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Speaker 1: You were listening to petlifradio dot com and.

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Speaker 2: Good morning or good afternoon, depending on where you're living

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on this glorious Sunday. This is doctor Jeff Forber and

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you are here with me for the next thirty minutes

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on Ask the Vets with Doctor Jeff. Pet Life Radio

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is only live call in radio show. That means it's live.

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I'm here sitting in my home studio. Last week as

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you would call if you were listening, I was on

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the slopes in Park City, Utah and having a great time.

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The snow was good, wasn't great, but the runs they

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were open were fantastic. And I'm back to reality here

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in Los Angeles at nine am and hope you're going

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to enjoy this Sunday. If you like football, you should

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have a good day ahead of you. And anyway, we're

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here talking about pets. That's what I do. So if

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you have any questions about your pets, call in at

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eight seven seven three eight five eight eight A two.

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You can log in join us in on the conversation.

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Just go to petlifradio dot com. You can click on

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the Ask the Vets tab and a big box will

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come up and it's our live call in radio show

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and you can just join in on the conversation.

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Speaker 3: It's that easy.

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Speaker 2: And lastly, you can just send us an email to Drjef.

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That's doctor Jeff at pet Life Radio, and Mark, our

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wonderful producer in studio now will go ahead and forward

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it to me live on air and we can get

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you taken care of. So lots of ways to get

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a hold of us, if you've been following us, We've

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been doing a lot of work. I'm trying to make

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some of these many disease conditions that our pets seem

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to suffer from, many.

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Speaker 3: Of which we do too.

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Speaker 2: And try to make some sense out of them. Help

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you sift through all the specifics, help you with decisions

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what to do, how to treat, and just give you

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equip you with a little bit more knowledge so you

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can have that more intelligent conversation with your veterinarian and

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to possibly offer some alternative treatments or alternative treatment plans.

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So it's not always and doesn't always have to be

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the way your veterinarian wants to do it.

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Speaker 3: I would trust their opinion.

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Speaker 2: But the more you know is the expression goes knowledge

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is king. I want to make sure I can equip

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you with a little bit more knowledge. So we have

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been going through various endocrine systems over the last several weeks,

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and we talked about diseases like Cushing's disease and Addison's disease,

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and thyroid disorders, the hyper thyroid in the cat, the

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hypothyroid and the dog, and then we got into the

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diety that we're starting, the diabetes. So last week we

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talked about diabetes melodists in the dog, which.

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Speaker 3: Is type one.

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Speaker 2: And the type one diabetes, if you were called, is

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the same diabetes that kids get juvenile onset diabetes, even

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though dogs it doesn't always onset as a juvenile. They

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can get it when they're six, seven, eight years old

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or older. But it's the type of diabetes that.

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Speaker 3: Is insulin dependent.

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Speaker 2: So these are the dogs that are going to have

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to get insulin shots every day, usually twice a day,

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depending on the insulin you elect to try and depending

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on the dogs degree of diabetes. There are some other

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modifications that can be done as well, but it's going

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to be an insulin dependent problem.

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Speaker 3: Now I want to move on to cats.

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Speaker 2: And it's very interesting because cats, on the other hand,

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they get the type of diabetes that older adults get

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and usually and here's the key. I'm not pointing any

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fingers at anybody, but it's overweight people. And it's the

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type of diabetes that obese adults often get in this country,

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more prevalent than it should be because of the obesity.

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And that diabetes is not always an insulin dependent diabetes.

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In other words, it can be treated with diet restrictions

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and modifications, It could be treated with some medications. So

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our goal with our cats is, first of all, we

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have to go way back to when our cats were kittens.

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And a big mistake that we make in this country

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and probably in many other parts of the world, is

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our tendency to do a few things. Number One, we're

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all under the oppression that, oh, no cats, they'll eat

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just as much as they need and then they're gonna stop.

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So we all free feed our cats, which is not

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necessarily the case. And if you have a couple of

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cats like I do, they're pretty big and they like

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to eat, and you cannot free feed, like literally free feed.

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Have that automated feeder, you know that the food is

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dropping out all the time whenever they want it.

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Speaker 3: No, no, no, no, No.

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Speaker 2: The second problem is not just how much our cats

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are eating, it's what we're feeding them. And for many reasons,

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convenience one cost being another, we go ahead and we

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buy that dry food and that's all they need. That's fantastic,

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and we go ahead and just let them eat until

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they are stuffed and they are getting heavy, and then

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down the road we are going to have.

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Speaker 3: A type two diabetic.

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Speaker 2: So a couple of basics when treating or preventing, because,

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as in many cases, if we can prevent a disease,

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it is so much better than trying to treat it.

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So we have to go back and a lot of

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research has been done in this area and there are

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few things about our cats that we have to appreciate

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and understand. Number One, cats are obligate carnivores. Say one

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more time. Cats are obligate carnivores. They need to eat meat.

