Diabetes, Dr Nisa Ryan Sol, Nari School discussed on Let's Talk Pets


Guest who's an expert in diabetes Melodist. And so so grateful to have Dr Nisa Ryan Sol's who's going to be talking to us about diabetes. Nisa? Thank you so much for joining us today. Thank you for having me. So just so our dog and cat audience knows who you are do you mind? Just giving us a little bit of background about who you are where you went to that Nari school. What your specialty is in and what you do now. Oh, certainly certainly I actually went to veterinary school at the university of Florida and graduated believe it or not twenty five years ago and then went on to do an internship in small animal internal medicine. And surgery at the animal medical center in New York City in and I did a residency in small animal internal medicine and achieved my board certification in internal medicine in two thousand after that I stayed on as a staff doctor at the animal medical center focusing mostly on endocrinology Nephrology neurology. And once I left that position. I briefly worked as a consultant for the veterinary information network, and now I am currently the internal medicine consultant for Merck animal health, which most of my responsibilities in this area are in advising veterinarians how to treat diabetes in dogs and cats thank you so much now the first thing I wanted to talk about is what is the definition of diabetes now most people just say diabetes, but they don't oftentimes understand what's happening to the body. So I was just wondering could actually explain it for our dog and cat owners. Certainly certainly diabetes is is a disease in which the body has access. Amounts of blood sugar either related to an inability to make insulin which is the main hormone that controls blood sugar in our bodies or it can also be from having the right amount of insulin. But it doesn't work. Well, and what happens when you have excessive amounts of blood sugar in your body is that you lose a lot of blood sugar through urine, and then you urinate, more. And then you end up drinking more so patients with diabetes Melodist will classically drink excessively and urinated excessively another consequence of having excessive amounts of blood sugar is that despite having that sugar they can't get it to where it needs to be. So they're constantly hungry and despite being hungry, they'll also lose weight. So if you notice that your dog or your cat is drinking more than usual or has bigger clumps in a litterbox. I always tell people if your cats clump is bigger than your fist that's clenched, especially if you're a female that guys to bag and so again. You want to look for these obvious signs. I would also add to that that even just as an owner of a cat. If you recognize that, your cat is drinking and urinating because many times, they do it rather surreptitiously if you suddenly notice, hey, I'm noticing. My cat is actually going to the water dish that to me is also something to raise a flag that maybe there's something else going on exactly especially if the drinking an unusual places like all of a sudden, you see them at the bathroom sink or they're trying to drink out of the tub most cats, remember their desert creatures. They don't drink a lot of water in front of you. And all of a sudden you start noticing this more you always want to check with your veterinarian sooner than later. So what is the main treatment prediabetes? Well treatment in diabetes in dogs and cats has some differences I'll start with dogs dogs the form of diabetes at dogs. Get is most similar to type one diabetes in people, which is also called juvenile diabetes dogs get diabetes because their pancreas no longer makes. Insulin. So the treatment for diabetes in dogs is one hundred percent dependent upon getting exogenous or insulin that we administer they're also need to have their diet closely monitored and watched but the specific diet that they will eat will not necessarily be altered just because they have diabetes as far as cats. Go the type of diabetes cats, get most closely resembles type two diabetes in people which in people can sometimes be managed with diet and other medications cats, of course, have their own rules of how did you everything? So they have their own rules with their diabetes. So despite having type of diabetes that resembles type two diabetes and people they almost invariably need to be treated with exaggerates insulin or insulin that we give them. Unlike dogs changing the type of diet cat receives when it's diagnosed with diabetes is in these essential part of tree. Meeting their diabetes as altering their diet can make it sometimes so that they actually can achieve what is called diabetes remission. Meaning they will no longer need to receive that exodus insulin treatment. Okay. Great. So that's super helpful silver member when it comes to clinical signs of diabetes. If you notice your dog or your cat, drinking more water acting hungrier having bigger clumps in the litterbox or more dilute urine, you want to get to the veterinarian right away. Because we wanna make sure it's not diabetes and just to clarify. There's two types of diabetes type one and type two and it sounds like dogs once they're diabetic they have type one. So you're gonna need to give insulin twice a day for the rest of their life. They have lifelong insulin needs versus with cats cats get type two diabetes where they're making some insulin. But not enough, and that's why we need to give injections of insulin twice a day, but like necessarily if you will. Work with your vet with dietary changes, which reading your cats, insulin deficiency. In other words, giving the injections helping your cat lose weight. Our goal is to hopefully, make cats go into remission. So hopefully, you don't have to treat them for long. Periods of time. Now, what are the potential side effects? If pet owners decided not to treat diabetes what can happen. Well, left untreated your dog or cat who has diabetes can get exceptionally. Sick. What happens when you have absolutely no insulin in your body is that your body starts to make excessive amounts of key tones, which are little packets of energy that we normally make. But when you have them in an amount that exceeds the amount that your body can handle them. They can actually make you rather sick. I can speak from personal experience as my son actually has type one diabetes, and there are times when he was younger where he was his insulin. Pump would follow and he would develop these key. Zones and within hours. He would start feeling really nauseous and start vomiting, and as a patient who has diabetes when you start to vomit because you still have the high blood sugar and are losing sugar and water at your urine, you're very prone to getting dehydrated and this will set off a vicious cycle where you'll develop a condition called diabetic Kito as doses which is rather life threatening and requires very intensive therapy and just the ink in certainly attest to. Yes. And that's one of the reasons why we that Marion's want to help prevent your cat or your dog going to the emergency room or the specialty clinic because the sooner we diagnose, diabetes, the sooner. We can teach you how to give that insulin. The sooner we can treat it the better your prognosis. And once your dog or cat starts running out of energy because the sugar can't get into the cells without that insulin. The body is starving. And as a result, those Keaton's can be really poisonous the body. They're gonna. Make your dog or cat, really the Dr Jack it's gonna make them not wanna eat. It can make them John. It can make them develop even Oregon injury. So we ideally want to prevent that diabetes Kito acidosis crisis. What I call a diabetic crisis or decay. And I think it's also important to highlight. That certainly when you find out that your pet has diabetes. It can be very daunting and scary I can personally attest to this. Because my son was diagnosed when I was already a practicing veteran and chronologies for thirteen years. I always share the story that the very first time I ever tested Jones blood sugar. I inserted the tester backwards just to highlight that even a professional who has been dealing with the disease can be taken aback by the diagnosis. But what I can assure.

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