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How Much Insulin To Kill A Dog

Alleged

Alleged "inhumane" Euthanasia Via Insulin Overdose - Florida Vet Jay Butan Of Lake Worth -- "marley" Of "marley And Me's" Former Vet

"Marley and Me" is all the rage, but in some circles, it's sparking debate (because bloat, the condition for which Marley's owner had him euthanized, is TREATABLE in most cases and because their dealings with Marley's supposedly bad behavior, in the view of many, leave something to be desired). In Grogan's book, he apparently calls Butan, Marley's first vet, "the doctor of our dreams." Well, it seems that for at least one cat, and for a former colleague, Butan was the vet of their NIGHTMARES. "Marley's" first vet, Jay Butan, may not be such a great guy after all, no matter what author John Grogan says. As some readers may know, my own beloved Toonces was given an insulin overdose at his vets. I saw some of the aftermath of that insulin overdose, and it was horrible and heartbreaking -- nothing you would ever want to see a pet go through. Therefore, when I read about Florida Vet Jay Butan, I became convinced that he is a MONSTER right up there with the likes of Bill Baber. Let me describe to you what happens when an animal receives an insulin overdose -- before it dies, if it dies. First, the animal would experience: ". . . headache, irregular heartbeat, increased heart rate or pulse, sweating, tremor, nausea, increased hunger and anxiety . . ." With a massive overdose, this would progress to severe effects on the central nervous system, including hypokalemia, hypophospatemia, hypomagnesia, and hypothermia. As the brain is deprived of glucose it needs to function, the animal will experience seizures and coma. Death will not come quickly, easily, or even surely. However, "massive necrosis," to quote my Toonces' neurologist, may result. That means death of brain tissue. Does this sound like a humane method of trying to kill -- or euphemistically, "euthanize" -- a pet to yo Continue reading >>

Xylitol, The Deadly Sweetener Capable Of Killing Your Pet

Xylitol, The Deadly Sweetener Capable Of Killing Your Pet

Sickeningly Sweet Within 15 minutes it can cause a dangerous drop in blood sugar, within 30 minutes it can cause seizures, within 24 hours it can cause severe liver damage, and without emergency veterinary care, irreversible brain trauma occurs and the patient dies, so deadly a couple of sticks of it can kill a small dog. What is this deadly poison? Gum. Not just ordinary gum, but sugarless gum – the kind made with Xylitol. Imagine coming home to finding your pooch on the floor, unresponsive or having a seizure. You notice he got into your sugarless gum. Big deal right? No red flags go up until the vet tells you that $1 pack of gum is going to cost you $7,000 in emergency veterinary services. That is what can happen to pet parents unaware of the danger lurking in that innocent looking pack of sugarless gum. It is so deadly that within 30 minutes a dog can die from insulin shock, if that doesn’t kill him liver failure will probably do it. If you are fortunate enough to reach a vet in time, some dogs can be saved. Statistically though, the odds are not good. If the dog survives the poisoning, the damage done to the liver often can significantly shorten their life expectancy. Epidemic Proportions Xylitol first gained widespread attention in vet circles in 2005, when the first documented cases of poisonings jumped from 70 cases in 2004 to 170 cases in 2005. At that time, xylitol products were relatively new to the United States marketplace, but with the increase in availability and the number of other products containing xylitol, poisonings have increased significantly since that time. In 2007, when the ASPCA Poison Control Center began to tally cases involving xylitol, that year the center fielded 1,764 calls. In 2011, the call volume reached 3,045, an increase of 73 p Continue reading >>

