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Hi, I am not a vet. All of my advise is based on my experience with both human and canine diabetes. It is exactly what I would do for my own dog with diabetes.
I would like to discuss an insulin regimen for the dog who is not consistent in his or her eating habits. Let’s say you never know how much they are going to eat at any given meal or if they are going to eat at all. This happens a lot to dogs whose health may be declining due to complications from diabetes or any number of other illnesses. It is also very helpful for the finicky eater.
You would still use a long duration insulin like lantus to cover the basal glucose levels which is glucose secreted by the liver and has nothing to do with meals. Lantus begins to work in 2 to 4 hours, has no peak and lasts for about 24 hrs.
For meals (prandial) glucose control you would use a fast acting insulin like Novolog or Humalog which have a duration of 4 to 5 hours. This would cover the glucose metabolism for any given meal without being tied to a certain time or meal size.
For the unpredictable eater you would inject Humalog or Novolog AFTER a meal. This way you could give the right dose for whatever size meal your unpredictable eater consumed or you could give no dose if they did not eat at all.
The most effective glucose control for dog or human is to cover basal glucose and prandial glucose SEPARATELY with 2 different types of insulin, a rapid onset short duration insulin for meals and a slow onset long duration insulin for liver glucose production which remains pretty constant throughout the day.
Here is a graph that shows the curves of different types of insulin:
http://www.lantus.com/images/hcp/charts/lrg_1.2.3_1.png
The basal graph shows the flat blue line which covers the glucose secreted by the liver. The prandial shows the green line which closely matches the glucose from meals. The graph of the NPH insulin doesn’t closely match anything.
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Search Forums
Recent Topics
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What’s the Best Food Option?
by Mobassir Ahmed
1 day, 13 hours ago
-
FREE 1lb Prime100 SPD Fresh Roll
by Prime 100
1 week, 2 days ago
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Small breed for a cocker
by Nathan Convey
1 week, 6 days ago
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Supplement recommendations for Cushing’s Disease?
by Paul
3 days, 6 hours ago
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Search for Great Quality, Small sized dry kibble.
by Kate G
2 weeks, 3 days ago
Recent Replies
- nathaniel reid on Orijen Senior
- nathaniel reid on FREE 1lb Prime100 SPD Fresh Roll
- nathaniel reid on Something’s Wrong at Wellness or Amazon
- Wewe Re on Ration balancing software
- Paul on Supplement recommendations for Cushing’s Disease?
- nathaniel reid on Ultimate Pet Nutrition Nutra Thrive
- nathaniel reid on Cane Corso lipomas
- nathaniel reid on 4health and other Dental chew info
- Jez Doh on Cat Lane review
- Jez Doh on Search for Great Quality, Small sized dry kibble.
- nathaniel reid on Struvite Treats?
- nathaniel reid on Best Dog Food Reviews In 2024
- nathaniel reid on Search for Great Quality, Small sized dry kibble.
- Hazel willia on What supplements should dogs have daily?
- Hazel willia on Ultimate Pet Nutrition Nutra Thrive