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Old 12-12-2012, 08:35 PM   #1 (permalink)
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Default Diabetes and teeth removal

My little Peechie has diabetes on 4 units twice a day with food. I have a mobile unit who comes to the house and he will even put her out for a short period of time and remove and clean her teeth. He advised me the morning of surgery to give her 2 units without food which worries me. I would prefer to have this done at home instead of leaving her at her other vet all day. Has anyone ever been thru surgery with their dog who has diabetes? How does this sound to you. I am also going to consult with her other vet who has a office where she is brought. She is 9 years old. Any adivice would be helpful!!!!
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Old 12-12-2012, 08:51 PM   #2 (permalink)
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Every vet will have their preference. We often have the owner skip insulin until we check a BG in the office and go from there. With fasting you never want to give a full dose of insulin. It is often safest to just skip it altogether if there is any question. With diabetics we make sure they receive antibiotics prior to their procedure, IV fluids during it, and monitor the BG very closely.
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Old 12-12-2012, 09:46 PM   #3 (permalink)
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Quote:
Originally Posted by jmm View Post
Every vet will have their preference. We often have the owner skip insulin until we check a BG in the office and go from there. With fasting you never want to give a full dose of insulin. It is often safest to just skip it altogether if there is any question. With diabetics we make sure they receive antibiotics prior to their procedure, IV fluids during it, and monitor the BG very closely.
That's what my vets always did with Lady's dentals. No food after midnight so no insulin. Having high blood glucose for a few hours is much safer than risking a hypo.

I would recommend having Peaches' dental done at your vet's office rather than by a mobile groomer. It is much safer to have her in a situation where she can be closely monitored and treated promptly for any complication rather than having her dental done by a mobile groomer.
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Old 12-12-2012, 10:48 PM   #4 (permalink)
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Karen, I would totally agree with jmm and Marj. Both are very knowledgeable. I pray for you and Peechie for all to go well.....I am sure it will, we do worry so much about our furbabies. Please keep us posted.
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Old 12-13-2012, 01:55 AM   #5 (permalink)
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My Cloud was also diabetic. I remember skipping his insulin dose and his food in the morning before dental surgery. We went to a dental specialist for his. It cost more, but gave me some piece of mind given the sensitive nature of his condition.
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Old 12-17-2012, 04:29 PM   #6 (permalink)
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When my Missy had to have bladder surgery she was diabetic... For the days prior to her surgery, I little by little extended her food/shot schedule to a little later each day so by the night before her surgery we were I believe at 9:45 rather than the usual 8 PM. She was done first thing in the next AM ... had no food nor shot that morning.
They monitored her BG... at 11 AM when vet called after procedure was over she said he4r BG was 90-something ( I'm thinking 95). We were both thrilled things were soo good.
She came home with me that late afternoon. Was told to feed much earlier ( 5-5:30) and give I think it was 1 unit more than the norm as she'd likely be considerably higher by then.... she was. I was to test and do the same thing the next AM... only give food/shot a bit later ... abt 6PM. Then I think it was a 1/2 unit increase from the norm that night... ( food/shot @ 6:30. From then on back to normal dose... and increase by 1/2 hour till we were back to our regular 8PM routine.
With this method there was no wild swings in Bgs... though a bit high for only a few hours for a couple of days... for the most part pretty stable.
Of course this surgery was longer/more involved than for dental and she was under a bit longer... the principle would be the same. Most times Missy had dentals while 'under' for something else and we followed the same thing.
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