1
00:00:02,200 --> 00:00:24,559
Speaker 1: You were listening to Petlifradio dot com and.

2
00:00:24,679 --> 00:00:28,320
Speaker 2: Welcome everybody on this glorious Sunday morning. I don't know

3
00:00:28,320 --> 00:00:30,760
how glorious it is, but it's just a special day

4
00:00:30,839 --> 00:00:34,560
for me. This happiness me my birthday, and I am

5
00:00:34,560 --> 00:00:38,840
here in Park City, Utah, enjoying some great snowboarding as

6
00:00:38,840 --> 00:00:42,399
we speak, well not exactly as we speak, but here

7
00:00:42,439 --> 00:00:45,840
for you, and we're here on pet Life Radio Ask

8
00:00:45,880 --> 00:00:47,920
the Best with Doctor Jeff. I am your host, Doctor

9
00:00:48,000 --> 00:00:50,560
Jeff Weber for the next thirty minutes, and we were

10
00:00:50,600 --> 00:00:53,560
here to talk about anything about your pets. So we

11
00:00:53,640 --> 00:00:55,799
want you to get a hold of us to what

12
00:00:55,880 --> 00:00:58,479
we can answer your questions. We can talk about anything

13
00:00:58,520 --> 00:01:01,079
you want to talk about, whether it's whether it's behavior,

14
00:01:01,359 --> 00:01:03,960
you name it. It's holiday time. Maybe I have about

15
00:01:03,960 --> 00:01:07,319
talking about the pros and cons of getting a pet

16
00:01:07,400 --> 00:01:10,680
for somebody else for the holidays. That's a good one. Anyway,

17
00:01:10,719 --> 00:01:12,799
you can reach me here at eight seven seven three

18
00:01:12,879 --> 00:01:15,719
eight five eight eight eight two once again toll free

19
00:01:15,799 --> 00:01:17,879
eight seven seven three eight five eight eight A two,

20
00:01:18,239 --> 00:01:21,040
or you can just come on to pet Life Radio

21
00:01:21,280 --> 00:01:23,920
click on the Ask the Vets tab with doctor Jeff

22
00:01:24,120 --> 00:01:27,480
and you can just join the conversation, very easy to do.

23
00:01:27,680 --> 00:01:28,879
Last week. You can go ahead and send me an

24
00:01:28,879 --> 00:01:33,159
email to DRGEF Doctor Jeff at Petlifradio dot com and

25
00:01:33,280 --> 00:01:36,200
our wonderful producer Mark will send it to me immediately

26
00:01:36,439 --> 00:01:39,319
and we can get you that way. So three really

27
00:01:39,319 --> 00:01:41,959
easy way to get all of us. And more than

28
00:01:42,040 --> 00:01:45,519
just getting your questions answered, our sponsors want you to

29
00:01:45,519 --> 00:01:48,799
try their products. So for any caller who gives us

30
00:01:48,840 --> 00:01:51,560
a call, sends us an email, joins in the conversation,

31
00:01:51,840 --> 00:01:54,599
we will send out to you a free cong toy

32
00:01:54,879 --> 00:01:58,560
as well as a pro Sense pet product, both wonderful products.

33
00:01:58,760 --> 00:02:01,439
Amazing pro Sense the veternight quality product that you can

34
00:02:01,480 --> 00:02:04,319
find at the mass market and Kong. No what we're

35
00:02:04,319 --> 00:02:05,959
going to say about Kong. They are been in the

36
00:02:06,000 --> 00:02:08,879
business for years and they have such amazing things for

37
00:02:09,080 --> 00:02:12,240
dental care, for behavior and just for keeping your pets happy.

38
00:02:12,360 --> 00:02:14,879
And come holiday time we want to include our pets

39
00:02:14,879 --> 00:02:17,240
as well. These are great, great items to put in

40
00:02:17,319 --> 00:02:21,680
gift bad for your pets or for somebody else's pets.

41
00:02:21,800 --> 00:02:23,960
So anyway, while we get started, so once again I

42
00:02:24,000 --> 00:02:25,800
want to hear from you. It's a great time. So

43
00:02:26,080 --> 00:02:29,639
we are doing this whole series over the last several weeks,

44
00:02:29,639 --> 00:02:32,159
except for last week we talked about holiday hazards, and

45
00:02:32,719 --> 00:02:35,000
before we leave that subject, I do want to talk

46
00:02:35,000 --> 00:02:38,240
about pets as gifts. But we're also going to start

47
00:02:38,319 --> 00:02:41,800
on one of our next organ or endocrine systems that

48
00:02:41,879 --> 00:02:44,520
seems to cause a lot of confusion amongst our pet

49
00:02:44,520 --> 00:02:47,639
owners and sometimes even US veterinarians because they're not easy

50
00:02:47,680 --> 00:02:51,120
to deal with. And those are the two diabetes. One

51
00:02:51,199 --> 00:02:55,120
is called diabetes melodie, that's the sugar diabetes, and the

52
00:02:55,120 --> 00:02:58,199
the other one is diabetes incipitous, which is the water

53
00:02:58,319 --> 00:03:00,800
drinking diabetes. And there could be a number of causes

54
00:03:00,840 --> 00:03:03,599
for that one, just to make it even more complicated.

