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AAHA Guidelines for diabetes 2017 update

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  • AAHA Guidelines for diabetes 2017 update

    There's some excellent information in these guidelines - including immediately giving Vetsulin / Caninsulin twice a day - and a quite conservative starting dose of 1/8 of a unit per pound.

    AAHA link:

    Link of copy at

    In diabetic dogs, the Task Force recommends a starting dose of 0.25 U/kg of lente (Vetsulin) q 12 hr, rounded to the nearest whole
    U. Most dogs are well controlled on insulin at an average dose of 0.5 U/kg q 12 hr with a range of 0.2–1.0 U/kg.
    0.25 units per kilogram is the equivalent of 0.125 units per pound.

    60 pound dog weighs 27 kilograms and would be started with this guideline on 7 units and an average controlling dose of 13 units.

    I agree with the controlling dose - the starting dose is pretty conservative, but I think starting at 1/4 unit per pound is too high and prefer to see at most 1/5 unit per pound (0.20 units).