His blood sugar count was 450+ and he started on 2 insulin injections daily. The vet has us feed him twice a day. Some mornings he will not eat and has to be spoon fed. Other times he is starving and has energy. In the past couple of days he is drinking more water & he wet the floor before he could get outside (has never done that). He has lost from 24 lbs to 17 lbs. Is there something else we can do or are we missing anything?
There unfortunately aren't a lot of treatment options for dogs with diabetes, the way there are for humans. Mostly because dogs can't communicate their need, and the fact that they feel dizzy or nauseated or anything else associated wtih a sugar low or high. I'm sorry I can't be of more help
has your dog been admitted to the vet's for insulin regulation? generally we keep them two to three days and take a blood sugar first thing in the morning, feed then give the insulin injection. then every 1-3 hours , depends, we take blood sugars to see when the blood sugar level peaks. that is when the level has dropped to it's lowest then starts to rise again. depending how low the level has dropped before it starts to rise again we use that to base how much insulin is given. the original dose is calculated based on weight and intial level then adjusted accordingly. i don't know when he was intially regulated but if it has been a few weeks and he is starting to drink more water then the amount of insulin he is on now is not enough. you always want to make sure he eats a meal before giving him the insulin. if you have to spoon feed him to get him to eat then you need to. some vets recommend giving half the dose if they don't eat and some say don't give any. there are a few prescription diets that are good for dogs with diabetes, they are: hill's k9 w/d , purina DCO, and a food made by waltham's but the name escapes me right now. his diet is going to be important. you can't give him table scraps anymore or treats throughout the day. his sugar levels will be based on his eating the two meals a day and throwing extra goodies in there will throw his levels off. you also want to watch for him to be wobbly or disorientd. if he is then his sugar level may be low in which case keeping pancake syrup or karo syrup on hand will be a good idea. if it happens take a couple fingerfuls and force him to swallow it or rub it on his gums. some animals are hard to get regulated. if he is have the vet check his pancreas for any signs of abnormalities, such as tumors or infections, or inflammation. an ultrasound is best for this. after he is regulated you should have him in to the vet once a month for a sugar level check to make sure he is doing okay. anytime you notice the signs that brought you to this realization you should have him checked. his dosage may need to be readjusted. in some cases, though not often, animals can spontaneously go back to being non diabetic. some cases can be managed with a change in diet and weight loss alone. also meds like prednisolone can affect his levels also. it is also important to be consistent with the times you give the injections. you want to give it as close to 12 hours apart as you can. if you cannot give it at the exact time each day you usually have a 1 hour window on either side of the time in which it is okay to give. so if your regular time is 8 am you can give it at 7 or 9 but don't do this often. as they get older or their weight fluctuates the insulin dose may need to be changed. hope this anserwed some questions for you.
Thank you for all of the information. He was tested last week and the vet said he was doing ok, but not great. He seems to fluctuate a lot with the way he acts, like not wanting to eat in the morning and being hungry at night. He had pancreatitis a couple of years ago. He was just diagnosed with Diabetes two months ago. The vet has him on special food. Should I take him to a vet that specializes in this?
you could take him to a board certified internist. we have one here in new jersey that is awesome with diabetics.if your dog does not eat well on a consistent basis he may very well be one of those animals that are going to be difficlut to regulate. you could also have a fructosamine level checked. that is a blood test that is done at an outside lab that tsts the sugar levels over the previous few weeks. that can tell if he is properly regulated also. this must be very frustrating for you. is there any way you can get him to eat better?
He seems to be better at times. Mornings are worse. That is when he won't eat and we spoon feed him or try a dogfood he really likes and sometimes that will help. The vet did the test that showed the levels for the past week or so and it was not conclusive. He was on 5 units & she changed him to 6 but that seemed to make him more lethargic so we went back to 5. I'm concerned because this morning I let him out to go to the bathroom and within the next couple of hours he had an small urine accident on his favorite chair. I know his kidneys could be affected but how would you know. He is not due to go back to be tested for another 6-8 weeks. I think I need to look for a vet that specializes in diabetes. Is there a time when he will be regulated. Do you know what the life span is for a schnauzer with diabetes.
a well regulated diabetic can live for a few years. there are so many other things that can complicate the diabetes and also their health as they get older so it is hard to say exactly how many years he could live with this. if he is not regulating well i would certainly take him to a board certified internist for a second evaluation. alot of people are hesitant to do this because they think they are telling their vet that they believe the vet is incompetent. a good vet who cares about your dog truly will not be offended. the internist may need to repeat some of the tests your vet has aleady done. i would bring copies of what your vet has done already to have the best communication possible between you, the dog, the vet and the internist. as far as the kidneys go the only way to tell is by a blood test for kidney functions or an ultrasound. i am so glad you updated this post as i was just thinking about you and your dog. best of luck and keep us informed.
I myself was recently diagnosed with diabetes. I know I myself have a hard time dealing with all the changes that are going on in my body, so I can only imagine how hard this is on him. I don't know a lot about diabetes in animals, but I know that peeing a lot means that his sugar levels are too high. Also when I am low I tend to get very confused and stubborn. My husband has had to force food down my throat because I can become hard to deal with. Also sugar now equals energy. Maybe his not telling you that he needs to go out is because his sugars are too low and he feals weak. Sometimes when I wake up in the morrning I can barely move... As I have had to do in the beggining, you should test his blood often, that may help you get a better idea on level trends. I hope that maybe I have said something that may help you. I wish you the best of luck!
Unfortunatley, dogs with diabetes don't have it as good as humans. Has your dog had insulin regulation? This is really all I know. You could take him to an internist. He should have times where he is better than others. A well regulated diabetic dog can live for a few years. I had a best friend that had diabtes, and she was as active as can be!