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    Add as FriendDIABETIS MELLITUS IN A DOG

    by: MC

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    1 : SUCCESSFUL THERAPEUTIC MANAGEMENT OF NON-KETOTIC DIABETIS MELLITUS IN A DOG Department of Veterinary Clinical Medicine, Ethics And Jurisprudence, Veterinary College And Research Institute, Namakkal. Dr.M.C.Ragupathi,Dr.K.K.Ponnuswamy.
    2 : SIGNALMENT Patient details Date : 24 th Oct 2011 Case. No. : D5175 Spp. : Canine Breed : Dob Sex : Female Colour : Bl. & tan Age : 7 years B.Wt : 20.7kg Name : Blacky Referred by Dr. M. Ramasamy, Ph.D., Owner detail’s Mr. Ashok Kumar Balasubramani nagar, Perunduarai road, Erode. © 94436 71907
    3 : ANAMNESIS PRESENT HISTORY Sudden weight loss ( From 35 kg. to 21 kg. over period of 40 days) Increased intake of food & water Frequent urination Acute onset of vision impairment PAST HISTORY Regularly vaccinated & dewormed No history of previous illness
    4 : PHYSICAL EXAMINATION Active & alert Body condition : Lean Temp : 39.2 o C H/R : 110 / Mt R / R : 64 / Mt CRT : < 2 sec LNs : NAD
    5 : OCCULAR EXAMINATION Difficulty in avoiding obstacles Cotton ball test – Weak Pupillary light reflex present Incipient cataract formation
    6 : HAEMATOLOGY HAEMOGRAM Hb : 15.0 gm/dl PCV : 46 % RBC : 5.1 millions/cu.m.m MCV :90.19 fl MCH :29.41 pg MCHC:32.6 % LEUCOGRAM WBC :9600 cells/cu.m.m Differential Count N : 6240 cells/cu.m.m L : 2880 cells/cu.m.m M: 384 cells/cu.m.m E : 96 cells/cu.m.m
    7 : URINALYSIS Colour and Sp.gravity : Straw yellow, 1.024 (1.015-1.045) Reaction : Acid Protein : Nil Glucose : (++++) Ketone bodies : Nil Blood : Nil Sediments : Nil Cultural examination : NAD
    8 : SERUM BIO-CHEMISTRY Bl. Sugar (F) : 516 mg/dl (80 - 100) Bl. Sugar (PP): 934 mg/dl (120 - 200) Urea : 34.0 mg/dl (13 - 23) Creatinine : 1.0 mg/dl (0.3 – 1.3) SGPT : 39.0 U/L (< 100)
    9 : LIPID PROFILE Total cholesterol : 304 mg/dl HDL : 40.0 mg/dl LDL : 244.8 mg/dl VLDL : 19.2 mg/dl Total cholesterol/HDL ratio : 7.6 mg/dl LDL/HDL ratio : 6.1 mg/dl
    10 : Hb A1c HbA1c : Above 15.0% Below 6% - Normal control 6.1-7 %-Fair control 8.1-10 %- Unsatisfactory Above 10%- Poor control MPG : 456.7 mg/dl 94-135mg/dl AWBG : 407.8 mg/dl 84-120:Excellent control 121-150:Good control 151-180 :Average control 181-210 :Action suggested Above 211:Panic value
    11 : DIAGNOSIS HEALTHY NON - KETOTIC DIABETES MELLITUS
    12 : THERAPEUTIC MANAGEMENT (Nelson,R.W.,(2010) Insulin administration Control of concurrent illness Dietary management Exercise
    13 : INSULIN ADMINISTRATION
    14 : STANDARDIZATION OF INSULIN DOSE DIABETIC RECORD (Herrtage,M.E.,1998)
    15 : STANDARDIZATION OF INSULIN DOSE DIABETIC RECORD (Herrtage,M.E.,1998)
    16 : STANDARDIZATION OF INSULIN DOSE DIABETIC RECORD (Herrtage,M.E.,1998)
    17 : SUPPORTIVE THERAPY CONTROL OF CONCURRENT ILLNESS Tab. Cefalexin 22mg/kg B.Wt b.i.d. for 10 days. DIETARY MANAGEMENT Increasing dietary fiber to improve glycemic control Small frequent meals EXERCISE Adequate exercise Avoid strenuous and sporadic exercise
    18 : Patient’s Re-evaluation Date:22.11.11 Active & alert Body condition : Lean Temp : 39.2 o C H/R : 110 / Mt R / R : 64 / Mt CRT : < 2 sec LNs : NAD Bl. Sugar (F) : 316 mg/dl (80 - 100) Bl. Sugar (PP): 524mg/dl (120 - 200) Urea : 34.0 mg/dl (13 - 23) Creatinine : 1.0 mg/dl (0.3 – 1.3) SGPT : 39.0 U/L (< 100)
    19 : Patient’s Re-evaluation Date:24.12.11 Active & alert Body condition : Normal Temp : 39.2 o C H/R : 112 / Mt R / R : 64 / Mt CRT : < 2 sec LNs : NAD Bl. Sugar (F) : 352.8 mg/dl (80 - 100) Bl. Sugar (PP): 570mg/dl (120 - 200) Urea : 30.0 mg/dl (13 - 23) Creatinine :1.0 mg/dl (0.3 – 1.3) SGPT : 38.0 U/L (< 100)
    20 : Patient’s Re-evaluation Date:16.3.12 Active & alert Body condition : Normal Temp : 39.2 o C H/R : 108 / Mt R / R : 62 / Mt CRT : < 2 sec LNs : NAD Bl. Sugar (F) : 296.7 mg/dl (80 - 100) Bl. Sugar (PP): 496.2mg/dl (120 - 200) Urea : 34.0 mg/dl (13 - 23) Creatinine : 1.0 mg/dl (0.3 – 1.3) SGPT : 39.0 U/L (< 100)
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