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Diabetes mellitus is an inability to regulate blood glucose caused by a loss of insulin production (Type I) or inadequate insulin supply or resistance (Type II). In cats, diabetes mellitus is most often type II. This type of diabetes usually results from obesity, creating insulin resistance. Cats with type II may be treated with oral medication, but some cats may ultimately require insulin injections. Diet is also important. This article discusses various treatments and monitoring regimens.
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Diabetic ketoacidosis is a medical emergency that occurs when there is not enough insulin, or the available insulin isn’t effective enough to control blood sugar (glucose) levels. Your veterinarian needs to perform appropriate tests to diagnose this disease, as similar signs can occur with other medical conditions. Treatment involves hospitalization with IV fluids, short-acting insulin and electrolyte replacement. The most important step in prevention is ensuring careful insulin dosing and disease monitoring.
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Cats with diabetes have the potential to go into remission where they may no longer need to receive insulin. Factors that can affect the likelihood of remission include the type of insulin given, your cat's diet, and how long your cat has been diabetic. It is important to recognize the signs of hypoglycemia, as they may be your first indication of remission.
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The diaphragm is the muscular partition that separates the abdomen and the chest. Tearing or disruption of this thin muscle is called a diaphragmatic hernia or diaphragmatic rupture. The most common cause of diaphragmatic hernia is blunt force trauma.
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Diarrhea is a symptom of an underlying problem that may be minor or very serious. Some cases may resolve on their own or with minimal treatment, while other cases require in-depth diagnostic testing and more aggressive treatment to address the underlying condition. The possible causes, diagnostic tests, and treatment protocols for diarrhea in cats are numerous and they are explained in this handout.
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If your cat is having diarrhea, please complete this questionnaire as accurately as possible before your appointment. This information will be very helpful to your veterinarian in determining the cause of diarrhea.
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Ear infections are less common in cats than dogs, and it is essential to determine the underlying cause. Ear mites are the most common cause, but tumors or foreign bodies may also be present. Your veterinarian will need to examine your cat and likely perform tests to determine the best course of treatment. The prognosis is good if the underlying cause is diagnosed and treated.
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The ear mite is a surface mite that lives on cats, dogs, rabbits, and ferrets. It is usually found in the ear canal but it can also live on the skin surface. Mites are barely visible to the naked eye. Clinical signs of infestation vary in severity and may include ear irritation, leading to scratching at the ears or head shaking, dark waxy or crusty discharge from the ear, areas of hair loss resulting from self-trauma, a crusted rash around or in the ear, and an aural hematoma. Your veterinarian will advise you about which insecticidal products are suitable. Your veterinarian may want to re-examine your pet to ensure that the mites have been eliminated after the initial treatment has been performed.
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Eclampsia in cats is a rare emergent condition of hypocalcemia that generally occurs one to four weeks after giving birth but can occur before. Risk factors include a poor diet, abnormal parathyroid gland, and calcium supplementation during pregnancy. Signs of eclampsia start as restlessness, panting, and stiffness and can progress to disorientation, tremors, inability to walk, and convulsions. Treatment includes intravenous fluids, careful intravenous calcium supplementation, and other supportive medications followed by oral supplementation and weaning kittens as soon as possible or supplementing their diet with milk replacer.
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Endocarditis is an infection of a heart valve, most often affecting the mitral or aortic valve. It can arise any time that bacteria enter the bloodstream, though it is more common when the heart valve has already been damaged for some other reason. The clinical signs of endocarditis are often nonspecific in the early stages, but may progress to include signs of heart failure later in the course of the disease. The diagnosis and treatment of endocarditis can present a challenge, requiring multiple tests and prolonged courses of antibiotic therapy.