Ask D'mine: A Killing Dose Of Insulin

Ask D'mine: A Killing Dose Of Insulin

Hey, All: if you've got questions about life with diabetes, then you've come to the right place! That would be our weekly diabetes advice column, Ask D'Mine, hosted by veteran type 1, diabetes author and clinical specialist Wil Dubois. Today, Wil tackles a very serious question that we hope is just one of genuine curiosity. It's about suicide, a sensitive topic to be approached with the utmost caution. Read on to see how Wil responds... {Got your own questions? Email us at [email protected]} Anonymous, type 1 from California, asks: How much insulin would you need to take to kill yourself? [email protected] D’Mine answers: First off, don’t kill yourself. Second off, if you are determined to do it, don’t use insulin. It’s slow and unreliable, with a distinct risk that the attempt will leave you permanently damaged, rather than dead. More on that in a bit. But first, let’s start the day by talking about the different ways to end your day. The Wikipedia entry on suicide methods lists the following ways to usher yourself out of this world: Bleeding, drowning, suffocation, hypothermia, electrocution, jumping from height, using a firearm, hanging, ligature compression, vehicular impact from trains or cars, taking poison, not treating a disease, immolation (including throwing oneself into a volcano), starvation, dehydration, and suicide attack—sometimes called Suicide by Cop. The entry even includes a discussion on the use of homemade guillotines as a way of suicide. But no mention of insulin. That’s odd. Or maybe not, because, as I mentioned, insulin is a crappy tool to try to use to kill yourself. Not surprisingly, studies of insulin suicides are somewhat scarce, but one looked at 160 insulin suicide attempts and found that 94.7% of the PWDs fully recovered, 2.7% Continue reading >>

Suicide By Insulin?

Suicide By Insulin?

HealthDay Reporter typically saves the lives of those with diabetes, but it can also be a way for some people to kill themselves, a new review warns. People with the blood sugar disease tend to suffer higher rates of depression, the researchers explained. And suicide or suicide attempts using insulin or other diabetes medications that lower blood sugar levels may not always be an easy-to-spot attempt at self-harm, they added. "Some suicides with insulin are likely missed in people with diabetes, just as [suicide may be missed] in people without diabetes using other medications or after a car accident. Could a suicide using insulin be missed? Absolutely," said Alicia McAuliffe-Fogarty, vice president of lifestyle management at the American Diabetes Association. Insulin is a natural hormone produced by the body. Its job is to help usher the sugar from foods into the body's cells to provide fuel for those cells. But insulin is also a complex medication. People with type 1 diabetes no longer make enough insulin and must give themselves insulin to stay alive. People with type 2 diabetes don't use insulin efficiently -- this is called insulin resistance -- and eventually don't make enough insulin to keep up with the body's demands. At this point, people with type 2 diabetes also need to take insulin. Insulin can be given by multiple injections every day or via an insulin pump. Insulin pumps deliver insulin through a small tube that's inserted under the skin. The site of the insulin pump must be changed every few days. But once the tube is in, someone who uses an insulin pump only needs to push a few buttons to deliver a dose of insulin. However, getting the right amount of insulin is no easy task. Many factors affect the body's need for insulin. Exercise decreases the need. F Continue reading >>

Question And Answer – Diabetes

Question And Answer – Diabetes

Dear Your own Vet, My cat was diagnosed with Diabetes mellitis yesterday. She now will not eat and is in a kind of a coma. What do I do? Please help? Kaitlyn King Dear Kaitlyn, WHAT IS DIABETES? HOW DOES DIABETES MAKE MY PET SICK? SYMPTOMS OF DIABETES IN PETS DIAGNOSIS OF DIABETES HOW IS DIABETES TREATED? WHICH PETS ARE AT RISK FOR BECOMING DIABETIC? HOW DO I GIVE INSULIN INJECTIONS TO MY PET? WHAT DO I DO IF MY PET ON INSULIN GOES INTO A COMA OR LOOKS WEAK AT HOME? GENERAL CARE OF THE DIABETIC PET Diabetes mellitis is a disease where the body cannot move sugar out of the blood into the cells where it is needed. Blood sugar sits normally between 3 and 5 mmol/l but can increase in stress situations (especially in cats) to up to 10 mmol/l and still be considered normal. Most diagnosed insulin dependent diabetics have blood sugar levels over 18 mmol/l and up to over 30 mmol/l when diagnosed. There are two forms of diabetes in animals: 1. Due to a lack or shortage of insulin.The pancreas ( a small organ lying behind the stomach) produces insulin. Disease of the pancreas such as pancreatitis can damage the pancreas. Sometimes the immune system attacks the insulin producing cells in the pancreas, which makes them stop working and in some cases we don’t know why the pancreas stops making insulin. Think of insulin as a taxi that drives sugar from home to work. Without insulin, sugar can’t get to work inside the cells and sits in the blood, getting higher and higher. 2. There is enough insulin but the body develops “insulin resistance.” The body no longer recognizes normal levels of insulin and thus won’t allow glucose to be moved into the cells. If the body can’t get access to the sugars it needs for energy, your pet will feel lethargic and hungry at the same time. Continue reading >>

