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Dr. Altman
Dr. Altman, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 12456
Experience:  Practicing small animal veterinarian for 17 years.
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Still dont know how to regulate my silky terriers insulin!!

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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???

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 and other Dog Veterinary Specialists are ready to help you
Hi Jackie,

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

Dr. Altman