ACCREDITED CPD
ings, acromegaly – more common than you think
in cats, any other concurrent infection/illness.
-- Somogyi overswing: which is defined as a blood
glucose < 3.6 mmol/l and > 17 mmol/l in the same
24 hr period. An overswing may be difficult to actually document because the counter-regulatory
hormones released after a hypoglyceamic episode
may make the animal appear insulin resistant for
several DAYS after the hypoglycaemic event. Thus
a Somogyi overswing should be suspected if the
patient has shown convincing clinical signs of a
hypo historically BUT is persistently glucosuric/
hyperglycaemic. It is most often documented in
animals that given insulin once daily and who have
their insulin doses adjusted according to urine glucose.
-- Rapid metabolism of insulin or anti-insulin antibodies - uncommon.
-- Glucagonoma, phaeochromocytoma, hypothyroidism – (all very rare in cats)
REFERENCES
1. Feldman and Nelson, 2004.Canine and Feline Endocrinology and Reproduction 3rd Ed, WB Saunders, St Louis. p486-615
2. Behrend EN 2006. Update on drugs used to treat endocrine diseases
in small animals. Veterinary Clinical of Noth America – Small Animal
Practice 36(5) 1087-1105
3. Reusch CE, Kley S, Casella M. 2006 Home monitoring of the diabetic
cat. J Feline Med Surg. 8(2):119-27.
4. Kley S, Casella M, Reusch CE. 2004 Evaluation of long-term home
monitoring of blood glucose concentrations in cats with diabetes
mellitus: 26 cases (1999-2002). J Am Vet Med Assoc. 225(2):261-6.
5. Casella M, Wess G, Hässig M, Reusch CE. 2003 Home monitoring of
blood glucose concentration by owners of diabetic dogs. J Small
Anim Pract. 44(7):298-305.
6. Casella M, Wess G, Reusch CE. 2002 Measurement of capillary blood
glucose concentrations by pet owners: a new tool in the management of diabetes mellitus. J Am Anim Hosp Assoc. 38(3):239-45.
LONDON 2015?
Work in the UK happy that the Goddard Veterinary
Group has removed the hassle and uncertainty of
dealing with visa applications. Lucrative salaries and
extensive CPD opportunities are available to South
Africans seeking to be a part of London’s foremost
practice. We have three referral hospitals and 46
well-equipped sole charge surgeries across the Capital, all with standards accredited by the RCVS, and
would welcome South Africans to join us for a minimum of two years.
• sponsorship under Tier 2 (General), subject to telephone interview
• accommodation provided on arrival and available
for duration of most placements
• lucrative salary in well-equipped surgery
• extensive free CPD – Certificate opportunities
Please visit www.goddardvetgroup.co.uk for more
details of the practice.
Contact Jeremy Robinson, General Manager,
Goddard Veterinary Group on
[email protected]
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