Hello and welcome from me, too! Coincidentally enough, we have another new member with a little girl Cooper who is also challenged by both diabetes and Cushing's -- if you both end up posting at the same time, perhaps we'll need to shift to "Mr. Cooper" and "Ms. Cooper!"

On a serious note, though, I can imagine how worried you are feeling and I "second" the recommendation that you join k9diabetes.com, too. We have several dual members of both sites, and I know you'll receive extra support. We have a long history of dogs who are very successfully managed with both diseases. So even though there may be bumps along the way, please do not give up hope.

Can you tell us what dose of trilostane Cooper will be starting with today? Also, I'm rather hoping you'll tell us he will be dosed twice daily rather than only once, because many endocrinology specialists believe that dogs being treated with insulin benefit from better management with twice daily trilostane dosing so as to keep their cortisol levels as consistent as possible at all times (rather than peaking and troughing at more inconsistent levels within every 24-hour time period).

We'll be very anxious to hear how things are going for you, so please give us an update when you are able.

Marianne