thats also an issue. I've tried adjusting the insulin lower by .5 or a full unit at night with no luck.

    As you could imagine, waking up at 2AM, 4AM, etc is taking a toll. I can't fail him now, we are lucky he still has his sight thanks to his tight regulation over the years, and I don't want to give up here and have him lose it now. I was always told to keep him under 250 if you want to keep his sight.

    We are so desperate to get him back to a good spot, its robbing us of our sanity and breaking our hearts to think we might not make it. Really hoping someone out there has had luck being in similar shoes and can share some advice.


    Thank you for reading,

    Jason (Jude and Jess)
    Last edited by jaycapz; 11-10-2023, 03:51 PM.
    Jude: Rat Terrier, Doxie, Chihuahua Mix // Born ~4/2009 // Diagnosed at 6 yrs with diabetes // 23.5lbs // Ocu-Glo 1x's Daily // Hypothyroid diagnosed at 7 years, 0.2 mg Levothyroxine 2X's Daily. Diagnosed with IBD at 15 years old, attempting to re-regulate on Purina Hydrolyzed Vegetarian Dry Food (2 Tablespoons Canned Pumpkin for Stool Issues).

  • #2
    Overall the numbers are good except for that drop in the evening . You may be getting some overlap and you can give a bit less insulin for that evening shot . Start with maybe 10 units and go for a week with no changes .

    You have had exceptional regulation so letting it float a bit higher is perfectly fine . 150 to 200 is still good . As dogs get older and maybe develope other challenges you have to be a bit more flexible and maybe allow the numbers to run a bit higher . You have done great with regulation

    When my Jesse became older I backed off a bit . She lived 11 years being diabetic and running a bit higher did not shorten her lifespan and she did not pass from diabetes.

    Jesse also had digestive issues and pinto beans helped to solve her issues .
    Jesse-26 lbs - 16.5 years old ,11 years diabetic, one meal a day homemade and a vitabone snack . 3 shots of Novolin( under the Relion name ) a day . Total insulin for a 24 hour period is 6.5 units of NPH insulin .
    Jesse earned her wings on 6/21/2021

    Comment


    • #3
      Thanks, Jesse Girl. So I backed off 11 units twice daily, its too much. I tried 10 units for a few days and Jude ran high in the range of 300-450. I had to put an end to that experiment after about 3 days. As of this morning, I am now testing 10.5 units twice daily. If that fails, then I could try 10.5 units in the AM, 10 units in the PM but I don't feel confident with that since 10 units either time of day seems to end with him drifting higher after a couple of days.

      I'll give these trials a few days each, but I'm really feeling stuck between a rock and a hard spot with this food situation. I truly believe its the issue, hes on 3/4c old (hydrolyzed) and 1/4c new (gastroenteric - diabetic and GI friendly) food. Since introducing the new purina gastro food his numbers have been a bit more stable. if I try to increase the new gastro food he starts to show some stomach issues (ironically - he really needs a hydrolyzed diet), so I dont want to push that to far. The hydro food is unpredictable, I believe its hydrolyzed soy isolate so as a protein it also comes with a huge amount of carbs. I can try increasing his fiber powder supplement again (from 1/8 TSP), but if i add more than 1/4 TSP each meal he gets stomach issues. The best I could try is removing a few nuggets of his old kibble so his body is getting more of the new, rather than simply increasing the overall amount. However, hes on the minimum amount of calories as I don't want him to lose more weight.

      I'm fine giving up the idea of him being in the 90-130 range every 12 hours and peak of approx 250, I'd gladly settle for a range of 50 points higher across the board buts there seems to be no balance. Its either running high or low as he stays on a dose.

      What baffles my mind more is how he would get into a rhythm with 11 units, numbers slowly stabilize, then every couple of days appear to need a little less insulin. Then as the insulin units drop, his BG numbers quickly rise exponentially. Part of the regulation process with him years ago, the dose/food worked or it didnt, I dont recall it being a slow adjusting situation. You get what you see within 24-48 hours given the insulin dose/food amount. Does the body really adjust in that way, or is it more like hitting the lotto when you hit on the right dosage. I don't know anymore!

