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A dog's fight
against the blood glucose

Precedents:

Frequent drinking, pitching,exciting,once a stomach-stop in aug. of 2006. The symptoms came periodical, but this time we had no idea about its causes, we observed only the periodicity. Later we put it through to the seasons, but still had no idea about the reasons. We put the evolution of her diabetes to the forefront of 2006, she was 8 years old than. (the  expert's reports condescent the higher risk of the diabetes's evolution in dogs between 8-10 years old, and mainly in bitches). The values almost equalled than the human diabetes's valuees.

 

 

Dog

Bloodparameters

Healthy

 with Diabetes

blood glucose mmol/l (plasma)

3.1-6.0

> 6.1

HbA1c (Boehringer) %

2.47-3.51

>3.6

pH

7.32-7.40

> 7.40, < 7.30

Triglycerids mmol/l

0.57-1.14

> 1.14

Cholesterine mmol/l

2.6-6.5

> 6.5

Urine parameters

 

 

Glucose

-

+

Ketone-body

-

+

Dr. Gábor von Bölcsházy
Szent István Egyetem, Állatorvostudományi Kar
Kórbonctani és Igazságügyi Állatorvostani Tanszék

   

Diagnostics:

On 04 of May, in 2007 we brought her to a clinical test, because her symptoms became stronger, and the periods always longer. She lost a lot of her weight, drinking whole day, and her belly was huge. Our local vet was not able to say anything without diagnostical instruments. I was sure Marie has tumor. (in our family noone have diabetes, thats why if the local vet dont say it is a possibility i never tought to it). In May, under her monitoring it cleared, that this "belly-tumor" is her vesica, and there isnt any kind of organic mutation or disease (tumor). Her labor-check was excellent (fit to her age or better), only her blood glucose was high, it appeared in her urine, too. I was really happy about it! Marie had "only" diabetes. But on the clinic vets said: "dont be so happy, this is a very serious disease, with many complications, and the daily checking, insuline-giving and the diet's adherence not as easy as you think it for first sight."
They also suggested me the  spay, but Marie was over her 9th year, she was weak and her blood glucose was in the sky. We decided that first we stabilize her glucose-level, and later we can talk about the spay. In bitches it can gives solution in many cases: this perodical diabetes could be connected by the endocrin-system's changes, as well progesterone-level's lifting.Thats why after the spay sympoms disappears and blood glucose would stand back to the normal level.

 

The first period:

For a long time every morning and evening we were on the clinic for checking and regulationing. She got higher and higer doses of insuline, but the reaction was very slow. During this time i pestered everyone in my enviroment with the diabetes, because i had no idea about its meaning, causes, and what i have to take care. Step by step we had every accessoires to the home-treatment. We learnt how to meter it, how to use the insuline, what we have to take care on diet, etc...and Marie became day by day better, her estate stabilized. Than on a day (it was whit monday, so freeday),  after a long and tireable month i went to a show, so my husband gave them breakfast and the insuline to Marie. It was about 10 o clock a.m., when he called me in panic that Marie feels really bad. I shocked and asked him to measure her blood glucose immidiately. It was 2,2. (hypoglycemia) He tried to lift it up with honey and glucose. At about noon it was a bit better, but from this moment she didnt get insuline. Evening it was low, too, but near the normal. Morning it was 2,2 again, without insuline. In effect it stand back by its own to the normal level.

Everything became clear: the season throw off the balance of the endocrin-system.  The periodicity, the earlier symptoms, and its fade away. But while she regenerated and i was on the horns of dilemma (may i put her to the operation table or not) the other bitches's season started her next season too, within 3 months. We got into a tight corner.

 

The second period:

She became in season on 29 of July. Here we had much more routin, and i counted: correlate to the first day of her season, exactly 1 month elapsed till the first symptoms's appearance. And after one month the blood glucose stand back to the normal level. In the meanwhile period her tests was really good: between 4,2-4,9; the normal values.

