Welcome! I am Dr. Altman, a licensed veterinarian and happy to answer your questions today.
So sorry I cannot imagine how frustrating it must be
I would rather err on the side of caution and give the insulin too late than too early
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
Being too high on glucose is much safer to give insulin than not being high enough and causing a low blood glucose level
I'm confused because you sd. better to give insulin & be too high on glucose than causing a low blood glucose level???
Better to wait to give insulin later
Ideal is insulin every 12 hours
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
Which would only be 10 hours
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????
It is better to give it past the 12 hours than give it at 10 hours
Am I confusing you further?
: It's OK to give her her dinner at 7:30pm, no shot, & then bkfst & shot @ 6:00am - is that right???
Yes, that is perfect
A high glucose is much much safer than a low glucose
OK & then the next shot @ 6:00pm tom. night & start a 6:00am - 6:00pm schedule?
I apologize if I am confusing you further, it is not my intention but it sounds like you are understanding
Can I clarify anything for you?
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.
It sounds like she is not regulated yet but you are doing the best that you can with your situation...
How long ago was she diagnosed? Was it confirmed by a urine culture there is no uti as well?
No UTI.......should I put her thru the blood test for the "curve"??
Yes that is ideal to determine if her insulin needs to be increased
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????
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
And if you are concerned I am here another three hours if you need to run it by me again
No, you have been helpful......thank you.
You are very welcome