Puppy medicine case help please

Re: Puppy medicine case help please

Martin Atkinson — Tue, 17 Sep 2013 09:56:26 GMT

I had a young cat 9-10 months old IIRC that developed DM after a bout of acute pancreatitis, suffered two bouts of near fatal severe keto-acidosis and was very difficult to stabilise although I think (lack of) client compliance was most of the reason for that. We switched it to Lantus glargine, got it rehomed and it eventually after a couple of months recovered and is AFAIA still normal. DM in such a young cat is virtually unheard of.

Re: Puppy medicine case help please

Kirsten Simpson — Tue, 17 Sep 2013 09:13:08 GMT

Saw a similar thing referred over to us when I worked OOH then onto referral and it was diagnosed with Juvenile Diabetes Mellitus. It does happen! The specialist was super excited to get a case. Treatment was as with all other diabetic dogs, insulin! Doing well afaik. Oh, and this case was a Bichon Frise.

Re: Puppy medicine case help please

emma_j — Tue, 17 Sep 2013 08:11:46 GMT

What breed is it Bob?

Re: Puppy medicine case help please

Bob Russell — Mon, 16 Sep 2013 15:42:18 GMT

Our one and only Fanconi dog always had normal blood glucose. Caused us a lot of sore scalps from head scratching!

She remained well at all times and for some unknown reason stopped having glucose in the urine about five years old. She now lives in Florida!

Re: Puppy medicine case help please

Joyce Whitehead — Sat, 14 Sep 2013 21:50:04 GMT

I did think about that Emily, but I think Fanconi dogs have normal blood sugar as it is primarily renal leakage of glucose rather than high blood glucose that is the issue. I've never seen one, but that is my understanding. This pup had off the scale glucose even after neutral insulin IM on 2 occasions, which is as far as we got before the owner pulled the plug.

Re: Puppy medicine case help please

Emily Nightingale — Sat, 14 Sep 2013 20:55:25 GMT

Just wondering if she might have had Fanconi's syndrome???? Sorry to hear about her though!

Re: Puppy medicine case help please

Joyce Whitehead — Fri, 13 Sep 2013 22:47:44 GMT

No I'm afraid we didn't. It would indeed have been interesting to see if we could see much of a pancreas at all really...

Re: Puppy medicine case help please

Stephen Courtney — Fri, 13 Sep 2013 22:29:39 GMT

Did you get a chance for a PM? Hard to ask but should be interesting.

Re: Puppy medicine case help please

Sarah Keir — Fri, 13 Sep 2013 19:23:24 GMT

How sad Perhaps some weird autoimmune destruction of pancreatic islets?

Re: Puppy medicine case help please

Joyce Whitehead — Fri, 13 Sep 2013 18:30:09 GMT

I'm afraid replies are not really needed now. Fructosamine was high (500) and on hearing this news the owner opted for euthanasia rather than any further treatment. A sad end for a rather lovely puppy.