Recent Bloodwork results- where should I go next?


Kelly Gilmartin
 

Dr K et al,
my initial metabolic panel is in from Cornell- still
awaiting TRH stim results- he always had a normal ACTH but was abnormal on stim. The same appears here. 

baseline ACTH 22.3 of/mL range 9-35
insulin 99.75 uiU/mL range 10-40
glucose 100 range (71-122)

what should I do next? Metformin? Invokana? Do horses get hypoglycemic on metformin? Welcome suggestions for getting insulin down as he is still not comfortable moving long term. 

Thanks
--
Kelly Gilmartin/Buddy
Western Massachusetts 
member since 2019
https://ecir.groups.io/g/CaseHistory/files/Kelly%20and%20Apostrophe%20GCH/BuddyCaseHistoryAug2020.pdf

https://ecir.groups.io/g/CaseHistory/album?id=251736

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