Anna Latysheva

Anna Latysheva Ремиссия - главная цель при терапии сахарного диабета ?
(3)

Georgia 2023 🇬🇪
27/07/2023

Georgia 2023 🇬🇪

Watch out - it can be DIABETES ⚠️1️⃣ Diabetic dogs frequently develop cataracts—approximately 50% develop cataracts with...
13/02/2023

Watch out - it can be DIABETES ⚠️

1️⃣ Diabetic dogs frequently develop cataracts—approximately 50% develop cataracts within five months of diagnosis, 75% within one year, and 80% within 16 months.
Some cases of diabetes was referred to me from ophthalmologists because sometimes owner complain can be just changes in the eye.
So don’t forget to measure blood glucose in such patients along with sufficient and complete gathering of anamnesis.

2️⃣ Polydipsia and polyuria - 100% check blood glucose level, of course it can be something else but PD/PU are common presentations.

3️⃣ A plantigrade stance is when the cat stands with its weight on its heels or ankles, instead of its paws. This can occur because of neurological or musculoskeletal disorders. The 2 most common reasons are diabetic neuropathy and disorders of the calcaneal tendon such as Achilles tendon rupture or degeneration.

4️⃣ Obesity is a major factor of Diabetes Mellitus development in cats. So most important to check blood glucose in overweight patients. Bear in mind that in overweight cats chances to get diabetes because of glucocorticoids (prednisone or dexamethasone or especially long acting forms) administration is higher than usual.

5️⃣ According to recent study 15% of Cushingoid dogs were diagnosed with Diabetes Mellitus as well. So not to forget to measure blood glucose in Cushingoids.

6️⃣ For cats Cushing syndrome is rear, but if you see a older cat with thin and fragile skin - BG measurement is mandatory along with diagnostic of Cushing syndrome.

7️⃣ Prognathia inferior can be sign of acromegaly in cats. And acromegaly is a one of the common causes of Diabetes Mellitus in cats.

Which presentation of diabetes have you met before? ❤️

Therapy of Diabetes in Dogs⛑Treatment goals:1️⃣ Remove the symptoms of diabetes2️⃣ Minimize the impact of therapy on the...
23/11/2022

Therapy of Diabetes in Dogs

⛑Treatment goals:
1️⃣ Remove the symptoms of diabetes
2️⃣ Minimize the impact of therapy on the lifestyle of the owner
3️⃣ Avoid episodes of hypoglycemia

⛑✅ Insulin therapy -
- Caninsulin
- NPH-insulin (Humulin N)
- Glargine (Lantus)
every 12 hours.
🤞Despite the fact that the instructions for Caninsulin state the duration of action is 24 hours, unfortunately, approximately 70% of dogs require injections every 12 hours.
✅ Starting dose for NPH 0.25 U / kg of body weight (ideal), Caninsulin 0.5 U / kg, Lantus 0.125 U/kg
✅ Dose adjustment is done very smoothly by 0.5 U (1 U for dogs over 15 kg), every 5-7 days.
✅ Evaluation of the effectiveness of the dose is carried out in different ways, home glucose monitoring, fructosamine or Freestyle Libre Continuous Monitoring System, we usually select the optimal one individually.
✅ The need for insulin can change over time, it depends on diet, physical activity, stress, infections, etc.

☝️Successful therapy if:
❤️ No symptoms of DM and the dog is active and playful
❤️ The owner is satisfied with the course and result of the therapy
❤️ Maintains a stable weight (or gradually decreases if there is obesity)
❤️ Glucose during the day fluctuates between 100-270 mg/dl (5.6-15 mmol / l) ideally, but the following option is also acceptable:
🤖 Maximum value 300 mg/dl (17 mmol/l)
🤖 Minimum 80-135 mg/dl (4.5-7.3 mmol/l)
🤖 The average value per day is not more than 250 mg/dl (14 mmol / l)

✅ Diet
❗️ 2 equal servings of the same meal given 20-30 min after insulin injection
❗️Low carb but high fiber diet
❗️ You can allow "snacking" if it does not significantly affect the level of glucose

