Re: Ertuglifozin v. Metformin

Kirsten Rasmussen

My vet is coming back tomorrow to re-check Max so perhaps I should get another insulin test done to see if the level has come down? 
Yes, absolutely!  You want to see what effect the diet changes have had.  Ask for insulin and glucose.

The alternative to a TRH Stimulation test is the domperidone stim test, OR to test ACTH at the peak of your seasonal rise when not on pergolide.  Early PPID horse will have an exaggerated response to the rise, but may test normal the rest of the year.
Kirsten and Shaku (IR + PPID) - 2019
Kitimat, BC, Canada
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