Canine Diabetic Management Flashcards

1
Q

What additional changes, besides hyperglycemia, on a chem can be explained by diabetes mellitus?

A

(Hypercholesterolemia, elevated ALP, and low sodium)

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2
Q

When should you consider using a glucose curve in a dog?

A

(When an owner says signs are not controlled, only other reason is monitoring for remission in cats)

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3
Q

What are you looking for at the two hour mark of a glucose curve and why?

A

(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)

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4
Q

What is the ideal nadir time and glucose range?

A

(6 hours, 80-150 mg/dL)

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5
Q

How do we determine how long a dose of insulin works for a patient (question #3 for an insulin curve)?

A

(You look for the time that the BG returns to > 200-250 mg/dL, that indicates the duration of the insulin effect)

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6
Q

What are the two more common causes of a lack of response to insulin in dogs who are receiving < 1 U/kg/dose?

A

(Administration issues or insulin underdosage)

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7
Q

What are the two more common causes of a lack of response to insulin in dogs who are receiving > 1.5 U/kg/dose?

A

(Insulin resistance or somogyi response)

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8
Q

What should change about the insulin dosing when you obtain a somogyi response curve?

A

(The insulin dose should be decreased)

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9
Q

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?

A

(Change insulin type, the insulin they are currently on is not lasting long enough)

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10
Q

What is differential insulin dosing and when should you recommend it?

A

(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))

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