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Hi, I am so very sorry to hear about Cookie (glad Noodle is OK though). I am sorry I have no experience with the issues she is facing but hopefully Jackie (JMM) will see this and she'll surely have some answers for you.....

If it helps.... know that I care and I'm hoping that things will get better with her eating, bathroom, etc.!!
 

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What brand prescription dog food was it? Hill's?
I'm sorry to hear this bad news... Kodie and I send our love!


There are puppy mill's in KOREA???????????
(sorry, i dont know much about puppy mills)
 

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sorry to hear the news..i hope she gets to feeling better
A diagnosis of diabetes mellitus should be based on the presence of clinical signs compatible with diabetes mellitus and evidence of fasting hyperglycemia and glycosuria. Common clinicopathologic features of diabetes mellitus in dogs include: fasting hyperglycemia hypercholesterolemia, increased liver enzymes (ALP, ALT), neutrophilic leukocytosis, proteinuria, increased urine specific gravity and glycosuria. so the liver could look bad from the diabetes. did her run a urine test?

i'm worried about the high glucose...here is some physiology :Glucose that is stored in hepatocytes is called glycogen. It is used as a reservoir during times when carbohydrate intake is low (fasting or starvation). The liver can also manufacture glucose from proteins or fats.
In liver disease the body can have a difficult time regulating the blood glucose level, usually leading to hypoglycemia (low blood glucose).
cookie's glucose is High so i would worry that the diabetes is leading to the liver
enzymes being high.

hope this helps
o and as for the food have u tried heating it up a little ...sometimes this helps
 

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Originally posted by DMZ dogs@Dec 14 2004, 10:57 PM
Kodie, the food is not Hill's....it's Waltham.  I never heard of it before.  When I go in to the vet again later, I'll check where it is from.  You tend to get food, toys, and medicne imported from all over the world here--really rather great!  Anyway, I had to throw out the bag as it smelled so good that Noodle wanted to eat it. 
  Silly dog.

This poor vet....wait till he fully realizes how often I'm going to be there.  I live about two minutes walking distance from his clinic.  I'll be there nearly every day, probably. 
  But, it's his own fault really, his and all the other Korean vets.  They tend to let you walk in at any time and they'll consult with you, do a quick examination, advise you....for free.  You bet I take advantage of that! 


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DMZ, Waltham makes Royal Canin.... it is an excellent company... here is their Web site: http://www.waltham.com/

You are so lucky to live down the street from a vet. I can't imagine.... and free consults... wow! I'm so glad for you, esp. with Cookie's new issues.....
 

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Poor little Cookie.. I wish I could give you some advice but I don't have any experience with that.. We'll be wishing for the best for her.
 

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omg, u should have had a hectic move, but now Cookie has diabetes??

im so sorry to hear that..

yeah KOREAN VETS GIVE U FREEEEE walk ins, and if u dont get any medicine or anything from them, the consults are free too...i was shocked that amreican vets charge u just for "talking" with them...gosh...


yeah Yanju is known for puppymills..most of them are bred there and are shipped to petstores..

if u go to Chungjong-ro in Seoul, thats the MAJOR area for petstores...theres about 10 blocks full of petstores there..and known for selling sick puppies too...

but i heard that the economy is bad and korean puppies are really cheap now...


goodluck with everything !!
 

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either ur vet can collect the urine..or when she goes to pee use a ladle or shove a bowl under there....maybe he switched her diet to prevent her liver from getting worse...but is he persuing the diabetes? yes if the diabetes gets undercontrol and once the liver is back to normal u should be able to do the surgery...if there is n e thing u want me to explain better let me know. i will write it in english lol
 

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Originally posted by DMZ dogs@Dec 14 2004, 10:47 PM
  Could he squeeze it out of a piddle pad?  I'm starting to giggle over this.....  I guess that the best way to get a sample is to place her in a HUGE bowl and then have a visitor come over to get her all excited so she'll do her excited to see you pee.
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LOL u cracked me up!
 

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I'm rootin' for Cookie to be well! Take care and a cagillion XOXOXO's for her from ButterCloud and Noriko
.
 

