Molly, a shepard/lab, guards the home front better than most burglar alarms.
She stopped a burglar from stealing the owners stereo out of their car in
the middle of the night. An OT 50 reader sent in the picture.
Make no bones about it! Your pet's diabetes is serious, but taking the
steps to control the disease will help prevent any catastrophes.
It's been estimated that about 16 million Americans have diabetes. That
statistic, however, doesn't tell the whole story -- it fails to include some
of our most important residents with the disease, our beloved dogs and cats.
It's true: Diabetes has been diagnosed in virtually every breed of cat
and dog in this country. Research, however, has yet to show any family
history of diabetes among animals. Yet, it is well known that diabetes is
common among Miniature Poodles and Cairn Terriers while some of the common
dog breeds (such as Cocker Spaniels, German Shepherds, Collies, and Boxers)
are seldom affected.
It is also known that diabetes typically occurs toward the tail end of a
dog or cat's life. For dogs, diabetes usually occurs between the ages of
seven and nine years and in cats five years or older. In dogs, diabetes
favors the females - twice as many get the disease. Male and female cats, on
the other hand, share the risk.
Although people and animals with diabetes have some things in common, we
have yet to classify different types of diabetes in animals the way we do in
people, such as type 1 and type 2 diabetes. But, there are some
similarities. For example, some dogs and cats with diabetes are like a
person with type 1 diabetes and need daily injections of insulin to survive.
Most animals with diabetes, however, are more like people with type 2
diabetes. Many are slightly older, overweight, and, usually, their diabetes
can be controlled through proper diet and exercise regimens alone. But, like
some people, some of these animals do require insulin injections to keep
their diabetes in check.
It is also true that if left untreated, diabetes can lead to your pet's
death. This is because diabetes affects the way your pet's body uses food.
Normally, food is converted into a form of sugar called glucose. Glucose,
which the body uses as fuel, is carried to the body's cells by the
bloodstream. Insulin, a hormone produced by the pancreas, helps glucose in
the bloodstream.
In diabetes, the body either doesn't produce enough insulin, or it cannot
use it properly. Therefore, glucose cannot enter the cells and builds up in
the bloodstream. The goal for treatment is to achieve a balance between food
and insulin so that blood sugar levels are close to normal (nondiabetic) as
possible.
Diagnosing the Problem
How do you know whether your cat or dog has diabetes? Animals who have
diabetes display many of the same symptoms people do - excessive thirst,
frequent urination and hunger. Of course, your pet can't tell you what's
going on so it's up to you to recognize the symptoms. One good signal is if
your pet, even though house broken, is urinating more than usual or
urinating in the house. Another good signal is if your dog or cat spends an
unusual amount of time around the water bowl or begins to beg routinely for
more food.
If you recognize these symptoms, take your pet to a veterinarian. The
veterinarian will look for other signs of diabetes such as cataracts (many
pets also develop these vision impairments), a swollen liver, obesity, or an
unhealthy coat.
These signs will probably prompt your veterinarian to do more tests. This
could mean admitting your pet to an animal hospital where urine and blood
will be collected and tested to confirm the diagnosis. In the hospital, a
complete blood count and chemistry profile is routinely ordered to check not
only glucose levels, but also kidney and liver functions, as well as
cholesterol and serum electrolyte levels.
Curbing Diabetes
Once the diagnosis is confirmed, the next step is learning how to care for
your pet. Most owners willingly give their animals the care they need to
keep their diabetes in control. Some owners, however, believe they are
unable to make the commitment and have their pets put to sleep.
Caring for your pet's diabetes is a commitment on your part and may not
seem easy at first. You'll likely find, however, that it will get easier as
you - and your pet - get used to the regimen.
Basically, the methods for keeping an animal's diabetes in control are
not much different than the methods used to control a person's diabetes. (By
control, we mean keeping your pet's blood glucose level at or near the same
level as an animal that does not have diabetes.)
For example, your veterinarian may ask you to feed your dog or cat
specific portions of food at specific times during the day. We usually ask
owners to feed their pets two separate meals a day and eliminate any snacks
in between. Exercise may need to become part of your pet's daily regimen.
And you may need to give your pet daily insulin shots.
One of the most difficult parts of managing a pet's diabetes is giving
the insulin shots. Most people discover, however, that their dog or cat
barely flinches when the needle is inserted into their pet's skin (usually,
injections are given on the scruff of the animal's neck), similar to people
learning to inject themselves for the first time, and you're likely to make
some mistakes at first.
