I know everyone is at the No Laminitis conference, but I'm hoping Dr. Kellon or a moderator can suggest how to talk with my vet about increasing Blessing's pergolide. She is presently on 2 mg compounded. 


Blessing had a blood draw on Wednesday, Oct. 11. Cornell Labs ran the tests. She still registers as uncompensated for IR and I'm very concerned about her foundering again this winter.

ACTH: 20.9 pg/mL vs 48.4 pg/mL on June 26
Glucose: 116 mg/dL vs 136 mg/dL on June 26
Insulin: 71.19 ulU/mL vs 151.79 ulU/mL on June 26
Leptin: 6.05 ng/mL vs 23.85 ng/mL on June 26
T4: 3.67 ug/dL vs 2.08 ug/dL on June 26
Taped at 908 lbs vs 969 lbs on June 26.

I understand that her ACTH is in the zone where we want it (9-35 pg/mL). But will increasing the pergolide help move her into the compensated category for her IR? If so, do you have a suggested range I can talk about with my vet? We plan to test her again in December. Blessing's CH will be updated to reflect this new data tomorrow.

Thank you for all that each of you does to help us owners help our horses!
--
Helen Connor and Blessing (IR/PPID)
May 2017
Scappoose, OR  USA

Blessing's Case History:  https://ecir.groups.io/g/CaseHistory/files/Helen%20and%20Blessing
Blessing's Photo Album: https://ecir.groups.io/g/CaseHistory/album?id=6847