[soho]

Hi Krist

A lot of dogs seem to be on only one type of insulin and it is usually a medium acting insulin which has a slope like a long in distance, short in height hill. This type of insulin makes it pretty impossible to control diabetes well. A dog must eat at the same times each day and the same amount of food at each meal.

In humans the best control of blood sugars is achieved using a very long acting insulin like lantus combined with a short acting insulin like humulin R. The short acting insulin is taken about 30 to 45 minutes before meals and the long acting insulin is taken once or twice daily to cover the glucose that is constantly being produced by the liver.

This type of insulin regimen requires more daily injections but it allows for several things that are not possible with a more simple insulin regimen:

1)Meals can be eaten at any time of day or night.
2)Meals don’t always have to be the same size and contain the exact same amount of carbs.
3)If your dog is sick or not eating you don’t have to freak out because you are worried that your dog will have low blood sugar because they didn’t eat.
4) You can adjust one of the insulins without also increasing or decreasing the size and content of meals.
5) Your dog will have much better control of his/her diabetes.

With the more intense insulin regimen meals and liver metabolism are handled separately allowing for a more effective control of blood glucose.

FOODS

I believe that carbs are the enemy of anything (human, dog or otherwise) that has diabetes. I don’t agree with the Glycemic Research Institute that dry foods such as Nutrisca and Orijen are optimal for a dog with diabetes. Nutrisca has an estimated 36% carbs on a dry matter basis. Orijen has 25% carbs as estimated using the NFE (nitrogen free extract) method (this is extremely reliable). I think either % of carbs is waaay too much for a diabetic dog. If there were several foods with let’s say a carb content below 15% then I would look for the one with the lowest glycemic load. But if one food has 35% carbs and another food has 15% carbs it wouldn’t matter to me what the glycemic load of the first food was, I would choose the food with only 15% carbs!!!!

In dry foods (kibbles) the lowest carb content I have found is EVO which ranges from 12 to 18% carbs depending on the variety and Epigen (Thank you Hound Dog Mom) which has only 11% carbs in either of the 2 formulas.

In wet foods maybe you could just add some fresh meat which is in the same family (red, poultry or fish) that you are feeding at any particular meal. You are guaranteed a much higher quality topper if you add your own rather than a canned food.

Good Luck!!!