      If anxiety were a currency, I'd be the wealthiest guy alive.



      Thanks again for your input, I really appreciate it.

      Jason
      Jude: Rat Terrier, Doxie, Chihuahua Mix // Born ~4/2009 // Diagnosed at 6 yrs with diabetes // 23.5lbs // Ocu-Glo 1x's Daily // Hypothyroid diagnosed at 7 years, 0.2 mg Levothyroxine 2X's Daily. Diagnosed with IBD at 15 years old, attempting to re-regulate on Purina Hydrolyzed Vegetarian Dry Food (2 Tablespoons Canned Pumpkin for Stool Issues).

      Comment


      • #4
        Your welcome Jason . Mico dosing is another possibility . I could get quarter unit adjustments .
        Jesse-26 lbs - 16.5 years old ,11 years diabetic, one meal a day homemade and a vitabone snack . 3 shots of Novolin( under the Relion name ) a day . Total insulin for a 24 hour period is 6.5 units of NPH insulin .
        Jesse earned her wings on 6/21/2021

        Comment


        • #5
          Our journey continues with some improvement but still trying to find our way. Jude seems to be tolerating the new food, so I increased him to a 50/50 mix of old and new food. I no longer have the night time dip, instead hes now coming in a bit too high for his morning meal. What happens is he is good through 2-3 meals, but then the 3rd meal his numbers jump. Its like he needs a "reset" back to 80-100, and we are ok again for 24-36 hours. Heres an example of a new curve/monitoring:

          6PM 90 10.5Units/Meal
          9 PM 109
          11 PM 130
          1 AM 135
          3 AM 123

          6 AM 105 10.5Units/Meal
          8 AM 145
          10 AM 190
          12PM 125
          2 PM 121
          4 PM 135

          6 PM 123 10.5Units/Meal
          8 PM 189
          10 PM 120
          12 AM 130
          3 AM 141

          6 AM 189 10.5Units/Meal
          8 AM 284
          11 AM 194
          12 PM 170
          3 PM 166
          4 PM 192
          6 PM 201



          His numbers were great with the new ratio of food, but after about 24 hours what you see in bold happens. His AM numbers very slowly start to creep up and then they eventually they go out of control. I am thinking about trying to increase the newer food even more, I tried adding 1/4 and 1/5 tsp more fiber to his meals with no change. I am not sure if there is a "settle in" period or something where I keep pulling him back into range and eventually he adjusts? I never had this with him, but is it something where a settle in period really happens? In the past, it all just clicked when I hit the right insulin/food for him.

          I feel like I'm getting closer, but each time I get close he pulls away.
          Jude: Rat Terrier, Doxie, Chihuahua Mix // Born ~4/2009 // Diagnosed at 6 yrs with diabetes // 23.5lbs // Ocu-Glo 1x's Daily // Hypothyroid diagnosed at 7 years, 0.2 mg Levothyroxine 2X's Daily. Diagnosed with IBD at 15 years old, attempting to re-regulate on Purina Hydrolyzed Vegetarian Dry Food (2 Tablespoons Canned Pumpkin for Stool Issues).

          Comment


          • #6
            Looks really good to me . It can take quite a bit of time to settle with food and dosing. The key is your not in that low range in this batch of testing
            Jesse-26 lbs - 16.5 years old ,11 years diabetic, one meal a day homemade and a vitabone snack . 3 shots of Novolin( under the Relion name ) a day . Total insulin for a 24 hour period is 6.5 units of NPH insulin .
            Jesse earned her wings on 6/21/2021

            Comment


            • #7
              Well, I gave it over a week and still struggling to get him to settle into the dosage/food. I tried switching things around a bit, no matter how I try moving things around theres a slightly different problem to solve.

              Here is a curve from today, what I'm trying to solve for is the drop off between 3PM-6PM. His overnight numbers with the same dosage/food does not experience the same issues. I have limited his exercise, hes been consistent so I'm not sure why hes struggling to hang on. I've tried reducing his insulin and he goes sky high, I increase the food and I can't seem to get him consistent on the same or slightly higher dose of insulin.

