Tess uncontrolled blood sugars

[judy56]

Re: Tess uncontrolled blood sugars

Just checked again and bs are at 428. One hour after she ate. Do you think i should test it before she eats in the morning. I hate that i can't figure this out. What am i doing wrong,

[jesse girl]

Re: Tess uncontrolled blood sugars

yes that test wright before meal is very important . i consider it the most important test knowing what blood sugar is wright before giving a full dose of insulin

for a large part of the day the numbers are quite good but the drop is fairly strong and it continues almost all day

its possible you may have past the dose that was needed and can be giving to much

if the fasting ( test before food and shot ) is say in the low 100s and you give a full 30 units of insulin there is no other way to go but up now if in the higher range say 300s or higher the insulin is left to work and blood sugar may go down off those higher levels those are things to figure out

thats why its a bit more complex than many consider. thats why testing at fasting is such a big deal does your pup rise at lower levels drop at higher levels after shot. the body has to find a way to balance injected insulin its a very different process from how a non diabetic works

you could try a bit more food at around noon

its possible you may have to split the meals up giving a midday meal or snack the small biscuit did seem to stabilize things but maybe not enough and may need something more substantial timing of that meal is a factor to early may still let the numbers run lower. to late may see a much higher fasting

its experimenting trying one thing at a time see if you have a positive out come and continue to improve on it . insulin is working quite well many dogs would be verry happy with blood sugar that your seeing for part of the day and many dogs dont see anything that good

the only problem you are seeing is a bit of instability with the large rise i dont think its a dosing problem unless the dose is to much but more of an imbalance problem with food not feeding insulin when its needed

you could try a small meal or larger snack around noon maybe 3 biscuits or something like a milk bone and sometimes you dont want that low glycemic food . you may need something that has a punch that can work with insulin that is quite strong at the time

[judy56]

Re: Tess uncontrolled blood sugars

I'm confused. If her bs are in the 100 and you give 30 units, won't that bottom her out, hypoglycemic. What do you mean past the dose?
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[judy56]

Re: Tess uncontrolled blood sugars

I'm confused. If her bs are in the 100 and you give 30 units, won't that bottom her out? Hypoglycemia

[amydunn19]

Re: Tess uncontrolled blood sugars

I think what Jessegirl means with going past the dose is that her dose may be too high. Not very dog reacts with hypoglycemia to a dose that is too high. Sometimes, when a dog is getting too much insulin, the body senses it, and releases stored glucose from the liver to "save" the body so you can see swings in blood sugar from high to low. I don't know if that is what is going on or not with Tess but it is a possibility to consider. I think she is in a good range most of the day - just seems to have high fasting numbers. I really think if she were overdosed you would see a wider swing in numbers and more erratic bs. But, you can't make assumptions - I leave all the options out there until I have proof of what is happening.

I think if you can do a 12 hour curve whenever you can, we can tell more about it. The real work is to figure out that rise and how to level it out. I interpret the 515 as her just running out of insulin by the end of the cycle. You could add in a carby snack (not much at all) around the mid point to see if she is steadier at evening fasting, without spiking her during the day.

[jesse girl]

Re: Tess uncontrolled blood sugars

as amy suggested going past the dose that is needed as being to much and you may need to be reduce . sometimes if moving to fast raising the dose or there was some early resistance that cleared where the dose you are giving now becomes to much

the clue to that is a fairly large swing in blood sugar maybe 300 points or more from the lowest number to the highest . another look is insulin is quite strong the whole day where it doesn't seem to take a break . eventually the affect on the body is just to much for the body to handle and blood sugar spikes up with sugar stored from the body ending the day with a high fasting and the cycle begins again

food can even things out but thats the challenge finding what works its a step by step process . i think your pup has potential for very good blood sugar

as far as giving insulin at a level in the 100s my jesse usually rises when she is lower and drops when shes higher but there are days on rare occasions she can drop when she is lower so i never get on the cruise control wagon . this is a disease that cant be trusted thats why we test and look for symptoms . my jesse was acting a bit funny after dinner i tested her and she was running a bit low a spoonful of honey for her

thats why we look at fasting as so important say if your pup was at a 100 and you dont know how she would react you may want to hold off on giving insulin as much as an hour trying to get the number up to a place that's normal you may have to give something carby and or some liquid sugar like honey . you may want to give a reduced amount of insulin

thats why curves tell so much and gives that understanding on how to keep our pups safe . it takes time and multiple curves over time to get a real understanding and you will and become an expert of your dogs diabetes

[judy56]

Re: Tess uncontrolled blood sugars

So where do i go from here do another curve right away. Cut her insulin??

[amydunn19]

Re: Tess uncontrolled blood sugars

I would do another curve and get that fasting number. I think seeing at least two curves might help. I am not convinced that her dose is too high but as I said I would keep that on the table of possibilities. My dog was overdosed and she would go from 500 and drop to 40 or 50 but that may not be the case for all. The more information you have, the better.

Remind me what you are feeding her again.

[judy56]

Re: Tess uncontrolled blood sugars

She gets fed at 6:30am and 5:45pm. She get purina om weight management, per vet, 2.5 cups dried plus spoonful of canned Om. This morning i checked it before she received her Insulin and it was 450. And this afternooun before she ate it was 71, 4:45 son gave her some honey. Bs went to 123 Vet said feed her right away, 15 units, per vet recommendations , of insulin gave after she ate, at 7:00 they are 168.

[Cara Sandler]

Re: Tess uncontrolled blood sugars

Just checked again and bs are at 428. One hour after she ate. Do you think i should test it before she eats in the morning. I hate that i can't figure this out. What am i doing wrong,

You're not doing anything wrong. This is the nature of canine diabetes. Hang in there.

[judy56]

Re: Tess uncontrolled blood sugars

Thank you all for the support,, i am really trying to figure this stuff out. Glad to have someone to share this with.

[amydunn19]

Re: Tess uncontrolled blood sugars

That swing from 450 to 71 is very concerning to me. Perhaps her dose is too high. If possible, try to do another curve to see if this is a trend that continues. Did your vet mention dropping her dose or was that decrease a one time thing?

[judy56]

Re: Tess uncontrolled blood sugars

One time thing we checked her bs before insulin this morning and it was back up to 359, checked again before her evening meal and it was 279. Would it hurt to just lower the dose to see what she does, or is that dangerous.

[amydunn19]

Re: Tess uncontrolled blood sugars

It is never really unsafe to lower the dosage in this instance. Worst case is she will run higher but this swinging from high to low is much riskier. You can always go back up if needed.

[Thehelpfulone]

Re: Tess uncontrolled blood sugars

The way we did it with our little puppy was a morning BG check, then food, then about 20 minutes after that, his insulin dosage. The reason for waiting between food and insulin is I did not want to risk him vomitting his food after the insulin was in his system. We checked him at 5:30 AM (breakfast), 12 PM (lunch) 5:30 PM (Dinner) and then 10PM (good night)

The BG check told me whether he was trending low or trending high and I could adjust things if necessary. He also had times of a wild curve, starting out at 70 @ 5:30 AM and trending around 320 by 1PM. Food was at 6AM and this was after he read 400 at 10PM the night before

This chart might help you keep track of your readings if you have a test kit at home.
http://www.k9diabetes.com/forum/show...79&postcount=1