Changes

===Other Tests===

===Other Tests===

'''Fructosamine''' refers to the non-covalent addition of glucose molecules to plasma proteins that are exposed to high blood glucose concentrations.  Since these modifications occur slowly and becase plasma proteins have a relatively long half life, the level of fructosamine gives an indicator of the average blood glucose concentration over the previous 2-3 weeks.  Animals with diabetes mellitus are expected to have a fructosamine concentration >500 umol/l (normal <400(-500) umol/l).  Low fructosamine levels are found with [[Insulinoma|insulinoma]].

'''Fructosamine''' refers to the non-enzymatic addition of glucose molecules to plasma proteins that are exposed to high blood glucose concentrations.  Since these modifications occur slowly and becase plasma proteins have a relatively long half life, the level of fructosamine gives an indicator of the average blood glucose concentration over the previous 2-3 weeks.  Animals with diabetes mellitus are expected to have a fructosamine concentration >500 umol/l (normal <400(-500) umol/l).  Low fructosamine levels are found with [[Insulinoma|insulinoma]].

'''Glycosylated haemoglobin'''.

'''Glycosylated haemoglobin''' can be measured as a similar indicator to fructosamine as it is also formed by a non-enzymatic reaction between glucose and protein.  Levels greater than 7% are supportive of a diagnosis of diabetes mellitus but the test is not widely available.

'''Urine'''

 

'''Urine''' samples are easy to obtain and may provide supportive evidence for a diagnosis of diabetes mellitus.  The diagnosis should NOT be made on the basis of a single positive dipstick as transient hyperglycaemia (with stress or excitement) may also exceed the renal threshold.  Animals with diabetes mellitus will have persistently high levels of urine glucose and dipsticks can be givens to owners to monitor the level of control they are achieving with insulin therapy.

==Treatment==

==Treatment==