Re: Blood work results and confused!

Eleanor Kellon, VMD

Hi Cheryl,

Regardless of what any of us might think, you need to get your vet on board.

It's basically impossible to compare your insulins because of different labs, different assays, different potential for cross-reactions.  ACTH units aren't always directly interconvertable either for the same reasons. My main concern would be a repeat performance of last year but you would make a stronger case for an increase if you are seeing any changes in your horse like more drinking and urination, topline wasting, belly enlarged, crest increasing. Otherwise, talk to your vet about a prophylactic increase with the possibility of weaning back down to her current dose in late winter.
Eleanor in PA 
EC Owner 2001

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