Bear Labs, Blood Glucose, Medication History

Time 8:12 AM 8:29 AM 11:14 AM 2:28 PM 5:30 PM 8:23 PM 12:38 AM 8:48 AM 8:29 PM 7:55 AM 9:18 PM 8:45 AM 2:44 PM 8:51 PM 10:26 AM 10:17 PM 11:19 AM 3:23 PM 11:42 PM 8:14 AM

Date Insulin Dose 30-Mar gave 4U after this measurement 30-Mar 30-Mar 30-Mar 30-Mar 30-Mar gave 4U after this measurement 31-Mar 31-Mar no insulin given 31-Mar no insulin given 1-Apr gave 2U after this measurement 1-Apr gave 2U? (forgot to note) 2-Apr gave 3U after this measurement 2-Apr unusual so high, then later drop 2-Apr gave 2U at 10:00pm 3-Apr gave 2U 3-Apr gave 2U 4-Apr gave 2U 4-Apr 4-Apr gave 2U 5-Apr appt conflicted with insulin admin

Temp UrineGlu Keytone

266

1:27 PM

6-Apr

102.3

291 284

8:07 PM 9:17 AM

6-Apr gave 2U 6-Apr gave 2U

103.3 101.8

11:00 AM 2:34 PM

6-Apr 6-Apr

103.+ 103.7

acupuncture

259

4:22 AM

6-Apr

103.0

4:00PM duck egg

265 182

9:19 PM 2:02 PM

6-Apr gave 3U after this measurement 7-Apr no morning dose as not eating

103.2 102.5

135

5:35 PM 6:08 AM

7-Apr lethargic, not eating 7-Apr

102.4 103.8

cornsilk in morning 101.3 103.7 102.9 101.5

442

8:26 PM

7-Apr gave 4U after this measurement

103.1

10:29 PM

7-Apr

103.6

11:36 AM

7-Apr

278

1:14 AM

8-Apr gave 2U as glucose still high

104.+

271

2:16 AM

8-Apr high temp most of evening

104.+

3:58 AM

8-Apr

104.+

7:33 AM

8-Apr

104.0

9:08 AM

219 473

8-Apr gave 8U

102.2

11:15 AM

8-Apr

104.1

191

11:57 AM

8-Apr

103

1:20 PM

8-Apr

104.2

2:35 AM

8-Apr

104.0

4:09 PM

8-Apr

5:57 PM

8-Apr gave 8U

102.2

7:42 AM

8-Apr

103.6

8:31 PM

8-Apr

102.4

9:51 PM

8-Apr

116 250

10:51 AM

8-Apr unformed very loose yellow stool

9:45AM hamburger w duck egg & onion

yin chaou, herb tea

herb tea

syringe dogsure & PDG steak strips 2000+

15

1000+

15 few kibble, hamburger/egg Sub-Q fluids at vet, fructosamine taken 3 Tbl egg; 6cc diabetic drink w Optagest

281 238 171

Notes highest concentration (peak) lowest concentration = nadir (trough) midpoint (ideal 200mg/dl; 150-250 ok) BG exceeds rental curve=10mmol/l 180mg/dl

zeel 1/2 tab 1000+

5 1/4 can tripe 1/2 adrenal cortex 1/4 can tripe 18cc diabetic drink

100+

negative

11:58 PM

8-Apr gave 1U

103.2

9cc kefir

170

8:24 AM

9-Apr gave 6U

101.8

1/8 can tripe, 18cc diabetic drink

adrenal cortex, 1/4 tab PDG, zeel 1/4

237

12:31 PM

approx time, no BG taken

1/2 pred

9-Apr

7:00 AM

9-Apr gave 6U

8:13 AM

10-Apr gave 4U

217

2:33 PM

10-Apr

351 179

8:04 AM 11:47 AM

11-Apr gave 6U 11-Apr

tripe mix (took blood after eating) tripe mix

231

7:51 PM

11-Apr gave 5U

fresh chicken

392

7:53 AM

12-Apr gave 6U

190 120 425 334 426 411 470 255 342 320 155 440 185 449 348 349 374 417 237 277 387 397 199 366 202 362 304 446 398 180 322 299 368 369 449 386 363 361 304 329 428 244 265 351 369 355 266 411 201 335 323 411 451 315 236 324 415 372 297 305 165 427 325 287 280 211 320 365 268 228 270 293 332 308 339 303 313 142 296 281 443 294 467 353 360

