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Position: Home > Articles > The diagnosis and treatment of 3 cases of canine diabetes mellitus complicated with insulin resistance Heilongjiang Animal Science and Veterinary Medicine 2019 (20) 66-69+175-176

3例犬糖尿病并发胰岛素抵抗的诊断与治疗

作  者:
郑梦洁;方开慧;潘毅峰;师福山;朱国
单  位:
浙江大学附属动物医院
关键词:
犬;糖尿病;胰岛素抵抗;甲状腺机能减退;库兴氏综合征;诊断;治疗
摘  要:
为了更好地了解糖尿病患犬并发胰岛素抵抗的诊治,试验对3例确诊为糖尿病病例的诊疗过程进行回顾,对其临床症状、诊断、治疗和预后等方面予以分析。结果表明:3例患犬在用胰岛素治疗时均存在胰岛素抵抗,血糖控制不理想,详细检查后发现,患犬同时并发甲状腺机能减退症或库兴氏综合征,在针对并发症治疗后,血糖水平逐渐趋于稳定。说明在用胰岛素治疗糖尿病患犬时,若血糖控制不理想,需要进一步检查是否存在胰岛素抵抗的情况并进行治疗,进而才能更好地控制血糖。
译  名:
The diagnosis and treatment of 3 cases of canine diabetes mellitus complicated with insulin resistance
作  者:
ZHENG Mengjie;FANG Kaihui;PAN Yifeng;SHI Fushan;ZHU Guo;Affiliated Animal Hospital of Zhejiang University;College of Animal Sciences,Zhejiang University;Wuhu Boai Wanting Pet Hospital;
关键词:
canine;;diabetes mellitus;;insulin resistance;;hypothyroidism;;Cushing's syndrome;;diagnosis;;treatment
摘  要:
To better understand the diagnosis and treatment of insulin resistance( IR) in diabetic dogs,the clinical symptoms,diagnosis,treatment and prognosis of 3 dogs diagnosed with diabetes mellitus were reviewed in the present article. As results,we found all the 3 dogs had IR and poor blood glucose control. A close examination revealed concurrent hypothyroidism or Cushing's syndrome and then treatments were implemented accordingly. Finally,patients' blood glucose levels turned to be stabilized. Therefore,it is essential to further investigate the existence of insulin resistance when insulin therapy appears poor effect,so that measures can be taken to control blood glucose levels better.

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