Hello Suzanne,How are Shai's ears by the way? I've been meaning to ask. Did you get that sorted?
And his ketones are staying down?
Have you ever tried any of the Zymox products? The have some enzymatic ones and some both with and without hydrocortisone. You know the hydrocortisone ones would probably raise BG so you want to steer away from those if possible. Here's their website
https://www.zymox.com/products/ear/
Nothing at all…What are you trying on his ears now?