Peeing Problems

[jesse girl]

Re: Baxter needs your insight

we have been doing a test on longevity of novolin it appeared jesse struggled just to get 30 days with humulin

jesse started the bottle she is using now on january 26 there was a couple hiccups along the way that were not a big deal and just jesses normal wobbles so we kept going and today her numbers were very good and no sign of any deterioration in the insulin and the suspension is very good after mixing

there is still a little less than half a vial so as amy said definitely better longevity than humulin and jesse has seen very good numbers

[Abby's Mom]

Re: Baxter needs your insight

I agree with Amy and Jesse.... we get about 45-60 days on Novolin, and with Humulin we did struggle to get 30 days. In many cases I was tossing it at 20 days.

When we switched, Abby was not very regulated. Sure I would get some good numbers here and there, but some pretty large swings. With the Novolin, I saw flatter numbers. I felt at that time.... I sure have nothing to lose, so made the jump, and sure glad we switched.

[Cockapoo Mom]

crazy curve please help baxter

Hi here is todays vet curve please let me know thoughts. After all the day at oyr normal vet
I got him in for 2nd opinion at another vet I don't want to say what he said
I wanna know if someone here says same thing. Here are numbers
7:35 186
7:40 am food
7:45 insulin 10 units
8:45 162
9:45 128
10:45 153
11:45 163
12:45 200
1:00 chikn snack
1:45 310
2:45 325
3:45 384

[Patty]

Re: Baxter needs your insight

I think the numbers are really great until snack time. I do wonder what bgs would look like without the chicken. It could be they were already on the rise. Was the snack just a piece of boiled chicken or a commercial treat?

Baxters breakfast is 1/3 cup innova prime grain free but recentky recalled his bag ok but we r gradually mixing in
Natures variety insight grain free beef lamb kibble to make transiton and he also gets 1/3 can blue wilderness
Chicken grill.in addition to kibble.
His dinner is 1/3 can royal canine lo fat gastrio plus 4 oz plain chicken breast plus
2.5 tbspoons brown rice. We had to do 2 different meals he is so p icky!
Both meals are topped with bacon bits n small amount

I also question how stable Baxter is right now. With bgs in the 500s yesterday and food changes, it's hard to know what his "big picture" really looks like.

He could be spiking at home after meals, as you'd reported before, if he's not very active and didn't at the vet's office due to more excitement there (especially while insulin is more active). Hard to know.

[Cockapoo Mom]

Re: Baxter needs your insight

Hi patty snack boiled chikn

[amydunn19]

Re: Baxter needs your insight

I think it is curious that his lowest point was two hours after his meal and insulin. But many dogs don't have their lowest point six hours after food/insulin.(as most people assume) For many, it occurs much earlier and for some much later. The numbers aren't bad overall and quite steady until his snack.

Maggie's curves at the vet's office were always such a train wreck. She is always stressed there so I always question their accuracy. The last couple of times they tried to do a curve they had to call me to come get her because she was so stressed out.

[CraigM]

Re: Baxter needs your insight

Looks like a pretty nice curve to me. No lows, no rebound in these numbers.

Of course, as Patty was questioning, is this going to be repeatable because you seem to be doing different meals and aren't being consistent with the food. Also, would have been nice to see without the chicken. It might not have done much different, but most anything that goes into the mouth might affect BGs?

Craig

[Cockapoo Mom]

Re: Baxter needs your insight

Hi craig we were transitionng new breakfast food last week n today was
First day of all new breakfast food . We do give a different breakfast n dinner cyz he gets bored
Vet did curves n calculated kilocaliries for both Meals.

[amydunn19]

Re: Baxter needs your insight

When you say the vet is calculating the calories for both meals, your realize that the calories are only part of this picture, right? Even though your vet has given their "blessing" to these two different meals, the carb contents and completely different ingredients can still cause you some issues.

So what did your second opinion vet say about the numbers? Also, I was wondering why you were seeking a second opinion? I always think a second set of eyes and ears on something is good but I didn't know if you were having some doubts about your vet or just curious to see what someone else had to say?

[Cockapoo Mom]

baxter amy dunn can u reply?

