James – While I agree with some of what you say in theory, it doesn’t always hold true in reality. I think Kristi probably would get better results with a long-acting insulin such as R, but without a vet who is well versed in diabetes, it is a dangerous proposition. Comparing diabetes in humans to diabetes in dogs is helpful in many respects as there are similarities, the flaw with that is dogs can’t communicate in terms we can understand until trouble is there. They can’t say they are feeling bad or shaky and short of checking their sugar many times a day, there is no way to know. If you can stay home non-stop with your dog, then great but most people don’t have that luxury. Also, to say diabetes is impossible to control with nph insulin is just wrong. I have done it for five years now and there are many others out there who have – in fact most dogs are maintained on nph. And just because someone uses a long acting insulin doesn’t mean you throw routine out the window. These dogs are best maintained on the same amount of food at the same time every day. As far as low glycemic foods are concerned, I have found just through my personal experience, that my dog’s blood sugar is just consistently lower and better since she is on Nutrisca. She feels better, looks better and it helps with her allergies. I actually tried Evo when she was first diagnosed and her bg was sky-high on it. The one thing I have found is that diabetic dogs react differently to different food. There was a series in the Whole Dog Journal last year about diabetic diets and the interesting part was there were many different case studies of diabetic dogs and almost all of them were on completely different foods. Some were on commercial diets, home cooked, raw, and even prescription diets but the owners all had great success by finding the food that worked for their dog. You can analyze the numbers and ingredients until your face is blue but if the theoretical “best” food doesn’t give you results, then you have to consider how your dog processes insulin and food.
Kristi, I would find an online forum for dogs with Cushings and/or diabetes so you can talk to people who are going through what you are with their dogs. There are tons of knowledgeable people out there who can really tell you about Cushings and diabetes who live it everyday.