55
00:03:03,919 --> 00:03:07,199
So I want to start thinking about asking us calling

56
00:03:07,199 --> 00:03:09,400
in any questions you might have on diabetes. I am

57
00:03:09,560 --> 00:03:13,280
sure that there are those of you listening are online

58
00:03:13,360 --> 00:03:16,759
right now and have had pets or have known somebody

59
00:03:16,879 --> 00:03:19,680
that whose pets have had diabetes either one, and we

60
00:03:19,719 --> 00:03:21,879
want to hear from you because it really can be

61
00:03:22,080 --> 00:03:24,439
quite the challenge when it comes to treatment and a

62
00:03:24,439 --> 00:03:27,000
lot of confusion because some of the many other diseases

63
00:03:27,039 --> 00:03:30,680
were always worried about can manifest just like diabetes. So

64
00:03:31,080 --> 00:03:34,800
it also takes some diagnostic specialty to rule in or

65
00:03:34,840 --> 00:03:37,840
rule out these diseases. But before we get started, just

66
00:03:37,879 --> 00:03:40,520
to keep in line with the upcoming holidays, we're what

67
00:03:40,680 --> 00:03:43,680
eleven days away from Christmas, so we want to talk

68
00:03:43,680 --> 00:03:47,599
about pets as gifts. Should you or shouldn't you? And

69
00:03:48,120 --> 00:03:49,719
I'd love to hear from you. But my feeling is

70
00:03:49,800 --> 00:03:53,639
this that for your own family and your own children,

71
00:03:53,879 --> 00:03:56,000
when you are ready about it, you've spoken about it,

72
00:03:56,280 --> 00:03:58,639
you are aware, depending on the age of your kids,

73
00:03:58,680 --> 00:04:00,879
that most often when you're going to get a pet,

74
00:04:00,960 --> 00:04:03,120
it's going to be you, not the kids who are

75
00:04:03,120 --> 00:04:05,039
going to be taking care of it. Of course, if

76
00:04:05,039 --> 00:04:07,159
you have older kids that are ready for the responsibility,

77
00:04:07,520 --> 00:04:10,280
then it's fantastic. But then I think it would be

78
00:04:10,439 --> 00:04:14,800
okay and doable. If, however, you are planning on surprising

79
00:04:15,360 --> 00:04:18,680
another family member, a relative, a good friend with a pet,

80
00:04:18,920 --> 00:04:21,920
I would think twice. And I could be talking about

81
00:04:22,040 --> 00:04:24,920
a very close relative who's talked about having a pet,

82
00:04:25,240 --> 00:04:27,759
wants to get a pet, They've discussed it with their kids,

83
00:04:27,879 --> 00:04:31,399
everything's ago. Even these are going to backfire. This is

84
00:04:31,439 --> 00:04:34,040
something it's kind of like a personal type of gift

85
00:04:34,240 --> 00:04:36,839
that you want people to plan on their own, go

86
00:04:36,920 --> 00:04:39,319
down to the shelter by themselves, go to the rescued

87
00:04:39,360 --> 00:04:41,600
group on their own, and pick out their pet. It's

88
00:04:41,639 --> 00:04:45,040
really hard to spring a pet on somebody else unless

89
00:04:45,120 --> 00:04:48,519
you know for one hundred percent sure that this is

90
00:04:48,560 --> 00:04:51,199
the individual pet that they were going to get or

91
00:04:51,240 --> 00:04:54,319
looking for, or have already made plans, then it would

92
00:04:54,319 --> 00:04:57,759
be okay. But I always always caution people, as cute

93
00:04:57,800 --> 00:05:00,279
as it is for the kids, better yet give them

94
00:05:00,279 --> 00:05:02,360
an io, you let them go to the shelter, let

95
00:05:02,399 --> 00:05:05,000
them go down to the rescue group and choose their

96
00:05:05,040 --> 00:05:07,600
own and you could have paid for it already. That

97
00:05:07,639 --> 00:05:09,959
would be a great way to go. But to bring

98
00:05:10,040 --> 00:05:12,920
home a live animal, a live pet, to someone who

99
00:05:12,959 --> 00:05:15,839
did not choose it themselves, to someone who as much

100
00:05:15,879 --> 00:05:18,439
as they said they're ready, they're ready, they're ready, aren't

101
00:05:18,639 --> 00:05:21,439
quite ready yet, it's going to be disaster. So I

102
00:05:21,480 --> 00:05:24,519
just wanted just to add that, take caution. Now, if, however,

103
00:05:24,800 --> 00:05:27,360
you are petless, or you are in a situation where

104
00:05:27,360 --> 00:05:29,639
you recently lost a pet and now you are ready

105
00:05:29,759 --> 00:05:33,759
to replace, then there is nothing better. What a great

106
00:05:33,800 --> 00:05:36,439
time of year to be able to provide and give

107
00:05:36,480 --> 00:05:39,319
that bouncy little puppy or kitten. And I'm telling you

108
00:05:39,680 --> 00:05:42,879
if you go online to any local rescue group or

109
00:05:43,040 --> 00:05:46,319
go to any local shelter, they are inundated. They are

110
00:05:46,360 --> 00:05:49,800
overflowing with pets that need forever homes. And what a

111
00:05:49,879 --> 00:05:52,920
great thing you'd be doing to provide that home for somebody.

112
00:05:53,000 --> 00:05:55,519
So anyway, I'm a total fan, you know, as they said,

113
00:05:55,560 --> 00:05:57,800
I have twelve at homes, so I kind of, you know,

114
00:05:57,879 --> 00:06:00,240
walk the talk, but it is, there's nothing. It'd be

115
00:06:00,279 --> 00:06:02,519
a great way to celebrate the holidays, but if and

116
00:06:02,560 --> 00:06:05,759
when you're truly ready. So let's talk about diabetes. What

117
00:06:05,920 --> 00:06:08,800
is it? There are two types of diabetes. Simply, there

118
00:06:08,920 --> 00:06:13,120
is diabetes type one, we call juvenile onset diabetes in people,

119
00:06:13,519 --> 00:06:17,680
and diabetes type two, which is adult onset diabetes in people.

