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Symptoms presented with excessive thirst and sugary urine which was sticky. Vet did three glucose curves over six weeks and administered vetsulin each time. The vet mistakenly rolled the vile to mix which is counter intuitive to the manufacturer instructions which says to shake. We were advised improperly by the vet never to shake. Now we are in week 8 and symptoms have progressed to lethargy, depression, muscle atrophy and now ketones. After shaking insulin we administered 1 unit and she had a seizure. We continued to monitor and sought special treatment from a specialist. She said to give our dog a quarter unit of insulin because ketones had now appeared and we want to lower her glucose level. The 1/4 unit caused another seizure. What are we missing? Her levels are still high
 

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Contact the specialist again.

There is possibly something else in addition to the high glucose.
 
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