The first sympoms  came forward at the end of the season: hacking, get exciting, heaving. She was looking for some emetic grass, and day by day drinking more and more. We begin to measure her blood glucose frequently two times a day, what slowly but surely lifted up. Her blood glucose got the critical level on 29 of july, from this time she begin to use the insuline. I quiet down, because we were in time, measured, checked, and prepared ourself to the next hard period. We also  changed on diet. But there wasn't visible signs of improvement. On 31 of July she was  a bag of bones, her skin and coat is matted and scaly. Her blood glucose was in the sky again. I had some consultation with our vets, but unfortunately both of them was on holiday. Marie felt crummy hour by hour. She was weak, at least dumped, and to Friday afternoon (03 of Aug) her third eye-lid hidden her eyes a lot, and her skull muscles became oedematic. (i tought for two nights she will not staying alive)

She got the maximum dose of insuline to her bodyweight, so we werent enough brave to lift it up, because we didnt know: why the blood glucose is so high. If this symptom causes by the Somogyi-effect, with a bigger dose os insuline i can kill her. But if the insuline is not enough, i can lift the dose up. At least we got help from the local vet, who gave me some quick-actioned insuline on Friday evening, and also made a test with urine-glucose, what gave us the result: the dose of insuline is low. She could have more. We also changed the diet to bottled food, what has a big force: the dog can eat all time the same portion with the same digestive-parameters. Well, those two things: the combinated and lifted insuline and the bottledfood-diet did its work: gradually the blood glucose drived down to the normal parameters, but in practice there werent big fluctuations more. Her mood became better, as well as her  estate. Her coat became shinny again. Now we are on the end of the second week, full with hope, and if we will accordance the book, she have to alive two more weeks. But i decided: if we are over this period i will make the spay.

 

Lessons and experiences:

1., If a dog drinks a lot, visible losts his weight in some days, his coat became matt and scaly, as well it is hacking, get exciting and heaving, we always have to think to diabetes, without reference to its age and sex. If we can see periodicity in it, mainly think about diabetes.

2., Diabetes at dogs is a REAL serious disease, with the possibility of hard effects and interwoves, what can worsen the dog's wellfare and life-possibilities a lot.

3., This is really not sure that a periodical case the similar doses of insuline will be enough-like at the first time- my experience that season by season it is harder and much more agility: every time we may need a bigger doses of insuline.

4., And the continuation:Marie schedued to the operation on 11. november 2007. It was harder than i tought, because after 3 months she became to season again. Before this operation i tried to upgrade her condition as well in her food as the VMP-balance.

 5., But on the day of the operation vets diagnostisated a smallcell mammal-tumor all over her mammals. Because the x-ray couldnt find chest-transmission, we decided about the operation. It was a hard and long surgery, but Marie did it well. However i could bring her home only the next day, because she had complications on the evening.

6., When she came home she was laying for long days with empty expression and she didnt care about her enviroment. Her general condition was rewarding, but where were this condition to my hysterical,grouchy, agility old Marie! Such a foreign dog.

Four days after the surgery she became a bit alive, but same day her legs became aqueous. She didnt want to get up, if she did, her moving was really slow and hard. This exertion brought the solution: evening I called the vet in a panic-attack, with the surgery-area bloody fluid shoot out.

7., Later i had to guess it was a good and usefull thing and only this area cleaned, but that time i felt this is the end. When i write this, it is the 6th day after her operation, and Marie became stronger hour by hour. Yesterday evening she got up by herself, she wanted two  slides of chocolate (nothing else, thank you) and now she is cleaning herself and feels good.

8., I hope she will be okay and I do not have to enrich her diary with more issues for a long-long time!

9., I recommend to everyone, who has a bitch: lets make the spay at your earliest convenience, and at bithes in breeding after the last litter it would be very usefull, too; to protect them against the diabetes and all other diseases and complications! 

 Roxanne Szabó

 

 Hasznos irodalom:
Diabetes mellitus-Dr. Bölcsházy Gábor www.epa.oszk.hu  

 

   

Marie passed away on 21/06/2008
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