Avoiding Hypos

Avoiding Hypos

Successfully treating diabetes while avoiding hypoglycemia is the goal of every living creature suffering from the disease. Though Drs. Fleeman and Rand wrote the article focusing on diabetic dogs, much of the advice applies to all pets with diabetes. When in doubt, DON'T! If there's ever any confusion about whether or not insulin was administered, the injection should be omitted. Missing one shot will not harm your pet[1], while hypoglycemia can kill[2][3]. If you have only administered a portion of the insulin injection, do not try giving more. You are not certain actually how much insulin really went where it was meant to. Trying to draw more to make up for the error may result in a total of too much insulin being given--the result being hypoglycemia. Even if every last drop from the syringe went into the fur and not under the skin, the safest thing to do is to leave it at that, not giving any insulin until the next scheduled dose is due. Missing one shot will not result in permanent damage nor will it mean that your regulated pet will become un-regulated and you will have to begin all over again. It may mean some higher than usual blood glucose values for possibly 2-3 days which can be handled by staying with your usual dosage & insulin schedule[4]. This is far better than treating a hypo or having the pet wind up at the vets or ER trying to overcome the effects of too much insulin[5]. People with diabetes sometimes have similar mishaps and handle them much like this. If you are using more than one insulin to manage your pet's diabetes, you likely have a faster-acting one and a slower-acting one. Mistaking either of them for the other can result in hypoglycemia if the wrong insulin is given. Keep them in separate places in the refrigerator, put large labels on each Continue reading >>

The Poisons In Your Purse

The Poisons In Your Purse

You may be a walking hazard to your pets, depending on what you carry in your purse, backpack, or violin case. Pets are always curious as to what’s in your bags, which smell so much like the person they adore, and sifting through the contents for something interesting to eat is a fun game for them. The aftermath of that game might not be quite as much fun. Most pet owners are aware of the common poisonous stuff we carry around – medications, chocolate – but not everyone is. Plus, sometimes we just toss something in our bag and forget it’s there (“Where the heck did I put my bug dope?”). One gargantuan problem is not knowing that something you buy is toxic to pets, even if it’s fine for your basic human. Ignorance is definitely not bliss with the sugar substitute xylitol. It is used in many brands of chewing gum, breath mints, and candies. Ingestion causes a nasty decrease in blood sugar in dogs, often to the point of hypoglycemia, and, in some cases, it jogs on the down the road to liver failure. It’s great for human diabetics because it does not alter insulin or glucose levels in humans. We have no information on whether it alters insulin or glucose in cats, but it’s bad stuff for dogs. One day a couple of years ago I found an empty gum package on the floor, which that morning had contained half the pack. I didn’t see which of my two dogs got into it, so after contacting my personal ER vet, our own Dr. Tony Johnson, I gave hydrogen peroxide to both dogs. They tossed their cookies, but I stupidly did not separate them so I didn’t know which dog puked out the wrappers. (Just weeks before that day, the VIN News Service published my article. about the lack of awareness of xylitol. Seriously.) When I called the ASPCA Poison Control Hotline to find out Continue reading >>