120
00:06:18,000 --> 00:06:22,279
The type one, juvenile onset in animals, is the one

121
00:06:22,279 --> 00:06:26,839
that affects our dogs ninety nine percent and clearly not

122
00:06:27,000 --> 00:06:30,000
only juvenile on set. But that what's unique about this

123
00:06:30,120 --> 00:06:33,360
type of diabetes is that is what we call instullin

124
00:06:33,560 --> 00:06:37,639
dependent diabetes. Here's where there is truly a fault in

125
00:06:37,680 --> 00:06:40,120
the islet cells of the pancreas. Now, remember we've talked

126
00:06:40,160 --> 00:06:42,879
about this before when we were talking about vomiting. The

127
00:06:42,879 --> 00:06:46,079
pancreas is an interesting organ because it serves two functions.

128
00:06:46,279 --> 00:06:49,319
It has what we call an execrine function, and that

129
00:06:49,439 --> 00:06:53,759
is the function of secreting and delivering the digestive enzymes

130
00:06:54,079 --> 00:06:57,879
for digestion. When pancreatitis hits, we get vomiting, we have

131
00:06:57,920 --> 00:07:00,839
a very sick dogg or cat. There's all also an

132
00:07:01,040 --> 00:07:05,639
endocrine function, and that is the hormone secretion, manufacture and

133
00:07:05,680 --> 00:07:10,759
secretion and the islet cells of the pancreas of our insulin.

134
00:07:10,959 --> 00:07:14,959
What insulin does is insulin helps regulate the sugar in

135
00:07:15,000 --> 00:07:18,800
the body. And what insulin does is it drives the

136
00:07:18,839 --> 00:07:22,279
sugar from the blood into the cells where it becomes

137
00:07:22,319 --> 00:07:26,079
necessary for cells to function and perform what they are

138
00:07:26,120 --> 00:07:30,240
supposed to perform to run basically the mechanics of the body.

139
00:07:30,439 --> 00:07:33,600
When we are lacking insulin, as we do in type

140
00:07:33,600 --> 00:07:37,759
one diabetes, the blood sugar skyrockets because all of the

141
00:07:37,800 --> 00:07:41,639
sugar that we take in stays in the blood because

142
00:07:41,680 --> 00:07:44,240
without insulin, there's no way to drive that sugar that

143
00:07:44,279 --> 00:07:47,959
glucose into the cells, so the cells start functioning improperly.

144
00:07:48,199 --> 00:07:50,560
They don't get the energy that they need to function

145
00:07:50,639 --> 00:07:53,600
because the energy is coming from the glucose. And you

146
00:07:53,680 --> 00:07:57,560
can imagine the many different types of conditions we see,

147
00:07:57,600 --> 00:08:01,279
not to mention. As this blood high end sugar goes

148
00:08:01,319 --> 00:08:04,639
through the kidneys, it spills out into the urine and

149
00:08:04,920 --> 00:08:08,879
the function. When we have a change in osmodic gradient

150
00:08:09,040 --> 00:08:13,439
and we have all of this concentrated material in the

151
00:08:13,600 --> 00:08:16,040
blood and in the urine to dilute it, the body

152
00:08:16,040 --> 00:08:19,160
starts to deliver more fluid. So these animals get thirsty,

153
00:08:19,199 --> 00:08:22,319
they start drinking more, and that more they drink gets

154
00:08:22,360 --> 00:08:26,439
into the urine along with the high glucose blood and

155
00:08:26,519 --> 00:08:29,959
high glucose urine. And we have these dogs that are

156
00:08:29,959 --> 00:08:35,519
what we call PUPD polyurea polydipsic. They are urinating a

157
00:08:35,600 --> 00:08:39,240
lot and they are drinking a lot. Now, remember we

158
00:08:39,320 --> 00:08:42,000
had talked about earlier about Cushing's disease, which is an

159
00:08:42,000 --> 00:08:45,759
adrenal disease of a hyper secretion of the adrenal gland.

160
00:08:45,759 --> 00:08:47,879
And what did we find as one of the prime

161
00:08:48,200 --> 00:08:52,519
presenting signs was PUPD. So clearly you can see already

162
00:08:52,720 --> 00:08:56,759
our first element of difficulty in diagnosis when that dog

163
00:08:56,840 --> 00:09:02,399
presents PUPD. Also, kidney disease, urinary disease, urinary tract infection.

164
00:09:02,679 --> 00:09:06,240
How can that present also with PUPD. So now we're

165
00:09:06,240 --> 00:09:09,720
getting into that situation where we have a number of

166
00:09:10,080 --> 00:09:13,799
fairly diseases, common diseases that we see frequently that present

167
00:09:13,879 --> 00:09:16,799
with the same presenting sign. So our difficulty now is

168
00:09:16,840 --> 00:09:21,440
to try to determine why is this particular animal PUPD. Now,

169
00:09:21,480 --> 00:09:24,039
one of the telltale signs of a dog with diabetes

170
00:09:24,080 --> 00:09:27,879
type one is not only will it be PUPD, but

171
00:09:27,919 --> 00:09:31,480
when we do a blood test and a urinalysis, we're

172
00:09:31,480 --> 00:09:34,759
going to see very high blood sugar and very high

173
00:09:35,200 --> 00:09:38,799
urine sugar. Now, it's interesting. The normal blood sugar can

174
00:09:38,799 --> 00:09:41,399
be as high as one hundred and ten milligrams for desolator,

175
00:09:41,759 --> 00:09:44,759
sixty is pretty normal. We like to stay between maybe

176
00:09:44,759 --> 00:09:48,279
sixty and ninety, maybe one hundred's okay. Dogs with diabetes

177
00:09:48,679 --> 00:09:52,600
will be well over that, typically four hundred. Sometimes I've

178
00:09:52,639 --> 00:09:55,519
seen it as high as five hundred. But anything above

179
00:09:55,559 --> 00:09:59,320
two fifty passes what we call the urine threshold. So

180
00:09:59,399 --> 00:10:03,120
as soon as the blood sugar gets above two fifty,

181
00:10:03,559 --> 00:10:07,399
now that glucose is spilling into the urine. So when

182
00:10:07,440 --> 00:10:11,879
you start seeing glycoseia, which is the glucose in the urine.

