Endocrinopathies Flashcards
What clinical and lab findings might you see with DM?
PU/PD, lethargy
Hyperglycemia, hyperlipidemia, glucosuria, low USG
Weight variable (loss or stable)
Type ____ DM is insulin-dependent
1
Cats are commonly type _____ diabetics
2; insulin resistance develops into DM
What is the best way to prevent DM in cats?
Prevent obesity
T/F: in both dogs and cats, DM is a reversible process.
False - only cats
What is the ideal diet for insulin resistant cats?
High protein
Low fat
High fiber
+/- high moisture
How should meals be delivered in the diabetic cat?
Meals should be equally divided and timed with insulin (if being given)
Exceptions: long acting insulin
T/F: Carbohydrates are a significant risk factor for developing IR
False
Consequences of insulin/glucose dysregulation
Muscle catabolism
Cataracts
Hypertriglyceridemia
Kidney disease
Ketosis
Dehydration
Coma
Hyperosmolarity
Hypoglycemia secondary to treatment
Why is water so important for DM patients?
Hyperosmolarity sucking down that water and pissing it out
Protein should be ___________ (increased/decreased) in diabetic patients
Increased d/t risk of protein catabolism
Protein stimulates insulin secretion (could be helpful in insulin resistant cats)
_________g protein/Mcal for DM patients
> 100
When do we restrict lipids/fats in DM patients?
If concurrent hyperlipidemia, pancreatitis, or obesity
General guidelines per total metabolizable energy (ME) for DM patients is
<50% - dogs
<30% - cats
What kind of carbohydrates should be avoided in DM patients?
Mono/disaccharides