Insulin Poisoning With Suicidal Intent

Insulin Poisoning With Suicidal Intent

Go to: A 27-year-old paramedical personnel without any comorbidities, working as an assistant in the operation theater, was found to be drowsy and drenched in sweat with bradycardia (34 beats/min) and hypotension (80/50 mm of Hg). She was immediately shifted to ICU. She was pale and there was no cyanosis, icterus, clubbing, lymphadenopathy, or any evidence of external injury. Temperature was 99.0°F, with a respiratory rate of 20/min and cold peripheries. Pupils were bilateral 3 mm, reactive to light, and oculocephalic reflex was preserved. Deep tendon reflexes were brisk and plantars were flexor. Meningeal signs were absent. Her systemic examination was unremarkable. An electrocardiogram showed sinus bradycardia. Atropine was given intravenously and normal saline infusion started. Blood pressure remained low which prompted initiation of norepinephrine drip. Capillary blood glucose (CBG) was 35 mg/dL, hence 50 mL of 50% dextrose bolus was given and 5% dextrose infusion started. Her neurological status started deteriorating and she rapidly lapsed into coma, 90 minutes from her initial presentation. At this stage, pupils were bilateral 2 mm and nonreactive, with loss of occulocephalic reflex and dysconjugate deviation of eye. She continued to have bradycardia and hypotension. Repeat CBG was 32 mg/dL and bolus of 50 mL 50% dextrose was repeated. No history could be gathered regarding the preceding events. At this stage, in addition to malaria, encephalitis, cerebrovascular accident, exogenous insulin administration was considered as another staff detected one empty vial of insulin. Blood samples were drawn for glucose, insulin, and c-peptide. Patient had an episode of generalized tonic clonic seizure which was treated with intravenous lorazepam 4 mg. Again a bolus of 50 mL Continue reading >>

Handling A Diabetes Emergency

Handling A Diabetes Emergency

Emergencies can happen at any time, so it's best to be prepared and know what to do if an emergency occurs. Talking with your veterinarian is a crucial part of being informed and prepared to handle emergencies. Low blood sugar (hypoglycemia) The most common side effect experienced with insulin therapy is hypoglycemia. Hypoglycemia can be caused by: Missing or delaying food. Change in food, diet, or amount fed. Infection or illness. Change in the body's need for insulin. Diseases of the adrenal, pituitary, or thyroid glands, or progression of liver or kidney disease. Interaction with other drugs (such as steroids). Change (increase) in exercise. Signs of hypoglycemia may occur suddenly and can include: Weakness Depression Behavioral changes Muscle twitching Anxiety Seizures Coma Death See below for a list of other side effects. What to do If your pet is conscious, rub a tablespoon of corn syrup on his or her gums. When your pet is able to swallow, feed him or her a usual meal and contact your veterinarian. If your pet is unconscious or having a seizure, this is a medical emergency. CONTACT YOUR VETERINARIAN. In the meantime, you should immediately treat your pet rather than delaying management. Pour a small amount of a sugar solution (eg, corn syrup) onto your finger and then rub the sugar solution onto your pet's gums. The sugar is absorbed very quickly and your pet should respond in 1 to 2 minutes. The sugar solution should never be poured directly into your pet's mouth since there is a risk that the solution will be inhaled into the lungs. Once your pet has responded to the sugar administration and is sitting up, it can be fed a small amount of its regular food. Once the pet has stabilized, it should be transported to your veterinarian for evaluation. Your pet's diet Continue reading >>

Killian's Story

Killian's Story

Friends helping friends. Collaborating and specializing in Canine Diabetes & many other topics. History I saw him walking slightly unbalanced. He didn't want to eat and he was lethargic. I made a Vet appointment fearing he was poisoned. Before leaving for the Vet’s he started vomiting. My Vet examined him then also took urine and blood. He told me that I had to take Killian to the emergency hospital. He said he had diabetes and now he is in Ketoacidosis. At that time I couldn't understand anything he said. What is Ketoacidosis? I didn't even know dogs could become diabetic! I asked if he would be OK. My Vet’s worried face did not make me feel very confident so, after 5 days at the emergency hospital, he came home against a few Dr's odds! I was handed a bottle of insulin and a few needles. I was shown to make the "tent" on his skin and to insert the needle in that tent. Killian’s Mom I think it’s important to point out here that I hate needles! I can’t even look if someone is getting a needle. I left the emergency hospital in tears because the only thing I really knew was I was going to kill my dog. If his life depended on me to give him needles daily there was no way I could possibly do this. Still I was so happy to have my man back home with me. I called on a neighbor who was a nurse and for the first two weeks she gave him his shots. Killian was on human insulin at the EH. But once home my Vet put him on Vetsulin. I was thrilled because it was going to be a 1 shot a day needle instead of 2. I tried to do the shot myself but I chickened out each time. Then one day my neighbour, who worked a double at the hospital, was nowhere to be found to do the shot. It was an hour past his normal shot time and he wasn't looking too great: he looked sluggish. I knew I had Continue reading >>

