Lis and Dexter
Member
The results say 0-2 hpf on red & white so I’m not sure
8/24 Dexter amps 541; 414 @ +6 :( :(
- Thread starter Lis and Dexter
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Suzanne & Darcy
Very Active Member
WBC 9.9 so it’s within normal limits. What is the small letter b next to it. There should be a note about it and I can’t see that part on the screenshot.
Suzanne & Darcy
Very Active Member
Oh. You mean from the urinalysis?
Lis and Dexter
Member
Oh I see. It’s at the bottom of this image. Something about reference intervals
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Suzanne & Darcy
Very Active Member
0-2 white blood cells per high powered field (HPF) is generally considered normal and indicates no significant inflammation or infection.
Suzanne & Darcy
Very Active Member
I thought so. It says probably that the reference interval for that value has changed recently (or since the last bloodwork was done.)
Lis and Dexter
Member
Oh ok. Wendy & Neko mentioned in my other thread that I didn’t get wbc but I guess I did.
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Suzanne & Darcy
Very Active Member
I hope it’s only the vial of PZ went bad. I’ve occasionally seen it happen.
Suzanne & Darcy
Very Active Member
Yes. It’s the 0-2 per hpf. That means in the high powered field — where they are looking with the microscope — that only very very few, if any, were seen — so it’s a normal urinalysis result for the wbc.
Lis and Dexter
Member
Ah ok thank you for that. Maybe it is just the bottle then? It’s worth trying a new one before switching completely.
JL and Chip
Very Active Member
b Reference intervals for canine and feline hematology parameters have been updated and the RDW parameter has been added as of July 14, 2025. For more information, please visit idexx.com/hematologyRI.
I too hope it’s simply that the PZI has lost its efficacy. I’ve had it happen a few times but very rarely. Not to state the obvious, but have you been rolling the vial to ensure that the insulin is fully mixed before drawing the insulin into the syringe?
Lis and Dexter
Member
I hope she doesn’t fight w me, I’m so anxious about this call 
Lis and Dexter
Member
I have but maybe I’m not doing it enough?? I’ve been scared to over mix it bc they said not to shake it
Suzanne & Darcy
Very Active Member
I agree
Suzanne & Darcy
Very Active Member
Just roll it on the counter before giving the shotI have but maybe I’m not doing it enough?? I’ve been scared to over mix it bc they said not to shake it
Lis and Dexter
Member
Ok. I’ve been rolling in in between my hands to warm it up a lil as well. I just saw a video where she actually turned the bottle upside down a couple times slowly. I never did that.
We were yellow @ +10 this morning and then he shot back up before preshot
Suzanne & Darcy
Very Active Member
Are you working today?
At least we had a good solid yellow at +10!
At least we had a good solid yellow at +10!
Lis and Dexter
Member
No im off! I got the +2 test and now im at the car dealership for an oil change. Heading back home when im done here. I have that call w the vet in an hour.
Suzanne & Darcy
Very Active Member
Maybe you should not mention the 2 units for now - at least until you get the prescription refill.
Suzanne & Darcy
Very Active Member
What dose did she want him to be on?
Lis and Dexter
Member
I don’t think I’m going to! She knows about the 1.75 and wanted a curve from that (which I kind of have from last night but I didn’t wake up for 1am) after he’s been on it for two weeks but this phone call is a lil before the two weeks bc she’s out of town next week. I’m just going to say he’s still running high & I think it might be the insulin & I would like to try a new bottle & hope she is agreeable.
Lis and Dexter
Member
I called right at 11:30 and they put me on hold & said she’s seeing patients & has to call me back bc she called out sick yesterday. Now I’m just waiting. 
Lis and Dexter
Member
Ok it was nothing. She was willing to work w me & try another bottle. She gonna write me pzi rx & libre rx.
Suzanne & Darcy
Very Active Member
Cool. Now let’s hope it works!
Suzanne & Darcy
Very Active Member
I hope you can get the new vial soon because his numbers are ridiculous. Can you just pick it up at the vet?
Suzanne & Darcy
Very Active Member
And she dang well out to be willing to work with you! You just dropped a bunch of $$$ at her clinic and she should give you the ProZinc!
Lis and Dexter
Member
She only had vetsulin in stock at office. Costco has it. I’m in the store rn waiting for it to be filled. I will have it for pm shot today.
Suzanne & Darcy
Very Active Member
Excellent! What is the cost of a ProZinc vial at Costco these days.
Suzanne & Darcy
Very Active Member
Hopefully that vet is only using Vetsulin on dogs!
Lis and Dexter
Member
$119. it was $129 from her office link + $25 shipping. If I didn’t need it today, chewy has it for $109 ($129 w a coupon, spend $49 get $20 off)
She didnt offer it to me just said that’s all she had in stock at the moment so it’s unclear.
Suzanne & Darcy
Very Active Member
How many hours until shot time? I am glad you were off today so you could take care of this. I am also glad you don’t have to keep dreading that phone call with her! I am both excited and apprehensive about the new vial. I am kind of pinning my hopes on the fresh vial and if it doesn’t help I am going to be really upset. I KNOW you will as well, BIG TIME.
Lis and Dexter
Member
Same. A little over an hour until shot time
Lis and Dexter
Member
He’s 287 at pmps. You think 1.75?
Suzanne & Darcy
Very Active Member
I see you shot, but yes just because of the new vial and we are not certain if it will make a difference. Otherwise, I do think 2 units would be appropriate given how high he’s been running.
Lis and Dexter
Member
Suzanne & Darcy
Very Active Member
AWESOME!!!!!!
Suzanne & Darcy
Very Active Member
Can you insert a row into your spreadsheet just above yesterday’s row saying that you started a new ProZinc vial with the p.m. cycle? This will clearly explain why the numbers were so bad and then all of a sudden got better!
I am soooo relieved! I am just irritated that he had to wait so long because of jumping through the hoops set up by your vet. He should at least have had a new vial last week when you took him in for all the bloodwork, etc.
I am soooo relieved! I am just irritated that he had to wait so long because of jumping through the hoops set up by your vet. He should at least have had a new vial last week when you took him in for all the bloodwork, etc.
Lis and Dexter
Member
Sooo relieved. I don’t know how to edit the ss at all, just plug what’s already there. The new vial info is in remarks
It wasn’t that I had to get the bloodwork to get new vial. I had asked if it could be the insulin & she said no. I thought it was infection so I went w bloodwork. I probably could’ve got a new bottle if I had forced the issue but we didn’t know
It wasn’t that I had to get the bloodwork to get new vial. I had asked if it could be the insulin & she said no. I thought it was infection so I went w bloodwork. I probably could’ve got a new bottle if I had forced the issue but we didn’t know
Suzanne & Darcy
Very Active Member
So let’s give him a couple more cycles at least on the 1.75 and see how it goes. I like his morning preshot today! He may have a green!
Suzanne & Darcy
Very Active Member
Oh no. I hope he’s not going to bounce from his nice string of blue last night. Probably… because that seems to be his M.O. oh well, at least we know he will now come back down with the new insulin.