              Seems like the insulin is still working on him a bit too well between breakfast/dinner, are there any foods or supplements that I can add to extend food/sugar support? I'm really at a loss, I thought about adding chicken or another protein, not sure if additional fiber would be beneficial? I'm honestly at a loss, I'm not sure why the inconsistently.


              6PM 146 - 10 1/4u (1oz Hydro Food/1.4oz Gastro/High Fiber Food)
              8PM 146
              10PM 106
              12PM 154
              2AM 184
              4AM 150

              6AM 141 - 10 1/4u (1oz Hydro Food/1.4oz Gastro/High Fiber Food)
              9AM 257
              11AM 217
              1PM 224
              2PM 150
              4PM 92
              5PM 87
              6PM 61


              Thank you again for all your input.
              Jude: Rat Terrier, Doxie, Chihuahua Mix // Born ~4/2009 // Diagnosed at 6 yrs with diabetes // 23.5lbs // Ocu-Glo 1x's Daily // Hypothyroid diagnosed at 7 years, 0.2 mg Levothyroxine 2X's Daily. Diagnosed with IBD at 15 years old, attempting to re-regulate on Purina Hydrolyzed Vegetarian Dry Food (2 Tablespoons Canned Pumpkin for Stool Issues).

              Comment


              • #8
                Just out of curiosity, has anyone mentioned pepcid messing with glucose levels? We have a theory. We only give pepcid during the day, which is when his numbers are most inconsistent. I looked online and there are studies showing H2 blockers and PPIs lower BG levels significantly, as much as 20-30% over the course of several hours. Today I have him pepcid at 1230pm, by 2pm he dropped allot. Tomorrow I'm going to cut out pepcid and re-retry. I can't seem to find anyone discussing this on the forum in past years.
                Jude: Rat Terrier, Doxie, Chihuahua Mix // Born ~4/2009 // Diagnosed at 6 yrs with diabetes // 23.5lbs // Ocu-Glo 1x's Daily // Hypothyroid diagnosed at 7 years, 0.2 mg Levothyroxine 2X's Daily. Diagnosed with IBD at 15 years old, attempting to re-regulate on Purina Hydrolyzed Vegetarian Dry Food (2 Tablespoons Canned Pumpkin for Stool Issues).

                Comment


                • #9
                  Blood sugar can be a baffling thing . A friend of my daughter when in highschool lost his life to low blood sugar at night . Fortunate your problem is in daylight hours . Diabetes is still very misunderstood and most suggestions can be more of a guess.

                  I took Jesse on a very radical approach only feeding her one meal a day and 3 nph shots . I gave one shot at dinner and another dose a hour later . She could not accept a full dose at one time . Maybe her body had a reaction to the human insulin . The morning shot was small with a carby milk bone snack which was great for her being small. How I got there was a incremental process . It freaked me out a bit thinking about it but it worked and had very good regulation and she lived a long life with the disease .

                  Removing something from the equation could give an answer to your dilemma .

                  Now Jesse had terrible Pooh problems . Slimy sometimes blood . Another member suggested pinto beans to improve stool quality and it was a game changer for her . Perfect poohs . That probably was the most important change to get her that long life .

                  Looking at carbs and proteins like they are guaranteed to act a certain way on blood sugar is a bit naive . There was a member who said protein spiked their dogs blood sugar which makes no sense but thats what they were seeing . My theory wasn't that the food was spiking sugar but the body was as injected insulin needs sugar to work with the strength of insulin If you don't have what the body needs it will call on the body for stored sugar that may not be able to be controlled so you see a big spike in sugar . Our metered don't tell us where sugar comes from .

                  I would experiment giving Jesse a spoonful of honey to reduce her big spikes and surprised me her spike was reduced . My theory is it quieted the bodies response . When I learned what the problem was we could work on a solution

                  your problem is one spot on the map . I can say being on the forum a low blood sugar event is relatively small as long as a dog isn't heavily overdosed . The body will protect as long as it's organs are healthy

                  I believe most big spikes are a bodies response and not food induced . You could also experiment with a carby snack highly digestible . I would even drizzle honey on the milk bone but I believed it had molasses in it . The key if you give it after a bodies response it's to late . Timing is important from what I saw with Jesse . I had to avoid the standard assumptions to get her regulated .

