Hello Lavinia, 

Thank you very much for your reply and your support. I wish you the best with Dinky too! 

The Wedgewood product are the gourmeds Chewable tablets. Now that we have Bullitt's bloodwork I have contacted our vet and she says she can get it in oil, if that would be better and more stable, but I will admit that this is so easy to give him and with his diet as controlled as it is he looks forward to his meds like a treat. :(  but I will do what is best for him based on the advice of this group. 

I thought about the Metformin as well as soon as I saw his blood work based on what I have read on this group. I will share the info with my vet, as she didn't mention anything and doesn't seem overly concerned. I am gravely concerned about these numbers even though everything else is good. My concern with Metformin is I know it quits working after a while. Is this serious enough to use it and risk it not working later on? When Bullitt had laminitis in fall 2020 his insulin was over 200. I guess I am just wondering if I am overreacting or if this is necessary until we get his diet and exercise worked out? If I use it now, will that mean it won't work later on? He is on a little bit of J-herb now because he likes it, could that be why we aren't seeing an issue with his hooves even with this increase in insulin? I used it over the winter to help with circulation because of our bitter cold, and he rather likes the taste. I saw that it wasn't recommended to give that with Metformin. 

I will talk to the vet about increasing Pergolide slightly - would you recommend a 0.25 or 0.5 increase? 

I will try to increase exercise and cut back diet as well. I will try to take updated photos and get advice as he looks so different to me know compared to his rolly polly pony self I think he is good, but maybe he could still stand to loose a little more. 

As always, thank you so much! 

--
Sarah O. 
Rudolph, WI
2020