Let’s just start with a boolean phrase because why not? How very librarian of me? WARNING, this is me whining.

Jiminy’s bloodwork came back on Friday and his bloodwork was worse than month ago. Well, his ACTH was improving, but his insulin was levels were substantially worse.

The vet put him on ertugliflozin which is similar to Ozempic (human brand name is Steglatro). It’s a freaking pain in the ass to dose because he’s a mini… I’m basically using a syringe to pull the paste out of the large syringe. Oi. Thankfully, he takes it without issue.

His lung inflammation is also not good. He’s on his inhaler which IS steroid based which MAY be impacting his insulin levels. My vet is NOT convinced the inhaled levels will raise levels enough to have a significant impact while my research is showing me that it still could (I went full medical librarian…) We’re talking about adding ventipulmin because the inhaler itself isn’t having the impact it was in the past… I ordered a dog sized spacer because we do need to switch to a different inhaler soon because the equihaler has been discontinued (even if it is the same medication). So yeah. Fun fun.

I’m also exploring a nebulizer. I’ve talked with Flexineb and they feel he’ll fit in the foal size based on his measurements and made some fitting suggestions if the mask is too large. Not quite ready to go that route, but it’s an option.

Anyway, next stop is the vet, again, for Dulcy. She spent the morning peeing about 15-20 times over 90 minutes which is not normal. So she’s getting checked out.