Changes

Treatment is aimed at restoring normal blood glucose levels.  

Treatment is aimed at restoring normal blood glucose levels.  

Intravenous dextrose (50%) bolused has been the treatment of choice for years. This often often results in a quick recovery however animals may relapse.

A bolus of Intravenous dextrose (50%) has been the treatment of choice for years. This often often results in a quick recovery however animals may relapse.

Glucocorticoids also act to increase blood glucose but tend to have longer acting effects and can be given intramuscularly once daily.

Glucocorticoids also act to increase blood glucose but tend to have longer acting effects and can be given intramuscularly once daily.

Propylene glycol can be administered orally and it acts as a precursor to glucose. This can be administered twice daily.

Propylene glycol can be administered orally and it acts as a precursor to glucose. This can be administered twice daily.

==Prevention and Control==

==Prevention and Control==

If many cases of ketosis are occuring on one farm this suggests that the nutrition of the cows must be studied. Cows should not be a high body condition score when they calve as these cows mobilise more adipose tissue and are at a greater risk of ketosis. Cows should be encouraged to eat and maintain a high feed intake in the late gestation and transition period to avoid entering a negative energy balance state.

If many cases of ketosis are occuring on one farm this suggests that the nutrition of the cows must be studied. Cows should not be a high body condition score when they calve as these cows mobilise more adipose tissue and are at a greater risk of ketosis. Cows should be encouraged to eat and maintain a high feed intake in the late gestation and transition period to avoid entering a negative energy balance state.