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In cats with type 2 diabetes, prompt effective treatment may lead to diabetic remission, in which the cat no longer needs injected insulin. Untreated, the condition leads to increasingly weak legs in cats and eventually to malnutrition, ketoacidosis and/or dehydration, and death. Diabetes in cats can be classified into the following:
The disorder is often accompanied by low calcium blood levels, which can result in muscle spasms. [1] Causes include kidney failure, pseudohypoparathyroidism, hypoparathyroidism, diabetic ketoacidosis, tumor lysis syndrome, and rhabdomyolysis. [1] Diagnosis is generally based on a blood phosphate level exceeding 1.46 mmol/L (4.5 mg/dL). [1]
Primary hypophosphatemia is the most common cause of non-nutritional rickets. Laboratory findings include low-normal serum calcium , moderately low serum phosphate , elevated serum alkaline phosphatase , and low serum 1,25 dihydroxy-vitamin D levels, hyperphosphaturia , and no evidence of hyperparathyroidism .
This leads to excessive urination (more specifically an osmotic diuresis), which, in turn, leads to volume depletion and hemoconcentration that causes a further increase in blood glucose level. Ketosis is absent because the presence of some insulin inhibits hormone-sensitive lipase -mediated fat tissue breakdown .
Type III glycogen storage disease. Can cause less severe hypoglycemia than type I; Phosphoenolpyruvate carboxykinase deficiency, causes metabolic acidosis and severe hypoglycemia. Disorders of fatty acid oxidation; Medium chain acylCoA dehydrogenase deficiency (MCAD) Familial Leucine sensitive hypoglycemia [4]
The exact cause of lentigo in cats is not well understood, but it is believed to be linked to genetics. As a result, the condition is more prevalent in certain cat colors or patterns.
No treatment is known, but most dogs retain the ability to walk and it is painless. [7] Diabetes neuropathy is more common in cats than dogs. It is caused in part by prolonged hyperglycemia (high blood sugar) and results in dysfunction of one or both tibial nerves and a plantigrade stance (down on the hocks).
They would give me treatment, but it was just to keep me stable and prolong my life.” “I remember bawling my eyes out, crying, saying, ‘I'm going to die.’ Grace wasn't even one yet.