Change in Cheeba's Treatment
We've decided to take Cheeba to a 3 times a day treatment plan in the hopes that it will better control his diabetes. He will now get insulin at 7:30 am, 3:00 pm and 10:30 pm. Feedings will be at 8:00 am, 3:30 pm and 11 pm. Sub-Q fluids will be given during the 3:30 feeding. We're slowly phasing the carafate out, since I haven't seen any teeth grinding or other signs of stomach pain in about 2 - 3 weeks. Right now he's on carafate in the morning and evening. Next I'll phase out the morning dosing, then the evening dosing if everything goes alright.
We (Dr. Edling & I) opted to give him insulin three times a day because the insulin doesn't seem to be lasting as long as it should. I tested his BG every 2 hours for a couple days and determined that the effectiveness of the insulin peaked about 4 hours after his dosage. After that point the BG started shooting up again. We started the new schedule on Wednesday, December 13, but so far I haven't seen much of an improvement. His BG yesterday afternoon was around 350, but other than that, it's still been HI (over 600). I may switch him back over to the PZI insulin and see if that helps a little more.
I keep hoping that he'll improve soon, but so far he's just holding steady. I suppose I should be thankful for that, and part of me is. But I know what this constant high BG is doing...it's destroying his kidneys. Which means that at some point, he's going to need a lower protein diet. Unfortunately, he needs a HIGH protein diet to help control his diabetes. Once we hit the point where his body can't handle the high protein it needs, little Cheeba isn't going to be around much longer.


