“Scooby” our special boy 22.04.03 - 19.07.13 ( Male -Maltese x Poodle) “He had a number of issues during his stay in this world but went thru them all with a cheesy grin and seemed to know that what evermedicines or test that he had we were trying to help him”. 2 x Cruciates / Pancreatits /Enlarged Liver /Insulin Diabeticand Lymphoma Cancer We purchased Scooby from the local Pet store. June 2003. Within a few days, he was very sick, and could not breath. This was just the start of his rocky life unknown to us. December 2007- Scooby was not himself this morning. He just sat and did not want to walk and then his eyes rolled back into his head, could only walk a few steps then he collapsed, had intermittent head tilt, lost control of his legs. Our vets referred to us to the Specialist centre, where many expensive tests were done and Scooby was admitted to ICU. They knew within a few hours he had a disease called G.M.E.Granulomatous MeningoEncephalomyelitis, a disease of the brain and spinal cord. http://www.marvistavet.com/html/body_granulomatous_meningoencephali.html http://veterinarysurgicalcenters.com/Inflammatory-Brain-Disease.html We read the internet, as any concerned and emotional owner does, and did not expect him to live. After a few days of no improvement we brought him back our vets to have him Euthanased. Scoobywas aware we were with him, but could not move his limbs. Our vets decided to watch him for the day, and administer a product by Troy, called Nutrigel. We went back that night, and he was standing up. They had worked wonders, and we can only assume the centre may have had him sedated. We moved forward and he made a full recovery. He was however on Prednisone and Imuran and went to Interceptor for Heartworm. The Proheart 12month injection could no longer be given to him. Unknown to us, Prednisone is a very dangerous drug long term, and as I had been reluctant to allow our vets to reduce the Prednisone, as I did not want GME to return, the results were Pancreatitis late 2008 and 6 months later May 2009 he was diagnosed with Diabetes (Insulin dependant). November 2010, our vets found a Mass, enlarged liver. We were referred for an ultrasound. The Prednisone had caused this to occur , but did get lucky it was repairable.The specialist strongly suggested westart to pull him off the prednisone and hope the GME did not return. We did this over weeks, and it GME never returned. He was put on Creon 10,000 to assist him for remainder of his life.Omeprazole is “Losec was prescribed by the specialist, but it caused us 12 months of cow pat motions and loss of weight. This was a huge mistake putting Scooby on this drug to help clear up the mass. We withdrew it , but the symptons took 12 months to clear up back to normal. Scooby now was a diabetic , that could no longer be immunized, due to the GME,so life was quite rigid and secluded for him and our other dogs. We were extremely careful who he spoke to (other dogs) and where we could go for walks. Luckily he had C5 injection in Aug 2009 , so we had to hope he had immunity. In Oct 2011 we ran a Titre test and after careful consideration and research it was decided in May 2012, to give Scooby a booster of Parvac vaccine only . This was a risk, we knew that due to his past issues, but everything turned out fine. With Diabetes came change of diet, checking blood glucose levels am/pm prior to injecting insulin, regular exercise and very rigid time frames. Our lives revolved around him. Our work, social, and outings. We purchased several Accucheck machines and ongoing strips. After much research on the internet, we found the best place and less intrusive to take blood was the elbow. I shaved the hair back , down to the skin, and lightly pricked the skin with a 26 Gauge veterinary needle ( new needle each time), and then squeezed the area to gain a bead of blood. The strip was put against the blood to gain a reading (Edge to edge). (http://www.caninediabetes.org/blood2.html). some sites suggest putting vaseline onto elbow callus, but it must be dry and this system does work. We tried the tail, ears and veins but the elbow was painless , fast and simple. Always gaining a reading. I never injected insulin without this reading. Our aim was predosing (before injecting insulin) to have reading of 10-12 on the Accucheck machine. Scooby was a 10KG dog. We had tried Canin Insulin. humanMixtard 30/70, and then got perfect readings most of the time, after we swtitched to Mixtard 50/50 and injected with human penfill and needles 28Gauge . We kept a daily diary of the readings and dose injected as this was very useful when glucose readings altered. I used my diary to refer back to. Any exceptions I would highlight. I found best site for injecting insulin was along the side of his body mainly near the back flank area and sides of his belly, however sites had to be moved. www.novonordisk.com.au www.accu-check.com https://www.diabetesvic.org.au/type-1-diabetes/insulin-therapy-andpumps/types-of-insulin https://www.bd.com/ca/diabetes/english/page.aspx?cat=14501&id=14894 Scooby was doing very well as a diabetic, but the food regime we had was incredible and much research went into it. I was very diligent with his diet, excercise routine and dosing every 12 hours, and believe this gave Scooby a fantastic existence. I noted certain foods would increase his sugar levels rapidly. Carrots, to much free range chicken, etc. We found a all cooked diet of Macro free range Roo, Hoki fish from Aldi, cooked free range eggs, and the Health roll for Adults made by Vets all natural in Victoria NSW made a huge difference + Broccoli. Rice can only be Bassamiti rice for diabetics, but he only had this if he was off colour. I contacted Vets All Natural and found them to be incredibly helpful and supportive to us. The roll brought Scooby's glucose levels back to normal and the roll can be frozen and then thawed. We used this for from June 2012 when I located the company on the internet during my research. 8th Feb 2013 we went into Vet for routine tests. Titre ,Fructosamine and general blood work. I had taken note of 2 lumps on the back of his hind legs, that I had only noticed 48 hours prior, he had a tiny cough, I assumed could be kennel cough but knew antoibiotics would clear this up, but his neck just did not feel right. As I was pointing these out to our vet , life changed in a split second. He had Lymphoma Cancer. I could not believe this little dog had to endure yet another illness. I asked for tests to be run, to confirm this diagnosis. The vets ran blood work and cytology. The tests were back and confirmed within hours. Oral chemotherapy began. Prednisone and Leukran. We began Doxorubicin chemotherapy that week also, to give Scooby his best chance. We had beaten every other disease, so we decided to give this our best also. We once again altered the diet, however that was tricky, as it couldn't affect his diabetes, or the cancer. Scooby stayed on Prednisone, Leukran and monthly Doxorubicin and was doing so well. His hair did thin and he did age a lot faster. He looked old, but was still very happy throughout the Chemotherapy, and I still had his glucose levels under control. The chemotherapy did not make him sick, we only had 2 -3 small vomits throughout the time. He was doing very well and we were at 6 months, when he started coughing and seemed to have trouble breathing. The chemo had affected his heart. This is the gamble we took. Had we not proceeded with the Doxorubicin he would have only had 4-6 weeks to live. With Doxorubicin we had 6 months. We tried heart medication for 48 hours to relieve the fluid on the heart, but he deteriorated fast and was very uncomfortable, so the decision was made so he did not suffer to let him go pain free and quietly. For a very sick little dog, he had a wonderful life full of twice daily walks, many outings, and a holiday to Forster NSW. He was never housebound. With our dedication and our team of vets particularly the amazing David Mylonashttp://www.blacktownvets.com.au/ How to take blood and best area to inject Diet for a diabetic Diet changes with Cancer, still a diabetic.