Week 6- Treatment for the Endocrine Patient Flashcards
What are the remission rates in cats for Diabetes mellitus?
29%
What are the main clinical signs for diabetes mellitus?
- Polyuria/ Polydipsia
- Weight loss
- Muscle wastage
- Polyphagia
- Cataracts in dogs
- Polyneuropathy
- Recurrent UTI
How would you diagnose Diabetes Mellitus?
- Blood Glucose Measurement
- Urine sample
- Fructosamine
What is the primary diet requirement for diabetes?
Stabilisation
➤Reduce post-prandial glycaemic fluctuations
➤Low carbohydrate diet is recommended
➤Use of complex carbohydrates
➤Simple sugars – simple short chains
➤Complex carbohydrates – long complex chains
➤Starch - digestible
➤Fibre – non digestible
➤Divided into soluble and insoluble
➤Low GI index
What is the nutritional role of insoluble fibre?
Increases faecal bulk and delays glucose absorption
What is the nutritional role of soluble fibres?
Increase viscosity & low down gastric emptying
➤ Slower glucose absorption
What kind of food is generally recommended for diabetic diets?
Wet foods are generally recommended over dry foods
When would diabetes become an emergency?
- Hypoglycaemia
- Ketoacidosis
What are the nutritional roles for hyperthyrodism?
- Preserve and build lean muscle
- address underlying insulin resistance
- support with a low carb diet
- High protein- easily digestable
- Feed to support ideal body condition
What is the ideal diet for an insulinoma?
Prior to surgery or if surgery is not an option:
* High protein, complex carbs
* First choice is a Diabetic diet (a complication can be DM)
* Second choice is Gastrointestinal
* After surgery, a common complication is pancreatitis, so a low fat diet needed
What is the ideal diet for canine hypothyroidism?
Weight gain is usually due to the disease and
management with meds should also address the
obesity
* If after drug therapy, the dog is still overweight it
may have been obese before the Hypothyroidism
* In this case, a weight loss diet such as Satiety is
recommended