Hi I was seeking a second opinion cuz our normal vet did xrays to see why getting weird curves before radiologist found rounded liver n nodule on liver n we trying to decide if we have to do $550 liver uktrasound. His meals r carb n calorie calcukated n vet did curves on both he won't eat same meal twice daily we tried he picky. So
What do u guys think is his curve in earlier post being infkuenced by being at vet?
2nd vet said he being overdosed rebound? Thoughts?? So confuse d!! Please see latest curve in earlier post thx jen n bax

[jesse girl]

Re: Baxter needs your insight

its possible he could mildly be overdosed and maybe reduce by a unit to see things flatten out a bit and that fasting stays in a consistent range

another thought you maybe able to adjust the dose depending on the fasting due to the different meals and possible fluctuations it may cause

the curve seems pretty stable in that first half of the day it appears you get a steady rise into next fasting the snack may have added another 50 points to fasting

the curve that was done is good and has allot of positives with a snack you would like it working with insulin when its at its strongest which would be from mid morning to noon and its possible it can be more carby than protein like a milk bone

i think its possible as sandy does with tiggy to give different types of food if its semi consistent with food type and calories its also possible to give less food at the time his apatite is not that good and in turn give less insulin

[Abby's Mom]

Re: Baxter needs your insight

I don't see rebound in those numbers, Jen. Just my thoughts.

7:35 186
7:40 am food
7:45 insulin 10 units
8:45 162
9:45 128 - Insulin is a little ahead of food
10:45 153
11:45 163
12:45 200
1:00 chikn snack - it looks like a snack may have not been needed
1:45 310
2:45 325
3:45 384


It looked like around 11:45 the food was kicking in with the insulin. The snack that was given at 1:00 may have caused to much food for the insulin.

Rebound and not enough insulin can be very confusing. If there is a sharp increase from a very low number, then I would say rebound. If you start to see a slow increase, it typically is that Baxter may have ran out of insulin.

I saw this alot with Abby when she was on Humulin. She would be humming along all day, with good numbers (not low numbers), and then she would get a steady/sharp increase in hour 11. Frustrating to say the least.

A more even curve, a better match between food/insulin will give the insulin more time in the body, and may cover those hours where he starts to increase.

My theory: you have X amount of insulin... Depending upon how the body uses it, will depend if you can get 12 hours out of it. If he used it up within the first two hours, then there isn't enough for later.

So, it would appear that if Baxter can have a carb to raise that 9:45 number, then he may have more insulin later in the day. Overall this may make his numbers higher, but that is ok, because at that point, you can safely give a slight increase. Flatter is better.

Barb

[Cockapoo Mom]

Re: Baxter needs your insight

Hi thanks to all who interpreted curve..just a thought..baxter usually gets 1 pm daily snack of grilled chicken and walk with dog walker..he didn't get walk yesterday cuz he at vet all day and just got potty breaks..he did get his snack though. .could this be playing into the equation reasons why numbers climbed yesterday afternoon? or could vet stress him out being away from home he does get anxious?? I guess I'll test him when I get home from school that would be 2 hours post snack and walk...just a thought I'll post those numbers too. I too, didn't suspect rebound..cuz no reallly really highs..but I'm not a vet. I'm so glad to have this forum..I always feel better after reading answers to my posts. One more thing.... you may have to read my prev post about baxters x rays to understand...
1. would you still do liver ultrasound $550 next week or can I assume insulin working correctly and the rounding of liver and nodule may just be old dog issues???
thanks!

[Patty]

Re: Baxter needs your insight

Hi craig we were transitionng new breakfast food last week n today was
First day of all new breakfast food . We do give a different breakfast n dinner cyz he gets bored
Vet did curves n calculated kilocaliries for both Meals.

I also don't believe Baxter is rebounding. Though, I really think that you can't rely too heavily on this curve right now. It's good to see how Baxter is doing, but this was the first day of an all new food, he'd been in the 500s the day before, and his insulin dose has varied over the last week.

Personally, I would focus on consistency for several days and re-curve to establish a trend in his blood sugar before making significant changes. Getting several curves under his belt will help with long term stability IMO.

[Cockapoo Mom]

Re: Baxter needs your insight

Thanks Patty. I think your ideas sound great. I know the body takes a while to adjust to new food. Also insulin was at 32 day mark when he had sky hi numbers, on Monday and pharmacist and vet think maybe i was using humulin n that wasn't potent enough that day he had high numbers...they said to only use 28 days. I think a recurve is a good idea, maybe without snack and see how he does? thanks..Jen