8:20 PM 8:18 AM 11:30 AM 8:09 PM 8:05 AM 7:38 PM 7:47 AM 8:33 PM 7:51 AM 8:12 PM 10:41 PM 7:22 AM 9:08 PM 2:51 PM 10:02 PM 10:52 AM 9:24 PM 2:13 PM 8:13 AM 12:11 PM 9:05 AM 9:26 AM 10:23 PM 10:36 AM 6:38 PM 8:03 AM 2:34 PM 8:13 PM 10:37 AM 8:57 PM 9:02 PM 12:27 PM 10:44 PM 2:03 PM 10:12 AM 9:40 PM 11:27 PM 11:34 AM 6:52 PM 9:34 PM 11:44 AM 2:34 PM 11:19 PM 11:06 PM 11:31 AM 12:29 PM 12:08 PM 12:06 PM 8:11 PM 6:29 PM 8:57 AM 10:03 AM 6:43 PM 5:00 PM 7:48 AM 11:16 PM 8:24 PM 11:49 PM 10:01 PM 9:05 AM 9:48 PM 10:32 AM 11:39 PM 12:27 PM 10:07 AM 1:11 PM 6:36 PM 9:50 AM 9:43 AM 9:56 AM 1:33 PM 11:24 AM 6:58 AM 8:58 PM 9:36 AM 8:53 AM 10:18 AM 8:32 AM 11:28 AM 10:31 AM 10:04 AM 10:39 PM 10:24 AM 11:09 PM 12:07 AM 10:34 AM

12-Apr gave 5U 13-Apr gave 5U 13-Apr 13-Apr 14-Apr 14-Apr 15-Apr 15-Apr 16-Apr 16-Apr 17-Apr 18-Apr 18-Apr 19-Apr 19-Apr 20-Apr 20-Apr 23-Apr 24-Apr 24-Apr 25-Apr 26-Apr 26-Apr 27-Apr 29-Apr 30-Apr 30-Apr 30-Apr 1-May gave 7U 1-May 1-May 7-May 8-May 10-May 11-May 13-May 17-May 21-May 21-May 21-May 22-May 23-May 23-May 28-May 29-May 30-May 31-May 5-Jun 7-Jun 9-Jun 10-Jun 11-Jun 11-Jun 13-Jun 14-Jun 14-Jun 17-Jun 19-Jun 21-Jun 25-Jun 25-Jun 26-Jun 26-Jun 27-Jun 28-Jun 28-Jun 28-Jun 28-Jun 29-Jun 2-Jul 2-Jul 3-Jul 4-Jul 4-Jul 5-Jul 6-Jul 8-Jul 9-Jul 12-Jul 13-Jul 16-Jul 16-Jul 17-Jul 17-Jul 18-Jul 18-Jul 7U 10:50

204

Bear Blood Glucose 03/30 4U insulin administered 2x/day 20 15 10 5 0

0

1 tab cornsilk 6:00PM

256

302

Food

Blood glucose (mmol/l)

mg/DL 283 269 118 130 299 285 83 117 137 307 316 351 337 192 236 301 273 287 359

1/4 pred 1/4 pred 1/4 pred 1/4 pred, adrenal cortex, zeel 1/4 1/2 tab pred approx time, no BG taken

1mg pred 8:00AM; 1:00pm 1mg pred

05/01 9:02 180 Glen

4

8

12

Time (hours)

