家猫的糖尿病:来自兽医实践的临床病例

D. Morozenko, Yevheniia Vashchyk, A. Zakhariev, N. Seliukova, Dmytro Berezhnyi, K. Gliebova
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After the start of insulin therapy, the animal's condition improved, after 2 months - an attack of hypoglycemia, blood glucose 3.0 mmol/l. The introduction of insulin was stopped for 10 days, after 10 days the cat's appetite is normal, polyuria and polydipsia are not observed, body weight gain is 300 g, blood glucose without insulin therapy is 8.0 mmol/l. \nClinical case 2. Cat Eva, age 12 years, body weight 6.7 kg, symptoms: polyuria/polydipsia during the last two weeks, increased appetite, diet - raw meat, meatballs, buckwheat porridge, boiled carrots, beets. Blood glucose 22.9 mmol/l, urine analysis – pH = 6.0, glucose ++++, ketones +. Diagnosis: diabetes. Treatment: Lantus 2 IU subcutaneously every 12 hours. After the start of insulin therapy, the condition improved, after 2 months, blood glucose was 9.00 - 13.0 mmol/l; 15.00 – 8.0 mmol/l, 21.00 – 12.0 mmol/l, glucose and ketones are absent in the urine. \nConclusions. 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摘要

目的:分析猫患糖尿病的临床病例,建立胰岛素治疗对动物临床和实验室研究及治疗的有效性。材料和方法。本研究的材料是在利沃夫兽医诊所“Doctor Vet”(Lviv)入住的家猫。结果。临床病例1。猫Bonya, 10岁,体重4公斤。症状:多尿/烦渴和体重减轻。检查:恶病质,虚弱,粘膜苍白,步态不稳。血糖- 20.4 mmol/l,尿液分析- pH=6.0,葡萄糖++++,未检测到酮类。诊断:糖尿病。对于血糖控制-胰岛素每12小时0.25 IU/kg。胰岛素治疗开始后,动物病情好转,2个月后-一次低血糖发作,血糖3.0 mmol/l。停用胰岛素10天,10天后猫食欲正常,无多尿、烦渴现象,体重增加300 g,未使用胰岛素治疗时血糖8.0 mmol/l。临床病例2。猫伊娃,12岁,体重6.7公斤,症状:最近两周多尿/烦渴,食欲增加,饮食-生肉,肉丸,荞麦粥,煮胡萝卜,甜菜。血糖22.9 mmol/l,尿液分析- pH = 6.0,葡萄糖++++,酮+。诊断:糖尿病。治疗方法:每12小时皮下注射2iu。胰岛素治疗开始后病情好转,2个月后血糖9.00 ~ 13.0 mmol/l;15.00 - 8.0 mmol/l, 21.00 - 12.0 mmol/l,尿中不含葡萄糖和酮类。结论。在第一个临床病例中,在胰岛素治疗的背景下,猫对胰岛素“Caninsulin”的需求减少。在第二个临床病例中,在“Lantus”胰岛素的帮助下,胰岛素治疗可以让你达到血糖水平,糖尿病停止进展,动物的临床状况恢复正常,这表明了规定治疗的有效性。因此,我们可以说,小家畜的糖尿病是一种相当严重的内分泌病理,具有典型的临床和实验室症状,可以通过以胰岛素治疗为基础的复杂的医学和诊断方法来成功治疗
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Diabetes mellitus in domestic cats: clinical cases from veterinary practice
The aim: to analyze clinical cases of diabetes mellitus in cats and establish the effectiveness of clinical and laboratory research and treatment of animals with the help of insulin therapy. Materials and methods. The material for the study were domestic cats admitted to the veterinary medicine clinic "Doctor Vet" (Lviv). Results. Clinical case 1. Cat Bonya, age 10 years, body weight 4 kg. symptoms: polyuria/polydipsia and weight loss. Examination: cachexia, weakness, pale mucous membranes, unsteady gait. Blood glucose - 20.4 mmol/l, urine analysis - pH=6.0, glucose ++++, no ketones detected. Diagnosis: diabetes. For glycemic control - caninsulin at 0.25 IU/kg every 12 hours. After the start of insulin therapy, the animal's condition improved, after 2 months - an attack of hypoglycemia, blood glucose 3.0 mmol/l. The introduction of insulin was stopped for 10 days, after 10 days the cat's appetite is normal, polyuria and polydipsia are not observed, body weight gain is 300 g, blood glucose without insulin therapy is 8.0 mmol/l. Clinical case 2. Cat Eva, age 12 years, body weight 6.7 kg, symptoms: polyuria/polydipsia during the last two weeks, increased appetite, diet - raw meat, meatballs, buckwheat porridge, boiled carrots, beets. Blood glucose 22.9 mmol/l, urine analysis – pH = 6.0, glucose ++++, ketones +. Diagnosis: diabetes. Treatment: Lantus 2 IU subcutaneously every 12 hours. After the start of insulin therapy, the condition improved, after 2 months, blood glucose was 9.00 - 13.0 mmol/l; 15.00 – 8.0 mmol/l, 21.00 – 12.0 mmol/l, glucose and ketones are absent in the urine. Conclusions. In the first clinical case, the cat there was a decrease in demand in insulin “Caninsulin” on the background of insulin therapy. In the second clinical case, insulin therapy with the help of "Lantus" insulin allows you to reach a level of glycemia at which diabetes stops progressing, the clinical condition of the animal normalizes, which indicates the effectiveness of the prescribed treatment. Thus, we can say that diabetes in small domestic animals is a rather severe endocrine pathology, which has typical clinical and laboratory symptoms and can be successfully treated with the help of a complex medical and diagnostic approach, based on insulin therapy
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