                  ​​​​
                  Jesse-26 lbs - 16.5 years old ,11 years diabetic, one meal a day homemade and a vitabone snack . 3 shots of Novolin( under the Relion name ) a day . Total insulin for a 24 hour period is 6.5 units of NPH insulin .
                  Jesse earned her wings on 6/21/2021

                  Comment


                  • #10
                    That's very interesting, giving more sugar reduced the sugar spikes? I agree it is all very baffling at times, and very frustrating when you don't see an expected logical response to a change. I do need to be more open minded as things have changed a bit with Jude now that he's older and needing a new routine. Its like dealing with a totally different dog.

                    So interestingly, we had a really good consistent 2.5 days after stopping the pepcid. We would actually see a slight rise in his numbers where they would normally fall, overall he ended 110-130 for about 5 consecutive meals. He was 119 at dinner last night, this morning he fell to 60. I happen to get up at 4AM and decided to checked him, he was fine @ 138 but at some point he dipped by about 50% before 6AM. Last night I took him for a 10 minute walk before dinner, first time I've done so in a while since I was trying to keep him steady while I get this figured out. So I think the drop was my fault, I didn't have this problem on the old food. I have not seen a drop like that overnight in over a month, only logical explanation I can see. I need to figure out exercise at some point. I guess a few pieces of food before or after a walk? Honey and Karo syrup seem to upset his stomach, I can do small amounts of banana. I'm limited on short/quick acting options since his IBD flares up badly.

                    I switched back to pepto tablets, I give him about half the recommended dose around meal time or as needed which seems to work. I don't like it since there's a lack of data on its safety, but I see little choice to help him when his stomach is upset. I recall the internist/vet wanting to put him on steroids for the IBD, but that would cause insulin resistance and I refuse to go that route. I've used pepto sparingly in the past, I had not seen an impact on his numbers. Really stuck between a rock and a hard spot, I really want him completely off this hydrolyzed food. It seems to burns up quickly, it would be a real shame if hes so limited to super short walks.

                    I'm going to try and get him back in the 90-130 range for dinner, retry the same amount of insulin/food with no exercise and continue to stay away from the pepcid. I'd like to see him steady for at least a few days to a week, then maybe i'll try to again swap some old food for new food. Last time I attempted to add more of the newer food his stomach went crazy and insulin was impossible to adjust but that could have been the pepcid playing games. I wish there was some additives I could throw in the food that would offset the old foods shortcomings, which is where I thought maybe a protein might help. Trying to get some parity between the foods to improve stability.

                    You've given me some things to think about as well.
                    Last edited by jaycapz; 12-07-2023, 09:19 AM.
                    Jude: Rat Terrier, Doxie, Chihuahua Mix // Born ~4/2009 // Diagnosed at 6 yrs with diabetes // 23.5lbs // Ocu-Glo 1x's Daily // Hypothyroid diagnosed at 7 years, 0.2 mg Levothyroxine 2X's Daily. Diagnosed with IBD at 15 years old, attempting to re-regulate on Purina Hydrolyzed Vegetarian Dry Food (2 Tablespoons Canned Pumpkin for Stool Issues).

                    Comment


                    • #11
                      Like I suggested food was a game changer for her digestive issue and mine where I struggled for years . In a way Jesses diabetes helped me change my path . Food change is difficult for a diabetic and it sounds like your limited in what is possible

                      You have to realize your not in a bad place . You have done a wonderful job . Many dogs can hang out in the 300s or higher as a common place . Must also remember there are limitations to the meters accuracy . Hopefully your actually at a bit higher than the reading .

                      When Jesse got older she gave a protest on testing and I looked at her and said ok . I will reduce the testing . I narrowed it down to important spots . Gave up doing curves unless something changed dramatically . I then only tested before giving a shot as you can't take that back .

                      I think it made her happy as most things she probably did was for me . I threw out allot of the playbook which was a bit scary for someone without a medical background.