183
00:10:11,960 --> 00:10:15,120
You already know that the blood sugar is at least

184
00:10:15,120 --> 00:10:18,559
two fifty. So that's how we really kind of determine

185
00:10:18,720 --> 00:10:22,279
how frightening is this situation, not to mention as the

186
00:10:22,320 --> 00:10:26,039
whole metabolic process. In these dogs that have chronic diabetes

187
00:10:26,080 --> 00:10:30,080
that has gone unchecked, we will see something called cheto acidosis.

188
00:10:30,080 --> 00:10:34,159
We will see a lot of ketones in the urine

189
00:10:34,200 --> 00:10:37,639
as well, and we will see blood that is acidotic.

190
00:10:37,879 --> 00:10:40,399
It's upset our acid based attic. Now we have a

191
00:10:40,440 --> 00:10:43,440
dog who's not only diabetic, but has what we call

192
00:10:43,519 --> 00:10:48,279
complicated diabetes, and that leads even more problems to our treatment.

193
00:10:48,679 --> 00:10:52,039
So one of the keys simply is that when we

194
00:10:52,120 --> 00:10:55,559
have type one diabetes and dogs, it's insulin dependent. These

195
00:10:55,600 --> 00:10:59,360
dogs will present often with drinking and urinating like crazy.

196
00:10:59,639 --> 00:11:02,120
They seem to want to eat a lot because though

197
00:11:02,240 --> 00:11:05,320
their blood sugar is so high, the sugar's not getting

198
00:11:05,360 --> 00:11:08,360
into the cells. So the body is saying, hey, buddy,

199
00:11:08,480 --> 00:11:10,480
you got to eat more. We need more sugar, not

200
00:11:10,639 --> 00:11:13,919
realizing that that's not the problem. The sugar's there, but

201
00:11:14,000 --> 00:11:17,840
without the insulin, that sugar is not driven into the cells,

202
00:11:17,960 --> 00:11:21,039
and so we have a situation where we can often

203
00:11:21,080 --> 00:11:24,879
get pretty sick dogs. So this can happen at any age.

204
00:11:24,919 --> 00:11:27,320
We see it young to middle age. I've seen it

205
00:11:27,360 --> 00:11:29,600
happen for the first time. It's some older dogs, though

206
00:11:29,639 --> 00:11:32,639
not as common. And it is something that once the

207
00:11:32,679 --> 00:11:36,120
diagnosis is made, once if they are very sick because

208
00:11:36,120 --> 00:11:39,080
of keto acidosis, that we can treat them. We treat

209
00:11:39,120 --> 00:11:42,440
them a little differently. We get them through that phase,

210
00:11:42,879 --> 00:11:46,240
then we can start what we call are testing and

211
00:11:46,480 --> 00:11:50,840
are are regulating. And this is the hard part of titrating,

212
00:11:51,000 --> 00:11:55,519
regulating how much insulin these dogs need. And because of

213
00:11:55,600 --> 00:12:00,080
the often complication of having dogs that have both cushions

214
00:12:00,120 --> 00:12:02,960
and diabetes at the same time, that lends to even

215
00:12:03,039 --> 00:12:07,399
more issues because sometimes now the treatments become almost counter

216
00:12:07,480 --> 00:12:10,720
they counteract each other and leads to some more difficulty.

217
00:12:10,879 --> 00:12:12,639
So we're gonna get to treatment just a second before

218
00:12:12,639 --> 00:12:15,639
we move on to cats and type two diabetes. Still

219
00:12:15,639 --> 00:12:18,080
would love to hear from you about any questions you

220
00:12:18,080 --> 00:12:20,559
may have about this or about holidays, about getting pets

221
00:12:20,559 --> 00:12:22,919
for the holidays, So stay tuned. You'll be back here

222
00:12:22,919 --> 00:12:25,039
with doctor Jeff here on Pet Life's radio, Ask the

223
00:12:25,080 --> 00:12:29,000
bets with doctor Jeff. We'll be back in a minute.

224
00:12:30,840 --> 00:12:34,000
Speaker 1: We'll be right back right after these messages. Stay tuned.

225
00:12:36,799 --> 00:12:40,000
Speaker 2: This is my tired of itching face. Does your dogs

226
00:12:40,039 --> 00:12:43,360
suffer from persistent itching and scratching? Allergies and skin irritation

227
00:12:43,480 --> 00:12:47,559
is caused by environment, including pollens, insects, especially fleas, food

228
00:12:47,600 --> 00:12:50,759
and common household allergens are common problems and dogs. It's

229
00:12:50,799 --> 00:12:52,919
easy to alleviate your dogs is comfort at home with

230
00:12:53,000 --> 00:12:56,240
pro Sense. Pro Sense itch analogy products provide fast relief

231
00:12:56,240 --> 00:13:00,120
from symptoms like it'sy, irritated skin, skin infections like hotspots

232
00:13:00,159 --> 00:13:03,240
and watery eyes. Pro Sense products are very formulated and

233
00:13:03,320 --> 00:13:06,120
recommended to ensure the very best for your pet. Try

234
00:13:06,159 --> 00:13:09,440
Prosens today. Your dog will thank you for best Love life,

235
00:13:09,639 --> 00:13:11,279
Love them bath with pro Sense.

