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-   -   Newbie needing help (http://k9diabetes.com/forum/showthread.php?t=8228)

jesse girl 11-14-2021 03:31 PM

Re: Newbie needing help
 
Injecting into the muscle acts as a fast acting insulin . Not recommended as you can't be sure of the result and with a dog having low sugar that's not a good idea

Riliey and Mo 11-14-2021 04:22 PM

Re: Newbie needing help
 
seems just a. 5 reduction in insulin would be better than changing foods.
thats all u need to do!

i reduced food, added food, reduced insulin, added treats. drove me crazy.
i. ll i needed to do was make one change at a time, wait 7 days do a curve.
make changes according to the lowest number.

in Max his lowest number is 46. reduce by. 5, keep the testing

MomtoMax 11-15-2021 04:04 PM

Re: Newbie needing help
 
I don’t think lowering the dosage is the right thing to do right now. I’ve waited not a week, but three before switching the dosage. The first week (which I’ve been sending the curves) is what I’m calling my honeymoon period because all seems perfect, but I’m judging the numbers in week two and three. For instance, on 6.5, he was perfect, but then started running in the 400’s week 2 and 3. On 7.0, he started running in the 300’s week 2 and 3. Please correct me if I’m wrong, but I believe daytime running in the 300’s is much better than the 400’s?
Anyway, what my curiosity is about why the drop at night vs. the day? He maintains pretty consistent numbers during the day, but the evening is a crap shot… He6’s fed the same food in the morning as in the evening, but only really drops in the evening. Yeah, it’s happened on a rare occasion in the morning, but almost predicable in the evening…
Good news is that I have a dear friend who does a lot of veterinary research and is in contact regularly with them and as she’s had a difficult diabetic dog (since passed), she feels my pain and is trying to find one willing to do a consult with me…
Wish us luck!
Donna and Max who is tired of getting poked several times a day and wants to know when it will end…

jesse girl 11-15-2021 09:32 PM

Re: Newbie needing help
 
food digestion maybe different from a meal at night compared to a meal during the morning . Some dogs do get different amounts of insulin between morning and night .

It sounds like things are improving but the lower numbers are concerning . A dose is usually based on the lowest number in a curve not the average or specific levels as low blood sugar is the most problematic

MomtoMax 11-19-2021 03:28 PM

Re: Newbie needing help
 
I just got a 634 reading from Max before dinner?? Very concerned! He's been pretty stable at 7 units and you've all thought I should lower it??
Very confused and concerned...
Donna and Max who wonders where his vet has gone...

Riliey and Mo 11-19-2021 07:50 PM

Re: Newbie needing help
 
one number doesnt mean a whole lot. did Max have anything to eat between breakfast and supper that would raise his blood sugar?

how much does Max weigh?

when was his last blood work up?

how long has he been on 7 units?

how long has he been on his new food?

is there an internal medicine vet around you?

your doing good keeping him stable.

jesse girl 11-20-2021 11:25 AM

Re: Newbie needing help
 
You can get errors on these meters on the low and high side . They are far from perfect and as long as he is not showing physical symptoms things are more than likely ok . Any time you have a number out of the ordinary retesting maybe helpful . Unless you see a change in the overall pattern over a few days to a week or symptomatic changes things are probably ok .

As far as reducing the dose do to large swings in blood sugar . If that's the norm than you do have an imbalance of some sort . Another possibility is comparing another meter to what you have . I did that with a few different human meters as thats all I used on Jesse and they were mostly at the same level overall which gave me confidence in our testing especially at the lower levels

I am not sure how consistent you are with daily routines as they do have an impact if they change . Even a small temporary change can have a short term impact
Remember one test is just one moment in time

MomtoMax 11-22-2021 04:11 PM

Re: Newbie needing help
 
Thanks for your replies!
I don’t know how many of you currently have dogs in need of veterinary care, but since Covid, vets are in short order and the lines are long. When I brought Max almost two weeks ago, I was told they no longer do dentals (he needs one), but I would be contacted by a vet that comes there to do them. Crickets since then…
In fact, I’ve requested a T3/T4 to check his Thyroid (I have had him tested for Cushings and it was negative), but I guess they don’t even have a tech available to do the blood draw as they’ve not called me back…
As far as specialist, they’re not out there… I’ve called several and have never gotten a call back – I’m on my own…
The last vet visit was her calling the shots, which to me was BS. When she found out I was feeding grain free, it was her escape route into turning the appointment into checking for heart conditions, rather than addressing his diabetes. I told her I was supplementing him with Taurine, but she didn’t even know what that was. She made me put him on Hills W/D, which has done nothing except elevate his BGs…
I fear Max will die despite my having the funds to test and treat because nobody out there is willing to take his case on…
Donna

MomtoMax 11-22-2021 04:18 PM

Re: Newbie needing help
 
I forgot to add, I test him several times a day with the Alpha track II, which I'm really questioning its accuracy...

Riliey and Mo 11-23-2021 08:12 AM

Re: Newbie needing help
 
Hi

you are doing a great job with Max. and Max is reallly tolerating getting tested and being fed new foods very well.

let us see a 12 hour curve after 7 days on the wd food and 7 units of vetinsulin insulin please. this will help us help you and Max.

it could be he needs a change in insulin to novolin nph which is more concentrated. if you decide to go this route after the curve you need different syringes and because nph is more concentrated you.ll need to drop back his 7 unit does.

we can help but we need you to post this curve after 7 days of no treats, no changes in exercise, insulin or food in order to get an accurate true reading.

i left my vet a week after diagnosis and relied on a - diabetic dog support information group- to help me change foods, insulin, almost everything. vetinsulin didnt work for Riliey nor did the food.

he went blind in 6 months while i was trying to figure all this diabetes dog.

remenber to test after feeding. if Max is under 200 test and wait till hes over 200 to avoid going too low.

at some point in our diabetic dog journey we.ve all had to fly by the seat of our pants.

all we here in the forum can do to help you ia ask questions. every dog is different.


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