How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Altman Your Own Question

Dr. Altman
Dr. Altman, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 6539
Experience:  Practicing small animal veterinarian for 15 years.
53976849
Type Your Dog Veterinary Question Here...
Dr. Altman is online now
A new question is answered every 9 seconds

Still dont know how to regulate my silky terriers insulin!!

Resolved Question:

Still don't know how to regulate my silky terrier's insulin!! Lily - 9 yrs. old/diabetic. I'm seriously ill & have no help @ home so some mornings I can't get up to keep her on schedule for her insulin. Today I couldn't get up til 1:30p - very ill. Gave her breakfast & shot (6 units Humilin) @ 2:00p. When should I feed her again & give her the shot & how much today/tonight? HELP!!! She only eats W/D in can & W/D hard food & sometimes my Vet says I can add some boiled chicken. I can tell when she isn't regulated because of course she drinks a lot of water & pees a lot! I know I need to have her blood checked during the day to see about the curves - I will call her Vet tom. but that still doesn't solve my problem of not being able to keep her on a schedule because of my illness - any suggestions???
Submitted: 11 months ago.
Category: Dog Veterinary
Expert:  Dr. Altman replied 11 months ago.

Dr. Altman :

Welcome! I am Dr. Altman, a licensed veterinarian and happy to answer your questions today.

Dr. Altman :

So sorry I cannot imagine how frustrating it must be

Dr. Altman :

I would rather err on the side of caution and give the insulin too late than too early

Dr. Altman :

So if you the last dose at 2 pm instead of giving it at midnight at a lower dose, wait until you wake up in the morning to give the 12 hour dose...even if it is 16 hours

Dr. Altman :

Being too high on glucose is much safer to give insulin than not being high enough and causing a low blood glucose level

Customer:

I'm confused because you sd. better to give insulin & be too high on glucose than causing a low blood glucose level???

Dr. Altman :

Better to wait to give insulin later

Dr. Altman :

Ideal is insulin every 12 hours

Dr. Altman :

You mentioned you gave the insulin at 2 pm so if you will not be up at 2 am it is better to wait until tomorrow morning for example six am versus midnight

Dr. Altman :

Which would only be 10 hours

Customer:

Because I've been told you shouldn't give a shot past the 12 hrs. So, that would make it 16 hrs. if I wait until 6:00am. Is that what you are telling me? Sorry......I'm very confused. I will be giving her her dinner about 7:30pm so I just don't give her the shot then & wait until 6:00am????

Dr. Altman :

It is better to give it past the 12 hours than give it at 10 hours

Dr. Altman :

Am I confusing you further?

Customer:

: It's OK to give her her dinner at 7:30pm, no shot, & then bkfst & shot @ 6:00am - is that right???

Dr. Altman :

Yes, that is perfect

Dr. Altman :

A high glucose is much much safer than a low glucose

Customer:

OK & then the next shot @ 6:00pm tom. night & start a 6:00am - 6:00pm schedule?

Dr. Altman :

Exactly

Customer:

OK........thanks...

Dr. Altman :

I apologize if I am confusing you further, it is not my intention but it sounds like you are understanding

Dr. Altman :

Can I clarify anything for you?

Customer:

It's just that all of this is new & I never know even if I stick to an exact schedule if she is OK because she still drinks a lot of water & pees a lot.

Dr. Altman :

It sounds like she is not regulated yet but you are doing the best that you can with your situation...

Dr. Altman :

How long ago was she diagnosed? Was it confirmed by a urine culture there is no uti as well?

Customer:

No UTI.......should I put her thru the blood test for the "curve"??

Dr. Altman :

Yes that is ideal to determine if her insulin needs to be increased

Customer:

OK......that's it......I'll just keep trying. I 'm sorry to be repetitive but one more time......she will be OK until 6:00am tomorrow when I give her the shot again????

Dr. Altman :

Your vet can also run what is called a fructosamine level which gives an idea of the stability of the glucose over a period of time. It isn't ideal but if a curve is not a possibility then it is an alternative

Dr. Altman :

Yes, exactly

Dr. Altman :

And if you are concerned I am here another three hours if you need to run it by me again

Customer:

No, you have been helpful......thank you.

Dr. Altman :

You are very welcome

Dr. Altman, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 6539
Experience: Practicing small animal veterinarian for 15 years.
Dr. Altman and 7 other Dog Veterinary Specialists are ready to help you
Expert:  Dr. Altman replied 11 months ago.
Hi Jackie,

I'm just following up on our conversation about Lily. How is everything going?

Dr. Altman

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete! Bev & George Boca Raton, FL
< Last | Next >
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete! Bev & George Boca Raton, FL
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Debbie

    Dog Veterinarian

    Satisfied Customers:

    902
    Companion animal veterinarian practicing for over 10 years.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DE/debkatreyn/2011-11-28_33650_682e.64x64.jpg Dr. Debbie's Avatar

    Dr. Debbie

    Dog Veterinarian

    Satisfied Customers:

    902
    Companion animal veterinarian practicing for over 10 years.
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    13796
    UC Davis graduate, emphasis in dermatology, internal medicine, pain management
  • http://ww2.justanswer.com/uploads/doggfone1/2009-07-16_133633_vet_pic.jpg Dr. Scott's Avatar

    Dr. Scott

    Veterinarian

    Satisfied Customers:

    9550
    12 years of small animal, equine and pocket pet medicine and surgery.
  • http://ww2.justanswer.com/uploads/RY/rydergar/2012-6-6_192240_IMG0328.64x64.JPG Dr. Gary's Avatar

    Dr. Gary

    Dog Veterinarian

    Satisfied Customers:

    7758
    DVM, Emergency Veterinarian, BS (Physiology)
  • http://ww2.justanswer.com/uploads/AN/andrewDVM/2012-4-27_12585_iStock000011751407XSmall.64x64.jpg Dr. Drew's Avatar

    Dr. Drew

    Dog Veterinarian

    Satisfied Customers:

    6598
    Small Animal Medicine and Surgery
  • http://ww2.justanswer.com/uploads/1I/1ISUDVM/2011-3-1_22028_Honeymoon2005075294928803490646858.64x64.jpg Dr. Bruce's Avatar

    Dr. Bruce

    Veterinarian

    Satisfied Customers:

    6377
    13 years of experience as a small animal veterinarian
  • http://ww2.justanswer.com/uploads/BI/bigislandvet/2013-2-21_214244_IMG0357.64x64.JPG Dr. Michael Salkin's Avatar

    Dr. Michael Salkin

    Big Island Vet

    Satisfied Customers:

    6049
    University of California at Davis graduate veterinarian with 41 yrs. of experience.