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Diabetic Poodle

by swaneysue - October 3, 2009

15-year-old female spayed poodle with ravenous appetite, urinary incontinence and Diabetic (diagnosed 8 weeks ago.)

Annie is fearful and suffers from separation anxiety.

Prior medical history:
Separation anxiety improved with Tian Wan Bu XinWan
Recurring pancreatitis- responded to Xiao Yao San and diet changes
Oti externa resolved with diet changes
Cervical disc disease-responds to acupuncture
UTI 3-4 years ago was recurring problem
Urinary incontinence=Sang Pian xiao wan initial help then stopped now Rhemannia 8
Fatty tumors
Mast cell tumor deep in flank = Sx removal last year-incision not heal treated with blood root topical- resolved and oral Xue Fu Zhu Yu Tang

Currently

T= red P= deep very weak

Coat dries, thinning
Ravenous appetite is severe per owner
Some cool seeking, panting mild, increase drinking
Vision catarax progressive
Leaking at night inconsistent
Weakness in the rear legs

Active BL 18, 19, 20 pulses only improves a little.

I feel like APR would be help full here but she was on it in July and we did not see any significant improvement. Maybe Liu Wei Di Haung Wan with Yu Nu Jian +/- schisandra or Sheng Mai San ?

Thanks Sue

by naturevet

October 6, 2009

Hi Sue,

I see two options. We wonder whether Phellodendron might have a metabolic effect in diabetics that helps diabetes due to insulin resistance (i.e. cats), but hinders diabetes due to insulin dependence (dogs). Rehmannia Six may be a better choice, then, for the Yin deficient Empty Heat case. Recent research has surprisingly shown that the chief effects of Rehmannia Six (LWDHW) in diabetes are due to its content of Cornus (Shan Zhu Yu; dogwood berry). So a formula that has proportionately more of that, and less of ZBDHW is the way to go. I wouldn't even try Yu Nu Jian yet, but see what LWDHW achieves.

The second formula that has been quite impressive lately in its anti-diabetic effect in dogs is Bu Zhong Yi Qi Tang. We've actually seen IDDM cases improve to the point that we've had to start skipping insulin doses for fear of making them hypoglycemic. This formula is more appropriate for an incontinent dog where there are still signs of Spleen deficiency.

Hope that helps you out!

Steve

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