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My 13 year old diabetic samoed husky hasn't eaten all day,

Customer Question
My 13 year old...

My 13 year old diabetic samoed husky hasn't eaten all day, is drinking excessive amounts of water, pacing, trying to have a bowel movement and vomiting water

Veterinarian's Assistant: Thanks. Can you give me any more details about your issue?

He's on 18cc of vetsulin twice a day and is on high protein diet but hasn't eaten all day. Now has missed 2 meals and two insulin doses. Seems very lethargic too

Submitted: 2 years ago.Category: Dog Veterinary
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Answered in 54 minutes by:
2/26/2016
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 33,761
Experience: University of California at Davis graduate veterinarian with 45 years of experience
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I'm sorry to hear of this with your 13 year old. Ideally, he should be hospitalized on IV fluids and injectable antiemetic and antacid therapy. His blood glucose needs to be assessed to better understand how much insulin he currently needs. It's nigh impossible to medicate such a patient at home if only because he's been vomiting and likely to vomit anything you give him orally. Please note that the standard of care is to continue the same dose of insulin when one meal is missed, halve the insulin dose when two meals are missed, and stop dosing with insulin when three meals are missed. At 13 years of age there are too many possible causes of his inappetence to list in this venue but acute pancreatitis must top my differential list in any diabetic because his pancreas is already compromised and causing his diabetes.

He's likely to be quite hyperglycemic at this time as evidenced by his drinking excessive amounts of water. His polydipsia (increased thirst) is exacerbated by his fluid loss through his vomiting. - hence the need for intravenous replacement fluids and electrolytes. Please respond with further questions or concerns if you wish.

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Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago
Hi,
I'm just following up on our conversation about your pet. How is everything going?
Dr. Michael Salkin
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Dr. Michael Salkin
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
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Experience: University of California at Davis graduate veterinarian with 45 years of experience

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