abcessed tooth/dental cleaning

[KathyAAllen]

Re: Roscoe

I gave Roscoe a snack of hills prescription biscuit plus he stole a few kibbles of BB from Toby

6:50pm bg 392
9;15pm bg 185 after walk
9:40pm snack biscuit and few bites kibble
12 midnight bg 237

this morning 6:35am bg 468

Still high but coming down, with the changes of 14.5 insulin instead of 14 at night and a snack....

[jesse girl]

Re: Roscoe

keep everything the same for a bit with the snack and dosing after maybe a week .you can play around with the amount of the snack and see if you can improve on that fasting number after that week is up

[Abby's Mom]

Re: Roscoe

I gave Roscoe a snack of hills prescription biscuit plus he stole a few kibbles of BB from Toby

6:50pm bg 392
9;15pm bg 185 after walk
9:40pm snack biscuit and few bites kibble
12 midnight bg 237

this morning 6:35am bg 468

Still high but coming down, with the changes of 14.5 insulin instead of 14 at night and a snack....

Kathy,

Good job! So, it seems like he drops quite a bit from the 392 to 185 after the walk. Perhaps test before the walk and then after the walk. See how much and if he consistently drops. If so, I was able to control that drop with some honey on 1/2 biscuit of BLUE™Health Bars Dog Biscuit, the Bacon, Egg and Cheese. Watch the ingredients, some have molasses that I stayed away from. I believe these did not.

I am not sure if I ever figured out diabetes.... but I do know that I had Abby pretty much figured out, and had enough weapons in my bag of tricks to keep her in a good range most of the time.

Barb

[KathyAAllen]

Re: Roscoe

At lunch today, i gave Roscoe his usual 2 blue buffalo chicken bites, and a lite snack cracker (from vet)
I ran out of boiled chicken so gave Roscoe a hard boiled egg with breakfast and dinner tonight.
Tonight he's 401 coming down.

keep everything the same for a bit with the snack and dosing after maybe a week .you can play around with the amount of the snack and see if you can improve on that fasting number after that week is up

I gave Roscoe the snack before i went to bed at 940pm... should i wait and give him the snack at the 6 hr mark, which is about 1am?

Kathy,

Good job! So, it seems like he drops quite a bit from the 392 to 185 after the walk. Perhaps test before the walk and then after the walk. See how much and if he consistently drops. If so, I was able to control that drop with some honey on 1/2 biscuit of BLUE™Health Bars Dog Biscuit, the Bacon, Egg and Cheese. Watch the ingredients, some have molasses that I stayed away from. I believe these did not.

I am not sure if I ever figured out diabetes.... but I do know that I had Abby pretty much figured out, and had enough weapons in my bag of tricks to keep her in a good range most of the time.

Barb

Again, excuse my confusion, 392 to 185 is good isnt it? Dont i want him to drop to the 100's?

I've gone through almost a whole bottle of test strips since 8/8 i will try and keep testing alot through these changes but i need to order more.

Will test before and after walk tonight.

Thank you guys!

[KathyAAllen]

Re: Roscoe

Before walk bg test 8;30 pm..511 walked for 25 mins after walk test 9:40pm... 326! I think i will wait closer to the 6 hr mark or as long as i can stay awake, to give the snack.

[Abby's Mom]

Re: Roscoe

Again, excuse my confusion, 392 to 185 is good isnt it? Dont i want him to drop to the 100's?

Numbers in the 100s are good, but dropping that quickly is not. My thoughts are that the body will over-react and dump glucose into the system blood sugar is dropping to fast. This could give an explanation to the high numbers, as well.... or at least the reason why he has a high fasting number. I think he is running out of insulin. My thoughts that there are two reasons for this.

1. Not enough insulin.
2. Insulin is not being used effectively.

If at all possible it is good to have the numbers as flat as possible. Then it becomes very clear, that Roscoe may need more insulin. When the numbers are jumping all over the place it is hard to raise, if they have any lows.

Not that I believe that Roscoe is having this occur, but it may explain this a bit better.

http://diabetesindogs.wikia.com/wiki/Somogyi_rebound

Some dogs are much more sensitive to their blood sugar dropping than others.

Barb

[KathyAAllen]

Re: Roscoe

Numbers in the 100s are good, but dropping that quickly is not. My thoughts are that the body will over-react and dump glucose into the system blood sugar is dropping to fast. This could give an explanation to the high numbers, as well.... or at least the reason why he has a high fasting number. I think he is running out of insulin. My thoughts that there are two reasons for this.

1. Not enough insulin.
2. Insulin is not being used effectively.

If at all possible it is good to have the numbers as flat as possible. Then it becomes very clear, that Roscoe may need more insulin. When the numbers are jumping all over the place it is hard to raise, if they have any lows.

