Feline juvenile diabetes..?

Re: Feline juvenile diabetes..?

ms1083 — Thu, 30 Apr 2009 18:11:07 GMT

Reference for fructosamine:

Journal of feline medicine and surgery 2008, 10, pp585-592

Re: Feline juvenile diabetes..?

Mark Frost — Thu, 30 Apr 2009 13:43:30 GMT

[quote user="Stigen"]

had to drug it down to get it.

[/quote]

Bear in mind also; if you are using medetomidine or any other alpha 2 agonist it can cause a hyperglycaemia.

Re: Feline juvenile diabetes..?

Tim Newton — Thu, 30 Apr 2009 10:21:41 GMT

I have had patients that have had unremarkable blood profiles with both FIV and FIP

Re: Feline juvenile diabetes..?

Stigen — Thu, 30 Apr 2009 10:09:14 GMT

Would`nt FIP or FIV show any changes on the blood profile though ?

Re: Feline juvenile diabetes..?

Stigen — Thu, 30 Apr 2009 10:03:24 GMT

Ohh...that`s typical ! I though fructoseamine was pretty safe.. but I don`t think the cat was chronically stressed , just when we were trying to get the blood sample...had to drug it down to get it.

I will have to see what the fructoseamine says first ,do a paired if it`s positive then... but it is still fairly unlikely for a 3 year lod cat with diabetes I suppose...I would`nt mind a reference for that article though.

So then next step would be FIP, FIV and FELV testing .... gonna cost that poor owner...

Re: Feline juvenile diabetes..?

Tim Newton — Thu, 30 Apr 2009 07:43:01 GMT

We had a similar case a few years ago that indeed turned out to have FIP. Definitley keep that i nmind. as others have pointed out, in cats you can get marked stress hyperglycaemia - I have had >20 on more than one occasion.

Good luck

Re: Feline juvenile diabetes..?

Emma Jarratt — Thu, 30 Apr 2009 06:43:38 GMT

Oh don't you hate it when you think you know how something works and then 'they' go and change it all! Whats the reference Matt?

Re: Feline juvenile diabetes..?

ms1083 — Wed, 29 Apr 2009 21:23:32 GMT

recently read an article in feline medicine & surgery evaluating the use of fructosamine in cats. Take home message is stress is enough to increase glucose enough to elevate fructosamine and fructosamine only shows last few DAYS of high glucose - unlike dogs and humans. Stress or on going infections/conditions could therefore also elevate fructosamine and confuse diagnosis. Worth taking paired samples.

I can give you reference if interested.

Re: Feline juvenile diabetes..?

Stigen — Wed, 29 Apr 2009 18:29:55 GMT

Yeah that sounds like a plan ,should do a snap test for FIV-FELV , but i think the wormer (drontal) should have some effect on toxo too....i hope that`s not it since the owner is pregnant....

Re: Feline juvenile diabetes..?

Mark Frost — Wed, 29 Apr 2009 11:03:29 GMT

Agreed.. most diabetics I've seen have glucose in excess of 20 and even stress induced can be that high or higher. Would confirm with fructosamine but look into further diagnostics before roids! Urine sample would be relatively easy, free catch useful but cysto better. Certainly investigate other causes of the uveitis as recommended above.

Re: Feline juvenile diabetes..?

sarah mason — Tue, 28 Apr 2009 22:36:12 GMT

I think 14 could still be stress induced, but fructosamine would rule diabetes out-also sounds like you need urine-volumes/SG and dipstick and definately rule out viruses FIV/FeLV, look for toxo, all could cause uveitis.