It doesn't look like ACTH was tested with your recent insulins. I would do both whenever you do bloodwork because PPID is progressive and regular increases in pergolide/Prascend are par for the course. ACTH should be tested regularly, at a minimum before the seasonal rise in mid-summer, and again 3 weeks after any dosage increase. If PPID is not fully controlled it only worsens the IR.
It sounds like she's doing well though, and it's great that your hay is low sugar!
Kirsten and Shaku (IR) - 2019
Kitimat, BC, Canada
ECIR Group Moderator
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