Susan and Toby
Member
There is still no conclusion on what systemic underlying issue is causing his insulin resistance. Negative for acromegaly.
It seems that we are getting closer to an answer though.
His new ultrasound showed persistent thickening of his small intestines. This is indicative of IBD or gastrointestinal lymphoma. Internist said it was more likely to be IBD. He would need biopsies to differentiate the two. His vet said we could take a chance and treat him for IBD with cyclosporine but if he had cancer it would make it worse. I would like to avoid having the biopsies. Plus I would have to wait for some time to get an appointment and leave Toby untreated. His vet is leaving this decision up to me.
Also the internist also suggested switching him from Lantus to Toujeo. He said that it has a basal action and doesn't cause big dips in glucose. He said that the change is recommended due to Toby's variable appetite and pets like him seem to respond
to this better than other types of insulin if they aren't doing well on Lantus.
There were no results on Toujeo when I searched for it on your forum.
Again his vet is leaving this decision up to me.
So that's his story. Any help making these decisions would be welcome but I understand if it is not reasonable for me to ask this.
It seems that we are getting closer to an answer though.
His new ultrasound showed persistent thickening of his small intestines. This is indicative of IBD or gastrointestinal lymphoma. Internist said it was more likely to be IBD. He would need biopsies to differentiate the two. His vet said we could take a chance and treat him for IBD with cyclosporine but if he had cancer it would make it worse. I would like to avoid having the biopsies. Plus I would have to wait for some time to get an appointment and leave Toby untreated. His vet is leaving this decision up to me.
Also the internist also suggested switching him from Lantus to Toujeo. He said that it has a basal action and doesn't cause big dips in glucose. He said that the change is recommended due to Toby's variable appetite and pets like him seem to respond
to this better than other types of insulin if they aren't doing well on Lantus.
There were no results on Toujeo when I searched for it on your forum.
Again his vet is leaving this decision up to me.
So that's his story. Any help making these decisions would be welcome but I understand if it is not reasonable for me to ask this.