Diabetes in dogs is a life threatening illness that almost always requires treatment with insulin unlike diabetes in humans or cats which can sometimes be treated with simple changes in diet and exercise. Both dogs and cats with diabetes occasionally develop resistance to the action of insulin during treatment.
In a clinical setting it may be difficult to determine the underlying cause for insulin resistance which.
How to treat insulin resistance diabetes in dogs. Many dogs with hyperlipidemia do not have concurrent DM but in those dogs that have diabetes and an additional cause of hyperlipidemia hypothyroidism hyperadrenocorticism idiopathic hypertriglyceridemia insulin resistance can become a problem. A 24 hour fasting triglyceride level is necessary to confirm a diagnosis of hypertriglyceridemia. Treatment involves feeding a low fat diet.
Both dogs and cats with diabetes occasionally develop resistance to the action of insulin during treatment. Clinical insulin resistance should be suspected in any animal in which marked hyperglycemia persists throughout the day despite insulin doses of greater than 15 Ukg per injection. In a clinical setting it may be difficult to determine the underlying cause for insulin resistance which.
No insulin dose clearly defines insulin resistance. For most diabetic dogs and cats control of glycemia can usually be attained using 10 U or less of NPH lente insulin or glargine cats per kilogram of body weight given twice daily. Insulin resistance should be suspected if control of glycemia is poor despite an insulin dosage in excess of 15 Ukg when excessive amounts of insulin ie insulin.
Diabetes in dogs is a life threatening illness that almost always requires treatment with insulin unlike diabetes in humans or cats which can sometimes be treated with simple changes in diet and exercise. Occasionally it will occur that your diabetic dog is resistant to insulin. Insulin resistance in dog diabetes means that your dogs pancreas.
In diabetic dogs many concurrent diseases can cause resistance to exogenous insulin. The most common concurrent disorders in diabetic dogs are hyperadrenocorticism urinary tract infection acute pancreatitis neoplasia and hypothyroidism. When a concurrent disorder is treated the insulin dose should be decreased to avoid possible hypoglycemia when an underlying cause of insulin resistance is removed.
Hormonal disturbances have been observed in obese dogs. Uncommon with human recombinant or pork insulin but is common in dogs treated with bovine insulin. These antibodies have a variable effect and may enhance or impair response to insulin.
Change of insulin type usually remedies this problem. Finally intrinsic defects in the insulin receptor or in post-receptor function and auto-antibodies directed. Culture in any diabetic when insulin resistance is suspected.
Because of the relatively high incidence of bacterial infections in diabetic patients you may wish to administer a broad-spectrum bactericidal antibiotic for 10-14 days if no other cause of insulin resistance is found. Hold the needle in your dominant hand as you inject your dog with insulin. Push the needle into your dogs skin holding it at roughly a 45 degree angle.
After diagnosis Busters primary veterinarian initiated therapy with neutral protamine Hagedorn NPH insulin at 9 U 05 Ukg SC q12h. Intermittent spot blood glucose monitoring was used to determine adjustments in insulin dose and based on variably high results 350 mgdL Busters insulin dose was increased approximately every 3 days. INSULIN TO YOUR DOG Administering insulin is an important step in managing your dogs diabetes.
Initially giving your dog an insulin injection may seem intimidating or overwhelming but over time the process will become routine for both of you. This guide will walk you through each step of the administration process. If you need additional help or support please speak with a member of.
Infections can cause the body to decrease the effectiveness of insulin. Because diabetics are susceptible to bacterial infections a broad spectrum antibiotic can often be used to eliminate any offending bacteria and possibly reverse the insulin resistance. A diabetic dog can also develop insulin resistance due to the presence of other diseases.
Disorders such as kidney disease liver disease or pancreatitis can. Dogs diagnosed with hypothyroidism are usually between 4 and 10 years old. Since both hypothyroidism and diabetes is common in older dogs it is not unusual to have both a diabetic and hypothyroid dog.
Hypothyroidism is rare in cats and is usually the result of a thyroidectomy performed to treat hyperthyroidism. The information presented here. In most cases of canine diabetes insulin is a necessary part of treatment.
In fact insulin injections are really the cornerstone of treatment for diabetes in dogs. Remember though that even though the thought of administering insulin injections to your dog may be scary at first most people can be taught to give the injections easily. Your veterinarian can help teach you how to do that.
Exercise is beneficial for diabetic dogs. It helps lower insulin requirements and provide better glycemic control. Daily walking or play exercise for dogs with DM can be an effective ancillary treatment to help achieve glucose control at a lower dose of insulin.
Treatment of DM in dogs can be frustrating expensive and time-consuming for clients. Although most dogs receiving Lente or NPH insulin products require twice-daily dosing some dogs experience a longer duration of effect and are prone to hypoglycemia with twice-daily administration Table 345 These dogs may need once-daily dosing with a combination of insulin products to achieve acceptable control. An engineered long-acting product such as insulin detemir or glargine may be a useful option for these patients.
In addition to improving your diet treatment of insulin resistance includes regular physical activity. Aim for 150 minutes of moderate exercise each week or 30 minutes five days a week. Rapid Insulin Metabolism In this case the insulin simply is not lasting long enough to create sustained normal blood sugar levels.
If the curve shows that the insulin effect is wearing off too soon twice a day administration of the insulin may solve this problem or a longer acting insulin may be needed. This will be done by urine tests or a pinprick blood test. Your vet will also determine an insulin type and dose for you to treat your dog with at home usually via injections.
Most dogs require insulin injections twice a day around twelve hours apart after eating.