Feline Medicine Q&A 03 - Revision history

Ggaitskell at 07:54, 1 October 2011

2011-10-01T07:54:17Z

Ggaitskell at 13:25, 29 September 2011

2011-09-29T13:25:19Z

HelenD at 07:25, 9 August 2011

2011-08-09T07:25:57Z

Ggaitskell: Created page with "{{Template:Manson Sparkes}} 500px
'''The graph shows the blood glucose results obtained from a 6 kg diabetic cat which is being treated in hospital wi..."

2011-08-09T06:40:16Z

Created page with "{{Template:Manson Sparkes}} [[Image:|centre|500px]] '''The graph shows the blood glucose results obtained from a 6 kg diabetic cat which is being treated in hospital wi..."

New page

{{Template:Manson Sparkes}}

[[Image:|centre|500px]]

 

'''The graph shows the blood glucose results obtained from a 6 kg diabetic cat which is being treated in hospital with 20 U of lente insulin once daily. Normal blood glucose concentrations would be between 3.5–7.5 mmol/l (63–135 mg/dl).'''

 

<FlashCard questions="2">
|q1=What is the assessment of this case?
|a1=
The glucose curve suggests that the cat is insulin resistant. 
Insulin resistance is usually defined as being present in cats remaining hyperglycaemic and glycosuric in spite of receiving >1.5 U of insulin per kg bodyweight per dose, or in cats requiring >2.2 U/kg to maintain glycaemic control.
|l1=
|q2=What differential diagnoses need to be considered?
|a2=
Mild insulin resistance can be seen with a variety of physiological and pathological conditions including dioestrus, pregnancy, and severe obesity. 
Concurrent diseases of an inflammatory, infectious, hormonal, or neoplastic nature may all contribute to poor stabilization via secretion of diabetogenic hormones (glucagon, adrenaline, cortisol, growth hormone). 
Common concurrent diseases include
*urinary tract infections,
*ketoacidosis,
*hyperthyroidism,
*pancreatitis, and
*chronic renal failure. 
Affected cats generally demonstrate variable or continuously poor control of their diabetes. 
Acromegaly and HAC are important causes of more severe insulin resistance. Other endocrine tumours (islet cell glucagonoma, phaeochromocytoma) are rare potential causes of marked insulin resistance. 
Improper storage and handling of insulin may also be a cause of apparent insulin resistance.
|l2=
</FlashCard>

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 The glucose curve suggests that the cat is insulin resistant. <br><br>
 Insulin resistance is usually defined as being present in cats remaining hyperglycaemic and glycosuric in spite of receiving >1.5 U of insulin per kg bodyweight per dose, or in cats requiring >2.2 U/kg to maintain glycaemic control.
-|l1=
+|l1=Diabetes Mellitus#Instability
 |q2=What differential diagnoses need to be considered?
 |a2=
@@ Line 28: / Line 28: @@
 Acromegaly and HAC are important causes of more severe insulin resistance. Other endocrine tumours (islet cell glucagonoma, phaeochromocytoma) are rare potential causes of marked insulin resistance. <br><br>
 Improper storage and handling of insulin may also be a cause of apparent insulin resistance.
-|l2=
+|l2=Diabetes Mellitus#Instability
 </FlashCard>

Feline Medicine Q&A 03 - Revision history

Ggaitskell at 07:54, 1 October 2011

Ggaitskell at 13:25, 29 September 2011

HelenD at 07:25, 9 August 2011

Ggaitskell: Created page with "{{Template:Manson Sparkes}} 500px '''The graph shows the blood glucose results obtained from a 6 kg diabetic cat which is being treated in hospital wi..."

Ggaitskell: Created page with "{{Template:Manson Sparkes}} 500px
'''The graph shows the blood glucose results obtained from a 6 kg diabetic cat which is being treated in hospital wi..."