Angel Sadie Lynn passed on Dec 30, 2015

[chucksmom]

Re: Sadie Lynn

So glad Sadie had a good day!

[WRoberson]

Re: Sadie Lynn

Woke up this AM wondering want surprise the curve had coming for me and Sadie today.

Found out real fast.....

AM fast: 67

Fed, holding injection for 15 minutes then we're off to another full day of monitoring the curve...

[Riliey and Mo]

Re: Sadie Lynn

I,m thinking she,s getting too much insulin. 0.125 per kg is the recommended dose being 12 kg x 0.125 is 1.5 units of levemir. all dogs are different. I would be decreasing with those low numbers. 8 units seems shes rising more from the 7 units.

[WRoberson]

Re: Sadie Lynn

I,m thinking she,s getting too much insulin. Looks like you had a symogi rebound. 483 to drop to 85 is alot.

0.125 per kg is the recommended dose being 12 kg x 0.125 is 1.5 units of levemir.

all dogs are different. I would be decreasing with those low numbers.

8 units seems shes rising more from the 7 units.

Not sure of the translation, But I've been using the .25 unit per lb. as a starting point for the levemir and at 29.3 lbs this gives 7.1 units. She has been holding steady at the dosage until just the other day.

Vet appointment this week So this will be on my talking list.

[jesse girl]

Re: Sadie Lynn

levemir is 4 times as potent as NPH . so a 4 unit dose of n insulin would be comparable to 1 unit of levemir. so a starting dose would be much smaller on levemir compared to NPH or vetsulin

[Riliey and Mo]

Re: Sadie Lynn

Did the vet not tell you the dosage?

This where theirs an error and overdosing with symogi swing is evident

0.125 units per kg in weight which is 0.125 x 12 kg = 1.5 levemir units

i would reduce the dose.

mo

[k9diabetes]

Re: Sadie Lynn

Levemir generally is much more potent.

Regardless, any time you have low blood sugar, the thing to do is immediately reduce the insulin dose going forward.

It's not a question of if, only a question of how much to reduce it.

Natalie

[k9diabetes]

Re: Sadie Lynn

From December 26

morning fast 203
9:45 324
11:30 179
5PM 94
630food plus 7u

8:30PM 373

From January 29

FYI her latest curve:
6AM 90
8AM 166
10AM 144
12N 130
2PM 96
6PM 116

7 units of Levemir @ 6 and 6, holding steady at 29lbs.

From January 30

6AM 245
8AM 241
10AM 174
12N 207
2PM 246
4PM 405
6PM 478
. . . .

Everything on the 30th was higher so not necessarily a rebound... I find that rebounding is not all that common. More likely either her blood sugar was being pushed higher by something or the insulin got stuck somewhere or didn't get absorbed.

In general, I feel that 7 units is too much, at least on some days. I would go down at least 1 full unit and see how she does on that.

Natalie

[amydunn19]

Re: Sadie Lynn

Considering that she got sick, I was not surprised at the drop. She just didn't have as much food working with her insulin.

I think, though, I might be inclined to drop her a unit. Although she has had very good blood sugar, it is incredibly hard to account for things like her throwing up or excessive playing and I would like more leeway so there is no worry. I tried for quite some time to walk the line with Maggie like that and I really believe that she is in better shape now than when I had such standards for her blood sugar management. I know we are both happier - maintenance is such a full time job.

[WRoberson]

Re: Sadie Lynn

First, yes the VET was using .25/lb.

As back ground Sadie would not react to other insulin types So she was put on 10 units of Levemir. She stayed at steady readings of over 400 for some weeks then as she improved was taken down to 5units and slowly upped to 7 with several ups and downs along the way.

We have our vet visit on Thursday so I'm holding off changes until then.

Todays numbers:
6AM 67
8AM 154
10AM 163
12N 133
2PM 144
4PM 232
6PM 342

Superbowl 3:30, Seahawks lost, lot of excitement in the house...

The Levemir peaked somewhere around 11AM.

[WRoberson]

Re: Sadie Lynn

Todays numbers
Monday
6AM 150
8AM 263
10AM 259
12N 183
2PM 148
4PM 162
6PM 371

Sunday
6AM 67
8AM 154
10AM 163
12N 133
2PM 144
4PM 232
6PM 342

With the exception of the football game on Sunday.
Same times, same 7 units, same snacks, same exercise, same naps...

[WRoberson]

Re: Sadie Lynn

As is my normal, after injecting Sadie I rub the area with my palm.

Tonight for the first time I came up with a bloody palm. I'm not sure if I got the insulin in, but the blood did come from the injection site. The needle was not bent upon removal.

Looks like I'm taking BG readings tonight!

Your thoughts.

[Pojo]

Re: Sadie Lynn

Seems odd that you would get enough blood to mark your palm, maybe you hit an artery. Does Sadie have a cyst or a sore there?

[jesse girl]

Re: Sadie Lynn

probably hit a blood vessel . yes you do want to monitor tonight . if the insulin penetrated the blood stream it can work much faster than normal . more than likely thats not the case it would take a perfect scenario but we cant take anything for granted

[amydunn19]

Re: Sadie Lynn

I have had the issue from time to time with Maggie. I don't know if some dogs just are more prone to it - kind of like some people just bleed easier. I always test more because it is frightening but it has never affected her blood sugar. But, others have seen lows if injected directly into bloodstream. Fingers and paws crossed that everything will be normal.