Flame (on Invokana) fall labs- Dr. Kellon
Reposting in hopes Dr. Kellon had input on Flame’s labs (he’s on Invokana).
Original post: I know I got meds titrated and labs done late this year, but life happened. Here are Cornell results for both horses.
Flame (EMS & IR)- glucose 100 mg/dl, insulin 138.49 uiu/ml, ACTH 15.4 pg/ml & leptin 5.41 ng/ml. Flame gets 4 pounds of unsoaked Bermuda twice a day, 2 1/2 pounds of TC Timothy balance cubes twice a day, 2 cups Stabul 1, he gets a lunch & night snack of 1 pound of Bermuda, 4 pounds RSR beet pulp. In the beet pulp is 2 ounces of flaxseed oil, 1 teaspoon of liquid vitamin E, 3 teaspoons of Jherb, 1 1/2 teaspoons of AAKG, 2 1/4 teaspoons of carnitine, 2oz salt, Vit A gelcaps, 5mg Pergolide (fall dose) & Invokana 225mg. As a reminder, my head tested too high in nitrates so we are trying to dilute out the hay by giving 1/2 hay, 1/2 TC cubes & increased BP to 4 pounds. Flame is lightly ridden or lunged three days a week, hand walk three days a week and hangs out in his stall/run one day a week.
Questions- I know I’m kind of behind the eight ball, but should I increase Diana’s pergolide? If so, to what dose? 5mg did control her ACTH last year. Anything else I can do to try and drop Flame’s insulin? It’s never been under control even on Invokana. I did not draw triglycerides this time since they had been drawn so many times already this year. I will draw them with spring labs next year. I’m trying to update both horses case history but I’m still fighting with a very old and finicky laptop.--
Beth & Flame dx 2013 & Diana dx 2020
NV Oct 2013