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  #1  
Old 11-23-2009, 06:17 AM
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bgdavis bgdavis is offline
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Default Web Conference: Vetsulin Update (Tues Nov 24, 2009)

Some of you might be interested in sitting in on this.

http://www.aahanet.org/education/wc_vetsulinupdate.aspx

Web Conference: Vetsulin Update: Insulin Transitioning for Diabetic Patients

Tuesday, November 24, 2009
11am Pacific, 12pm Mountain, 1pm Central, 2pm Eastern

Web Conference Description:
This live 60-minute web conference will cover the most asked questions
stemming from the recent FDA alert, including:

What should we do now?
What are the other insulin choices?
How do we switch patients to other types of insulin?

Speakers:
Audrey Karen Cook and Richard Nelson


Bonnie and Angel Criss

Last edited by bgdavis; 11-23-2009 at 06:22 AM.
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  #2  
Old 11-23-2009, 08:16 AM
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Default Re: Web Conference: Vetsulin Update (Tues Nov 24, 2009)

Thanks Bonnie! I will try to logon... I wonder if they will provide a transcript?
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  #3  
Old 11-24-2009, 01:13 PM
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Default Re: Web Conference: Vetsulin Update (Tues Nov 24, 2009)

I just finished listening to the web conference on changing insulins. Most of it was about what I expected and what we have talked about here.

Dr. Nelson addressed dogs and his feeling was that NPH is readily available, has a similar duration and action as Vetsulin, and has decades of successful use so it makes sense for that to be the insulin to switch to.

He does not recommend switching if your dog is doing really really well on Vetsulin, at least until lack of supply makes it necessary if it comes to that.

He has not had much success with either Lantus or Detemir but he also makes note that he doesn't see dogs who are just starting insulin. He only sees dogs who are having problems so that may skew his results.

He said he has sometimes had success using Detemir in combination with Regular insulin as the response to the Detemir was apparently a pretty flat basal type response. But he says he doesn't like having to use two insulins at the same time because it decreases owners' willingness to keep up the treatment.

His goal for a well regulated dog is blood sugar mostly between 80 and 300 with an average for the day of 250 or less.

His recommendation for a starting dose when switching to NPH is to cut the dose "a few units" - from the examples he gave, he would reduce the dose about 20%, for all the reasons we have discussed... the insulin action may be different so best to start on the low end and work up.

One interesting new insulin is the new PZI - ProZinc.

The old PZI was not recommended for dogs because it contained mostly beef-derived insulin and generated a lot of resistance in dogs. That insulin is being discontinued and ProZinc is just being released. It is human-type insulin, like NPH and Lantus.

It remains to be seen how dogs will do on it. Generally, if the insulin action is slowed down too much, dogs haven't gotten a very good response. Ultralente was another long-acting insulin that, used by itself, generally did not work well. So it's hard to say if PZI, now that it's human insulin, which usually works well with dogs, will have a good effect in the protamine zinc formulation.

Natalie
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Old 11-24-2009, 06:19 PM
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Default Re: Web Conference: Vetsulin Update (Tues Nov 24, 2009)

Great!!! Sounds like we are all on track here. Thanks for listening Natalie. I got tied up and couldn't jump on.
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Old 11-25-2009, 06:04 AM
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Default Re: Web Conference: Vetsulin Update (Tues Nov 24, 2009)

Thanks for sitting in on it Natalie. I had a deadline at work before Thanksgiving and couldn't be on the web.

Bonnie and Angel Criss
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  #6  
Old 11-25-2009, 08:10 AM
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Default Re: Web Conference: Vetsulin Update (Tues Nov 24, 2009)

Thanks for the summary Natalie! I was traveling back from Arizona and couldn't attend.

Tami (and Soapher)
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Soaphie = 15 yr old Border/Berner mix dx 07/08. ~8.25 units a.m./p.m. vetsulin, blind/deaf. Ultra Senior, Vital Beef/Bison, Brown Rice and lots of loving. Soaphie passed on October 29, 2015. Sydney = 14.5 yr old Aussie/Shar Pei mix dx 11/10. NPH-varies w/ predinisone a.m./p.m., blind/deaf. Sydney passed on June 3, 2014.
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Old 11-25-2009, 11:37 PM
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Default Re: Web Conference: Vetsulin Update (Tues Nov 24, 2009)

Quote:
Originally Posted by k9diabetes View Post
Thanks Bonnie! I will try to logon... I wonder if they will provide a transcript?
On the webpage (same link as Bonnie gave above) it now says
Quote:
Archive will be available December 1, 2009
So maybe they will be providing some sort of transcript?

http://www.aahanet.org/education/wc_vetsulinupdate.aspx
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  #8  
Old 11-29-2009, 10:47 AM
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Default Re: Web Conference: Vetsulin Update (Tues Nov 24, 2009)

Hi,

I'm bumping this up for new users. Also, I moved the conversation about Tami's new job and Ironman knockout (Congrats Tami!!!) to a thread under Everything Else just to keep this thread on the original topic.

Natalie
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