Investigation of unstable canine diabetes mellitus

image of Investigation of unstable canine diabetes mellitus
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Diabetes mellitus is caused by a relative or absolute lack of insulin, and by the time it is diagnosed in most dogs, irreversible pancreatic damage has usually occurred. The chapter looks at identifying the cause of diabetes mellitus, management of diabetes mellitus, recognition of instability, investigation of instability and causes of instability.

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22.2 A summarized approach to the unstable diabetic dog.
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22.5 Insulin-induced hyperglycaemia (Somogyi overswing) caused by an excessive once-daily dose of insulin. Blue line: blood glucose concentration after an acceptable twice-daily insulin dose. Pink line: blood glucose concentration after a high once-daily insulin dose (given at 8 am); there is rebound hyperglycaemia.

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