16

20

24

Worland

Range CBC WBC RBC HGB HCT MCV MCH MCHC RDW MPV (mean platelet volume) Platelet Count Differential Counts Baso Eos Bands Polys /neutrophils Lymph Monos Metamyelocytes Total NRBC Reticulocyte Total Absolute Reticulocytes Chemistry Screen Glucose, Serum Glucose, Plasma BUN Creatinine Bun/Creatinine Ratio Sodium (Na) Potassium (K) Sodium/Potassium Ratio Chloride (Cl) Triglyceride Magnesium (Mg) Carbon Dioxide Anion Gap Calcium Phosphorus Osmolality, Calculated Total Protein (TP) Albumin Globulin Albumin/Globulin Ratio Bilirubin Alkaline phosphatase (ALP) Gamma gt (GGT) ALT (SGPT) AST (SGOT) CK / CPK Cholesterol Amylase Lipase Bile Acids, Pre Meal Bile Acids, Post Meal Total Estrogen Cortisol IgA IgG igM T4 RIA T4 T3

6-17 5.5-8.5 12-18 37-55 60-77 19-28 30-38 12-16 6.1-10.1 170-400 0-150 0-1200 0-300 2060-10600 690-4500 0-840 0-0 0-1 0-1 <60000 65-130 65-130 6-29 0.5-1.6 4-27 140-158 4-5.7 27-40 102-120 29-291 1.5-2.5 18-26 13-25 8-12 3-7 270-310 5.4-7.6 2.3-4.0 2.7-4.4 0.6-1.2 0.0-0.5 10-84 0-10 12-118 16-60 50-300 150-275 300-1500 0-425 <13 <25 20-25 1-2.50 70-170 1000-2000 100-200 1-4 2-4.5 100-200

04/09/07

Worland

03/31/07 40.4 3.6 8.8 30 82 24.4 30

Windom

Peterson

02/27/07

31.5 3.8 9.4 29 76 24.5 32

02/05/07 52.8 2.71 6.7 21 77 24.8 32

672 0/0 945/3 0/0 630/2 0/0 28665/91 50731/97 630/2 0/0 630/2 1569/3

Peterson

01/16/07

Webster

12/28/06

Snyder

Alpine

Sodhi

10/20/06

Peterson

10/13/06

Peterson

10/05/06

09/28/06

09/25/06

09/22/06

09/15/06

09/07/06

09/01/06

08/18/06

08/05/06

07/14/06

06/26/06

06/22/06

05/09/04

45.3 3.62 8.8 26 72 24.2 33.6 16.6 9.8 304

45.3

25.8 4.2 10.3 32 77 24.8 32

33.7 4.2 10.5 31 74 25 34

30.9 5.12 12.8 35.1 69 25 36.4

28.1 5.5 13.4 36.6 67 24.4 36.7

11.4 5.3 12.7 41 78 24.1 31

11.7 6.2 16 46 74 25.7 35

10.7 5.3 13.5 41.0 77.0 25.4 33.0

7.7 6 15.4 41.5 69 25.7 37

48

377

292

21.4 4.6 11.4 34.3 74 24.6 33.2 16 10 323

394 218 ABS / % 0/0 0/0 309 / 1 0/0 0/0 556 / 2 18.9-/ 87.6 26574 / 86 24464 / 88 1.7 / 8.3 309 / 1 278 / 1 0.8 / 4.1 3708 / 12 2502 / 9 2 30900 27800