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if the vet does it ..either he will keep her and collect it the same way i told u to, or he will use a needle and go into the bladder which is the best way to get a sample, or he can catherterize her and get it that way
 

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the move is doing wonders on you. at another time, it seems you may have been more frantic. let's give the local vet credit for that and let's carry on with cookie's knee. have i suggested you try glucosamine/chondroitine?
please do. i'm a believer! i have seen the truth. canaille has been on it for 2 years and it has improved her articulation immediately 98%
while surgery is on hold, why not give cookie's little knee a chance to improve? let me make a believer out of you.
 

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Originally posted by DMZ dogs@Dec 15 2004, 01:03 AM
EDIT:  Didn't know we were limited on the number of emoticons we use in a post.  What's the exact number permitted?
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Yeah...we cant COMPLETELY express ourselves, huh! lol

I'm sooooooo happy for you. I know you still have to have the knee surgery, but I'm so glad to hear she's healthier than you thought. Maybe if you crunch up he special food with the RAW diet, she will eat it easier. That way she cant move the dog food away. I dont know. Good luck with that. I hope everything's getting more situated with you. Take care.
 

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Hi,
I am glad to see that Cookie's test results have improved so!
My little Missy is a diabetic.. has been for over 2 and 1/2 years... her blood glucose was at 321 when dx and had some blood panel elevations at dx. (mostly the liver enzymes). all came back into good range after regulation.
Normal blood glucose values for pooches is about the same as for humans..about 70-120. When they go up considerably.. then there is need to be watchful.
I do suggest that you keep a close eye on her and to be sure have her checked for awhile to be absolutely sure there is no diabetic issue. I say this because SOMETIMES.. in the early stages.. the pooches pancreas are sporatic in producing the insulin. Add a "good day of production..plus a diet that would be lower in carb and higher in fiber.... "Could" give a "good' result.
The fact that there WAS elevated glucose levels... rather concerns me.
Diabetes is very manageble! BUT it can be very risky to organs if left undx.... especially the eyes.. in dog it can cause "diabetic cataracts" which can form quickly.
I don't mean to scare you.. but to warn you to monitor this for awhile to be sure that there is no problem. Missy showed no sign of diabetes..other than over one week-end started to dring more than usual. I was sure it was a "simple" UTI so took a sample in and expected the vet to come back and give order for antibiotic. NOT!... she said there was a spill over of glucose into the urine.. and so did a follow up blood test which confirmed. In the early stages we had a lot of adjustmenst.. food/exercise/ and of course had to do the 2 x day insulin injections. ...YES! I was TERRIFIED!... but knowing it was what was needed to save my little girls life... THAT was the modivator. ( NO! pills do not work in dogs.... and NO the one shot per day insulins do NOT do well for dogs... might help in the beginning but not lasting.. ) Believe me I have reserched this for a long long time!!! we are well into over 2 and 1/2 years... Missy is well regulated.. and she still has her sight.
As I said.. I don't want to scare you and it could be that Cookie just had a "flukey"
test result... but to be sure.. just have it checked on a regular basis for awhile. The high she had indicates that at some point ...for some reason.. her body didn't produce the insulin to cover .
You can even do urine testing with urine dipsticks. I prefer the keto-diastix by Bayer.. don't know if available there.. but should be.. they are for human diabetics.. they would indicate of there is a 'spill-over" of glucose into the urine. I use a styro coffee cup.. cut down to about 2 inches( little less) and simply shove it under her when she squats. You don't need a whole lot to test. Spill over happens at about when the blood glucose reaches the 180-200 range... an indication that yes.. there is an 'issue".
I am not wanting to burst you bubble by any means.. only knowing that diabetes can be a bit 'flukey" in itself in the early stages.. and early detection can make all the difference in easier regulation ... left untreated.. can be cause for complications. So, only suggesting that you keep eye out for awhile.. just to be absolutely certain.
Terry and Missy





Originally posted by DMZ dogs@Dec 15 2004, 03:03 AM
WWOOOOOOOOOOOO-HOOOOOOOOOOOOO!~