236
00:13:11,600 --> 00:13:15,399
Speaker 3: There's nothing more delicious and healthy than an old family recipe,

237
00:13:15,480 --> 00:13:18,639
and for over fifty years, our family's been creating them

238
00:13:18,759 --> 00:13:22,559
especially for your pets. Nutris Source super Premium pet foods

239
00:13:22,759 --> 00:13:26,200
dog and cat food that's all natural, holistic and organic.

240
00:13:26,559 --> 00:13:29,799
Nutri Source Pet Foods contain our patented good for Life

241
00:13:29,799 --> 00:13:32,840
system for your pet's optimum health and well being. So

242
00:13:33,240 --> 00:13:37,080
order now. Safe quality food made by our family for

243
00:13:37,240 --> 00:13:42,399
your furry family members. Go to Nutrisourcepetfoods dot Com from our.

244
00:13:42,480 --> 00:13:48,279
Speaker 4: Fla Jagol family bress.

245
00:13:49,639 --> 00:13:51,960
Speaker 5: Your dog loves going for a walk, but what do

246
00:13:52,000 --> 00:13:54,960
you do when the weather just won't cooperate? Your canine

247
00:13:55,039 --> 00:13:57,960
companion shouldn't have to come home cold, wet, and uncomfortable.

248
00:13:58,200 --> 00:14:02,200
Zippy Dynamics has created a shite, revolutionary and functional suit

249
00:14:02,360 --> 00:14:04,759
that covers your best friend from head to toe. Our

250
00:14:04,799 --> 00:14:08,240
Appairl is stylish and remarkably protective against all weather.

251
00:14:08,679 --> 00:14:12,360
Speaker 6: You and your dog deserve the best, and Zippy Dynamics

252
00:14:12,519 --> 00:14:16,480
is here to provide. Visit Zippydynamics dot Com now and

253
00:14:16,600 --> 00:14:19,840
receive free shipping on all orders for a limited time.

254
00:14:20,279 --> 00:14:23,679
Zippy Dynamics clothing of a different free.

255
00:14:24,200 --> 00:14:26,879
Speaker 7: Pet Life Radio if a number one pet radio network

256
00:14:26,879 --> 00:14:30,120
on the planet joins forces with iHeartRadio to put the

257
00:14:30,279 --> 00:14:33,759
power of your pets in your pocket. A download the

258
00:14:33,759 --> 00:14:36,919
iHeartRadio app and rockpet Life Radio on your phone, on

259
00:14:36,960 --> 00:14:39,559
your tablet, on your xbox, in your car, Pet Talk,

260
00:14:39,679 --> 00:14:43,360
pet Tunes and fun Pet Times. Pet Life Radio and

261
00:14:43,559 --> 00:14:47,039
iHeartRadio positively possom.

262
00:14:47,200 --> 00:14:50,559
Speaker 8: This year, Americans are expected to spend at jaw dropping

263
00:14:50,720 --> 00:14:54,720
thirty six billion on their pets. The lighted leashes to

264
00:14:54,759 --> 00:14:58,600
high end spot products, the discriminating pet owner can find

265
00:14:58,679 --> 00:15:02,480
just about anything hamper his or her pet. Hi, this

266
00:15:02,559 --> 00:15:06,159
is Michelle Fern. Join me every week for best Bets

267
00:15:06,200 --> 00:15:09,360
for Pets. But we'll talk about the latest pet products

268
00:15:09,559 --> 00:15:12,240
and talk to the companies that make them. Best bets

269
00:15:12,240 --> 00:15:18,559
for pets every week only on Petliffradio dot com.

270
00:15:19,320 --> 00:15:22,279
Speaker 2: Let's Talk Past, Let's done, Pets, Talk about Life.

271
00:15:22,120 --> 00:15:23,559
Speaker 8: Radio, Hetline Radio.

272
00:15:23,679 --> 00:15:43,639
Speaker 4: Pet Live Radio dot com.

273
00:15:43,799 --> 00:15:46,519
Speaker 2: And welcome back to ask the best with doctor Jeff

274
00:15:46,559 --> 00:15:48,720
here on pet Life Radio. I'm your host, doctor Jeff

275
00:15:48,759 --> 00:15:53,039
Werber here, coming to live from Park City, Utah, where

276
00:15:53,039 --> 00:15:55,879
it's stunning and we are getting snow, which is making

277
00:15:55,919 --> 00:15:58,519
me very happy. And I'm about to hit the slopes

278
00:15:58,559 --> 00:16:01,879
with my board after the show. And anyway, before the break,

279
00:16:02,039 --> 00:16:05,559
we were talking about type one diabetes melodis. This is

280
00:16:05,600 --> 00:16:09,000
the sugar diabetes that is the equivalent of juvenile onset

281
00:16:09,159 --> 00:16:14,440
diabetes in children, that is an insulin dependent diabetes. And

282
00:16:14,720 --> 00:16:18,000
we talked about the clinical signs, the diagnostics. We're going

283
00:16:18,080 --> 00:16:20,000
to see a lot of urine sugar. We're gonna see blodugar.

