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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 24422
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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10 year old Catahoula spayed female, diagnosed 9 days ago

Customer Question

Customer: ***** *****. 10 year old Catahoula spayed female, diagnosed 9 days ago with diabetes. Had issues with her as a pup with pigs ears (made her sick); have limited all pork products since. Current weight 44 #. Refused to eat yesterday AM (strange for her) but did drink (a lot), ate a little at noon, and ate again at 1700. Had 2 ea 10 unit shots of Vetsulin (porcine) yesterday. Vomited yesterdays last meal at 0945, yellowish with chunks. Ate chicken strips (treats) at 1200. Vomited again at 1800 (all chunks). Acting strange (laying outside, in snow), not drinking. Vet (Friday) suggested that she have injections even if she did not eat. Suggestions?
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Customer: See above.
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Submitted: 11 months ago.
Category: Dog Veterinary
Customer: replied 11 months ago.
Customer: ***** *****. 10 year old Catahoula spayed female, diagnosed 9 days ago with diabetes. Had issues with her as a pup with pigs ears (made her sick); have limited all pork products since. Current weight 44 #. Refused to eat yesterday AM (strange for her) but did drink (a lot), ate a littleat noon, and ate again at 1700. Had 2 ea 10 unit shots of Vetsulin (porcine) yesterday. Vomited yesterdays last meal at 0945, yellowish with chunks. Ate chicken strips (treats) at 1200. Vomited again at 1800 (all chunks). Acting strange (laying outside, in snow), not drinking. Vet (Friday) suggested that she have injections even if she did not eat. Suggestions? (Am going to presume that the 8 minute wait is out, since it has now been more than 60 minutes. Did all that was asked of me...if you have no answer, just say so...)
Expert:  Dr. Michael Salkin replied 11 months ago.

I'm sorry that your question wasn't answered in a timely manner. When my diabetic dog patient misses one meal, I continue the same dose of insulin. If two consecutive meals are missed, I halve the dose; if three consecutive meals are missed, I stop dosing. The cause of her vomiting needs to be clarified and treated because if she can't retain food, her blood glucose will drop and managing her diabetes at home will become impossible. It's best to hospitalize these patients in a 24 hour setting as critical care patients. Pancreatitis is always a concern in vomiting diabetics because a sick pancreas is the cause of her diabetes. There are too many causes of vomiting to list in this venue, however; hence, the need for a vet to perform diagnostics in the form of blood and urine tests +/- abdominal X-rays or ultrasound in an attempt to clarify why she's vomiting. Please give me an update on her and let me know if she's already been attended to.

Customer: replied 11 months ago.
Thank you, Doctor. The next morning, I took her to her regular vet, where she was administered an anti-nausia med. (She has been seen twice a week since then) Suspected issues - diabetes, and cushings disease. She has eaten lightly over the last week, (lost 2# *****) drinking heavily (not dehydrated); yesterday, she ate well (2 meals, one late after her vet appointment), yet vomited (bile, yellowish) within 10 minutes after drinking and of having her second insulin shot in the evening. No vomiting had occurred between my first contact until last evening. Insulin changed at my request - went from Vetsulin (porcine) to Novolin N.
Expert:  Dr. Michael Salkin replied 11 months ago.

Thank you for the update. Cushingoid dogs will eat you out of house and home unless there's a concomitant disorder that causes inappetence. Let's see how the Novolin affects her. How many units of Novolin are you giving her?

Customer: replied 11 months ago.
Overview - initial with Vetsulin went from 10 units 2x to 13 units to 16 units. Novolin is at 20 units, 2x.
Expert:  Dr. Michael Salkin replied 11 months ago.

Initial dosing with Novolin is usually 0.25 units/lb twice daily or 10 units twice daily for her. Considering her previous requirement of the Vetsulin 20 units makes sense, however, but I'd be more comfortable knowing what her blood glucoses are doing 5 days after initiating the new insulin.