One common mistake is not inserting the needle in far enough, which
causes the insulin to leak out from under the skin so not all the insulin is
injected. Another common mistake is not removing the air bubbles from the
syringe.
Some people fail to mix the insulin properly before they withdraw it from
the vial. A little practice will help you overcome these problems. Your
veterinarian can guide you through the steps and teach you the proper
techniques.
Urine Testing
Although injections may seem difficult, more people seem to have trouble
collecting urine from their pet to test for blood sugar levels and ketones.
Knowing your pet's blood sugar level is important. These daily readings will
help you know how much insulin to inject and the amount of food to feed your
pet, thereby helping you control your pet's diabetes.
Knowing the amount of ketones in your pet's urine is also important.
Ketones are acids that appear in the urine when your pet's body doesn't have
enough insulin. So instead of using glucose for energy, your pet's body is
burning fat. These ketones are a warning that your cat or dog's diabetes is
out of control. (Ketones in a human's urine also indicate that diabetes may
be out of control.)
Your veterinarian can teach you how to make adjustments in your pet's
food and insulin based on the results of the urine tests. The tests are
taken by dipping a special test strip into a small amount (about one
tablespoon) of your dog or cat's urine. These test strips change colors when
they come in contact with the glucose in the urine. You match the color on
the strip with the color on a chart (usually on the test strip container).
Each shade of color represents a range that the glucose level falls into.
The same method is used in testing for ketones. Some strips measure only
urine glucose or only ketones. Other strips measure both in one test.
Doing the test itself is easy - the tough part is getting your pet to
cooperate by urinating where and when you'd like. So, you may have to try
several methods of collecting the urine. We encourage dog owners to follow
their pet around in the early morning and place a pan to collect the urine
under their dog at the crucial moment. This technique may work with dogs,
but if you own a cat you need to be more ingenious.
If your cat is trained to use a litter box, you may be able to collect
the urine there. Cat litter, however, is a chemically treated compound, thus
it's not easy to test with. So, you'll need to come up with other methods.
One alternative is to fill the box with shredded newspaper. The newspaper
will absorb the urine, but you can dab the newspaper on the test strip.
Still, a better method is to tilt one end of the litter box, using a book or
piece of wood, so that the urine drains to the other end of the box. Of
course, you need to completely drain the box so that the next test will be
accurate.
It is important that you are committed to testing your pet daily. The
best time to test is first thing in the morning. Knowing your pet's urine
sugar level is important in making adjustments in food and insulin. Knowing
your pet's urine sugar will also help you spot and treat problems before
they become major ones. You'll need to learn to make adjustments based on
tile urine glucose tests. You may also need to test your animal again in the
evening (about 12 hours later). We encourage people to call the hospital
with questions for at least the first week to discuss any problems they may
have.
Reacting to a Reaction
One of the more serious problems with diabetes in pets, and people, is
hypoglycemia (low blood sugar), also known as an insulin reaction. An
insulin reaction happens when an animal has too little food or too much
insulin. Sometimes this happens because an owner misreads the urine strip
and gives the pet too much insulin or too little food.
The most common cause of an insulin reaction is when an animal vomits
soon after an injection. As most pet owners know, it is typical for even
healthy animals to vomit at times. In a healthy animal, this doesn't cause
much alarm. But in an animal that has diabetes, it can be serious. This is
because once the insulin is injected, it's going to do its job to lower
blood glucose no matter what. Vomiting stresses your pet's system and robs
your pet of that day's food supply. The loss of food combined with insulin's
ability to lower blood glucose causes your pet's blood glucose to drop below
normal - and that's not healthy.
How do you know your pet is having a reaction? If you notice that your
pet is weak, unusually tired, or is convulsing, you should treat it for an
insulin reaction immediately. You treat reactions with a quick-acting sugar
source that raises the animal's blood glucose. We advise owners to have corn
syrup or some other form of liquid sugar handy to treat reactions.
The best way to treat your pet's reaction is to pour some corn syrup on
your fingers and rub it on your pet's tongue and inner cheek. After treating
the reaction, take your pet to the animal hospital where its glucose level
can be better stabilized.
The steps to keep your dog or cat's diabetes in control are necessary to
keep your pet healthy. Getting used to everything will take some time -- but
consider the hours of companionship and love you'll get from your pet.
[This article was written by Mark Milwicki (Owner and director of the
Marsh Hospital for Animals in Verona, New Jersey.) This article appeared in
a previous issue of