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It could be meat from a fish, it's got to

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be animal meat, animal protein. Dogs, on the other hand,

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are omnivores. Even if you're vegan, and even if you're vegetarian,

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suck it up.

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Speaker 3: If you're gonna want to have.

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Speaker 2: A cat, they need to eat meat. And not only

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do they do. They need to eat the meat, they

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need mice. The amount of carbs their systems can't handle it.

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And when we feed our cats these dry foods, which

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are fine as far as the protein content. Cats need

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higher protein than dogs, but we overload them with the

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carbs as well, and this is what messes up. They're

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pancreas and this is what can predispose them over time.

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We're not talking on one meal where this is talking

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over time two type two diabetes. So I often say

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you can feed your dog cat food, probably more protein

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than need for a little puppy, young hell popy will

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be fine until their kidneys started getting affected or they

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get get older and the kidneys can't handle all the protein.

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But you can't have a cat live on dog food.

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It's not enough, not enough protein and too many carbs.

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So so much has gone in to better understanding the

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problem with our cats and type two diabetes that they

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are now very special diets. A lot of work has

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been done in this arena. Doctor Elizabeth Hodgkins, who was

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doing her nutrition at UC Davis when I was there,

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has put a lot of effort into really understand You

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can go online and look up her articles on feline diets,

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what and how we should be feeding our cats, but

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for many of us, we are doing it imply, so

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I avoid problems down lit like this in the future,

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it would really be a good idea to read up

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on some of these feline dietary issues that affect our cats.

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And I mean just to mention another condition that is

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often also linked to diet in cats, and that's the FLUTD,

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the feeline lower urinary tracked disease. And again there's a

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lot that we've learned over the years, and it used

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to be, oh, that's the one because the ash content.

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So I'm going to look at my can of food

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and I'm going to see what the ash content is,

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And the reality is if not really that way anymore.

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Speaker 3: It's not the ash per se.

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Speaker 2: Now it's involved in a sense, but it's not the

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ash content. So don't kick yourselves in a thinking if

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I feed my cat food that's lower in ash, then

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I'm going to solve our problems with feline lurinar attract disease.

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So very similarly, we have to be very sensitive to

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what and how we're feeding our cats.

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Speaker 3: And they like cantedfood.

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Speaker 2: So what I do, for example, with my fairly large

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crew of felines sharing the home with my home with

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me is I will feed them an appropriate canned meaty

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mushy food, which, by the way, they love. Those are

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their two meals during the day. And then because they

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do like to as I say, nash during the day

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and they like to graze a little bit, then I

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will give them some a controlled amount of dry food

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and once that's gone, that's gone until the next meal

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because I'm becoming very very sensitive. As I said, two

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of my cats are on the rather large side. Well

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I have three actually that's pretty large, but one my

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main coon or reaching forest.

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Speaker 3: Cat cross, he's just huge. He's a big boy.

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Speaker 2: But interestingly, as I mentioned when we were talking about hyperthyroidism,

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my one cat at sixteen that was diagnosed as hyperthyroid

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had their radioactive iodine treatment and he's doing really well.

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He has not put all of his weight back on.

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He was twenty two pounds now he's like eighteen. I'm

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gonna try to keep him around here. I think that's

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just a for him.

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Speaker 3: It's a good weight. So what are you gonna notice

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in your cat?

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Speaker 2: So you have a cat that's gonna be overweight, I

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can't promise it, but knowing them as I do, knowing

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this disease probably gonna be overweight, you're gonna notice your

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cat like a few diseases we talked about in dogs,

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like cushings and diabetes, they're going to be drinking a

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lot of water, and I mean a lot of water.

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When you go to clean his or her litter box.

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You're also gonna notice god appetites might also be increased

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again because of what they're eating, and the pancreas being

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tricked in a sense.

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Speaker 3: They think that they're starving for sugar, so sugar is air.

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Speaker 2: And if you test such a cat, their blood tests

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too much glucose in the blood, too much glucose in urine.

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But the still eating is as if he's starving because

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of the diabetes. So it's time for that quick break,

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and I hope to be a quick break. So stay tuned,

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stay where we are once again. If you have any

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questions about this, give me a call at eight seven

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seven three eight five eight eight eight two once again

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eight seven seven three eight five eight eight A two,

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or join us in here in pet Life Radio and

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we'll answer your questions. Don't go overy right back.

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Speaker 1: We'll be right back right after these messages. Stay tuned.

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Speaker 4: I'm who my head, it's cheered now.

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Speaker 3: What bring home?

