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knstrand
knstrand, Veterinarian
Category: Vet
Satisfied Customers: 519
Experience:  I'm a small animal veterinarian - dogs, cats, birds, reptiles, rabbits, pocket pets
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my 12 yr old westie has started to wee in the house , she has

Customer Question

my 12 yr old westie has started to wee in the house , she has this minute been drinking water and wet her self at same time , help! shes a diabetic and has a heart murmour .
Submitted: 2 years ago.
Category: Vet
Expert:  knstrand replied 2 years ago.

knstrand :

Hello, my name is Dr Strand. I can try to help answer your question about Sally.

knstrand :

The excessive urination and even leakiness can be associated with her diabetes.

knstrand :

Diabetic dogs naturally drink more water and therefore urinate more frequently. Their bladders fill quickly and can therefore be prone to an "overflow" bladder if she is holding her urine for long periods.

knstrand :

Another possibility which would need to be ruled in or out by a urinalysis with her regular vet, is a secondary bladder infection.

knstrand :

Diabetics tend to have sugar in their urine which creates the perfect environment for a bacterial infection.

knstrand :

How do we regulate her diabetes? Weekly visits to the vet for blood sugar checks?

knstrand :

Another possibility is that her diabetes is becoming unregulated on her current insulin dose. She may need to be dropped off at her regular vets office for the day so they can run a glucose curve (ie taking sugar readings every 2 hours throughout the whole day). This will help to assess how she's responding to the current insulin dose and determine whether she needs an increase in insulin.

knstrand :

So first step would be a urinalysis and glucose curve with her regular vet. If neither of these tests are turning up the answer, we may have to run more extensive blood work. She also may be becoming more incontinent with age, which is exacerbated by the diabetes process. There are also medications to help manage incontinence if this is the case.

knstrand :

Hopefully this helps. Please feel free to respond with further specifics or questions

Customer: replied 2 years ago.
Sally has recently had her insulin level dropped . She had her curve done 4wks ago . She was becoming ill falling over vet advised dropping insulin level . She has had one episode since , but seems to have stabilized . This seeing has been going on for 2weeks now and tonites episode was a first in front of us .
Expert:  knstrand replied 2 years ago.
Okay, so just to make sure I'm understanding correctly: 2 weeks ago Sally started having episodes of weakness and falling over. Your vet did a curve and her insulin was too high (ie sugars too low) and reduced insulin. These episodes have since resolved and she is now having episodes where she simply urinates where ever she is standing. Hopefully I've got this understood correctly.
How much did her regular vet lower the insulin by? Unfortunately any changes in insulin would have to be recommended by her regular vet who can measure her blood sugar and advise you. However, it's possible we have gone too far the other direction now (ie blood sugar is too high again). This will cause her to want to drink more, and in turn urinate more.
We also could still be dealing with a urinary tract infection. A urinalysis, collected by your vet in a sterile manner, would be required to rule out infection. So unfortunately another trip to the vet is in order to double check blood sugar levels and urine. Hopefully this helps.
Expert:  knstrand replied 2 years ago.
Did you receive my response about Sally. Do you have any other questions, or any more info that would help me assist you further.

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