To Debbie Riccio - Great news!! No - a normal blood glucose will suffice. An insulin/glucose ratio probably won't give you any more useful information, and will cost more than three more glucose tests over the next year..... Bruce Williams, DVM [log in to unmask] OR [log in to unmask] Bruce Williams, DVM, DACVP Department of Veterinary Pathology [log in to unmask] Armed Forces Institute of Pathology [log in to unmask] Washington, D.C. 20306-6000 (202) 782-2600/2602 [Posted in FML issue 1177]