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. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 30306
Experience:  University of California at Davis graduate veterinarian with 45 years of experience
Type Your Dog Veterinary Question Here...
Dr. Michael Salkin is online now
A new question is answered every 9 seconds

Vomiting and diarrhea She has well controlled Diabetes.

Customer Question

Vomiting and diarrhea She has well controlled Diabetes. Never had this problem before.
She ate her morning meal and had her insulin. If she does not eat her evening meal 1) should I give her the insulin tonight and 2) is there anything I should be giving her?
Submitted: 1 year ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 1 year ago.

My protocol is to maintain the same dose of insulin if one meal is missed, halve the dose if two meals are missed, and stop administration if three meals are missed and then consult with Meggie's vet. While vomiting and diarrhea are important symptoms they're not pathognomonic (specifically indicative) of any one particular disorder. Acute pancreatitis, however, is an important differential diagnosis in any diabetic demonstrating gastrointestinal distress. You can administer an over the counter antacid such as famotidine (Pepcid) at a dose of 0.25 mg/lb repeated in 12 hours and a "coating agent" such as PeptoBismol (bismuth subsalicylate) dosed at 0.1 - 1 mL/lb 3-4 times daily. If dosing induces more vomiting, however, it's best not to give anything more orally and consult with her vet.

Please respond with further questions or concerns if you wish.

Expert:  Dr. Michael Salkin replied 1 year ago.
Hi Maryann,
I'm just following up on our conversation about Meggie. How is everything going?
Dr. Michael Salkin