284
00:16:20,000 --> 00:16:22,320
We're gonna have a dog that's drinking and urinating like crazy,

285
00:16:22,639 --> 00:16:26,519
often eating like crazy, sometimes gaining weight, and yet starting

286
00:16:26,519 --> 00:16:28,879
to feel really sick. And the more this goes unchecked,

287
00:16:28,879 --> 00:16:31,799
the sicker they get, because, as I said, the sugar,

288
00:16:31,879 --> 00:16:35,639
the necessary sugar to run the functions of the cell,

289
00:16:36,039 --> 00:16:38,360
is not getting into the cell to provide the energy

290
00:16:38,360 --> 00:16:41,559
it is supposed to, and these dogs really start breaking down.

291
00:16:41,879 --> 00:16:46,080
So okay, so assume we have our uncomplicated diabetes, and

292
00:16:46,120 --> 00:16:49,759
that means that we do not have ketoacidosis, and it

293
00:16:49,879 --> 00:16:54,279
is basically a fairly simple caught early diabetes. We need

294
00:16:54,279 --> 00:16:56,279
to start insulin therapy. There are a number of different

295
00:16:56,320 --> 00:16:59,559
insulins out there to be discussed with your veterinarian, which

296
00:16:59,639 --> 00:17:01,799
fits best for you, what he or she has had

297
00:17:01,840 --> 00:17:04,720
the most success with. Personally, for dogs, I'm still a

298
00:17:04,720 --> 00:17:07,880
big fan of what we call humlin n NPH. I

299
00:17:07,920 --> 00:17:10,599
also can use prosinc, while I use that more for cats.

300
00:17:10,680 --> 00:17:14,160
Vetsallin is another one. There's another out there called Atlantis.

301
00:17:14,240 --> 00:17:17,480
But again, there are so many insulin options there you

302
00:17:17,519 --> 00:17:20,200
want to go over those with your veterinarian. But most

303
00:17:20,200 --> 00:17:22,640
insulins and dogs turn out to be twice a day.

304
00:17:22,960 --> 00:17:24,960
I feel lucky. You can get one that might work

305
00:17:25,000 --> 00:17:27,799
once a day, minor usually twice a day. The goal

306
00:17:27,960 --> 00:17:31,799
here is to provide that which the body is lacking.

307
00:17:32,000 --> 00:17:35,920
It's to have you administer injections at home, very easy

308
00:17:35,960 --> 00:17:39,559
to do. It is given subcutaneously, that means under the skin,

309
00:17:39,960 --> 00:17:42,599
and at first, typically what we do is we'll take

310
00:17:42,799 --> 00:17:45,519
a pet in and we will keep them for a

311
00:17:45,559 --> 00:17:48,279
day or two and we'll start the process. We want

312
00:17:48,279 --> 00:17:50,880
to get to the point where we get a drop

313
00:17:51,039 --> 00:17:54,599
in that blood sugar level, maybe down to well, obviously

314
00:17:54,680 --> 00:17:57,839
we want to stay below two fifty because we want

315
00:17:57,880 --> 00:18:01,160
to make sure we're not spilling the glucose into the urine.

316
00:18:01,240 --> 00:18:03,119
Once we're there, at least we know in the ballpark.

317
00:18:03,319 --> 00:18:05,240
Now we got to be careful because, as I'm sure

318
00:18:05,240 --> 00:18:07,599
if you've known people that have had diabetes, they always

319
00:18:07,640 --> 00:18:10,599
walk around with something really sweet, a chocolate bar, some honey.

320
00:18:10,839 --> 00:18:13,880
Because if you end up giving too much insulin or

321
00:18:13,920 --> 00:18:18,160
not eating well, then you run the risk of getting

322
00:18:18,279 --> 00:18:21,880
what we call hypo glycemic, which is low blood sugar

323
00:18:22,160 --> 00:18:24,640
that is not enough because too much of the sugar

324
00:18:25,000 --> 00:18:26,839
was pushed into the cells. And now we have a

325
00:18:26,880 --> 00:18:30,960
situation where we're hypo glycemic low blood sugar. So that's

326
00:18:31,000 --> 00:18:33,480
why it's sort of a dance. It's a delicate balance

327
00:18:33,759 --> 00:18:36,799
between the insulin we're giving and how well it's working

328
00:18:37,279 --> 00:18:41,079
driving that sugar into the cells. And once we're in

329
00:18:41,480 --> 00:18:43,519
that ballpark, we're going to send a pet home with

330
00:18:43,599 --> 00:18:46,599
instructions to give some insulin in the morning, then about

331
00:18:46,680 --> 00:18:48,720
ten to fifteen minutes later, feed and then get on

332
00:18:48,759 --> 00:18:50,440
this twice a day schedule. I like to have them

333
00:18:50,559 --> 00:18:52,200
home for about a week doing this as long as

334
00:18:52,160 --> 00:18:55,079
they're acting fine and monitoring the water intake, making sure

335
00:18:55,079 --> 00:18:57,200
the water intake is coming down, and then have them

336
00:18:57,240 --> 00:19:00,599
come in for what we call a glucose curve. Now,

337
00:19:00,759 --> 00:19:04,440
there are also some urine sticks that can measure urine

338
00:19:04,480 --> 00:19:06,920
glucose to give you an idea if you're still getting

339
00:19:06,960 --> 00:19:09,519
a lot of urine glucose, then the most likely you're

340
00:19:09,519 --> 00:19:12,240
still getting a lot of blood sugar. And also some

341
00:19:12,400 --> 00:19:14,480
nifty little kits that you can prick of a little

342
00:19:14,519 --> 00:19:17,720
toe or the ear, and you can actually measure at

343
00:19:17,720 --> 00:19:21,559
home your own blood glucose, just like people do themselves

344
00:19:21,640 --> 00:19:24,599
when they're diabetic. So there are options to sort of

345
00:19:24,640 --> 00:19:26,759
give you an idea of how much insulin needs to

346
00:19:26,799 --> 00:19:31,519
be done. Now, when we have a complicated diabetes maladoys

347
00:19:31,680 --> 00:19:34,799
where the dog is actually keto acidotic, then that's a

348
00:19:34,839 --> 00:19:37,880
hospital case. That's something that we have to regulate. These animals.

