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Can't diabetes be diagnosed by an elevated blood sugar value alone?-->-->While confirmation of elevated fasting blood and urine glucose (sugar) values is absolutely essential for the diagnosis of diabetes mellitus, other screening tests may give us additional information regarding the severity of the diabetes, any conditions that may be contributing to the diabetes, and any complications related to the diabetic state. Not good toward boarding, grooming, prescription and non-prescription medication, and retail items. DATE RECORD OF INDIVIDUAL PERFORMANCE OF RESERVE DUTY TRAINING For use of this form see AR 140-185; the proponent agency is CAR. An animated emoticon that shows a weed leaf that is converted to a joint and then smoked up, nice emoticon.Does anybody have a recommendation for harmless lawn fertilizer and weed killer that I could use in our backyard? Although most diabetic animals drink large quantities of water, they still lose a lot of body water because they produce such dilute urine.
Dehydration can be indicated on the CBC by increases in the packed cell volume (PCV - the proportion of the blood volume that is actually occupied by red blood cells) as well as increases in the total red blood cell count.
In some severe diabetic states, lysis (rupture) of red blood cells within the blood stream may occur because of the loss of electrolytes.


A reduction in the PCV and red blood cell numbers will be seen on the CBC if this is occurring.
The presence of an infection may be indicated on the CBC by an increased number of white blood cells. What might a serum biochemistry profile indicate if my cat has diabetes mellitus?The serum biochemistry profile is performed on a separate blood sample from which the serum (the liquid portion of blood) has been separated from the cellular portion.
Serum contains many substances including glucose, enzymes, lipids (fats) proteins and metabolic waste products. However, cats present us with a unique challenge because their glucose concentrations can become markedly increased simply due to stress.
The stress of a veterinary office visit or the mild restraint associated with obtaining a blood sample may significantly increase your cat's serum glucose value. Therefore, confirmation of diabetes may require more than one blood sample collected over a period of several days. They are involved in many of the body's daily functions, for example nerve conduction and maintenance of proper hydration. Because of the large volume of dilute urine that diabetic cats produce, excessive amounts of electrolytes may be lost in the urine.
For example, severe deficits in the electrolyte phosphorus may result in the rupture of red blood cells within the blood stream.
The liver related enzymes ALT (alanine aminotransferase) and AST (aspartate transaminase) may be increased mildly in diabetic cats. These increases may reflect mild liver cell damage that is related to decreased blood flow due to dehydration. However, as many diabetic cats are overweight, greater elevations in liver enzymes may indicate underlying liver disease such as hepatic lipidosis (fatty liver, which results from excess mobilization of body fat). Because mild changes in liver enzymes can also be noted in older cats with thyroid disease, it may be important to rule out the presence of concurrent hyperthyroidism (a condition whereby the thyroid makes too much thyroid hormone) by measuring serum thyroxine (T4) concentrations.
What might a urinalysis indicate if my cat has diabetes mellitus?-->-->A urinalysis is necessary for the diagnosis of diabetes mellitus. Occasionally a small amount of glucose may be found in the urine of a highly stressed cat because its blood glucose values were temporarily increased. Other important features of the urinalysis that need to be evaluated in diabetic animals include evidence of urinary tract infection. The presence of glucose in the urine makes conditions ideal for bacterial growth; therefore, urinary tract infections are common. The urine is evaluated for the presence of red blood cells, white blood cells and bacteria. If a bacterial infection is identified or suspected, a culture of the urine may be indicated to identify the types of bacteria and determine the most appropriate antibiotics to treat the infection. The presence or absence of ketones in the urine should always be evaluated in diabetic animals.


Increased utilization of fat occurs in diabetic animals because their insulin deficiency results in poor utilization of carbohydrates as an energy source. Depending upon your cat's clinical signs, the presence of ketones in the urine may indicate a more severe or long-standing case of diabetes.
Once my cat has been started on insulin therapy, what monitoring tests will be necessary?-->-->When insulin therapy is first started, we will need to monitor your cat's response to therapy by periodic blood glucose determinations. Ideally, this involves serial blood or serum glucose determinations in the form of a glucose curve. However, because of the nature of most cats, the mere acts of hospitalization and serial blood sampling, no matter how gentle, will result in stress-related increases in blood glucose that will confound the results of a glucose curve. At home, one of the most simple and important things you can do for your cat is to monitor his appetite, water consumption, energy level, and urine output. It is very important that you do not make adjustments in dosage without first consulting your veterinarian! Additional home monitoring can involve the evaluation of urine for the presence of glucose. This may involve a bit of ingenuity in obtaining a urine sample; the use of non-absorbing plastic pellets or clean aquarium gravel in the litter box for a short time period may help.
A urine test strip that contains an indicator pad for glucose is then simply dipped into the urine sample and a reading is taken after a specified time interval. These products are essentially strips of material impregnated with glucose detection pads that are added directly into the litter box. At the beginning of insulin therapy, more frequent (daily) monitoring of urine glucose is indicated. The presence of large amounts of glucose for two or three days in a row, or the complete absence of glucose, may indicate the need for adjustments in insulin dosage. Once your cat's optimal insulin dosage has been determined and his diabetes is well regulated, monitoring may involve weekly 'spot checks' of urine for the presence of glucose.
Serum fructosamine provides us with a retrospective view of the average blood glucose concentration that your cat has achieved over the past 2 to 3 weeks. However, recent changes in blood glucose concentrations will not be detected with the serum fructosamine test.
Therefore, if your cat is showing any behavioral changes that might signal changes in his immediate insulin requirements, then a direct blood glucose test will be more appropriate.




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Comments

  1. 28.06.2014 at 10:14:33


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    Author: BubsY
  2. 28.06.2014 at 13:54:12


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    Author: StiGmaT
  3. 28.06.2014 at 13:59:27


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    Author: PLAGIAT_EMINEM