Diabetes or Livabetes

Y’all I’m so frustrated with veterinary medicine. If your pet has diabetes, they are screwed if they have anything else. In the human world, diabetes is not a death sentence. In the vet world on the other hand… With 1 in 100 dogs being diagnosed with diabetes these days, it should be a significant focus in veterinary medicine. However, research on diabetics with other illnesses is in my opinion absolutely pathetic. My dog has treatable conditions – but in the vet world they are not treatable because of diabetes?? I’m not a vet. I’m tired of researching. Frankly in general I’m exhausted. I appreciate so much my vet trying so hard to research options but why aren’t there treatment plans? No one would accept common human illnesses with no treatment plans. Why is it okay to just put a dog down that could live a happy life?

Meanwhile I’m stuck handling this solo. No advice or help getting her to eat but told to keep going. I’m so confused on what I’m supposed to be doing. On the other hand I’m also over hearing “but it’s just a dog.” Over the fact that I know 100% that if I had a patient with these conditions they would have treatment options. I’m over sitting at home crying. I doubt the pentoxifylline trial will do anything. I’m feeling completely defeated and alone.

Do I give up? Do I travel to a specialist again? I know in my heart that it’s not time yet – she’s not ready to go but I refuse to sit back and do nothing. She’s far too precious and doesn’t deserve to ever suffer.

So I will keep helping her eat for now and making sure she knows how much she’s loved. And in the meantime I don’t want to hear that I’m crazy. That she’s just a dog. Or that I’ve already done too much. For all I know she’s sick right now because of the cracked molar she’s had since diabetes diagnosis that can’t be fixed because she’s a diabetic. I mean how crazy is it that diabetic dogs get refused by vet dentists because they are diabetic? I truly will never recover from the insanity that I’ve learned about the vet world. And I will never understand that people so easily put down dogs that have very treatable conditions. My pets are family and couldn’t be more loved.

~Beignet’s Mom

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Should We Be Enticed by Entyce??

Anyone else ever had to offer their diabetic a literal buffet to try to entice them to eat in order to get that all too important insulin injection done??? For Beignet, add in the diagnoses of chronic pancreatitis and suspected jejunal Inflammatory Bowel Disease (IBD). If we have a flare of either, then meal time becomes an absolute nightmare🤯🤦‍♀️😭! When Bennie was hospitalized with the internal medicine service at Texas A&M Vet school, I was told to offer her different wet and dry options until she hopefully decided to eat something. That plan doesn’t work for Beignet at all. Thankfully they sent us home with something that did help – the new dog appetite stimulant, Entyce®️ (capromorelin).

When they initially prescribed it, I had questions. I had heard the sugar content was high and that it could potentially interfere with insulin. I’m not sure if it has now been studied in diabetics, but it had not been back in March. Our vet team listened to my questions and concerns, and said that I was absolutely correct in that its use is currently controversial. However, they said it was far more important that Beignet start eating (she had been very ill for ~4 weeks at this point) and that she would only be on the medication once daily for 4 days. So basically in the grand scheme of things, potentially having a few days of a higher sugar was a small price to pay if she overall improved. We’ve used Entyce®️ several times since March for flares. I only noticed her blood sugar increasing with our last round back in June. I’ve seen others post that their dogs increase every time. It takes about 1-2 hours for it to kick in on Bennie. So if I don’t know she’s not going to eat, its not as helpful day 1 of a flare if I want her to remain on her regular insulin schedule. I personally wouldn’t use this for the overly picky diabetic, but more for illnesses like pancreatitis and IBD. If your dog is in the latter category, its something you can potentially discuss with your vet. Since it is new, many vets are not using just yet. Our vet said we should always have Entyce®️ and Cerenia®️ on hand in case of a flare. We spilled some of our prescription from Texas A&M, so Dr. Brad ordered us a new bottle which was the first prescription they had dispensed from Southern Hills Animal Hospital (although they have used it on hospitalized patients with great results). Just sharing this to reiterate that this is a new product with a lot of promise for our diabetics with pancreatitis and/or IBD, but is something you may have to do a risk/benefit discussion with your dog’s vet if needed. Since we had some on hand, he had me give a one time dose to Andouille, my other dachshund, who refused to eat after having a procedure under anesthesia. It worked great for her as well! Hope this info helps since I left out info on Entyce®️ on my pancreatitis post!!

-Devoted Doxie Mom