Algorithm for Diabetic Control |
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Unregulated Diabetic? Polyuria/Polydipsia?(PU/PD) |
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Check for owner management errors † |
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old insulin? | owner injection technique? | Improper insulin storage? | No owner management errors? | If PU/PD, no need for blood glucose curve: the animal is not regulated! |
Algorithm for Diagnosis of Diabetic Cats |
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No management errors † |
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>2.2 U/kg/dose |
<2.2 U/kg/dose |
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Measure T4, IGF-1, ACTH/Low Dose Dexamethosone supplement | Perform blood glucose and fructosamine |
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ABNORMAL?-check for underlying disorders | NORMAL? | Rapid insulin metabolism, Antibodies: Change to beef or beef/pork insulin |
† Owner Compliance |
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