Therapy of Diabetes in CatsGoals of therapy:1️⃣ Relieve the symptoms of diabetes2️⃣Give a chance to achieve remission3️⃣...
22/11/2022

Therapy of Diabetes in Cats

Goals of therapy:

1️⃣ Relieve the symptoms of diabetes
2️⃣Give a chance to achieve remission
3️⃣ Avoid hypoglycemia

❗️Below recommendations based on
CATS Dosing protocol for cats receiving glargine or detemir using daily home blood glucose monitoring to adjust insulin dose, Roomp and Rand, University of Queensland

✅Insulin therapy
〽️Long-acting insulins (glargine or detemir - Lantus or Levemir)
〽️Starting dose 0.25 U / kg, but not more than 2 U per cat every 12 hours
〽️Dosage adjustment every 3-5 days by 0.25 - 0.5 units
〽️Monitoring - measurement of insulin levels at home before the injection 4-6 hours after the injection 2-3 times a week
〽️Goal glucose no more than 11 mmol/L (200 mg/dL) and ideally 3.6 - 5.6 mmol/L (65 - 100 mg/dL)

✅Feeding
Wet food with a coverage of no more than 15% ME
It has been studied that the remission of diabetes in cats is most likely when fed a high-protein and low-carb diet, especially wet.

🔺Diets:
✅Purina DM
✅Hills m/d
✅Royal Canin diabetic
✅Purina OM
🔺Not diets:
✅Animonda Carny
✅Shmus
✅Miamor
✅Animonda von Feinsten
✅Leonardo
✅Ontario
✅Baskerville
✅Landor
✅Gourmet
✅ ROYAL CANIN Instinctive in sauce
✅ ROYAL CANIN Intense Beauty
✅ ROYAL CANIN Ultra Light
❗️Food follows the advice:
Most of the daily diet is divided into 2 portions and given with an insulin injection, the rest is divided into small snacks during the day (4-6 teaspoon snacks).
❗️More wet food can be good for cats, use carb calculator for cats online…
Please ❤️

🐈‍⬛The CAT drinks and urinates a lot, loses weight or the cat went on his heels (plantigrade stance) - these are the sym...
16/11/2022

🐈‍⬛The CAT drinks and urinates a lot, loses weight or the cat went on his heels (plantigrade stance) - these are the symptoms that bring the owner with his cat to the veterinary clinic - and often the cause of these symptoms is diabetes mellitus.
A diabetic cat or cat is the most frequent patient at an endocrinologist's appointment.

Often, diabetes does not occur on its own. It is important to remember that many factors can contribute to its development.
It is also important to recognize it in time, since the sooner treatment is started, the greater the chance of recovery.
Yes, yes, diabetes is not a sentence, out of 10 cats that come to see an endocrinologist, 6-7 cats, with the right approach, go into remission, that is, they get rid of diabetes.

Diagnosis is simple:
✅ Presence of symptoms of diabetes:
- a symptom of "a lot of drinking / a lot of pi***ng"
- increased appetite
- weight loss
✅ Increased blood glucose (normal 65-100 mg/dL or 3.6-5.6 mmol / l);
✅ The presence of glucose in the urine

🩸For blood glucose measurement at the clinic we use glucometer Contour Plus (and next generation Contour NEXT One), it’s a fastest and easiest way to know about blood glucose level in a cat or dog…
Please ❤️ and 📣!

06/11/2022

Vet Plus Center shared a post on Instagram: "November is Diabetes month. Find out more about diabetes with our Endocrinology Specialist Dr.Anna". Follow their account to see 1014 posts.

Pet Diabetes Month, which runs throughout the month of November, aims to increase pet owners awareness and understanding...
01/11/2022

Pet Diabetes Month, which runs throughout the month of November, aims to increase pet owners awareness and understanding of the condition. Let’s make the first strides…

Diabetes mellitus is a condition characterized by insufficient production of insulin in the body (type 1) or a resistance to the insulin itself (type 2 diabetes), which lead to increased glucose level in blood.

Pets with canine or feline diabetes exhibit three most common symptoms:
✅ Polydipsia, or increased water intake;
✅ Polyuria, or increased urination;
✅ Polyphagia, or increased appetite.
Weight loss can sometimes be a good indicator that a dog or cat may have diabetes.

