I would definitely go for the ultrasound and try to find out what is going on. Last thing I would do is use steroids without there being a reason for the use. Using steroids might also put him back into diabetes so you would just compound the problem.
I would have more diagnostics done before using s steroid. A GI blood panel might be in order besides the ultrasound. Texas A&Ms GI panel is:
Serum Trypsin-Like Immunoreactivity (TLI)
For exocrine pancreatic function testing (i.e to diagnose EPI )
Serum Cobalamin (Vitamin B12) and Folate
Test of small intestinal function (not species specific)
Pancreatic Lipase Immunoreactivity (PLI)
Test for diagnosis of pancreatitis in dogs and cats (species specific)
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