                      Your doing great . You have kept your baby safe
                      Jesse-26 lbs - 16.5 years old ,11 years diabetic, one meal a day homemade and a vitabone snack . 3 shots of Novolin( under the Relion name ) a day . Total insulin for a 24 hour period is 6.5 units of NPH insulin .
                      Jesse earned her wings on 6/21/2021

                      Comment


                      • #12
                        Well, heres my update after 4 months. Long journey, we have learned much but have been unable to come to a set amount of food/insulin twice a day. After 8+ years of perfect regulation, I am still in shock (maybe denial) that we are still in this position. His IBD diagnosis and switching to the new food created a nightmare and it seems like every month we are met with a new challenge. We learned probiotics, pepcid and fiber supplements are a no-no for him. I have seen 3 vets (1 internist), none of which were very helpful in providing recommendations. Its always about "which disease do you want to treat" (IBD or diabetes), and it will be trial and error. We had a couple of rounds of bloodwork, nothing to indicate there's other issues. I spoke with a nutrionist to try and add some things like fiber and complex carbs, I included buckwheat, lentils, and other ingredients one by one and each time he became sick, upset stomach, vomitting, etc. The purina hydrolyzed vegetarian dry food seems to be the only option, and to be honest we are exhausted from trialing or including other foods.

                        Our latest change is that we are seeing his insulin having some inconsistent durations, and now seems like we are in more of a bowl curve instead of the mountain curve, some days its a bit flatter. Included a couple example curves, quite a bit of inconsistency. We are now seeing the dipping around 8PM, so we are trying to tackle that. We are truly exhausted from this journey, we now have a baby girl due in August, and honestly we are terrified we won't have the bandwidth to stay as vigilant. We gave up a lot of our social life due to fear of leaving him alone, its been a rough several months. Holidays have been difficult as well.

                        We have seen some mornings he's 250-75 range, we had a morning recently he was about 330'ish. I know for many dogs this is normal, but we are just not used to it. We've not dealt with these type of ranges so it is uncomfortable for us. Top of mind is DKA and vision loss, we worked so hard to this point to not deal with those issues. Regarding vision, I ask vets about ranges and all they can say is "its astonishing" or "amazing" he still has it, one vet says he has immature cataracts, another vet said he has nuclear sclerosis. Over the years I was always told that if he can stay below 200 for most of the day/night, he should be fine. For DKA I am not familiar and see conflicting info that says if he goes above 250 to be worried, others say 300, and yet others say its fine as long as its only a spike or short duration. I guess I'm just not sure what is OK anymore, I feel like I'm truly failing him. If I wasn't still working from home, he probably wouldn't be with us, but I can't plan to always be home and soon we will need to switch our focus.

                        Such a frustrating disease, just trying to get him across the finish line in one piece at this point while we can try to resume having some form of life.

                        Appreciate you reading and your time.


                        DATE 4/7:
                        **6AM - 259 - 12.5 units Novilin N
                        10AM - 163
                        12PM - 128
                        2PM - 100
                        4PM - 139

                        **6PM - 193 - 11.5 units Novilin N
                        8PM - 92
                        10PM - 90
                        11PM - 94
                        1AM - 152

                        ​------------------------------------------------​​​​​​​

                        DATE 4/8:
                        **6AM - 247 - 12.5 units Novilin N
                        10AM - 173
                        12PM - 167
                        1PM - 118
                        3 PM - 120

                        **6PM - 120 - 11 units Novilin N
                        8PM - 81
                        10PM - 105
                        11PM - 117

                        ------------------------------------------------

                        DATE 4/9:
                        **6AM - 219 - 12 units Novilin N
                        8AM - 155
                        10AM - 133
                        12PM - 141
                        2PM - 105
                        4PM - 109

                        **6PM - 117
                        8PM - 74 Low/(1 Teaspoon canned pumpkin)
                        9PM - 96
                        11PM - 115




                        Jude: Rat Terrier, Doxie, Chihuahua Mix // Born ~4/2009 // Diagnosed at 6 yrs with diabetes // 23.5lbs // Ocu-Glo 1x's Daily // Hypothyroid diagnosed at 7 years, 0.2 mg Levothyroxine 2X's Daily. Diagnosed with IBD at 15 years old, attempting to re-regulate on Purina Hydrolyzed Vegetarian Dry Food (2 Tablespoons Canned Pumpkin for Stool Issues).

