This relates to how many units of insulin are in one milliliter. Insulin is available in two strength levels: U-100 and U-40. The log and blood sugar readings will help the veterinarian adjust the insulin to the most optimal dose. If the dog owner is comfortable with using a glucose monitor and taking small blood samples from the dog, the veterinarian may also ask them to monitor the dog’s blood sugar levels throughout the day in order to keep a close eye on how the insulin is impacting the dog. Considering these factors and discussing the dog owner’s availability, the vet will determine whether the dog should receive injections once or twice daily and what the dosage should be for each injection.ĭuring the initial stabilization phase, the veterinarian may ask the owner to keep a log of the dog’s activity level, food intake and overall demeanor. The vet must understand how much activity the dog has on a daily basis. He must also look at how frequently the dog is fed, whether it’s once, twice or more frequently during the day. When prescribing insulin to a newly diagnosed diabetic dog, the veterinarian must take several things into consideration to determine the best dosing schedule and dosage for the dog. Read Also: When Insulin Is Released It Causes Insulin Dosage For Dogs Recommended starting insulin doses for cats are listed in Table 2. It is worth noting that due to species differences in metabolism, detemir is not as potent in cats as in dogs, so standard insu lin doses are recommended in cats. 5, 21 23 The recommended starting dose is typically 0.250.50 U/kg every 12 hours. Glargine, rhPZI, porcine lente, and detemir insulin have all been demonstrated to achieve glycemic control in cats with twice-daily dosing. Although NPH has been used in the past, the duration of activity in cats is too short for twice-daily dosing. Insulin Treatment For Diabetic CatsĬurrently, the most frequently recommended insulin preparations for use in cats are glargine, rhPZI, and porcine lente zinc suspension, and detemir has also been evaluated. Although written instructions are very helpful and experienced veterinary technicians can provide valuable support, owners also often need to ask questions or discuss individual concerns directly with their veterinarian. Follow-up communication is especially important while treatment is being initiated in the home environment. The veterinarian must invest time to educate the owner about diabetes and its management, as well as to provide support and guidance while the owner establishes a practical routine. Operation of the insulin dosing pen is just one of the many aspects of treatment that owners of a newly diagnosed diabetic pet must become accustomed to. Tips For Improving Owner ComplianceĬompliance is markedly improved if there is a close rapport between the owner and the clinician managing the case and appropriate individualization of the therapeutic and monitoring regimen. To avoid accidental insulin overdose, the safest approach might be to instruct owners to never top up an insulin dose that they think might not have been administered fully. It is important to use the same needle and to not prime the pen again prior to injecting the remainder of the dose. Solution: the remainder of the dose can be administered by injecting again. The full dose has not been delivered because the release trigger was not fully pressed. Giving insulin to difficult diabetic dogs.
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