349
00:19:38,079 --> 00:19:39,759
We have to use a special kind of insulin called

350
00:19:39,799 --> 00:19:43,400
regular insulin, first, monitoring them several times a day, and

351
00:19:43,440 --> 00:19:45,759
we have to actually get them well. We have to

352
00:19:45,799 --> 00:19:48,079
take care of the acidosis, We have to get rid

353
00:19:48,119 --> 00:19:50,079
of the keytones in the body and the blood, and

354
00:19:50,200 --> 00:19:52,920
only then then we can have you start with a

355
00:19:53,119 --> 00:19:57,880
regular course of insulin treatment, insulin therapy. It's important that

356
00:19:58,000 --> 00:19:59,039
with a dog, and this is going to be a

357
00:19:59,039 --> 00:20:00,640
little different with cats, as we'll get to when we

358
00:20:00,720 --> 00:20:04,200
talk about cats, is that the pet needs to be eating.

359
00:20:04,359 --> 00:20:06,920
If you have a dog who is an unpredictable eater,

360
00:20:07,000 --> 00:20:09,519
we have to be very careful with the amount of

361
00:20:09,559 --> 00:20:12,359
insulin given because we don't want to run the risk

362
00:20:12,400 --> 00:20:15,519
of giving insulin and then not having your dog eat,

363
00:20:15,720 --> 00:20:18,440
because clearly then we will end up in a situation

364
00:20:18,599 --> 00:20:21,960
where we are going to create a hypo glycemic a

365
00:20:22,079 --> 00:20:25,720
low blood sugar situation in your dog. So for these dogs,

366
00:20:25,839 --> 00:20:29,240
we recommend actually feeding something first, making sure they're going

367
00:20:29,319 --> 00:20:32,440
to eat before you give the insulin. And the insulin

368
00:20:32,480 --> 00:20:34,559
is given every twelve hours, whatever day is you want

369
00:20:34,559 --> 00:20:37,319
it as best you can get on a twelve hour

370
00:20:37,599 --> 00:20:41,680
schedule to deliver the injection, and as your veterinarian will

371
00:20:41,720 --> 00:20:44,720
go over with you, the insulin has to be treated

372
00:20:45,119 --> 00:20:48,079
very delicately. It's when you're given that vile. First of all,

373
00:20:48,119 --> 00:20:50,240
it needs to stay in the refrigerator and we don't

374
00:20:50,279 --> 00:20:51,799
want to shake the bottom. A lot of times that

375
00:20:51,839 --> 00:20:54,559
we have medications that we give that the solute certain

376
00:20:54,599 --> 00:20:56,720
part will dissolvel, will sort of drop to the bottom

377
00:20:56,759 --> 00:20:59,319
in suspension and we need to resuspend. We'll take the

378
00:20:59,319 --> 00:21:01,960
bottle and we'll starting. You can't do that with insulin

379
00:21:02,039 --> 00:21:06,039
because you will de nature destroy the beneficial properties of

380
00:21:06,079 --> 00:21:08,680
the insulin. So your doctor will teach you how to

381
00:21:08,799 --> 00:21:11,920
gently roll the bottle back and forth. And as you're

382
00:21:11,960 --> 00:21:14,200
rolling it back and forth, you're turning it all the

383
00:21:14,240 --> 00:21:16,319
way one hundred and eighty degrees back and forth until

384
00:21:16,559 --> 00:21:18,960
you get it all back into suspension, and at that

385
00:21:19,119 --> 00:21:22,400
time you can go ahead and administer the injection. So

386
00:21:22,880 --> 00:21:25,440
it's something that's very easy to do. What The good

387
00:21:25,519 --> 00:21:28,640
news about diabetes is that if you have an uncomplicated

388
00:21:28,680 --> 00:21:32,000
diabetes and you have the right patient, you're very comfortable

389
00:21:32,039 --> 00:21:35,680
giving injections. That this is a condition just like in people,

390
00:21:35,920 --> 00:21:39,000
that could be controlled for the life of your pet. Now,

391
00:21:39,119 --> 00:21:41,880
let me give you some other complicators of diabetes, and

392
00:21:41,920 --> 00:21:44,240
any of you who had a diabetic pet might have

393
00:21:44,359 --> 00:21:47,880
seen this already, and that is cataracts. And one of

394
00:21:47,960 --> 00:21:51,240
the keys to the developing cataracts is this high blood

395
00:21:51,279 --> 00:21:53,240
sugar and we seem to get a lot of film

396
00:21:53,240 --> 00:21:56,880
and ultimately a cataract formation, and these dogs can often

397
00:21:56,920 --> 00:22:00,759
go blind. So it's another sign that we are having

398
00:22:00,960 --> 00:22:06,839
a unregulated diabetes. And unfortunately, in some dogs, this cataract

399
00:22:06,880 --> 00:22:10,759
formation can happen very quickly. So even though once you're

400
00:22:10,799 --> 00:22:13,400
on track and you're doing a wonderful job regulating your

401
00:22:13,440 --> 00:22:16,799
pets blood sugar, the cataracts have already formed, so that

402
00:22:16,799 --> 00:22:19,480
could be an issue. The good news is the cataracts

