Why is my senior dog's blood sugar chronically low with no symptoms?

Question

I have a 13 year old female dachshund that has Cushings and severe arthritis & IVDD. We had blood work done and it is all normal except her glucose it was 47. It was rechecked with a glucometer and was 47. She is on trilostane, gabepentin, methocarbamol, and tramadol. What could be causing the hypoglycemia? She does not show any signs or symptoms. Last year looking back her glucose was in the 50's . So this seems to be chronic. Any clues as to the cause? Pet's info: Dog | Dachshund | Female | spayed | 13 years and 10 months old | 19 lbs

Jenny, DVM · Accepted Answer

This can be a liver problem or a pancreas problem. If her protein and liver enzymes stay normal than it is unlikely the liver. There can be tumor in the cells of the pancreas called an insukinina. It will keep a persistently low blood sugar because it produces so much insulin. An ultrasound may be able to see it and see if surgery is an option but typically steroids are added to help manage it.

Why is my senior dog's blood sugar chronically low with no symptoms?

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