Cashew has pancreatitis / diabetes

Cashew is now Diabetic

It's been a good ~20 months after Cashew's Insulinoma Surgery and she has been living normally until this week! Cashew has been drinking a lot of water and she wet her bed (first time in over 10 years?)!

I decided to check her blood glucose and it was at 350-400mg/dl! Took her to the doctor and she is diagnosed with diabetes.

All About Canine Diabetes <- sent to me by Dr. Koga

What does this mean?

• Cashew needs to take insulin after her meal every 12 hours to control her BGs. Goal is to keep it between 100-200mg/dl. Starting Vetsulin at 6 units on a U-40ml syringe.
• Spot check Cashew's blood glucose to see if this is the right amount for her
• Watch out for signs of hypoglycemia (when BG is too low)
• Watch out for lethargy, inappetence, vomiting - ketoacidosis
• Cataracts develop in 100% of dogs with diabetes so be ready for it :(

Notes on Blood Test

Since her precision pSL was at 150, looks like pancreatitis?

Before having Cashew's insulinoma surgery, I was told pancreatitis was a risk, but just didn't know it can come 20 months later.

Notes from Dr. Koga over at Adobe Animal Hospital

1) Mild elevation in alkaline phosphatase,: This is an enzyme that is associated with several things (liver, excess corticosteroid, bones, amongst others). This is considered a mild elevation, and I suggest this just be monitored (i.e. check again in 6 months).

2) blood glucose=396, consistent with Diabetes

3) elevation in precision pSL: this is associated with the pancreas. I actually do not like this test at all, because it can be elevated in dogs without pancreatic disease. If she were vomiting or having other GI signs then I would consider this significant.

4) urinalysis: elevated glucose, consistent with Diabetes. There was trace ketones in the urine, which is indicative of a dog who is utilizing fat to get energy to the cells, since the glucose wasn't being transported by insulin into the cells. When ketones rise dogs can start to act very sick.

So, there is nothing on the blood test to indicate there is an underlying disease that could make her insulin resistant.

 

And her Blood Test Result.