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Old 02-17-2021, 09:03 AM
RemyísMom RemyísMom is offline
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Default Remy Newly diagnosed Diabetes

I’ve been on the K9 Cushings forum as Remy was diagnosed with Cushings a year ago. Now, almost to the day he has been diagnosed with diabetes. (Blood glucose was 401 and urine 3+) In mid December his glucose was 150 which wasn’t unusual for him when stressed. He suddenly began having seizure or syncope type episodes (he’s had 3) where he falls on side, flails or twitches and then he’s up as though nothing ever happened. We also learned he has some changes to his heart along with mitral and tricuspid degeneration. And, lest we not forget, his previously controlled hypertension had shot to the moon. We were scheduled for an Internal Medicine consult at Louisiana State Univ today but it was cancelled due to the weather. We have however seen a cardiologist and neurologist and we are attempting to figure out exactly what is going on with our boy and how best to treat his various issues.
Remy is a male Bichon nearly 12 years old. He has always had elevated liver enzymes which were previously investigated by Internal Med. without an exact diagnosis but likely a form of chronic hepatitis. He has always suffered from extreme anxiety as well.
So, since I haven’t had a diabetic dog in 20+ years I am relearning many things. Back then we mostly used the urine dipsticks. We have a Freestyle Libre sensor on Remy and have the AlphaTrak 2 glucometer as well. Ive checked them against each other and so far they seem on target but I don’t know yet about higher readings since the Freestyle stops around 500. Remy is presently on 3 units Vetsulin twice a day at 10 and 10. He has always been a grazer unless we give him a wet food he really likes so we have switched to that (Nature’s recipe) to keep his meals more consistent. He eats 3x day. Fortunately Remy has been very good about the insulin injections, etc. He doesn’t bother the sensor at all. My biggest concern is the swings from as low as 60 to the upper 400s and if we can gain consistency throughout the day. Whether his episodes of falling over relate to the pituitary tumor (Cushings) or a blood glucose or blood pressure issue we just don’t know yet. Cardiologist didn’t think the heart murmurs were enough to cause this, but he did suggest possibly doing an assessment with a holter monitor for 24 hrs if no other cause can be determined.
We have one other dog, Angel, a toy poodle is nearly 16 and she has had transitional cell carcinoma for two years (bladder cancer). We are running out of options for treatment as she also has high liver enzymes and the medications eventually effect her bone marrow. So far she is not clinical but I know that will change if we can’t find another treatment she can tolerate. Two years with TCC is really miraculous, especially since she has always seemed to feel very well and has a high quality of life. Also, has anyone used the Sun Tech Vet blood pressure monitors. We just sprung for one and are also learning how to best use it, cuff placement etc. so we can measure both dog’s BP at home when they are calm. I’m reading all the wonderful information here and appreciate any comments as there is nothing like learning from those who have ‘been there’!! Thanks to all, Claire (Remy and Angel’s mom)

Last edited by RemyísMom; 02-17-2021 at 09:04 AM. Reason: Misspelled word
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Old 02-17-2021, 09:59 AM
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jesse girl jesse girl is offline
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Default Re: Remy Newly diagnosed Diabetes

Hi and welcome My jesse is well past 16 and close to her 11 year being diabetic
She also has been epileptic for her entire life and was never put on medication for that . The episodes do sound like seizures and that will spike blood sugar from what I have seen . Cushing may make it more difficult to gain good control and with the other challenges consistency may not be in the cards but that ok dogs can do well without great control .

Jesse had anxiety especially loud noises than could lead to a seizure but that seemed to go in remission about 4 years back maybe do to her hearing fading . I believe the anxiety of loud noises was part of the epilepsy

I have taken a different approach that you with less veterinary care and letting her just live her life . Some years back I had a talk with jesse that we would not do any major medical procedure to try to extend life as what we did early in her life with diabetes was quite extreme with not allot of hope but she pulled through . She was young and I thought it was worth giving it a
go

Its nice to know the libre compared well to the pet meter . Have not heard a comparison between the 2 . I have used a discount human meter on jesse for her entire diabetic life and has done the job

Sounds like your off to a good start and prepared to move forward in managing the disease at home which is helpful . Just dont react to individual numbers and be more aware with overall patterns .
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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 .