403
00:22:19,519 --> 00:22:22,119
can be treated, as can the diabetes. And the worst

404
00:22:22,119 --> 00:22:24,319
scenario is that if you have a dog gets young enough,

405
00:22:24,519 --> 00:22:27,359
you go to see the veterinari alphalmologists cataract surgery that

406
00:22:27,400 --> 00:22:30,920
can be done. They will reimplant a lens that cannot

407
00:22:31,079 --> 00:22:35,720
become cataractus, that can actually improve their vision over what

408
00:22:35,759 --> 00:22:38,640
it was before they even developed the cataracts in the

409
00:22:38,640 --> 00:22:42,759
first place. And so that's a real possibility, but you

410
00:22:42,839 --> 00:22:45,160
have to be aware that that can happen. Now, another

411
00:22:45,200 --> 00:22:47,920
test that we often do long term, and this is

412
00:22:48,079 --> 00:22:50,160
sort of on the newer edge, and I'm sure your

413
00:22:50,240 --> 00:22:52,039
veterinarian will talk to you about this. If you have

414
00:22:52,079 --> 00:22:54,519
a pet that is a diabetic and that is a

415
00:22:54,599 --> 00:22:59,799
fruitosamine when we have regulated diabetics coming in for spot

416
00:23:00,799 --> 00:23:03,119
or you're doing your spot checks at home, understand that

417
00:23:03,119 --> 00:23:05,960
that's a moment in time. You are taking blood at

418
00:23:06,160 --> 00:23:08,839
one moment and you are seeing, for example, a blood

419
00:23:08,839 --> 00:23:10,960
sugar of one to eighty, well one eight for a

420
00:23:11,000 --> 00:23:14,559
diabetic's livable, right, it's less than two fifty probably not ideal.

421
00:23:14,559 --> 00:23:17,240
I'd love to be being around one forty, one, thirty,

422
00:23:17,480 --> 00:23:20,000
one twenty, even one hundred, it would be great. But

423
00:23:20,400 --> 00:23:22,880
the fear is that if you get so low and

424
00:23:22,920 --> 00:23:24,440
you let's say you do a blood test and it's

425
00:23:24,559 --> 00:23:28,079
low one hundred, do you know what it's lowest was?

426
00:23:28,519 --> 00:23:30,079
You don't unless you're gonna do what it's called a

427
00:23:30,079 --> 00:23:33,400
blood curve, a glucose curve. But the frutosamine is a

428
00:23:33,440 --> 00:23:37,759
cool test because frutosamine will give you a broad picture,

429
00:23:37,839 --> 00:23:41,559
maybe covering four to six weeks of blood sugar. In

430
00:23:41,599 --> 00:23:44,279
other words, it'll give you kind of an average, And

431
00:23:44,559 --> 00:23:48,759
if your fructosamine level is within the normal range, that

432
00:23:48,759 --> 00:23:51,079
means you've been doing a pretty darn good job of

433
00:23:51,160 --> 00:23:55,079
regulating overall regulating the blood sugar. So it's just another

434
00:23:55,119 --> 00:23:57,480
way that we can get a really good handle on

435
00:23:58,079 --> 00:24:01,480
keeping these pets under control. So to recap, and I see,

436
00:24:01,599 --> 00:24:03,599
I'm not even getting to type two yet, So we're

437
00:24:03,640 --> 00:24:06,720
going to push off diabetes for two weeks and next

438
00:24:06,720 --> 00:24:09,279
week we're going to talk about type two diabetes and cats.

439
00:24:09,319 --> 00:24:13,759
It's all different ballgame and type two. You can imagine

440
00:24:14,079 --> 00:24:16,880
if you know anyone who's a type two diabetic as

441
00:24:16,920 --> 00:24:20,400
a person adult onset, what they often have in common

442
00:24:20,720 --> 00:24:24,599
is obesity. And i'll explain the link to our type

443
00:24:24,599 --> 00:24:30,559
two diabetic feeline and the obesity issue affecting many adults

444
00:24:30,680 --> 00:24:34,119
people human adults and type two diabetes. We'll get to

445
00:24:34,160 --> 00:24:37,359
that next week anyway, So don't fear if you have

446
00:24:37,400 --> 00:24:39,640
a dog gets drinking and urinating a lot. Of course,

447
00:24:39,640 --> 00:24:41,960
you're going to take them to your veterinarian anyway, and

448
00:24:42,240 --> 00:24:44,359
we will get to the answer as to whether this

449
00:24:44,480 --> 00:24:47,599
is cushings, whether this is diabetes, whether this is a combination,

450
00:24:47,839 --> 00:24:51,240
whether this is urinary track infection, kidney disease. Whatever, we

451
00:24:51,279 --> 00:24:54,039
will get your answer and we will start treating accordingly. Anyway,

452
00:24:54,039 --> 00:24:56,079
I want to thank you for joining me feel Free

453
00:24:56,119 --> 00:24:58,079
this week. If you want to email me to talk

454
00:24:58,119 --> 00:25:01,759
to Jeff at pet Life Radio, go ahead. Thanks again

455
00:25:01,799 --> 00:25:05,319
to our sponsors, pro Sens, Pet Products and Comtoys. And

456
00:25:05,480 --> 00:25:08,000
while you're having a great week, I am leaving here

457
00:25:08,319 --> 00:25:10,559
to hit the slopes of Park City. We'll see you

458
00:25:10,640 --> 00:25:11,039
next week.

459
00:25:11,839 --> 00:25:16,480
Speaker 1: Let's Talk Pets every week on demand only on Petlife

460
00:25:16,599 --> 00:25:26,799
Radio dot com.