Library
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Insulin is injected under the skin to treat diabetes, ketoacidosis, and high potassium levels. Side effects may include low or high blood sugar levels, insulin resistance, and skin allergic reactions to the injections. Do not use in pets who are having an episode of low blood sugar and do not use pork insulins in pets with a pork allergy.
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Diabetes mellitus results from an inadequate production of insulin from the pancreas. The primary treatment is replacement by insulin injections. The body's response to the injections needs to be regularly monitored using an at-home glucometer or continuous glucose monitoring system. Insulin must be stored and reconstituted carefully to ensure dosing is accurate. Giving subcutaneous injections of insulin can seem daunting at first, but by following the directions in this handout, it will quickly become second nature to both you and your pet.
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This handout summarizes the normal function of the dog heart, and outlines the abnormalities and changes associated with degeneration of the four different valves found in the heart. An explanation is provided of clinical signs associated with valve disease, as well as the recommended tests and treatments for this condition. Staging of heart disease is also discussed.
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Cystine bladder stones appear to be the result of a genetic abnormality that prevents a dog from reabsorbing cystine from the kidneys. While bladder stones in general are somewhat common in dogs, cystine bladder stones are rare. Your veterinarian may be able to palpate the stones or may need to perform imaging studies such as a bladder ultrasound or a contrast radiographic study. There are two primary treatment strategies for treating cystine bladder stones in dogs: dietary therapy to dissolve the stones, or physical removal of the stones. Cystine stones have a high rate of recurrence, despite careful attention to diet and lifestyle.
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Insulin glargine is an injectable medication used in cats, dogs, ferrets, guinea pigs, and horses with diabetes mellitus. It is used to lower blood sugar levels and for long-term maintenance therapy of diabetes mellitus. Monitor closely for signs of low blood sugar (weakness, lack of energy, lethargy, stumbling or difficulty walking, behavior changes, muscle twitching, seizures, and/or unresponsive).
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Lente (porcine zinc) insulin (brand names Vetsulin®, Vetpen®) is an injectable medication approved for use in cats and dogs with diabetes mellitus. It is used to lower blood sugar levels and for long-term maintenance therapy of diabetes mellitus. This medication may be used "off label" or "extra label" in ferrets. Monitor closely for signs of low blood sugar (weakness, lack of energy, lethargy, stumbling or difficulty walking, behavior changes, muscle twitching, seizures, and/or unresponsiveness).
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NPH (Neutral Protamine Hagedron) insulin is an injectable medication used in cats, dogs, birds, ferrets, and horses with diabetes mellitus. It is used to lower blood sugar levels and for long-term maintenance therapy of diabetes mellitus. Monitor closely for signs of low blood sugar (weakness, lack of energy, lethargy, stumbling or difficulty walking, behavior changes, muscle twitching, seizures, and/or unresponsiveness).
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Protamine zinc (PZI) insulin (brand name Prozinc®) is an injectable medication approved for use in cats and dogs with diabetes mellitus. It is used to lower blood sugar levels and for long-term maintenance therapy of diabetes mellitus. This medication may be used “off label” or “extra label” in other species. Monitor closely for signs of low blood sugar (weakness, lack of energy, lethargy, stumbling or difficulty walking, behavior changes, muscle twitching, seizures, and/or unresponsiveness).
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Bladder stones are rock-like formations of minerals that develop in the urinary bladder. The most common signs in dogs are bloody urine and straining to urinate. Bladder stones can develop within a few weeks, or they may take months to form. Most are visible on X-rays or an ultrasonic bladder examination. There are three main treatment options for bladder stones: surgical removal, non-surgical removal by urohydropropulsion, or dietary dissolution. Prevention is possible in some cases, depending on the chemical composition of the stones.
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Diabetes mellitus is an inability to regulate blood glucose caused by a loss of insulin production (Type I) or inadequate insulin supply or resistance (Type II). Dogs need insulin injections to manage diabetes. Sometimes special diets may help manage the disease. Response to insulin needs to be monitored to ensure adequate dosing and to avoid hypoglycemia caused by insulin overdose. Blood glucose curves are most commonly used for this including: in-clinic blood glucose curves, home glucose curves with hand-held glucometers and continuous glucose monitoring systems. Urine glucose testing and fructosamine testing may also be used to manage the disease. Hypoglycemia is the consequence of administering too much insulin compared to the amount of food ingested. Signs can range from lethargy to seizures and coma. It can be managed acutely with administration of sugar syrup to the gums but more severely affected dogs will need IV dextrose solutions.