Last edited by jesse girl; 02-17-2021 at 10:02 AM.
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Old 02-17-2021, 11:43 AM
RemyísMom RemyísMom is offline
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Default Re: Remy Newly diagnosed Diabetes

WOW, 11 years is amazing!! Youíve obviously done a fantastic job keeping Jesse stable and happy. Fortunately except for these three little episodes and the week we knew something was wrong as he was drinking like crazy and peeing in his sleep which he had never done before, he hasnít acted sick or miserable in the least. Remy was a back yard breeders dog and never socialized. He tends to be afraid of everything....the trash cans on the sidewalk before garbage day, an acorn falls from a tree,car door slams somewhere, a bird hops by. Itís all scary to him. His Cushings has stayed well controlled. We just went up from the original dose a few weeks ago. We were due to go back for a 30 day ACTH retest when he started panting more, drinking and peeing. I thought perhaps we would need to bump up the Vetoryl but the Cushings was fine. It was his glucose that had suddenly shot up. Trying to learn at what point has he gone too low or is he too high? How much food should he have and when? I have so much to relearn and to get up to speed on how things are done now compared to years ago. Big round of applause for the great job you have done keeping your baby happy!!
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Old 02-17-2021, 12:43 PM
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jesse girl jesse girl is offline
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Default Re: Remy Newly diagnosed Diabetes

Jesse's good living was probably the largest factor . Jesse came from a breeder also . Losing hearing may have been a blessing in disguise . If she cant hear it she is not scared . I did acclimate her with fireworks sounds on youtube for the 4th of july which was helpful during that time. As with you and your pup you probably dont enjoy that holiday very much . Not a problem for jesse anymore

It sounds like your up to the challenge and will do well for your pup . Just remember there will be ups and downs
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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 .
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Old 02-17-2021, 04:48 PM
VaHoo1 VaHoo1 is offline
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Default Re: Remy Newly diagnosed Diabetes

I know a bit off topic but amazing how some dogs are such ďwimpsĒ when it comes to sounds ..I say that jokingly. My dog is the opposite. When we have thunderstorms, she runs to the front door so we can go sit on the porch and watch them. Itís hilarious. She also loves to watch fireworks. My motherís dog s the opposite, if you clap, her dog shakes and hides
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Old 02-17-2021, 09:42 PM
RemyísMom RemyísMom is offline
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Default Re: Remy Newly diagnosed Diabetes

The funny thing is he doesnít mind fireworks. If heís in the house heís OK. But if heís outside heís afraid of everything. After five years heís finally fairly comfortable in the back yard but take him out front on his leash and itís a different story. Heís especially afraid of women. He adores my husband but me, he could care less about. LOL
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Old 02-18-2021, 03:30 PM
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Riliey and Mo Riliey and Mo is offline
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Default Re: Remy Newly diagnosed Diabetes

hi Claire and Remi

just givng some info about the sensor.
libre sensor reads blood in the fluid whereas the glucose handheld meter reads blood.
the Freestyle Libre handheld meter reads lower than low and higher than high on a dog meter.
the libre sensor reads hi when it really isnt.
so its not that reliablle and am glad you are testing with the alphatrack meter.
especially do curves with the alphatrack meter and double check the libre readings with handheld meter.
glad you found us
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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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Old 02-18-2021, 05:09 PM
RemyísMom RemyísMom is offline
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Default Re: Remy Newly diagnosed Diabetes

I very much appreciate the information. Iím feeling my way around the AlphaTrak. Worst problem is getting enough of a blood sample. He tends to be so afraid of everything I donít want to hurt him and the lancet hasnít worked very well for us. OTOH, I donít trust the Freestyle Libre since it isnít calibrated for dogs. I would like to schedule an appointment with one of the vet techs to go over getting a good sample for the Alpha Trak and making sure of the proper placement of the BP Cuff for taking his blood pressure. If we can do those things competently I will feel much better about the accuracy of the test results. Getting readings at home where Remy is calm will help us to improve our plan of care. Tomorrow we have our consultation with Internal Medicine at LSU. Hoping to get some answers so we can better help our boy!!
Thank you so much for the information. The Freestyle is great but, within limits apparently.
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Old 02-18-2021, 05:25 PM
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Judi Judi is offline
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Default Re: Remy Newly diagnosed Diabetes

getting blood was hard for me. The vet techs I helped weren't much help either because they are used to drawing blood at the office, they don't always use the lancets like we do.

Hopefully you will get some good help. Otherwise there are some good tips on here.

Judi
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Jenny: 6/6/2000 - 11/10/2014 She lived with diabetes and cushings for 3 1/2 years. She was one of a kind and we miss her.
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Old 02-19-2021, 07:17 AM
RemyísMom RemyísMom is offline
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Default Re: Remy Newly diagnosed Diabetes

I was going to bring in my equipment and see if they could help me. Iíve had better luck just using a small gauge hypodermic needle. Just have to be careful not to poke too deep. So far with the lancet I havenít had much luck. Youíre right though, they are used to veinipuncture blood draws. Hopefully I can get it right.
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