Dog Diabetes Symptoms Shaking

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A Dog With Diabetes: Drinking Too Much Water May Be A Sign Of Trouble

The problem with treating pets is that they can’t tell you what’s wrong which can make being a veterinarian quite tricky. For instance for the general practitioner in a busy area of town, not a week goes by where someone comes in with an animal with an old festering wound or a large relatively slow growing tumor, who says, “It just appeared yesterday”. Or owners who have no idea if their pet’s appetite or energy level are normal. Luckily for veterinarians, sometimes owners are quite observant and help draw a beeline to what’s wrong. Take for instance my visit with Mrs. Ecks and her dog Whyzee. It went something like this: I entered the room and there she was, sitting expectantly on the exam table. An 8-year old adult Chihuahua as soft as a stuffed burrito. She stood and wagged her tail at me and her whole rear-end followed. Why was she here? Vaccines? Routine geriatric exam? Heart disease? Dental Work-up? As usual, a view from across the room yielded scant clues. Luckily the record held a hint. “Urine problem,” it stated in the familiar handwriting of the hospital receptionist. Good. That narrowed it down to about twenty or thirty conditions. I was ready for more in Continue reading >>

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  1. lummel1a

    Hi! My name is Linda and my dog's name is Lucy. She has just been diagnosed with diabetes. She has had insulinoma for almost 3 years and so this is quite a turn around! At her lowest, her glucose was in the 30's. The other day when she was diagnosed as being diabetic, it was in the 700's.
    Lucy had surgery for insulinoma 2.5 years ago. It was successful (as much as can be expected -insulinoma always returns.) She did quite well without any medication for 18 months but it returned last May. She was on prednisone initially, but that had terrible side effects and did nothing for her. So we put her on this fairly new drug called palladia. It worked really well for her and brought her glucose into the normal range. For the last 8 months she's done really well.
    However in the last month or so her glucose started to climb. At first it was still in the normal range but in the last couple of weeks it really rose, and she started acting distressed, drinking more, etc. I tested her at home and last weekend she was in the 200's. On Wed. she tested "high" - which means 500 and over. The next day she went in and was diagnosed and put on 5 units of NPH insulin twice daily.
    Her glucose is still registering "high." She is still showing symptoms - drinking copious amounts of water, urinating often. She is very low in energy, perhaps depressed, and is somewhat weak (she is having trouble with the stairs.) Tonight I noticed her eyes were bloodshot. She also loves lying outside in the cold. She is eating well but doesn't seem that hungry otherwise (although prior to the insulin she was ravenous.) There has been no diarrhea or vomiting.
    I am just a little worried about the continued high glucose. I'm supposed to wait a week and do a glucose curve, but shouldn't there have been some effect from the insulin? It doesn't seem to have done anything. I hate to see her like this and although I've been told it's the long term high glucose that is dangerous, I worry that this is bad for her nonetheless. She is 14.5 years old (up until things changed a week or so ago, she had great energy, was taking semi-long walks, and seemed and acted much younger.)
    I know there is a wealth of info. on this site and I will get to work reading. (I went through all that before when she was diagnosed with insulinoma. I belong to a yahoo group for dogs with insulinoma, which has been incredible.) But in the interim, if anyone has any pearls of wisdom or advice, I would very much appreciate it!
    By the way, there is no evidence of ketones in her urine.
    Thank you!
    Linda and Lucy (14.5 years/lab mix/recently diagnosed diabetic, previously had insulinoma 2.5 years)

  2. jesse girl

    hi and welcome to you both
    dont know anything about insulinoma and how the disease progresses and can you progess back and forth through diabeties sounds like you did sse that for a period
    great you are home testing and knowing the impotance of doing curves for dose adjustments
    you may want to add some spot checks during the day at fasting (before food and shot) and maybe mid day you can correlate these numbers with the curve to give better information
    what you look for in raising the dose is just elevated blood sugar how much to raise depends on that elevation the lower the numbers come down the less you raise as you move from level to level
    if you discover you are seeing big swings in blood sugar from low to high that maybe problematic and raising the dose may not help with that and its possible there maybe an overdose situation is going on
    it does take some time there is no quick way some dogs do better than others adapting to injectable insulin this disease is so dog individualistic but you have an ace in the deck with home testing

  3. CraigM

    Welcome to you & Lucy. Sorry to hear of her problems.
    How much does she weigh? Are you feeding / injecting 12 hours apart? Consistent amount of food (many here use a food scale to be as consistent as possible). Are you giving any snacks between meals? Which of the NPH insulins are you using (Humulin-N or Novolin-N)?
    Are are certainly ahead of most of us when we started with diabetes since you are already home testing! What meter are you using?

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