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on you to keep him in good health. Dogs need

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special care to keep them healthy as they grow throughout

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their entire life. Caring for their health is critical in

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all stages. With pro Sense, it's simple and convenient to

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Speaker 4: Hi, this is Tood Anderson and I'm the host of

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Get Positive Results on Pet Life Radio. We're going to

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talk about a variety of topics from canine behavior and training,

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all based on modern methods that are fun for you

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and your dog. We might be talking about other critters too,

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so join us on Get Positive Results. We'll talk about

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common issues between you and your dog, answer your questions,

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discuss different activities you can do with your dog, and

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keep you posted on current canine news and products. All

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this on get positive results on pet Life Radio.

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Speaker 3: Let's talk past it.

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Speaker 5: Let's done past headline.

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Speaker 1: Radio, pet live radio dot.

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Speaker 2: Com and welcome back to pet Life Radios.

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Speaker 3: Ask the Bets with Doctor Jeff. I am your host,

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Doctor Jeff Web.

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Speaker 2: We're here with you for another oh maybe eleven or

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twelve minutes.

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Speaker 3: Boy, it goes fast, doesn't it. And we want to

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hear from you.

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Speaker 2: Eight seven seven three eight five eight eight eight two

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or just kind of log into pet Life Radio Ask

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the Bets with Doctor Jeff and join in on the conversation.

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We're talking about diabetes melodis type two, which is the

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type of diabetes we see in cats, typically overweight cats,

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mirroring the adult onset diabetes in obese adults that we

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see with us and very similar. And what's interesting is

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that so before the break we were just talking. But

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you're gonna see your cat usual. It's gonna be a

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heavy cat. No, not always, but most often a cat

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that starts by drinking a lot of water and therefore

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a lot of urination. You're gonna see huge clumps in

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the litter box. If you have indoor cats, they are

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drinking and peeing and drinking and peeing, and drinking and peing,

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and that's kind of what their life becomes. And of

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course eating a lot continually because now though there's plenty

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of sugar and glucose from that which they eat, the

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lack of insulin is not allowing the glucose to get

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where it belongs inside the cell. So in a sense,

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they think they need the nutrition, they need the glucose.

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The body is telling them we need more, we need more,

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but unfortunately there's plenty there. It's just not getting to

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where it needs to go. So what makes the type

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two diabetic a little differently? It's not always insulin dependent.

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Just through dietary modification, through some medications that will help

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reduce the production of the body's own glucose, we might

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be able to get these cats under control without insulin,

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though sometimes, especially during crisis, we need to start insulin. Now,

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what makes a cat more challenging, Well, if you have

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a dog, and hopefully many of you have both cats

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and dogs, as do I.

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Speaker 3: With my dogs, especially my Labradors, there's really no challenge

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in getting them to eat.

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Speaker 2: In fact, with my black lab Grover, I often say,

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you know, most dogs will kind of take a sniff

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or two of something and then if it's okay, then

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they'll eat it. My friendsies are amazing at that, it's

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hysterical almost, But my lab is the opposite. He eats

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first and then says to himself, Ooh, I wish I

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should have known what that was, because he will eat

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everything that's not bolted down or doesn't eat him first.

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So what's so interesting is that he with dogs because

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of that's fairly the typical all right presentation. What we

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recommend typically doing is giving that first insulin shot in

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the morning and then waiting about ten or fifteen minutes

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and then feeding, and then likewise afternoon. But with a cat,

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and cats, as we know, did not get the reputation

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of being finicky for no reason. You can get the

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cat that your cat's doing great, everything is perfect. You

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put its food down one morning, it looks if you're like,

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I'm not eating that. So the problem that if we

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have a cat, a diabetic cat, that we're relying on

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the food to be digested and absorbed and that glucose

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absorbed into the cells, but they don't eat, but you've

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already given the insulin, we run the risk of creating

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what's called hypoglycemia or a hypoglycemic shock, because all the

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blood sugar that was already circulating from the disease gets

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sucked into the cells, but we haven't replenished that with

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a meal, and we could be in trouble. And that's

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why I'm sure if any of you have known diabetics,

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they know when that kind of weird feeling, that weakness

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comes on and they're told to carry some honey with them,

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or a chocolate bar, or get a glass of orange juice,

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something that has fairly high sugar content. If any of

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you have given blood before and you're sitting there in

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that chair and they just took a unity of blood,

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good for you, and so what happens is they give

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you some orange juice. So it's very important therefore to

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have some sugar in their body. So with cats, what

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I recommend is we're going to feed the cat first,

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make sure they eat their meal, and then given their

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insulin injection. So if you have or usually early in

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the course of the disease, we do need to start

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some insulin. And of course you'll talk about the different

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types with your veterinarian. There are some that are like

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geared for the cat that cats seem to do very well.

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There have an insulince that have come and gone off

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the market. There are insulins now that have.

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Speaker 3: Gotten so expensive also, which is crazy.