Not that I believe that Roscoe is having this occur, but it may explain this a bit better.

http://diabetesindogs.wikia.com/wiki/Somogyi_rebound

Some dogs are much more sensitive to their blood sugar dropping than others.

Barb

After reading the Somogi rebound info, im wondering if Roscoe is getting too much insulin.

Looking at his numbers he goes from high to low

Just numbers this week...
BG tests
sun am 548 pm 283
mon am 662 pm 403
tues am 611 pm 180
wed am 320 pm 392
thurs am 468 pm 401
fri am 542 pm 220

I dont know, im grasping at straws at the moment and sooo tired so im going to bed, hopefully can sleep. Havent been getting much more than a few hours sleep at night between my asthma and Roscoe.

Kathy

[amydunn19]

Re: Roscoe

Kathy,

I may have asked before so forgive me if you have answered this already - have you ever checked his thyroid function?

Is he still dropping from near 500 to the 100's in the last couple of days?

I have never thought Roscoe was having rebound before. Clearly, he is out of balance but it is always a possibility.

Amy

[KathyAAllen]

Re: Roscoe

Kathy,

I may have asked before so forgive me if you have answered this already - have you ever checked his thyroid function?

Is he still dropping from near 500 to the 100's in the last couple of days?

I have never thought Roscoe was having rebound before. Clearly, he is out of balance but it is always a possibility.

Amy

That 500 was taken within an hour of dinner/shot then dropped to 185 after walk. He's been 542am-220pm 420am-370pm 431am-313pm 582am this morning....

Thyroid function? Not sure. He hasnt had any blood tests done since last year, the new vet says he just needs flutosamine tests. I've been thinking he needs a new panel of blood tests....just dont know what to ask to be tested.

[amydunn19]

Re: Roscoe

I would ask for a thyroid panel. Many dogs can not get regulated because of thyroid issues. I know that Holli had this issue with Decker and they finally discovered it was his thyroid. Roscoe has had so many problems with regulation - I think it is worth a shot to try to find out if that is something that may be holding him back. I would insist on it.

I don't think you are seeing rebound with him.

[ceruleanblue]

Re: Roscoe

A fructosamine test isn't necessary if you're testing BG at home. All it gives is an average of BG over about 2 weeks (I think?). Most of is think it's a waste of money since we can get better information testing at home ourselves.

For a diabetic, a full thyroid panel is necessary to properly diagnose a thyroid problem. The thyroid result you get on a normal blood panel can be low just because of the diabetes. Holli knows a lot about thyroid testing and can help you out.

[momofdecker]

Re: Roscoe

Here is a link to Dr. Dodd's Hemopet website where there is more info regarding symptoms of hypothyroidism (there is a wide range of symptoms that can present and it can vary quite a bit from dog to dog). Scroll down near page 7.

The entire article is an interesting read. My boy suffered from behavioral issues starting around age 3 when he starting showing sudden aggression towards my then two year old daughter. We mistakenly took him to his vet for help. His vet at the time missed the weight gain combined with the sudden aggression towards a child and simply medicated him with a hormonal drug. Unfortunately, we didn't know any better and never questioned him. It took five more years for us to figure out what was going on and even after the hypothyroidism was discovered it took us another four months to fully understand the impact the low thyroid levels had on his behavior.

https://my.imatrixbase.com/clients/1...hyroiditis.pdf

As the others have said - if you do have Roscoe tested make sure the vet runs a full panel. Many will only test the T4 value. Diabetes alone may cause cause that value to be low so it would not give you a true diagnosis. Testing for hypothyroidism is inexpensive compared to testing for many other diseases. Treatment is also inexpensive but does require twice daily supplementation for life.

[k9diabetes]

Re: Roscoe

If you could do a curve one day without any exercise, that would be helpful for looking at how just his food and insulin work together and whether the dose is handling the blood sugar or not or whether the low readings are strictly coming from the exercise.

Exercise is good for their overall health and brains but does muddy the food/insulin picture so it can be very helpful to assess without it.

Natalie

[KathyAAllen]

abcessed tooth/dental cleaning

Roscoe has to have an abscessed tooth removed and dental cleaning on Saturday.
Vet says no food and only give 5 units insulin.... he gets 14 now. Seems like too little.
I'm really worried, has anyone had a dental or any procedure where they had to be put under without food/insulin?

[Judi]

Re: abcessed tooth/dental cleaning

Jenny's had 2 dental procedures and we've given her half of her insulin due to no food. They monitored her very closely both times. She came through just fine.

I'd rather his blood sugar run a little high than too low so your vet may just be being conservative.