157

186

Adequate

224

70 710

0/0 214 / 2

8770 1500 660

9095 / 85 963 / 9 428 / 4

0/0 75 / 1 0/0 6450 / 86 750 /10 225 / 3

46.7 3.8 9.9 30 80 26 33

51.7 3.7 9.5 31 83 25.3 31

51.1 3.5 8.5 27 77 24.5 32

60.7 3.7 9.1 28 76 24.9 33

453

133

471

341

457

355

338

414

0/0 604/1 59192/98 604/1 0/0

0/0 0/0 2508/3 76076/91 5016/6 0/0

0 0 2740/4 60965/89 1370/2 3425/5

167

82

276

288

15 0.6 25 142 4.4 32 100 408 1.4

20 0.8

45 0.6 75 142 4.5 32 106 151 2

44 1.2

1.6

141 3.8 37 111

150 5.2 29 107

13 17 8.1 6 301 5.7 2.5 3.2 0.8 0.8 10966 147 57 78

20 23 9.9 5.8 298 6.5 3.2 3.3 1 0.1 7533 155 356 126 780 283 735 205

321

Peterson

48.2 3.8 9.8 31 82 25.6 31

1.2 38400

6 2.8 3.2 0.9 0.1 848 11 26 58 554 254 647 196

Sodhi

10/31/06

75.4 3.8 9.7 29.9 79 25.7 32.3

2.2 59620

9.7 8.6

Peterson

86.9 2.7 8.2 21 79 31 39.1

2 87780

18 20 10.2 6.3 296 6.7 2.9 3.8 0.8 0 1279 7 34 52

Sodhi

11/21/06

60.4 3.2 8.4 27 84 26 31

4 2 53000

149 4.1 36 111

Peterson

9.2 5.5 5.6 2.9 2.7 1.1 0.2 5832 116 66 50 219 745 793 203

707

Peterson

Peterson

0 0 0 47236 482 482

45299 467 467

1034 2068 46013 1551 517 517

3035 55844 1214

Gokhale

0 1032 774 23220 258 516

3171 38458 453 2718

607

337 2359 30330 337 337

1

3 1.85 64750

93

10

74

115

89

17 0.5 34 147 4.7 31 114 393 1.6

21 0.6 35 151 5 30 114 443 2.3

23 0.5 46 142 4.2 34 111

12 0.6

10 0.7 14 147 4.2 35 109

9.7 5.6

9 7.1

8.2 5.1

10.3 4.6

9.1 5.1

6.3 3 3.3 0.9 0.1 2331 33 94 40 235 350 594 171

6.6 3.1 3.5 0.9 0.1 4494 82 189 53 297 384 544 198

5.9 2.8 3.1 0.9 0.01 4516

7.1 2.4 4.7 <0.1 1232

6.5 3.2 3.3 1 0.1 3400

184

45

147

4.8 180480 50 157

1022 48034 1533 511

Peterson

1 2.03 75110

71 355

Gokhale

798 / 7 114 / 1 9006 / 79 912 / 8 570 / 5

Reising

Lakemont

7500

1

236 512

108 225

88 80 9 0.5 / 0.6

16 103 18 1.2

31.0 106 15 0.9

142 4.03

155 5.5 28 108

150 5.2 29 106

20 27 9.4 5 306 6.5 3.7 2.8 1.3 0.1 3819 72 206 98 621 110 547 288

21 23 9.4 4.9 296 6.4 3.5 2.9 1.2 0 4360 54 381 121 415 115 369 264

118 1.1 15.9 9.4 10.2 4.4 280.9 5.6 2.3 3.3 <0.1 1788 234

118 902.0

117

100 28.0

17 1.4

7.5 3.9 3.6 1.1 0.1 384 11 37 24

6.4

4119 468

98 11 0.9 12 150 4.2 36 105 107 1.8

97 117 11 1.1

25.13 0.52 51 894 83

10.3 4.4 309 6.8 3.7 3.1 1.2 0.2 336 5 66 57 212 173 591 190

22 16 10.2 3.9 299 6.7 3.4 3.3 1 0 397 3 135 57 289 192 695 225

1.19

0.7

2+anisocytosis 3+rouleaux

0.3 0.83 1+hypochromasia 2+anisocytosis 2+rouleaux

<0.1

2.61 114.83 slight polychromasia howell jolly bodies present

large platelets present

large platelets present platelets appear slightly increased rbc morphology normal

