My Pug Scoop (Precious Scoop has passed... )

Hey Vicki

I believe they are asking you to hold the water because they would have to administer an anaesthetic to perform the ultrasound and they wouldnt want fluids or food to make scoopie sick. I think it should be ok for a few hours probably just tough on you if he as been asking for water

Not sure re the vetoryl my instinct would be to skip so you can restart your normal routine but am sure Marianne or Glynda will know and be in soon

I have no experience with accupunture but if you can afford it and you think it will help my vote is go for it

Given you have been dealing with lots of things it might be worthwhile to write yourself a list of your main concerns to take with you to the IMS so you can refer to it as necessary

Mel
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Yes, I agree with Mel. As long as the IMS isn't planning to do an ACTH stim test, it sounds OK to just skip one day's worth of the trilostane and then start back with Scoop's normal routine the following morning.

I saw where you mentioned earlier that the original IMS was proposing an increase in the trilostane if you shift to twice daily dosing. This may be because that's what Dechra generally recommends -- to increase the overall daily total somewhat when you are making the shift for a dog who has already been dosed once daily for awhile. (Although other clinicians believe the reverse is true -- that dogs dosed twice daily end up needing a smaller total daily dose, so go figure!! ) But I know that Scoop's situation is very worrisome to you, and that's one reason why I'm really glad you'll have the chance to talk directly to an IMS this time around. Because she may opt to handle things somewhat differently given everything that's going on with Scoop.

Marianne

Hi Vicki,

Withholding the Trilo (Vetoryl) won't be a problem. Withhold the food and water is to help prevent them from getting sick if they do have to use anesthesia and to allow them to see the organs more clearly. Food and water in the system can distort the view and even prevent seeing some things at times.

My concern is withholding food from a diabetic pup and I can't help with that area at all. Have you asked on the diabetes site what they think about this? How long would Scoop have to go without food? From 2am until what time?

Hugs,
Leslie and the gang

Yeah, I worried about the food, too, but I guess that's why the IMS is telling you to cut back to only 1/3 the insulin that morning -- since Scoopie won't be eating. As Leslie says, though, it never hurts to ask the k9diabetes crew, too!

Oh Vicki, I hate fasting days too. The general rule of thumb over at the diabetes forum is around 1/4 of the regular dose if the dog eats nothing, 1/2 if they eat half their food and so on. Keeping in mind that every dog is different.

Because of Jenny's low cortisol she is on such a tiny dose of insulin that I know 1/2 a unit covers her basal/non-food needs.

So, depending on how Scoop has been running I would think 1/4 to 1/3 might be ok with no food. Better too high than too low

hugs, Judi

Hi Vicki! I'm so glad you are going to see an IMS. I really think that needs to be the primary vet for Scoop, just because of so many issues. The vet faxed over all of Scoops test results? Take your folder with them just in case and any notes.
If you have any concerns, when I went, I spoke directly with the Vet Hospital where the IMS was, and maybe you could call and ask them. I think that it is spot on that food and water could make any ultrasound not as clear.
Twice a day dosing is what most specialist recommend with a dog with diabetes and cushings. To keep them at a stable rate all day long.
I'm very glad that you are seeing a specialist, even if they don't hand hold. :) Maybe straight talking is exactly what you will feel the most comfortable with.

Hugs,
Sharlene and Molly Muffin

Hi Vicki

YAY so pleased to read you are off to IMS, it will be good to get clear answers to all your questions. Nothing wrong with a little hand holding either :):) I am sure you will go well armed!

Flynn was on Benzapril, I did not notice any extra peeing, but he was only on it a week or two, he went on it to drop his BP but they swapped him to another drug in preparation for his surgery.

Will be looking out for news on our Scoop later in the week... GOOD LUCK xxxxxxxxxxxxxxxxx

Hey Vicki

How you both doing today?

Mel
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Hope everything is okay. I dread fasting days too but luckily the last one Zoe had for surgery was no big deal so I'm glad I didnt spend a lot of time worrying about it;);)

Thanks everyone for all the great advise and suggestions. I was told to not give him any food after his meal the night before and no water after 2:00AM, which would be 8 hours before his appointment. I was told to give 1/3 of his insulin. I will take some water and a treat or something along and offer him some as soon as I can when the IMS is done. Last time I had to fast Scoop was when he saw the opthmologist. She was worried he might have to have surgery and didn't want anything in his stomach but they did allow some water in the morning and he could take his Vetoryl with a tiny bit of food. I will be curious to see if he goes back to sleep like he does when he gets his Vetoryl. About half an hour after he eats and gets his Vetoryl he goes to sleep and usually doesn't get up unless he wants to move to another position. Then sometime around lunch time he usually gets up.

The vet told me she was going to get the referral sent over so hopefully she will include all info that the IMS will need. I am so nervous and scared what the IMS will say about my Scoop. My heart is so shattered. I know he's not well.