Endocrine Dzs Flashcards
(T/F) Dietary carbohydrates are a risk factor for diabetes type one development in dogs.
(F)
What is the consequence of prolonged insulin resistance in an obese cat?
(Beta cell failure and development of true diabetes mellitus in which insulin needs to be supplemented)
What are the characteristics of the diet you want to place an obese, insulin resistant cat on?
(High protein, low fat, high fiber, +/- high moisture = commercial veterinary weight loss diet)
Insulin is a catabolic/anabolic (choose) hormone.
(Anabolic, so insulin dysregulation leads to muscle catabolism)
Why is a high protein diet optimal for an obese, insulin resistant cat?
(Protein is enhanced due to the risk of protein catabolism; it also stimulates insulin secretion which can be helpful for resistant cats)
What is the purpose of lowering the digestible carbohydrate content of a diabetic management diet?
(To reduce postprandial glucose and insulin AUC)
What types of saccharides should be avoided as a carbohydrate source in diabetic patients?
(Mono and disaccharides)
What does the nitrogen-free extract/NFE represent?
(Generally represents digestible carbohydrates, it is a calculated value and is likely overestimated because crude fiber, which doesn’t represent total dietary fiber, is used in the calculation)
Lipids/fats should be restricted in patients you are managing for diabetes if which concurrent diseases are present?
(Hyperlipidemia (can correct if diabetes in managed so low fat might not be as necessary for this one), pancreatitis, and obesity)
(T/F) A diet containing insoluble fiber lowered serum and urine glucose when compared to a low fiber diet.
(T, another study found a diet containing insoluble fiber lowered mean, max, and AUC blood glucose versus a lower fiber diet)
(T/F) A diet containing primarily soluble fiber lowered plasma glucose AUC more than a diet containing primarily insoluble fiber.
(T, so I guess choose soluble fiber sources vs. insoluble but insoluble is better than low fiber; also a blend of soluble and insoluble lowered serum fructosamine vs. a low fiber diet so you want fiber)
