Canine Diabetic Management Flashcards
What additional changes, besides hyperglycemia, on a chem can be explained by diabetes mellitus?
(Hypercholesterolemia, elevated ALP, and low sodium)
When should you consider using a glucose curve in a dog?
(When an owner says signs are not controlled, only other reason is monitoring for remission in cats)
What are you looking for at the two hour mark of a glucose curve and why?
(A 75-100 mg/dL change in glucose, if this change happens you can continue with the curve and if it doesn’t happen you need to stop and ask why is it not happening)
What is the ideal nadir time and glucose range?
(6 hours, 80-150 mg/dL)
How do we determine how long a dose of insulin works for a patient (question #3 for an insulin curve)?
(You look for the time that the BG returns to > 200-250 mg/dL, that indicates the duration of the insulin effect)
What are the two more common causes of a lack of response to insulin in dogs who are receiving < 1 U/kg/dose?
(Administration issues or insulin underdosage)
What are the two more common causes of a lack of response to insulin in dogs who are receiving > 1.5 U/kg/dose?
(Insulin resistance or somogyi response)
What should change about the insulin dosing when you obtain a somogyi response curve?
(The insulin dose should be decreased)
What should you do if a dog’s nadir is around 4 hours and they are back to above 200 mg/dL by 8 hours?
(Change insulin type, the insulin they are currently on is not lasting long enough)
What is differential insulin dosing and when should you recommend it?
(Differential dosing for insulin is when you instruct the owners to give different doses of insulin in the morning and at night (typically higher in the morning and about 50% lower in the evening), this is done when the insulin that animal is on is having a long duration of effect (nadir is anywhere from 8-12 hours, they are still in the normoglycemia range when next dose of insulin is due))
