25/05/2024
貓貓糖尿病若早期發現並給予正確的治療是有可能被治癒的,良好的血糖控制還有正確的飲食是治療成功的關鍵。
Feline diabetes can possible be cured if treated properly in the early stage. Good blood sugar control with appropriate diet are the keys to success.
貓貓的糖尿病可以治癒嗎?
其實有一部分貓貓的糖尿病是可以被治癒的,今天要來分享一個糖尿病痊癒的病例-Lily
Can a cat's diabetes be cured?
In fact, part of diabetic cats can be cured. Here is today’s case of diabetes remission - Lily.
Please scroll down for English version 👇
有需要治療協助的主人歡迎聯絡
Paws and Tails Veterinary Hospital 詢問或預約
☎️28322836
WhatsApp: 98705711
www.pawsandtailshk.com
Lily是一隻四歲大已絕育的母短毛唐貓(家貓),因為主人發現Lily於兩週前開始喝水小便份量增加,體重下降,在前兩家診所被診斷出患有糖尿病而建議需要住院治療,於是主人決定前來找我諮詢治療建議。檢查當天Lily明顯脫水,於是安排留院接受吊鹽水(點滴)並安裝了皮下血糖監控裝置,Lily在脫水狀況改善後,精神食慾明顯好轉,於是於第三天回家繼續觀察照顧,然而Lily對於胰島素的反應不佳,在持續調整胰島素劑量後發現需要使用到正常劑量的4-5倍才有辦法將血糖控制下來。在接受胰島素治療一個月後,Lily體重明顯上升,也沒有再出現糖尿病的相關症狀,再次安裝皮下血糖監控裝置後發現Lily血糖曲線持續處於正常低值,於是逐漸降低胰島素劑量,最後成功停止使用胰島素,而Lily狀況仍然穩定,顯示糖尿病已經痊癒(Remission)
📌為何貓貓的糖尿病有可能痊癒?
由於貓貓的糖尿病多數是因為其他因素、使用類固醇治療或是患有胰臟炎造成胰島素抗性,使得胰島素作用不佳,若早期診斷並且適當使用胰島素及適當食物,身體對胰島素的反應有可能會逐漸恢復正常而不再需要額外注射胰島素。
📌如何能增加糖尿病貓貓痊癒的機率?
要增加糖尿病貓貓痊癒的成功率,首先是需要早期診斷早期治療,另外必須正確的使用長效型的胰島素,給予正確的劑量及飲食種類及份量,讓大部分時間的血糖都處於適當的範圍內,才有可能有痊癒的機會,若是血糖不穩定除了有脫水的問題,低血糖也可能會造成抽筋甚至死亡。所幸現在有了持續監控血糖的皮下監測裝置,醫師可以獲得持續的血糖紀錄以調整治療。
⚠️Lily在剛開始治療的前一週,每1-2天都需要增加胰島素的劑量,最後需要給予一般劑量的4-5倍才能將血糖控制到適當的範圍,若沒有持續監控的數據,我一定不敢給予這麼高的劑量,而不受控制的高血糖一定也會讓Lily處於脫水及不適的狀態。
📌糖尿病痊癒的貓貓將來有可能會再復發嗎?
有可能,有糖尿病病史的貓貓有可能是因為基因遺傳、過肥、飲食或是患有相關疾病像是胰臟炎等,使得體內調節血糖的機制受到影響而誘發糖尿病,所以有可能在痊癒後復發,所以仍然需要密切觀察症狀、避免過胖、給予適當的飲食,另外也需要避免使用類固醇以免促使糖尿病復發。
其他關於糖尿病的內容可以參考我之前的文章
1.貓貓糖尿病介紹:https://bit.ly/3FHjOBm
2.貓貓糖尿病治療:https://bit.ly/3mMHvj8
3.貓貓糖尿病1-豬仔:https://bit.ly/3nfBvja
4.貓貓糖尿病2-喵喵:https://bit.ly/3C7I79g
5.貓貓糖尿病3-小虎妹 https://bit.ly/3SR3cMV
Lily is a 4-year-old spayed domestic shorthair cat. Her owner noticed that about two weeks ago, Lily started drinking and urinating more, and was losing weight. She was diagnosed with diabetes at two previous clinics and was recommended for hospitalization. So the owner came to seek for second opinion from me.
On the examination, Lily was clearly dehydrated, so she was hospitalized and receive IV fluids, and I installed the Freestyle libre subcutaneous glucose monitoring sensor. After her dehydration improved, Lily's energy and appetite clearly got better. She was discharged on the third day to continue observation at home.
However, Lily did not respond well to insulin during the first week. After continually adjusting the insulin dose, I found that she needed 4-5 times of the normal dose to get her blood sugar under control. After one month of insulin therapy, Lily's weight had significantly increased, and the diabetes-related symptoms had resolved. When I installed the sensor again, Lily's blood sugar curve remained consistently normal in low range. I gradually reduced the insulin dose, and eventually she was able to stop insulin completely. Lily's condition remains stable, indicating that her diabetes has gone into remission.
📌Why is it possible for some cats' diabetes to go into remission?
Most diabetes in cats might be triggered by other factors, steroid use, or pancreatitis, which can lead to insulin resistance. If diagnosed and treated early with appropriate insulin and diet, the body's response to insulin can gradually return to normal, and additional insulin injections may no longer be needed.
📌How can we increase the chance of diabetes remission in cats?
To increase the chance of remission, early diagnosis and treatment are crucial. Proper use of long-acting insulin, with the right dosage and diet, is important to keep blood sugar in the appropriate range most of the time. Unstable blood sugar can lead to dehydration and even life-threatening low blood sugar which lower the chance of remission. Thankfully, continuous glucose monitoring devices can now provide the vets with data to optimize treatment if they know how to manage diabetes correctly.
In Lily's case, I had to increase her insulin dose 4-5 times of the normal amount in the first week to get her blood sugar under control. Without the continuous monitoring data, I would not have dared to give such a high dose, and the uncontrolled high blood sugar would have left Lily dehydrated and unwell.
📌Could a cat's diabetes remission relapse in the future?
It's possible. Cats with a history of diabetes may have underlying factors like genetics, obesity, diet, or related conditions like pancreatitis that affect their body's blood sugar regulation mechanism. So there is a risk of relapse even after remission. Close monitoring, avoiding obesity, providing suitable diet and preventing steroid use are the keys to preventing from recurrence.
⚠️ If you need veterinary assistance, please contact:
Paws and Tails Veterinary Hospital for inquiries or appointments
☎️ 28322836
WhatsApp: 98705711
www.pawsandtailshk.com
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