Hypertriglyceridaemia Diabetic Miniature Schnauzer

RE: Hypertriglyceridaemia Diabetic Miniature Schnauzer

Aine Seavers — Thu, 25 Feb 2016 03:01:40 GMT

correct but they and dont dont appear to be effective in Sch hyperlip hence Andy's finding. There is a tangent discussion on this in recent thread on mucocoele and hyperlidipaemia. The W.A.T. organ insulin resistance has to play a part here in this patient as well one would suspect.

RE: Hypertriglyceridaemia Diabetic Miniature Schnauzer

shanley barber — Tue, 23 Feb 2016 20:21:42 GMT

I have also heard ( sorry I can't remember where) of using high levels of EFA's to treat hypertriglyceridaemia. I remember it seems to be counter-intuitive to feed an oil and a low fat diet.

I would also keep checking the cPL, it will be very prone to developing pancreatitis.

RE: Hypertriglyceridaemia Diabetic Miniature Schnauzer

Andrew Kent — Tue, 23 Feb 2016 18:17:27 GMT

Hi Mair,

I agree that it can sometimes be difficult to determine if a triglyceride level is a cause or effect of a disease but in a mini Schnauzer with that kind of trig level I would be very suspicious that it is a contributing factor to insulin resistance.

The timing is also not ideal but its not always possible to get a 12 or 18 hour fast and I would doubt that this result would be significantly different.

Association of hypertriglyceridemia with insulin resistance in healthy Miniature Schnauzers

Panagiotis G. Xenoulis, DVM, Dr med vet; Melinda D. Levinski, DVM; Jan S. Suchodolski, Dr med vet, PhD; Jörg M. Steiner, Dr med vet, PhD, DACVIM

This paper looked at insulin resistance in non-diabetics and did find an association between that and insulin resistance and certainly I think I see that clinically in this breed.

I don't think we can know for sure but personally I would start treatment as if this dog has idiopathic hypertriglyceridemia because its not going to do the dog any harm and will hopefully help with diabetic control.

So I would be looking at one of the ultra low-fat diets - Hills I/D low fat or RC GI low fat and see what happens.

Just be aware your insulin dose may need to be adjusted when you change the food.

Andy

RE: Hypertriglyceridaemia Diabetic Miniature Schnauzer

emma o'connor — Tue, 23 Feb 2016 16:32:03 GMT

I treated a similar case several years ago which turned out to have concurrent cushings disease which is why we struggled controlling the blood glucose. Have you done full blood work, any clues on there for concurrent illness?

RE: Hypertriglyceridaemia Diabetic Miniature Schnauzer

Emily Rainbow — Tue, 23 Feb 2016 07:45:37 GMT

Had a similar case not too long ago (look for the post called a troublesome diabetic canine) some advice on there too.

Have you done any imaging?

RE: Hypertriglyceridaemia Diabetic Miniature Schnauzer

Tricia Goulden — Mon, 22 Feb 2016 21:51:28 GMT

BSAVA Companion Magazine August 2015 Clinical Conundrum is a hyperlipidaemia case. Not a Min Schnauzer but has advice on managing the condition.