diabetes protocol

Re: diabetes protocol

wobbliebob — Wed, 31 Mar 2010 14:20:02 GMT

thanks for your replies it was just for a general admit. I work in orthopeadics and we occasionally have a dog admitted for cuciate surgery etc that is diabetic. just wondered what every one else did

Re: diabetes protocol

Phrin Vernon RVN — Tue, 30 Mar 2010 12:48:41 GMT

[quote user="Saskia Paula Quinn"]

I attended a great cpd evening last week, where the speaker Carmel Mooney advised that when diabetic patients are coming in for a procedure that requires ga - obviously they are fasted that morning, same as any patient - but, the should have half of their morning dose of insulin.

Hope this helps

[/quote]

We did a GA on a diabetic dog for castration the other week (had hypertrophic testicles), and we did just that! Half dose insulin, and then blood glucose checked every 15 mins from pre-med to recovery. Had him on a 4% dextrose drip, and adjusted this according to the BG results. We then offered him food, as soon as he could stand & moitored his BG for the rest of the day. I can't remember if he had full dose insulin that evening or not

We got our info from the BSAVA anaesthesia manual, and pooch had a good GA and made an excellent recovery!

They also recommended making sure that diabetic animals are first on the ops list.

Re: diabetes protocol

Jo Mackenzie — Tue, 30 Mar 2010 08:44:23 GMT

[quote user="Saskia Paula Quinn"]I attended a great cpd evening last week[/quote]

It was a really good evening, thanks Paula (and sorry I was late...)

Re: diabetes protocol

Saskia Quinn — Tue, 30 Mar 2010 00:42:46 GMT

depends on what they are coming in for. If its for a glucose curve, and its known the animal doesnt eat in here, the owner feeds it at home but doesnt give insulin. We then take a blood glucose sample before giving it insulin, then proceed with the curve as normal. If the patient does eat in here, then the owner brings it in fasted and no insulin, we take a blood glucose before feeding, then giving insulin.

Hope this helps

Re: diabetes protocol

SmegSlayer — Mon, 29 Mar 2010 19:03:04 GMT

weigh, when last ate, when last had insulin, when next due insulin, when next due food and how much and which food. any changes in drinking/eating/behaviour