https://www.vetsurgeon.org/f/clinical-questions/26108/neutral-insulin-dose-in-dka-when-caninsulin-given-that-morning I was wondering what dose of the neutral insulin people give if the dog has already been given caninsulin normal dose at that morning - as a constant rate infusion would you just start off at a lower dose r.e. 0.025 IU/kg / hr and increasing as neededen-USTelligent Community 10https://www.vetsurgeon.org/thread/183626?ContentTypeID=1Mon, 28 Aug 2017 17:03:43 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:cd848083-cf4d-4abb-8e54-2e2467d2381eAndrew Kent<p>Hi,</p> <p>Most of these dogs are significantly hyperglycaemic so I would ignore the fact it has had caninsulin that morning and use &#39;standard&#39; doses of neutral insulin - neutral is short acting anyway so if the blood glucose goes too low (which is uncommon) then you can supplement.</p> <p>These cases are typically quite insulin resistant so the risk of hypoglycaemia is very low.</p> <p>Andy</p><div style="clear:both;"></div>