Veterinary Medicine - September 2007 - (Page 616)

Diabetes management O P E E R - R E V I E W E D CE You can earn two hours of Continuing Education credit from Kansas State University by answering the following questions on diabetes management. Circle only the best answer for each question, and transfer your answers to the form on page 618. Article #2 1. In dogs, diabetes mellitus: a. Is generally permanent, except in pregnant and diestrus females b. Always requires insulin therapy c. Becomes clinically evident when the serum glucose concentration is over 220 mg/dl d. Is accompanied by glucosuria e. All of the above e. It determines the initial type of insulin used. b. Performing serial blood glucose measurements c. Evaluating body weight d. Evaluating clinical signs such as thirst and urination e. A single fasting glucose concentration 4. Regular insulin: a. Can only be administered intravenously b. Is a good choice for at-home therapy in cats c. Is the least potent insulin available d. Must be given with a U-40 syringe e. None of the above 8. The Somogyi effect: a. Occurs if an insulin dose is missed b. Occurs if a patient eats before insulin is administered c. Indicates the need to increase the insulin dose d. Occurs after an acute hypoglycemic episode e. Causes persistent hypoglycemia 2. A urinalysis is an integral part of the evaluation of a new diabetic because: a. Patients without ketonuria do not need to start insulin. b. Urinary tract infection is common in patients with diabetes mellitus. c. Glucosuria is pathognomonic for diabetes mellitus. d. Urine glucose concentrations determine the initial insulin dose. e. A urinary tract infection should be treated before starting insulin therapy. 5. Glargine insulin: a. Is commonly used in dogs b. Should be diluted for use in small patients c. Is an appropriate choice for newly diagnosed feline diabetics d. Is a short-acting insulin e. Is low-potency and cannot cause hypoglycemia 9. Insulin resistance: a. Causes episodic hypoglycemia b. Is defined by an insulin dose > 2 U/kg c. Is not clinically important unless the patient is ketotic d. Does not occur if insulin is stored appropriately e. Indicates poor client compliance 6. When starting insulin, it is important to: a. Calculate the dose carefully, based on a current body weight measurement. b. Check blood glucose concentrations frequently for the first 12 to 24 hours. c. Ensure that the patient is willing and able to eat. d. Avoid hypoglycemia. e. All of the above 3. A serum fructosamine measurement is useful in diagnosing feline diabetes mellitus because: a. It reflects the average serum glucose concentration for the previous three weeks. b. It is unaffected by postprandial increases in serum glucose concentrations. c. An elevated fructosamine concentration rules out concurrent hyperthyroidism. d. It determines the initial dose of insulin used. 10. At-home monitoring of blood glucose concentrations: a. Is difficult in cats b. Worsens stress hyperglycemia in cats c. Is an unreliable reflection of glycemic control d. Weakens the bond between client and veterinarian e. None of the above 7. Acceptable glycemic control should not be determined by: a. Measuring serum fructosamine concentrations 616 September 2007 VETERINARY MEDICINE

Table of Contents Feed for the Digital Edition of Veterinary Medicine - September 2007

Contents Letters Leading Off The Veterinary Medicine Interview: Dr. William J. Kay Idea Exchange Practical Matters Salivary Mucoceles in Cates: A Retropspective Study of Seven Cases Hyperlipidemia in Dogs and Cats Purina Insert The Latest Management Recommendations for Cats and Dogs with Nonketotic Diabetes Mellitus CE Form Product Preview Advertiser Index Marketplace/Classifieds Mind Over Miller

Veterinary Medicine - September 2007

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