Diabetes, Dr Nisa Ryan, Animal Medical Center discussed on Let's Talk Pets
Guest who's an expert in diabetes mellitus. And so so grateful to have Dr Nisa Ryan solve who's going to be talking to us about diabetes. Thank you so much for joining us today. Thank you for having me just seen. 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 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, 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 if you could actually explain it for our dog and cat owners. Certainly certainly diabetes. This is a disease in which the body has excessive 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 anew 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 not 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 do 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 the flag that maybe there's something else going on exactly especially if they're 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 for diabetes treatment in diabetes in dogs and cats has some differences. I'll start with dogs dogs the form of diabetes that 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 and people which in people can sometimes be managed with diet and other medications cats, of course, have their own rules of how to do everything. So they have their own rules with their diabetes. So despite having a type of diabetes that resembles type two diabetes and people they almost invariably need to be treated with exaggerated insulin or insulin that we give them. Unlike dogs changing the type of. Diet. A cat receives when it's diagnosed with diabetes is an essential part of treating 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 exogenous insulin treatment. Okay. Great. So that's super helpful. So remember 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 wines 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. And that's new we need to give injections of insulin twice a day. But like Nisa said if you work.