1+hypochromasia

1+hypochromasia

1+hypochromasia

2+anisocytosis

2+anisocytosis

2+anisocytosis

2+anisocytosis

3+rouleaux

2+rouleaux

3+rouleaux

2+rouleaux

1+macrocytosis

1+macrocytosis

1+polychromasia

1+polychromasia

2.1

27 1.12

151 4.5 34 113

10.4 10.1 2.2

129.2

6.29

<10

03/22 prednisone restarted 03/26 vetalog shot .5mL, stopped pred 02/25 stopped soloxine 02/25 restarted prednisone 1/4 tab 02/18 stopped prednisone & all antibiotics 02/06 ran out of zeniquin (marboflaxin) 02/06 reduce prednisone to 1.25mg/1 day 02/05 start cephalexin 125mg 3x/day 02/05 stop simplicef 01/23 increase vetsulin to 9U 01/23 start vetsulin 8U 01/23 start simplicef 01/20 soloxine 0.1mg /2x day 01/19 changed cefazolin to marboflaxin 01/17 reduce prednisone to 2.5mg / 1 day 01/17 amikacin and cefazolin for 2 days 01/15 - 01/23 metronidozole 50mg/2x day 01/15 Imipenem for 2 days 2007 - Jan prednisone reduced to 5 mg 11/13 restart azathioprine 11/13 increased prednisone to 7mg 11/13 doxycycline ran out 11/6 clindamycin 10/30 stopped choloramphenicol 10/30 Baytril ran out 10/28 clindamycin 10/02 doxycycline 50mg/2x day 09/29 chloramphenicol (viceton) 250mg/3x day 09/28 stop clindacure 09/28 6.6kg 09/27 stop atopica 09/26 stop metronidazole 09/25 start atopica 25mg /2x day 09/25 6.6kg 09/23 start clindacure 25mg/3x day 09/22 stop clavmox 09/22 6.9kg 09/15 tramadol 12.5mg-25mg/day as approp 09/15 prednisone 2.5mg/day 09/15 clavamox 125mg/day started 09/14 timentin given via IV 09/14 6.8kg 09/14 stop azathioprine 09/08 stop prilosec 09/08 baytril 102/mg/day 09/08 metronidazole 62.5mg/day 09/08 prednisone 5mg/day 09/08 azathioprine 14mg/two days 09/07 iv antibiotics while admitted 09/07 6.7kg 08/25 azathioprine started 14mg/day 08/24 prilosec 5mg/prednisone 08/24 7kg 08/04 prednisone 15mg/day+ prednisone 1.25mg/day prednisone 2.5mg/day 7/14 prednisone 5mg/day07/11 prednisone 10mg/day06/29 stop doxycycline 06/28 prednisone started 15mg/day 06/28 stop baytril 06/28 stop amoxcilin 06/25 baytril 32mg/day 06/25 amoxi 150mg/day 06/25 iv antibiotics while admitted 06/23 doxycycline 50mg/day 06/23 tramodol 06/16 17.3 lbs

1/4 tab today as Bear holding up right hind leg, not walking well vetalog shot, intermittent soloxine, 1/4 pred this morning seemed Bear was losing too much weight, decided to stop thyroid meds to see if this would help 1/4 tab for a few days, then up to 1/2 tab - 2.5mg approximate date

peterson peterson peterson gokhale peterson peterson peterson peterson

for diabetes, transition from IV for thyroid based on culture results

peterson peterson reduced Bear's prednisone to 2.5mg twice a day some time in Jan

gokhale

only gave occasionally as Bear seemed worse every time taken; he is no longer taking this

gave 2 clindamycin tablets this week had a small number of 1/4 tablets the previous week stopped either this week or week prior gave 1 clindamycin tablet, seemed Bear was worse next day so discontinued

peterson peterson peterson peterson peterson peterson peterson peterson peterson gokhale gokhale gokhale gokhale gokhale gokhale gokhale gokhale gokhale gokhale gokhale gokhale gokhale snyder gokhale gokhale snyder reisling reisling reisling hermann reisling hermann hermann hermann alpine alpine alpine reisling reisling lakemont

occasional missed doses and reduced doses, at one point also too high a dose

approximate date of medication reduction started full dosage several days later