https://www.vetsurgeon.org/f/clinical-questions/31136/uncontrollable-diabetic-dog 6 year old female Alasken Husky. Was reffered from other clinic where veterinarian believed it was a progesterone dependent type of diabetes as it seemed to flare up every time dog was in estrus. When I first saw it glucose was 22 mmol/l ,I had goneen-USTelligent Community 10https://www.vetsurgeon.org/thread/246565?ContentTypeID=1Sat, 15 Feb 2025 03:19:14 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:5f1ad7d5-5797-4754-bb2b-30c8dd168697gdbvet<p>Suggest reading David Church&rsquo;s articles on difficult diabetics and glucose curves.A pragmatic approach in line with Woodhouse&rsquo;s article.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/246559?ContentTypeID=1Fri, 14 Feb 2025 12:34:42 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:4677bedd-ddec-4396-be0b-1f364dbc8145Michael Woodhouse<p>I&#39;m old-fashioned, but how did the dog present, and how has that changed with treatment? I&#39;m far more likely to decide whether anything needs to change based on how bright the dog is and whether pu/pd has resolved or not. I&#39;m less bothered by the numbers. </p> <p>I would say that many dogs are much higher than 22 at diagnosis and if this only flared up around a season then I&#39;d consider stopping insulin and doing a couple of checks to ensure hyperglycaemia persists. My worry is that you are over doing it.</p> <p>My view has always been that it&#39;s better to be less diabetic and broadly controlled, rather than precise and on the brink of a hypo. </p><div style="clear:both;"></div>