Animals exhibiting these signs should see a veterinarian immediately; failure to treat diabetes in pets can lead to some devastating and life-threatening health issues.

Dogs are usually diagnosed with Type I diabetes because there is a deficiency in the way the pancreas produces insulin. Cats, on the other hand, usually have Type II diabetes that results from a decreased sensitivity to insulin.

More about diabetes in next posts…
Please, save this post and ❤️!

🐈🦮
Месяц диабета домашних животных, который проходит в ноябре, направлен на повышение осведомленности владельцев домашних животных и их понимания этого заболевания. Делаем первые шаги…

Сахарный диабет — это состояние, характеризующееся недостаточной выработкой инсулина в организме (1 тип) или резистентностью к самому инсулину (диабет 2 типа), что приводит к повышению уровня глюкозы в крови.

Домашние животные с диабетом проявляют три наиболее распространенных симптома:
✅ Полидипсия, или повышенное потребление воды;
✅ Полиурия, или учащенное мочеиспускание;
✅ Полифагия, или повышенный аппетит.
Потеря веса иногда может быть хорошим индикатором того, что у собаки или кошки может быть диабет.

Животных с такими признаками следует немедленно показать ветеринару.

У собак обычно диагностируют диабет типа I, потому что поджелудочная железа недостаточно вырабатывает инсулин. Кошки же обычно страдают диабетом II типа, который возникает в результате снижения чувствительности к инсулину.

Подробнее о диабете в следующих постах…
Сохраните этот пост и ❤️, пожалуйста!

This tiny machine allows me to perform endocrinological tests and get results within 10-15 minutes.So far, we have at ou...
21/10/2022

This tiny machine allows me to perform endocrinological tests and get results within 10-15 minutes.
So far, we have at our disposal the definition of T4 total and cortisol.
So we can diagnose and monitor the following pathologies:
🐾 Hyperthyroidism in cats
🐾 Canine hypothyroidism
🐾 Hyperthyroidism in dogs and hypothyroidism in cats (rare, but it happens)
With cortisol we can do:
- LOW DOSE DEXAMETHASONE SUPRESSION TEST to diagnose Cushing's syndrome.
- Also diagnose Addison's disease.

Pretty good for a start...

Please ❤️!

Этот маленький аппарат дает мне возможность проводить эндокринологические тесты и получать результат в течение 10-15 минут.
Пока в нашем распоряжении определение Т4 общего и кортизола.
Соответственно мы можем диагностировать и контролировать следующие патологии:
- Гипертиреоз кошек
- Гипотиреоз собак
- Гипертиреоз собак и гипотиреоз кошек (редко, но бывает)
Имея кортизол, мы можем проводить малую дексаметазоновую пробу для диагностики синдрома Кушинга, также диагностировать болезнь Аддисона.

Для начала совсем неплохо…

Пожалуйста ❤️!

Show must go on…Теперь по новому адресу Vet Plus Center]]] в Дубай Марина.Я продолжаю свой путь в новой замечательной кл...
18/10/2022

Show must go on…
Теперь по новому адресу Vet Plus Center]]]
в Дубай Марина.
Я продолжаю свой путь в новой замечательной клинике с замечательным коллегами.

Vet Plus Center]]]
новая, отлично укомплектованная клиника в Дубай Марине, в нашем распоряжении самое современное оборудование (УЗИ, рентген, наркозный аппарат, лабораторное оборудование высшего класса).

Жду Вас по адресу
Dubai Marina, DEC Towers
Telephone 042204553

Show must go on…
Now at the new address Vet Plus Center]]]
in Dubai Marina.
I continue my journey in a wonderful new clinic with wonderful colleagues.

Vet Plus Center]]]
a new, well-equipped clinic in Dubai Marina, we have at our disposal the most advanced equipment (ultrasound, x-ray, anesthesia machine, dental machine, high-class laboratory equipment).

I'm waiting for you at
Dubai Marina, DEC Towers
Telephone 042204553

Address

Saint Petersburg

Telephone

+79046065808

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