                        Comment


                        • #13
                          hello
                          please update your signature to include insulin and amount. food amount. weight. medical conditions thanks

                          jessiegirl should be in soon as you two were conversing before.

                          i can see theres alot of changes going. probably whats making him sick at times
                          lets see about getting uou more comfortable before august.

                          a bowl curve usually means too much food is ahead of the insulin not meeting up at the 2 hour mark

                          your using novolin nph so you cant change the dose every day which am seeing for the last days.

                          looks like 10.5 twice a day worked

                          why did you switch foods from blubuffalo and royalcanine
                          ? seems that combination worked

                          why does he have to have hydro food?

                          i think the simpler the ingredients are more digestsble


                          i think for example you stick with 10.5 units morning and evening
                          and feed amount of food according to his weight. 28 lbs.
                          stick with this for at least 4 days. in the meantime post his daily numbers. you got this
                          Riliey . aka Ralphy, Alice, Big Boy
                          20 lb male. 5 1/2 nph insulin. 1/2 cup fromms. black cockapoo, dx Apr 2012 . 5 1\2 yrs diabetic. 2000 to 2017

                          Comment


                          • #14
                            heres a couple of wet foods for ibs

                            Blue Buffalo True Solutions Blissful Belly Natural Digestive Care Adult Wet Dog Food, Chicken 12.5-oz cans (Pack of 12)

                            Prescription Diet i/d Low Fat Digestive Care Original
                            hills
                            Riliey . aka Ralphy, Alice, Big Boy
                            20 lb male. 5 1/2 nph insulin. 1/2 cup fromms. black cockapoo, dx Apr 2012 . 5 1\2 yrs diabetic. 2000 to 2017

                            Comment


                            • #15
                              Hi Riliey and Mo - He was diagnosed with IBD so we had to change his food. Yes, the changes were making him sick, we tried over a dozen foods and none worked for his stomach. We tried to find something better, as I mentioned we spoke to a nutrionist and vets who all made recommendations with food, but all made him sick. The only food that has kept him stable stomach wise is the hydrolyzed. We've already had 2 hospital visits this year because he had some sort of event that caused him to pass out, we're assuming its some sort of acid attack. We never had him scoped, and at this point we won't put him through it. I think I documented his story in the beginning... so its mostly there.

                              As for the bowl curve vs mountain curve, I would have thought the opposite. Insulin might be slightly ahead bringing the BG level down until insulin peak, then a reversal back up. Mountain curve just an inverse of the bowl, but in both cases should indicate insulin and food are working well together. In his case, some days it would seem the duration is too long or short. This all started with the food change, I can keep posting curves, and we usually wait a few days before making any changes. The night time is where the insulin is beating out the food, when he ends lower. Its strange with similar start points (200-250) he can be so far apart (100-180'ish).

                              I'll update my signature, but the old 10.5 units went out the window with the food change. We have different insulin amounts at night vs day because at night it seems he needs less, we attempted to keep it one dose but he had hypo events. He lost weight over the years, he is now 23-24lbs. He is getting 2.4oz (slightly more than 3/4's cup) day/night of the hydrolyzed food with 2 tablespoons of pumpkin (helps with his stool issues). Insulin varies based on starting, he was starting at 120-150, now hes 200-250 because overnight duration changed on us. This is all very difficult to explain, and its maddening.
                              Last edited by jaycapz; 04-10-2024, 01:55 PM.
                              Jude: Rat Terrier, Doxie, Chihuahua Mix // Born ~4/2009 // Diagnosed at 6 yrs with diabetes // 23.5lbs // Ocu-Glo 1x's Daily // Hypothyroid diagnosed at 7 years, 0.2 mg Levothyroxine 2X's Daily. Diagnosed with IBD at 15 years old, attempting to re-regulate on Purina Hydrolyzed Vegetarian Dry Food (2 Tablespoons Canned Pumpkin for Stool Issues).

                              Comment

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