We just got back from the vet's.  I had him test Cookie for diabetes and also to run all the other tests again as well.  No diabetes!  Plus, on Monday, she had six very bad results.  Today, only three bad results:  one was only .1 off of being in the normal range!!  Her levels were cut more than half on some of the results.  The vet got on the phone with some specialists in Seoul and afterwards was able to tell me not to worry whatsoever.  He said that all her levels should be perfectly normal within a short amount of time.  Her liver problem is NOT congenital like I had feared.  She may have to always eat special food or at least eat it as a supplement, but she's going to be a normal little dog!!!!  :D :D :D :D :D :D :D :D
 
 
 
 
 

And NOW, at 4:00 pm, I can quit worrying and finally eat my breakfast/lunch that I was too anxious to eat before. 

I REALLY love having a vet who has the machine necessary to run blood tests.  I think I'll have both dogs tested every six months.  Would do it weekly if it didn't require drawing blood...that looks painful.  It's not expensive here.  Today's round of tests, a new sweater, and the bag of Science diet l/d ran me 47,000 won....which is like around $45.  WELL WORTH IT!

I may have to do a few dances of joy before I settle down to my food.  :lol:

EDIT:  Didn't know we were limited on the number of emoticons we use in a post.  What's the exact number permitted?
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Originally posted by IamMomtoMissy@Dec 15 2004, 07:00 AM
Hi,
I am glad to see that Cookie's test results have improved so!
My little Missy is a diabetic.. has been for over 2 and 1/2 years... her blood .....
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Terry, I am glad to see you posting.... When DMZ mentioned diabetes I thought of you and hoped you would see her post! I hope we will hear from you again. I had been wondering how Missy is doing . . .
 

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My Lady is also diabetic and I agree 100% with everything Terry has said. It is very important to continue to monitor Cookie's blood sugar before ruling out diabetes altogether. Often dogs continue to produce some insulin on their own in the beginning stages before the pancreas completely shuts down. Vets not experienced in treating diabetes will often mistake this for type 2 (non-insulin dependant) diabetes or rule out diabetes prematurely.

As far as what causes diabetes, dogs are no different than people - being overweight and genetically prone to it are the two main reasons. We have had a surprising # of diabetic Maltese on our pets with diabetes website over the years considering the relative scarcity of the breed so there must be a genetic link somewhere. Northcentral Maltese Rescue currently has a diabetic female looking for a home. I asked Mary Palmer a while back and she said they do get them into rescue periodically. Also, steriod use can cause diabetes as can repeated bouts of pancreatitis (so no fatty hard to digest food - EVER!)

Hopefully, Cookie doesn't have diabetes, but if it turns out to be diabetes afterall, it is not a death sentence. Lady will celebrate her 3rd anniversary with diabetes in a few weeks and still has her vision (most do go blind if tight control is not maintained) and is doing great.
 

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Originally posted by LadysMom@Dec 15 2004, 08:33 AM
My Lady is also diabetic and I agree 100% with everything Terry has said. It is very important to continue to monitor Cookie's blood sugar before ruling out diabetes altogether. Often dogs continue to produce some insulin on their own in the beginning stages before the pancreas completely shuts down. Vets not experienced in treating diabetes will often mistake this for type 2 (non-insulin dependant) diabetes or rule out diabetes prematurely.

As far as what causes diabetes, dogs are no different than people - being overweight and genetically prone to it are the two main reasons. We have had a surprising # of diabetic Maltese on our pets with diabetes website over the years considering the relative scarcity of the breed so there must be a genetic link somewhere. Northcentral Maltese Rescue currently has a diabetic female looking for a home. I asked Mary Palmer a while back and she said they do get them into rescue periodically. Also, steriod use can cause diabetes as can repeated bouts of pancreatitis (so no fatty hard to digest food - EVER!)

Hopefully, Cookie doesn't have diabetes, but if it turns out to be diabetes afterall, it is not a death sentence. Lady will celebrate her 3rd anniversary with diabetes in a few weeks and still has her vision (most do go blind if tight vcontrol is not maintained) and is doing great.
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Marj, gosh how could I forget that Lady has diabetes, too and that you are also a great resource for the disease. Pardon my brain freeze!!
 
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