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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 23851
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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Thanks advice with Radley. I did speak to the vet last night

Customer Question

Thanks for the advice with Radley. I did speak to the vet last night before I heard your response. They recommended 8 units.Did a curve today, called the vet when they opened. Bradley's readings were :
723 @ 6:15AM then 8 oz food.
12 units as recommended @ 7:00
294 @ 8:20
401@ 10:30
231 @ 12:30
252 @ 2:30
160 @ 4;30
79 @ 6:15 then food
no shot yet tonight.Obviously concerned with the swing. My vet is closed at this time. Do you have a recommendation?
Submitted: 4 months ago.
Category: Dog
Expert:  Dr. Michael Salkin replied 4 months ago.

When suspecting the Somogyi effect, I halve the previous dose and then re-regulate from there. That's a pretty good curve following 12 units. I'd like to see how the 9 units I recommended affects him for a few days before fiddling with the dose again. Keep up the good work checking his BGs.

Customer: replied 4 months ago.
Thanks for the REALLY quick response. No hike today?Just to confirm. Tonight I should give him 6 units? and then begin 12 units again tomorrow?
Expert:  Dr. Michael Salkin replied 4 months ago.

I tried to kill myself hiking in the mountains over 8 miles in 96F heat the last two days. Time to rest.

No, 9 units morning and night for at least three days unless the curve looks ridiculous at which time his vet or I need to be consulted. (Where did 6 units come from?)

Customer: replied 4 months ago.
6 units when you said to halve the current dosage. I misunderstood and guess you meant 1/2 of his last regulated dosage which was 17 units, right?(hate when the weather thwarts my plans for what I want to do.) Thanks again for responding so quickly, even while resting.)
Expert:  Dr. Michael Salkin replied 4 months ago.


No worries. I can't set a follow-up in this venue so please return to our conversation - even after rating - with an update at your convenience.

Customer: replied 4 months ago.
Will do. Finally figured out that not all our e-mails have the "follow up with this doctor line." But saved the ones that have that. I'll continue the regimen for a two days and test again (give Radley a chance to stop twitching when I come near his ear). Check curve and will let you know. Thanks again.
Expert:  Dr. Michael Salkin replied 4 months ago.

I appreciate it!

Expert:  Dr. Michael Salkin replied 4 months ago.

I'm just following up on our conversation about Radley. How is everything going?

Dr. Michael Salkin

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