Diabeteic Manual For Dogs

Diabeteic Manual For Dogs

UNDERSTANDING DIABETES There are two forms of diabetes in dogs: diabetes insipidus and diabetes mellitus. Diabetes insipidus is a very rare disorder that results in failure to regulate body water content. Your dog has the more common type of diabetes, diabetes mellitus. This disease is seen on a fairly regular basis, usually in dogs 7 – 9 years of age or older, many of them overweight. There is a genetic predisposition in some breeds and females are affected twice as often as males. Simply put, diabetes mellitus is a failure of the pancreas to regulate blood sugar. The pancreas is a small but vital organ that is located near the stomach. It has two significant populations of cells. One group of cells produces the enzymes necessary for proper digestion; the other group (beta cells) produces the hormone called insulin. TYPES OF INSULIN In dogs, two types of diabetes mellitus have been discovered. Both types are similar in that there is a failure to regulate blood sugar, but the basic mechanisms of disease differ somewhat between the two groups. Type I, or Insulin Dependent Diabetes Mellitus (IDDM): This results from total or near-complete destruction of the beta cells that produce insulin. This is the most common type of canine diabetes. As the name implies, dogs with this type of diabetes require insulin injections to stabilize blood sugar. Type II, or Non-Insulin Dependent Diabetes Mellitus (NIDDM): This is different because some insulin-producing cells remain. However, the amount produced is insufficient, there is a delayed response in secreting it, and the tissues of the dog’s body are relatively resistant to it. These dogs may be treated with an oral drug that stimulates the remaining functional cells to produce or release insulin in an adequate amount to normali Continue reading >>

This Common Household Substance Can Kill Your Dog

This Common Household Substance Can Kill Your Dog

It was common for the Lenahans to come home and find that their 3-year-old brother-and-sister Egyptian Pharaoh Hounds had eaten something. And no, not their dog food. A Star Wars light saber, a box of Kleenex wipes from the bathroom or maybe just a big chunk of the king-sized mattress in the master bedroom. One afternoon, Howell resident Tracy Lenahan walked her two children home from the bus stop and came home to find an open container of lemonade flavored Ice Breakers gum on the floor — empty. The brand new pack of gum, wrapped in plastic of course, was in a tied up Target bag on her children’s bureau. The bag had sat undisturbed for days. “I sent them outside to go to the bathroom as I normally do,” she said. “When Osiris came in the house, he seemed fine. But all of a sudden, his front legs splayed out and he started shaking.” The seizing started off as small tremors, and then the 62-pound dog started shaking violently. Her dog, she later found out, had xylitol poisoning. Xylitol is an artificial sweetener usually found in baking ingredients, certain peanut butters, chewable vitamins, mints, candy, dental products and most commonly in sugar-free gum. Much like chocolate, the substance is poisonous to dogs. But the effects of xylitol are completely different from chocolate, according to Susan Meeking, the veterinarian at Garden State Veterinarian Specialists in Tinton Falls who treated Osiris. Xylitol drops a dog’s blood sugar and stimulates the release of insulin, which can result in tremors, seizures or death, she said. The substance can also cause liver damage, Meeking said. “Chocolate toxicity is more like a caffeine overdose, so their heart rate gets really high,” Meeking said. “Sometimes they’ll vomit and have arrhythmias.” Before Lenaha Continue reading >>

