{"id":2728,"date":"2013-09-23T21:52:19","date_gmt":"2013-09-23T21:52:19","guid":{"rendered":"http:\/\/www.animalhealthfoundation.net\/blog\/?p=2728"},"modified":"2013-09-23T21:52:38","modified_gmt":"2013-09-23T21:52:38","slug":"diabetes-alert-dog-brings-comfort-relief-to-boy-and-his-family","status":"publish","type":"post","link":"https:\/\/www.animalhealthfoundation.org\/blog\/2013\/09\/diabetes-alert-dog-brings-comfort-relief-to-boy-and-his-family\/","title":{"rendered":"Diabetes alert dog brings comfort, relief to boy and his family"},"content":{"rendered":"

\"Diabetic<\/a>Kermit, a 2-year-old service dog trained to detect fluctuations in human blood sugar levels, helps 9-year-old Kiernan Sullivan monitor his type 1 diabetes, giving Kiernan’s parents some extra relief. Uncontrolled blood sugar levels can lead to problems such as neuropathy, limb loss and even blindness, so specially trained dogs, along with tools such as glucose monitors that help keep blood sugar levels within the normal range, can improve the quality of diabetes patients’ lives, said physician Andrew Ahmann.<\/strong><\/em> The Oregonian (Portland)<\/a><\/p>\n

When 9-year-old Kiernan Sullivan started school this month, he attends each class in the company of his new best friend \u2013 a 2-year-old service dog named Kermit.<\/p>\n

\u201cIt\u2019s fun but hard,\u201d Kiernan says of his new charge. \u201cYou have to feed him, take him out to bathroom and take him out for walks.\u201d<\/p>\n

Kiernan has\u00a0Type 1 diabetes<\/a>, which usually affects children and young adults and accounts for about 5 percent of all diabetes cases. It occurs when the body does not produce insulin, a hormone needed to convert starches, sugars and other food into energy.<\/p>\n

Kiernan, who was diagnosed when he was six, experienced a grand mal seizure in November. The experience was scary, but his parents thought they could manage Kiernan\u2019s disease with careful meal planning and regular insulin shots.<\/p>\n

Then one Saturday morning in March, Kiernan\u2019s mom, Michelle Sullivan, awoke to a horrifying scene.<\/p>\n

Her husband, Stuart, had left early that morning to go grocery shopping so the family could do something together. He kissed her goodbye and closed the bedroom door so she could sleep in a bit.<\/p>\n

She awoke to her husband\u2019s terrified screams as he came home to find their son lying unconscious on the kitchen floor. Kiernan had wandered into the kitchen to find some sugary food to bolster his blood sugar but found only sugar-free licorice. Bright red licorice was still smeared on his face when his parents found him.<\/p>\n

The Sullivans realized they needed help. Thanks to the help of a staff member at Kiernan\u2019s school,\u00a0City View Charter School<\/a>\u00a0in Hillsboro, they found out about Dogs Assisting Diabetics.<\/p>\n

About Dogs Assisting Diabetics<\/b><\/p>\n

The Forest Grove-based nonprofit was founded by dog trainer Kristin Tarnowski and Darlene LaRose Cain, a former national chair for the\u00a0American Diabetes Association<\/a>.<\/p>\n

Since the organization launched in 2009, Tarnowski has trained more than 35 dogs to be service-alert dogs.<\/p>\n

The dogs initially came from breeders, but Tarnowski recently started her own breeding program with registered Labrador retrievers so she can start training them as puppies.<\/p>\n

(Kermit came from the\u00a0Guide Dogs for the Blind<\/a>\u00a0breeding program but failed his final test).<\/p>\n

The training process can take at least six months to one year.<\/p>\n

To train the dogs, Tarnowski places a swab of sweat collected from a diabetic person whose glucose levels are high or low and puts it in a sealed vial.<\/p>\n

When the dog approaches the vial and reacts to it, she rewards them with treats and affection.<\/p>\n

