Flashcards in Diabetes Mellitus Deck (37):
What 3 changes would you see on a biochem panel with DM?
What changes would you see in the urine with DM?
Glucosuria (which falsely increases the USG 0.008-0.010)
___% of dogs with DM had bacterial UTIs.
True or False: DM is dogs is dependent on insulin.
What are the 2 Neutral Protamine Hagedorn (NPH) products?
The NPH insulin class is _____ - acting.
What is the name of the Lente Insulin product?
Lente Insulin is a combination of 30% short-acting ____ and 70% long-acting ____ insulin.
Lente Insulin is a combination of 30% short-acting AMORPHOUS and 70% long-acting CRYSTALLINE insulin.
Lente insulin is derived from where?
True or False: Vetsulin is not FDA approved yet for use in dogs and cats.
FALSE - FDA approved
Protamine Zinc Insulin has more ____ than NPH, resulting in a prolonged duration.
What is the name of the Protamine Zinc Insulin product?
True or False: ProZinc is approved for use in dogs and cats.
FALSE - FDA approved for use in cats.
What is the name of the glargine product available?
What is the name of the detemir product available?
What dose of insulin would you use to initiate therapy in a diabetic dog?
0.25 - 0.5 U/kg SC q. 12 hr.
Which 2 insulins would you choose from to initiate insulin therapy in a dog?
What dose of insulin would you use to initiate therapy in a diabetic cat?
1 U/kg SC q. 12 hr.
What 3 insulins would be your first choice in initiating insulin therapy in a cat?
What is the name of the oral hypoglycemic drug available for use in diabetic cats?
Glipizide is successful in only ____% of cats.
In the diabetic cat, a ___-protein, ___-carbohydrate diet is ideal.
True or False: Meal feeding at the time of insulin administration is NOT essential in the diabetic cat.
True or False: In diabetes, remission is equivalent to a cure.
Remission in diabetic cats usually occurs within the first ___ months of treatment.
Why do ketone bodies develop?
In states of glucose deficiency, ketone bodies can be used as an energy source.
As ketone bodies increase in the vascular space, they exceed the renal threshold. What does this cause?
Urine dipsticks measure what 2 ketones?
1. Acetoacetic acid
Which ketone is not measured by a urine dipstick?
____ + ____ = diabetic ketoacidosis
Ketosis + metabolic acidosis
With diabetic ketoacidosis, what changes would you expect on a CBC?
1. Non-regenerative anemia
2. Inflammatory leukogram
3. Hemoconcentration (due to dehydration)
With diabetic ketoacidosis, what changes would you expect on biochem profile?
5. High anion gap
With diabetic ketoacidosis, what changes would you expect on a urinalysis?
Dextrose can be supplemented as needed to keep blood glucose between ____ and ____ mg/dL.
100 and 250 mg/dL
With DKA, you may need to supplement phosphorous. Phosphorous < ____ mg/dL can can hemolysis.
< 1.5 mg/dL
Serum potassium may increase or decrease following insulin therapy?