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Old 03-25-2012, 06:18 PM
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Geoff Geoff is offline
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Default Bailey got his wings... June 26, 2014

Hello, I have a problem whereby neither my vets blood glucose metre or my blood glucose metre can read my dogs blood. My dog was diagnosed with diabetes in December last year. The vet said they tried the machine (handheld accu-chek) and it did not work. They went and bought another tester with the same results. They have to use the lab machine to obtain results. I thought this was weird so I bought a accu-chek perfoma last Friday and tested it on myself and my wife with results as expected. I tried my dog, with a drop of blood from his upper lip and it returned a E1, E5 and E6 error (we tried this 4 times!) it appears the vets hand-held and my hand-held meter do not work on my dogs blood. The vet advises me that it DOES work on other dogs!

Now, my dog has had epilepsy (he is 9.5 years old now) since he was around 2. To treat this he is on phenobarbitone and Potassium Bromide tablets twice a day. My vet seems to think this could be interfering with his reading via the hand-held meter. But, it does work on other dogs. So, I am left without really knowing how my dogs curve is going in the evening or away from the vet. His last reading was: (in mmol/l)

37.6 8:30am
15.59 at 10:30am
10.64 at 12:30pm
8.3 at 14:30
13.5 at 16:30

I am now feeding him every 12 hours, prior to that it was approx 8am then approx 6:30pm (food then insulin) I am now feeding approx 8am and approx 8pm (+- 10mins or so) He has also recently been diagnosed with cushings disease but he is only borderline. He is also on pred forte for his cataracts and there is a chance he will lose his eyes. He also has pancreatitis! My little dog has it all!

My question is WHY is the hand held device not reading my dogs blood? Is it the accu-chek so human calibrated it will simply not register? I am going to borrow another brand to try that but I am at a loss since it SHOULD be reading blood glucose in the blood!!

Any advice or help would be appreciated if anyone know why this could be happening, it is weird.

Thanks,

Geoff
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Old 03-25-2012, 07:25 PM
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BestBuddy BestBuddy is offline
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Default Re: Geoff: A question about meter problem

Hi Geoff,

Welcome from another Aussie. It is really strange that you are not able to get results with a meter. I have never heard or come across this but there is always a first time.

I used a very basic human meter and always got results with it. It was a Medisense Optium. Have you any diabetic friends that have different meters that you could test on your dog?

Jenny
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Old 03-25-2012, 07:29 PM
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Geoff Geoff is offline
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Default Re: Geoff: A question about meter problem

Hello Jenny, yes it is very weird, he must be from Krypton or something! I do indeed have a friend who sits opposite me who is diabetic and he will bring in an older meter for me to try. Hopefully this gives results. I would like to progress the curve beyond the vets 4:30 reading, this whole experience is very frustrating and sad, that said he is doing very well and is perky.
Geoff
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Old 03-25-2012, 10:09 PM
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k9diabetes k9diabetes is offline
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Default Re: Geoff: A question about meter problem

I know seizure meds can affect blood sugar levels... a little searching found the following:

http://www.medscape.com/viewarticle/412368

This brief response suggests contacting the meter manufacturer for information on whether a medication might interfere.

http://ajcp.ascpjournals.org/content/113/1/75.full.pdf

This is a very interesting article. May not answer the question on your particular issue but it describes the chemical nature of the various meters, which I have always assumed determines why some meters work better generally on canine blood than others.

There certainly could be a connection between the particular chemical process used by a meter and a particular drug.

Does a recent blood panel show that overall his blood panel is pretty normal - not anemic or other problems with the blood itself?

Natalie
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Old 03-25-2012, 10:09 PM
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Default Re: Geoff: A question about meter problem

Hi Geoff and welcome to you.
It is interesting that your dog's blood seems to error on the AccuChek meters. I'm not aware of any ingredients in the meds you listed interfering.

This is reaching a bit, but I can tell you test strips use different technology. The AccuChek uses the GDH-PQQ technology which can't distinguish between glucose and other sugars that can be present in some meds. But you would still get a reading, just perhaps higher than actual. There was a discussion about it in this thread a while back http://www.k9diabetes.com/forum/showthread.php?t=1832

You could certainly try one that works off the Glucose Oxidase (GOD) technology, like a OneTouch Ultra or NovaMax meter, to see if you can get a reading off of one of them.

When he's had his blood drawn, is the blood lipemic (where there's more fatty substances in the blood)? That might possibly contribute.

37.6 8:30am (677 mg/dL)
15.59 at 10:30am
(281)
10.64 at 12:30pm (192)
8.3 at 14:30 (149)
13.5 at 16:30 (243)

Geoff, what is your dog currently eating?

The range of high to low readings is quite wide. It looks like he needs something added to prevent the steep drop from occurring. Either that or there may be some rebound happening if his dose is too high.

Is he on Caninsulin or NPH?
What time does he receive his pred drops? The pred forte can raise blood sugar, just something to be aware of in using it.

Again, good to have you here.
Patty
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Old 03-25-2012, 10:11 PM
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Patty Patty is offline
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Default Re: Geoff: A question about meter problem

I got pulled away from the computer while posting and just saw Natalie's response. That's a good idea to call the manufacturer to see if his meds might interfere with their particular meter.
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Old 03-26-2012, 12:31 AM
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CarolW CarolW is offline
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Arrow Re: Geoff: A question about meter problem

Geoff - I'm watching with great interest. I hope you can find a meter that does give you readings for your dog.

Hope you can answer the questions asked!

I'll be here, cheering you on!
Mon, 26 Mar 2012 00:31:29 (PDT)

A Big, Fat, Welcome to you and your dog to this finest of forums on canine diabetes!
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Old 10-09-2012, 03:31 PM
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Geoff Geoff is offline
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Default Regulating Bailey

Hello all. I thought I would start a new thread for Bailey on how to better regulate his BC levels. His latest curve was:

Date Time mmol comments mg/dl
8-Oct 8:09am 15.3 Fasting 275.4
8-Oct 9:13am 24.5 441
8-Oct 12:51am 18.4 331.2
8-Oct 2:00pm 15.3 275.4
8-Oct 4:17pm 9.7 174.6
8-Oct 5:18pm 9.6 172.8
8-Oct 7:11pm 12.8 230.4
8-Oct 8:01pm 18.8 Fasting 338.4

I have tried some different food but that did not help but in fact made it worse. I have read on here about people using R to assist in bringing down the quick spike after food and was wondering would this suit Bailey?

Geoff

Last edited by Geoff; 10-09-2012 at 03:34 PM.
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Old 10-09-2012, 03:54 PM
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jesse girl jesse girl is offline
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Default Re: Regulating Bailey

you can use r and bailey is appropriate with that big jump after fasting

you may have to reduce the insulin bailyes on now so the drop that is occurring which is quite large will be reduced

kind of like baking a cake you may have to add a bit of r to reduce the spike but may have to reduce baileys everyday insulin to reduce the later drop

if you do want to use it go slow i dont know how much insulin bailey is getting my jesse gets a half unit or less of r with maybe 4 units of nph

if fasting is lower to start i will not use it at all its what we use to adjust depending on her fasting
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Old 10-09-2012, 04:14 PM
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Geoff Geoff is offline
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Default Re: Regulating Bailey

Hello, sorry, Bailey is on 12 units (twice a day at meals 8am & 8pm) of Protaphane (Australia) which is the intermediate one I believe. I think I'll have to consult the vet in any case as I can't get that over the counter here (doubtful anyhow) I assume we're talking about "Humulin R" Could be a different name in US than Australia?

Last edited by Geoff; 10-09-2012 at 04:23 PM.
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