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Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 30398
Experience:  University of California at Davis graduate veterinarian with 45 years of experience
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10 years old. 92 lbs. was just put on human insulin 4 ml.

Customer Question

B. 10 years old. 92 lbs. was just put on human insulin 4 ml. Twice daily. Just checked his sugar six hours after his breakfast. Sugar was 598. Need advice
JA: I'm sorry to hear that. What sort of animal are we talking about?
Customer: Black lab
JA: Maybe I'm confused. I thought you had a problem with a pet. Is that correct?
Customer: Yes black labodor
JA: What is the's name?
Customer: Jak
JA: Is there anything else important you think the Veterinarian should know about Jak?
Customer: He is on Denamarin once a day
Submitted: 1 month ago.
Category: Dog Veterinary
Customer: replied 1 month ago.
He is in special food also. Science diet w/d
Customer: replied 1 month ago.
No treats
Expert:  Dr. Michael Salkin replied 1 month ago.

You're speaking to Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply. Please be patient. This may take a few minutes.

Expert:  Dr. Michael Salkin replied 1 month ago.

Please clarify "4 mL". Did you mean 4 units, instead? Which human insulin was prescribed, please?

Customer: replied 1 month ago.
4 units of Levemir flex touch
Customer: replied 1 month ago.
He was previously on Vetsulin for a year
Expert:  Dr. Michael Salkin replied 1 month ago.

Thank you. Levemir contains detemir insulin which is usually initiated at a dose of between 0.02 and 0.13 units/kg which would be equivalent to 0.8 to 5 units for Jak (twice daily). How long has Jak been receiving 4 units twice daily, please?

Customer: replied 1 month ago.
Are we still waiting
Expert:  Dr. Michael Salkin replied 1 month ago.

Our messages crossed. Please see my reply at 12:28 PM (my time).

Customer: replied 1 month ago.
About three days seven shots
Customer: replied 1 month ago.
Exactly nine shots
Expert:  Dr. Michael Salkin replied 1 month ago.

It's still early to assess the full effect of this insulin. I usually wait for at least 5 days of treatment before performing a glucose curve over a period of 12-24 hours. I need you to check Jak's BG at 8 and 12 hours after his AM injection and let me know what you find, please. You can bookmark this page for ease of return. There's no extra charge for you to do so.

Customer: replied 1 month ago.
Ok
Expert:  Dr. Michael Salkin replied 1 month ago.

Thank you. I'll watch for your next post.

Customer: replied 1 month ago.
Now I need to figure out how to bookmark
Expert:  Dr. Michael Salkin replied 1 month ago.

If you're using Chrome click on the star to the far right of your address bar.

Expert:  Dr. Michael Salkin replied 1 month ago.
Hi,

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

Dr. Michael Salkin