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  #161  
Old 08-05-2021, 04:00 PM
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Default hind leg weakness

hey everyone, haven't been on in a while, I miss it, hope you all are doing well, and well with your pups.
For a few weeks Riley's sugar has been high in the mornings. That usually happens with a new vial, seems to cause rebounds overnite. However, it carried on for 3 weeks, then as the vial got old, sugar improved, with a pinch extra insulin in his supper dose.
He may just need a slight increase.
But, he seems to sometimes struggle with stairs, but still jumps on the couch, long walks, etc.
Could his run of high sugars have caused weakness in his hind end? And what is that specific B12 that dogs get.
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Riley, 8 yr. old maltipoo, 25 lbs., diagnosed Feb 2017, taking thyroid meds, had pancreatitis and DKA mid March, eating Wellness Senior formula can food. NPH dosage now at 9.0 units Humulin N. Adding either pumpkin, spinach, blueberries, yams, or green beans to his food. Also omega-3 oil.
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  #162  
Old 08-06-2021, 01:49 PM
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Default Re: hind leg weakness

Ray its Methyl b12

have you done a recent curve to see if he needs a change in insulin or could be an adjustment in food needed and check his weight
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Riliey . aka Ralphy, Alice, Big Boy
20 lb male. 5 1/2 nph insulin. 1/2 cup fromms. black cockapoo, dx Apr 2012 . 5 1\2 yrs diabetic. 2000 to 2017
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  #163  
Old 08-19-2021, 03:20 PM
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Default Re: hind leg weakness

Dogs usually have to have sustained high blood sugar for a while to suffer from neuropathy. BUT, if they are having issues with nerve transmission across the spine already, moderately high blood sugar can lead to neuropathy as well.

Do you have access to a veterinary neurologist?

They are the BEST route for sorting out these kinds of issues. GP vets generally have limited knowledge of precise tests and responses used to diagnose neuropathy and other nerve issues.

At one point, Chris had what looked like vestibular disorder. An exceptionally good vet tested him in person (can't be done over the phone) and some symptoms fit vestibular, some didn't, so he sent us to a neurologist. It cleared up within a few hours and the neurologist believed it was a transient clot.

Veterinary neurologists use specific sets of tests to determine where the weakness is coming from.

Could be it's arthritis. Certainly worth testing his proprioception - that's a basic test related to identifying neuropathy. Has to be done correctly.

https://www.vetfolio.com/learn/article/proprioception

https://www.dvm360.com/view/causes-a...gs-proceedings

Natalie
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  #164  
Old 04-02-2022, 04:23 AM
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Default Re: hind leg weakness

the leg thing cleared up. Things were good until December then his fastings started to be a bit higher. Proceeded to get worse and Up to now it hasn't improved; so 3 months of poor control and a weird curve pattern sometimes. High when he should be low, things like that. Just had blood and urine one, all clear.
Did an overnite curve last nite, not good. He had a good supper fasting to start, went up a few points as normal after eating, but stayed high.
Yesterday his morning fast was high, slightly increased his dose, and all was good by supper time.
Seems like a dose increase is in order, but he can have good sugar around nadir time, and before supper, but not overnite. I am puzzled.
UPDATE: I'm thinking gum disease; his back teeth are brown, his breath has been getting worse, slight jaw chatter lately. And we know periodontal disease causes insulin resistance. Only problem now is to increase his dose to try and stabilize his sugar to reduce anesthesia risk, if needed. He's almost 12, 5 years diabetic already, but I'll let the dental specialist weigh the risks.
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Riley, 8 yr. old maltipoo, 25 lbs., diagnosed Feb 2017, taking thyroid meds, had pancreatitis and DKA mid March, eating Wellness Senior formula can food. NPH dosage now at 9.0 units Humulin N. Adding either pumpkin, spinach, blueberries, yams, or green beans to his food. Also omega-3 oil.

Last edited by Raysaint; 04-02-2022 at 11:24 AM.
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  #165  
Old 04-02-2022, 01:57 PM
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Default Re: hind leg weakness

My 90 year old mom had dental work done and she took it hard and passed a month later . Now I can't say that was the reason for her passing but it may show how any procedure is hard on the elderly . I think bloodsugar can gain adequate control in most situations . Of course that maybe straying away from the 12/12 routine . You can post some recent curves and combination of numbers you are getting.
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Jesse-26 lbs - 16.5 years old ,11 years diabetic, one meal a day homemade and a vitabone snack . 3 shots of Novolin( under the Relion name ) a day . Total insulin for a 24 hour period is 6.5 units of NPH insulin .
Jesse earned her wings on 6/21/2021
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  #166  
Old 04-03-2022, 06:18 AM
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Default Re: hind leg weakness

During the day, up to supper, i can get his sugar down to a respectable level. But then overnite, seems like the insulin doesn't do anything. He starts off good at supper, has a normal rise after eating (bedtime), but then continues to rise with no drop; virtually no nadir, no bowl shape at all. So hence, he's high at breakfast.

I've slightly increased his dose, trying to stay consistent, but the curve shape is so different during the day vs overnight.
That's typical with periodontal issues, from what I've read. Insulin resistance. Which might make it hard to find a safe dose increase, because resistance will be different every day I suspect.

And a new thing, not sure if it's related, last 2 days he's been very mopey, doesn't raise his head up, keeps it level with his shoulders/back and looks up at me with just his eyes. And he's reluctant to go up or down steps. Pain? and from what?
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Riley, 8 yr. old maltipoo, 25 lbs., diagnosed Feb 2017, taking thyroid meds, had pancreatitis and DKA mid March, eating Wellness Senior formula can food. NPH dosage now at 9.0 units Humulin N. Adding either pumpkin, spinach, blueberries, yams, or green beans to his food. Also omega-3 oil.
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  #167  
Old 04-03-2022, 11:11 AM
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Default Re: hind leg weakness

hey Ray, oh happy spring

i had Riles teeth cleaned at 15. i got a bad smell from his mouth and tooth discoloured but thought it was his dry dog food.

he did have teeth removed as they were causing an infection and took antibiotics and pain killers for abit afterwards.

mo
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20 lb male. 5 1/2 nph insulin. 1/2 cup fromms. black cockapoo, dx Apr 2012 . 5 1\2 yrs diabetic. 2000 to 2017
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  #168  
Old 04-03-2022, 03:51 PM
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Default Re: hind leg weakness

Placing importance on the shape of a curve and nadir is not really important in k9 diabeties . The lowest number can be at the 12 hour mark before food and insulin and it can be the high point .

From what I determined with my Jesse is is she started higher she ended lower and if lower it was higher which to me made sense . If insulin had more sugar to work with it would remove the excess amount of less it may utilize stored sugar to keep from going to low . The body has to work with what it's got

We don't know the levels your talking about . High for one maybe normal for another . Numbers in the 400s or higher may not feel good . Big swings in sugar of 200 points or more may not feel good

You have to figure what you want to do . You can give a fast acting insulin as a temporary action if available to you to buy time on your decision . Which seems like 2 choices . Have the dental work done and see if you have improvement or try to regulate with your present situation

Have you tested for ketones .How is appetite and stools ?
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Jesse-26 lbs - 16.5 years old ,11 years diabetic, one meal a day homemade and a vitabone snack . 3 shots of Novolin( under the Relion name ) a day . Total insulin for a 24 hour period is 6.5 units of NPH insulin .
Jesse earned her wings on 6/21/2021
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