\u201cWe\u2019re getting the dog to think of it as a game and have fun of it,\u201d Tarnowski says. \u201cThe dog gets excited and wants to keep looking for it.\u201d<\/p>\n

The dogs can smell a metabolic change that takes place when someone\u2019s blood sugar changes, although researchers still aren\u2019t sure exactly what the dogs detect.<\/p>\n

The dogs cost $15,000 and are in high demand. Each year, Dogs Assisting Diabetics receives about 200 requests from people all over the world.<\/p>\n

Priority goes to people who have a high medical need for the dog, such as those whose blood-sugar levels are high enough to require dialysis.<\/p>\n

How it works<\/b><\/p>\n

When Kiernan\u2019s blood sugar levels veer away from normal levels \u2013 below 80 or above 180 milligrams per deciliter \u2013 Kermit alerts him in one of three ways.<\/p>\n

The dog will paw at the boy\u2019s leg or chew on an orange strip on his leash called a \u201cbrain cell.\u201d<\/p>\n

Kermit continues to alert until Kiernan acknowledges him with a treat. Then he can check his blood-sugar levels and treat them accordingly.<\/p>\n

Because Kiernan\u2019s blood sugar levels fluctuate so frequently, the family decided against a Continuous Glucose Monitor that alerts during changes in glucose levels, Michelle Sullivan says.<\/p>\n

The monitor\u2019s frequent sensors can become a nuisance for someone like Kiernan, who can drop from a normal blood sugar level down to 50 mg\/dL after walking just a few blocks.<\/p>\n

Properly trained service dogs can offer great value to people with diabetes, says Dr. Andrew Ahmann, director of the\u00a0Harold Schnitzer Diabetes Health Center<\/a>\u00a0at Oregon Health & Science University.<\/p>\n

\u201cI have no doubt that they can alert individuals who have low blood sugar at a time when the person themselves does not recognize the problem,\u201d he says.<\/p>\n

Since Kermit alerts Kiernan as soon as his blood sugar changes, he\u2019ll know to check the levels sooner. He has less risk of reaching the dangerous highs or lows that can send him into a seizure.<\/p>\n

Over time, that careful monitoring can help bring three-month blood sugar averages, called A1Cs, closer to normal range.<\/p>\n

\u201cThat\u2019s adding time to their life,\u201d Tarnowski says. \u201cHigh blood sugars contribute to blindness, limb loss or neuropathy.\u201d<\/p>\n

According to one study, one in 20 children will die in their sleep from low blood sugar levels.<\/p>\n

Yet Ahmann cautions that little research is available that proves the dogs\u2019 effectiveness in preventing severe hypoglycemia or in improving overall glucose control.<\/p>\n

The dogs should never replace the use of blood sugar testing meters that provide accurate readings, he says.<\/p>\n

\u201cI don\u2019t think the use of diabetic assistance dogs is a replacement for continue glucose monitoring or intermittent glucose monitoring,\u201d Ahmann says, \u201cbut the dogs do provide another layer of security that is very important to kids and their families.\u201d<\/p>\n

For Kiernan\u2019s mom, that furry security blanket is priceless.<\/p>\n

\u201cI know that Kermit isn\u2019t 100 percent, but he\u2019s at least given me an extra level, just an extra step of assurance,\u201d she says. \u201cI hope that Kiernan doesn\u2019t have another seizure, but Kermit is just an extra layer of protection.\u201d<\/p>\n

If you want to help:<\/b>\u00a0The Sullivan family is struggling to pay for Kermit, who costs $15,000. So far, the family has paid $5,000 and is on a payment plan for the remaining amount.<\/p>\n

The family has established a fundraising page on Youcaring.com called \u201cHelp Kiernan Bring Kermit home<\/a>\u201d that allows people to donate to his cause.<\/p>\n

You can also donate to Dogs Assisting Diabetics at\u00a0dogsassistingdiabetics.com<\/a>.<\/p>\n

—Monique Balas<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"

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