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Hi. My name is***** Thank you for your question about this situation with Gizzy. How long ago did he eat this chocolate peanut butter candy bar? How much does he weigh? How big of a bar was this and how much chocolate is in it?
How much of the 2.25 oz is chocolate (milk I'm assuming)?
A lot of times, it is a best guess as to the amount of chocolate. If it is a peanut butter bar coated in chocolate, then it would be typically less than 1/2.
Ok. I just looked up the chocolate on a toxicity chart and if the entire 2.25 oz was milk chocolate for a 19 pound dog, it just enters the category for causing vomiting and diarrhea. If he has a more sensitive stomach, then he may be more prone to having those happen. When is he due for his next insulin? When did he get his last dose?
In a situation like this, I wouldn't give any more insulin than a normal dose. In actuality, I might give a little less than normal dose as there is a chance he could start to have vomiting. If he was to start vomiting, then the regular dose of insulin could drive his blood glucose levels a little lower than normal. Does this make sense?
Ok. When is he due to get his next regular insulin dose?
There are time zone issues here so your 8 am and 8 pm may be my 9 am and 9 pm or other times.
Alright. In this type of a situation, a very safe thing to do would be to give 1/2 of his regular dose. That way if he does have nausea, it is unlikely to drive him to low. If he doesn't, then his glucose levels will run higher than normal, but in all reality not in a bad level. He was running a lot higher in the days, weeks prior to his being diagnosed and not on any insulin.
I'm hoping for the best for Gizzy. One of the things that I tell owners with diabetic pets is that if they at any time have a day where their dog / cat is off a little and not eating well, they can always pull back on a single dose or two of insulin. I see way more cases at my ER where insulin doses are given at regular doses when the pet isn't eating well / vomting and they get hypoglycemic.
I'm sorry for my delay as a few cases pulled me away. That is good that Gizzy doesn't have any previous stomach sensitivity issues. I'm hoping for the best for him!