Monday, January 26, 2015

Dog Diabetes VS My Diabetes

When April was diagnosed with diabetes last year, I was surprised how similar her diabetes is to mine.

A normal blood glucose range for a dog: 80-120
A normal blood glucose range for a human: 80-120

Low blood sugar in a dog: 70
Low blood sugar in a human: 70

Amount of glucose needed to raise April's low blood sugar: 15-30 grams (or more if epic low)
Amount of glucose needed to raise my blood sugar to normal: 15-30 grams (or more if epic low)

April's blood sugar after stealing a sandwich: 300 or higher
My blood sugar after eating a sandwich and (ahem) forgetting to bolus: 300 or higher. (Not that I ever forget to bolus.)

Symptoms of high blood sugar in a dog: Excessive thirst, peeing by the back door, weight loss.
Symptoms of high blood sugar in human: excessive thirst, peeing all day long, weight loss.

Symptoms of low blood sugar in a dog: stumbling, glassy eyes, confusion, shaking.
Symptoms of low blood sugar in a human: stumbling, glassy eyes, confusion, shaking.

Treatment of low blood sugar in a dog: vanilla frosting and mini donuts.
Treatment of low blood sugar in a human: glucose tablets. (Donuts? Baklava? Cookies? Cake?)

One big difference is April uses only insulin N. I get Reli-on brand from Walmart because it is 25.00 a vial. My insulin is covered by my health insurance. I use NovoLog. April has two shots a day. I use an insulin pump.

April gets 21u of NPH insulin twice a day, for a total daily dose of 42u. Because I am a human, and don't eat kibble out of a dog dish, I get a different dose of insulin every day. Sometimes my total daily insulin dose is less than my dog. Sometimes I get the same amount of insulin as April. (January 5th was the last time we had the same total daily dose.) When there is Chex Mix in the house, I use a lot more insulin. April is just as tempted by Chex Mix as I am, but she lacks opposable thumbs, and if we put it on a high shelf, she can't get at it. Except for when she finds a bowl on the table. Then, all bets are off. There are times when I wish I could correct April's high blood sugars, but since she is on NPH twice a day, I can't correct. All I can do is try to control her food.

April eats one can of dog food, and one scoop of dry food, twice a day. Except for when she doesn't. You see, April is a weimaraner. Weimaraners can do this:

I am so incredibly glad that is NOT MY DOG. However, while I was writing I heard a loud ripping, crunching sound in the living room. I went in. April stole a brand new bag of corn chips and managed to rip open the bag. No! Those are Dad's chips! Crazy dog!

Look, I try really hard to keep April eating only what she is supposed to, but April is still a weimaraner. Sometimes April eats cat food. Sometimes she gets in the garbage. Sometimes she steals a sandwich off the counter. This makes her blood sugar go bonkers, because I can't just count the extra carbs and cover them with extra insulin. Not being able to correct makes me unhappy, but I am learning to shrug it off.

April is 12. If I test her blood sugar six times a day, count all her carbs, and micromanage her diabetes, she will probably live another 18 months to two years. If I roll my eyes and laugh when she gets in the garbage, eats random snacks, and steals sandwiches, April will probably live another year and a half to two years. Realizing this has helped me ease up and worry less.

Why was April low over the weekend? I have no idea. Lows happen to both of us. So do highs. We both do our best to live well with diabetes, and in the end, that is all that matters.

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