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Speaker 2: I mean, it used to be you could buy insulin

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for ten to fifteen bucks a bottle, and now some

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of the insulins we have to use are a few

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hundred dollars. It really has gotten out of hand. But

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depending on you, your cat's lifestyle, and the success you're

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having in managing the condition without injection is going to

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determine whether or not and how much incident be needed. Now,

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as with any diabetic cat or dog or person, early

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in the game, we start very slow. We have to

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do a number of what we call glucose checks or

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glucose curves kind of to see where we're at. And

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what's also interesting is that, again what makes cats such

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more of a challenge is that cats tend to stress

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when they are put in that carrier.

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Speaker 3: Take it to the veterinarian.

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Speaker 2: Hopefully many of your veterinarians have created or have sort

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of joined on this fear free concept to make your

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hospitals that you take your pets to very pet friendly,

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cat friendly, dog friendly, very simple things that could be

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done to really put your pets at ease. And one,

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for example, is you should have when you have a

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cat that's going into your veterinarian you should you think

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about some we're getting off track here, but just little things.

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We'll talk about this one day. Actually, fact, what I'm

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gonna do is I'm gonna have a guest doc on

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with me who's gonna we're gonna talk all about this

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fear free of concept. But the truth is that they

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get stressed out and that affects It's all works together.

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As we mentioned earlier, if you were paying attention that

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oftentimes we'll see dogs, for example, that have cushions disease,

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and concurrently diabetes and it makes it so much more

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difficult to treat because stress plays a huge impact on

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our insulin delivery and our absorption. So when we have

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these cats that come in and all stressed out and

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we're trying to measure them to see what is their

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blood sugar, and their blood sugar is off the charts

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high again, you're gonna scratch your head and.

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Speaker 3: Take wait a second, but we're on insulin, We're doing

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everything right.

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Speaker 2: It's because the stress so then what happens is you

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in error, we go ahead and we increase the dose

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of insulin for fear that we don't have enough, and

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then we send these poor animals into insulin shock. In

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other words, we create that hypoglycemia again. So it really

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is a dance, and it takes time. We have to

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work very, very very diligently but cautiously as we're trying

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to treat our pets and cats with type two diabetes

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are very difficult.

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Speaker 3: But the beauty is that many of these cats.

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Speaker 2: Can either be treated with as I said, just medication,

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just dietary modification, and many of them, believe it or not,

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can reverse. Once we get them to lose their weight,

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we get their pancreas working again, because I remember, unlike

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the type one diabetic, but the cells, the islet cells,

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the islet of langerhand cells are actually no longer functioning.

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Speaker 3: With the cat, it's different.

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Speaker 2: There's often inflammation, they are sort of taken a rest

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because of what we've doing to the body. We have

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that carb overload. But once we fix all that, we

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can get this cat back to normal.

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Speaker 3: So it's very important to keep this in mind.

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Speaker 2: But as they mentioned earlier, in the show, the best

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way to deal with your type two diabetic cat is

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to not let him or get that way in the

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first place. So speak to your veterinarian about proper diet exercise.

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I say, there are a number of things because is mentioning.

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A lot of the urine attack problems are also linked

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to feline diets. And you know, the great part is

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we are learning so much more about the needs nutritional

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needs of our pets.

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Speaker 3: And be very cautious.

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Speaker 2: You know, you go to a pet store and you're

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hit with all of these kind of crazy diets, whether

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it's the natural and the organic and the raw.

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Speaker 3: There's no one solution for every cat, every problem. So

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what I recommend is take it all in. Listen to

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the seventeen year.

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Speaker 2: Old high school student who's going on commission at the

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pet store. But before you make any changes, speak to

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your veterinarian. Go online to some of the websites that

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are more approved, and that's how we're going to get

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the proper information. Don't make switches. And my feeling in

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general is if it ain't broke, don't fix it. If

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things are just smooth and your pet's doing great, and

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the stools are normal and theirs the litter box and

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they're eating well.

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Speaker 3: Don't even think about changing the diet.

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Speaker 2: Stay exactly where you are and take them in for

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their routine physicals. The bloods come back seven after six

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or seven or eight years old, whenever your veterinarian likes

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to and if all is well, leave it alone anyway,

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Hope we equipped you with enough good stuff. If you

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have any questions about any of the things we talked about,

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any of the endocrine diseases to date, we still have

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a few more to go. Diabetes, melodists, thyroid disorders, cushions

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disease addisons which are adrenal disorders, please contact me at

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doctor Jeff Dr Jeff at pet Life Radio. You can

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send come on to the show anytime eight seven, seven, three,

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eight five, eight eight eight two and we will be

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looking forward to having you next week.

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Speaker 3: Have a wonderful Christmas.

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Speaker 2: Hope those of you are having a great Kanka as

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we speak, and we will see you next week.

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Speaker 1: Let's Talk pets every week on demand only on petlfradio

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dot com.