The Tragedy Of Tommy Boy

The Tragedy Of Tommy Boy

My Tommy Boy has his angel wings... Tommy Boy Tommy Boy, my little macho tabby cat, was born in the palms of my hands to a stray mother cat, Maryann, whom I had taken off the street. Four litters of Maryann’s kittens had grown up feral in the street, and come to a variety of awful fates. A nice lady down the block was feeding them, but she was elderly and unable to TNR. The day I saw Mary pregnant for the fourth time in three years, I said, “OK lady, that’s enough. You’re coming with me.” I grabbed her, took her in over her great protests, and she had her babies, 7 of them, in my home with my husband and myself as midwives. Breaking the cycle, Tommy Boy and his siblings began life in safety and love, in a home instead of the street. Tommy Boy wasn’t a runt but he was the last born. I could always distinguish him from his brothers and sisters, who were all identical tabbies, by the white tip on the end of his tail. As Tommy Boy grew up, I also recognized him by his vanguard personality. He was the first to do everything; the first to open his eyes, the first to walk, the first to climb out of his baby bed at only two weeks old. He was the first to seek out human company, and the first to try to climb the virtual Everest (to him at 4” long) of our bed. At approximately three weeks old, Tommy Boy started coming clear across the apartment to sit on my foot as I worked. That pretty much cemented his status as a member of our family, and when all the other kittens got adopted to new families, Tommy Boy stayed. Tommy Boy had a long, mostly happy life. But the point of my article is not to write Tommy Boy’s life story, only the end of it, which broke my heart and was entirely unnecessary, so that other guardians of diabetic pets can learn from my mistake. Tommy Continue reading >>

Overdose And Toxicity In Dogs

Overdose And Toxicity In Dogs

Dealing with an Overdose and Toxicity in Dogs Care must be taken to follow your veterinarian’s recommendations regarding medication administration. Problems associated with medication in dogs include allergic reactions, overdose and toxicity. Allergic Reactions to Medications in Dogs Allergic reactions are uncommon. There is no way for your veterinarian to predict which medications your dog is allergic to so you must watch your pet carefully while on any medication, even the same medication he has received in the past. Typically medication allergic reactions develop after multiple doses of the medication. If you notice your pet has scratching or itching, facial swelling or hives, contact your veterinarian as soon as possible. If you are not able to contact your veterinarian immediately, stop administering the medication unless doing so would be life threatening. Contact your veterinarian as soon as possible. Overdose of Medications in Dogs Overdose can occur if a dog receives an excessively large dose. This may be due to each member of the family medicating the pet without knowing that he has already received his medication, the curious pet chewing the bottle and ingesting all the medication or in certain situations even when the pet is on the proper dose. A few medications can result in overdose even though you are following the prescription recommendations. There are some diseases in which the pet may no longer require that dose of medication or may no longer need the medication at all. There is no way to predict this. A good example of this situation is diabetes. Dogs may require a specific dose of insulin and do well on that dose for quite a while. Suddenly, the dose you are giving may be an overdose and the dog becomes hypoglycemic. Medications Toxicity in Dogs T Continue reading >>

Avoiding Hypos

Avoiding Hypos

Successfully treating diabetes while avoiding hypoglycemia is the goal of every living creature suffering from the disease. Though Drs. Fleeman and Rand wrote the article focusing on diabetic dogs, much of the advice applies to all pets with diabetes. When in doubt, DON'T! If there's ever any confusion about whether or not insulin was administered, the injection should be omitted [1]. Missing one shot will not harm your pet [2][3], while hypoglycemia can kill.[4] If a dosage looks wrong to you, DON'T BE AFRAID to ask someone for help--your vet, an animal emergency clinic, or a canine [5] diabetes message board--BEFORE you give an injection of a questionable dose. Delaying a shot if you're not sure is much safer than the alternative. From the DVM 360 2007 article by Dr. Audrey Cook: [6][7] "Hypoglycemia is deadly; hyperglycemia is not. Owners must clearly understand that too much insulin can kill, and that they should call a veterinarian or halve the dose if they have any concerns about a pet's well-being or appetite. Tell owners to offer food immediately if the pet is weak or is behaving strangely." If you have only administered a portion of the insulin injection, do not try giving more. You are not certain actually how much insulin really went where it was meant to. Trying to draw more to make up for the error may result in a total of too much insulin being given--the result being hypoglycemia. [8] The effect could be something like hypoglycemia caused by insulin stacking (see section below). Even if every last drop from the syringe went into the fur and not under the skin, the safest thing to do is to leave it at that, not giving any insulin until the next scheduled dose is due. Missing one shot will not result in permanent damage nor will it mean that your regulated Continue reading >>

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