Home
http://www.virbac.fr/ http://www.boehringer-ingelheim.com/ http://www.novartis.com/ http://www.animalhealth.bayerhealthcare.com/
vetcontact
Vetrinär
Tiermedizin
  WELCOME  
vetcontact
Vetrinär
Tiermedizin
  Privacy Policy  
  Home  
  Login / Newsletter  
vetcontact
Vetrinär
Tiermedizin
  CONTACTS  
vetcontact
Vetrinär
Tiermedizin
  Classifieds  
  New Products  
  VetCompanies  
  VetSchools  
vetcontact
Vetrinär
Tiermedizin
  PROFESSION  
vetcontact
Vetrinär
Tiermedizin
  Edutainment  
  VetAgenda  
  Presentations  
  Posters  
  ESAVS  
  Specialisation  
vetcontact
Vetrinär
Tiermedizin
  INSIGHT  
vetcontact
Vetrinär
Tiermedizin
  Congress News  
  Picture Galleries  
vetcontact
Vetrinär
Tiermedizin
  PRODUCTS  
vetcontact
Vetrinär
Tiermedizin
  Bayer  
  Boehringer Ing.  
  Novartis  
  Virbac

 
  Simply book for less...  
    

Bovine    Equine    Small Animal Practice    Swine Practice    Articles    Vetjournal    
deutsch english español polski francais
Home / WELCOME / Archiv / Small Animal Practice /     
 
Hyperglycemic-hyperosmular syndrome in cats with diabetes
2032.jpg Picture: © Bayer Animal Health
The hyperglycemic-hyperosmolar syndrome (HHS), also known as nonketotic hyperosmolar diabetes, is one of the less known emergencies in cats with diabetes. Its prognosis is very poor. This retrospective study tries to determine the prevalence and find some predisposing factors/predictors for survival.

The case records of 17 cats with hyperglycemic- hyperosmolar syndrome presenting from 1995 to 2001 were evaluated. An additional 37 cats with diabetic ketoacidosis and 80 cats with diabetes mellitus served as comparison groups.

Signalment, history, physical examination findings, clinico-pathologic data, concurrent disease, and outcome were recorded.
Hyperglycemic, hyperosmolar syndrome was seen in older cats that were often long-standing diabetics receiving insulin for many months.

Client concerns included polydipsia, polyuria, and lethargy. Neurologic and respiratory signs occurred frequently. Evaluation at presentation revealed profound dehydration, lactic acidosis, and azotemia.

Serious concurrent diseases that likely contributed to the development of the HHS crisis were diagnosed in 88% (15/17) of the HHS cats. The most common concurrent diseases were renal failure, respiratory compromise, infection, congestive heart failure, neoplasia, and gastrointestinal tract disease.
Pancreatitis and hepatic disease did not occur frequently in this diabetic cat population.

Sixty-five percent of HHS cats did not survive the initial hospitalization, with most dying or being euthanized within 10 hours of presentation. The long-term survival rate was low (12%).

Conclusions: HHS is a serious life-threatening form of diabetic crisis and cats with HHS often have other severe systemic diseases. Cats with diabetes and concurrent disease, especially renal failure and congestive heart failure, are at increased risk of HHS and should be closely monitored for signs of crisis. The mortality rate for HHS cats is high.

Source: Koenig, Amie, Drobatz, Kenneth J., Beale, A. Brady & King, Lesley G. (2004): Hyperglycemic, hyperosmolar syndrome in feline diabetics: 17 cases (1995-2001). In: Journal of Veterinary Emergency and Critical Care 14 (1), 30-40.




Tell a friend   |   Print version   |   Send this article

SMALL ANIMAL PRACTICE

Reference intervals for blood parameters in Shetland Sheepdogsmembers
Several breeds have physiological peculiarities that induce variations in reference intervals (RIs) compared with the general canine population. Shetland sheepdogs (SSs) are reported to be more predisposed to different diseases (eg, hyperlipidemia, gallbladder mucocele, and hypothyroidism). Consequently, a breedâ€specific approach is more often required. Thus, the aim of this study was to determine whether the RIs of the general canine population could be applied to that of SSs, and to generate breedâ€specific RIs, where appropriate.

  • Metastasis of a well differentiated perianal gland tumor
  • Punica granatum associated with hepatotoxicosis in cattlemembers
  • Toceranib phosphate (Palladia®) in canine gastrointestinal stromal tumorsmembers
  • Radioactive iodine uptake in hyperthyroid cats after rh-TSHmembers
  • Hypoechoic tissue changes in dogs with malignant prostatic lymphomamembers
  • Emphysematous gastritis in dogs and catsmembers
  • Primary pulmonary histiocytic sarcoma in dogsmembers
  • Determining prognosis in canine sepsis members
  • Correlation of plasma and tear glucose, creatinine and urea nitrogen in catsmembers
  • Perineal hernias in dogs - always a bilateral problem?members
  • Pharmacokinetic of gabapentin in catsmembers
  • Follicular development of canine ovaries stimulated by eCG plus hCGmembers


  • [ Home ] [ About ] [ Contact / Request ] [ Privacy Policy ]

    Copyright © 2001-2018 VetContact GmbH
    All rights reserved