Pet Diabetes Month: Monitoring Blood Glucose at Home

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When you live with a diabetic pet, controlling blood sugar, or glucose, can be a bit of a balancing act. If the glucose dips too low, your pet may show signs of weakness, confusion, seizures and even loss of consciousness, requiring emergency veterinary care. When it’s too high, pets often drink and urinate more than usual and potentially develop other complications.

To arrive at “just the right” insulin dose that keeps your pet’s diabetes controlled, periodic blood glucose monitoring is usually required. In the past, pets would typically spend a day at the veterinary clinic for a blood glucose curve. During that time, the veterinary staff would take blood glucose samples every two hours for up to 12 hours.

The trouble with in-clinic glucose testing is that pets often become stressed in the unfamiliar environment, which can artificially raise blood glucose levels. That’s why the American Animal Hospital Association recommends at-home glucose testing, when possible. Pets are usually less stressed at home, which means results will be more accurate. At-home testing can save you money. It can also help identify a hypoglycemic (low blood sugar) event, so your pet gets treatment faster.

While at-home glucose testing may not be for every owner or pet, many are finding the procedure relatively simple.

First, team up with your veterinarian

Work with your veterinarian to decide the best approach for you and your pet.

If you decide to try in-home testing, your veterinarian will help you learn the correct procedure and provide detailed instructions on information you should send back to the clinic. He or she will use this information to decide if adjustments need to be made to the type or dose of your pet’s insulin. You should never make insulin dose adjustments on your own, without consulting your veterinarian.

Sampling blood glucose at home

Your veterinarian may recommend using a hand-held glucometer at home, much like human patients with diabetes may do. Ideally, you’ll use one that’s calibrated for dogs and cats, for the most accurate results.

The doctor can show you how, using a lancet, to obtain a tiny drop of blood from a range of locations, such as your pet’s ear or foot pad. With a little practice, it can be a quick and relatively painless procedure. Add praise and treats, and it’s all the better for your pet.

The drop of blood is then applied to a test strip inserted into the glucometer. Within a few seconds, the blood glucose reading is displayed.

To obtain a blood glucose curve, your veterinarian will typically ask you to take a blood glucose reading every two hours for 10 to 12 hours. This information is then sent back to your veterinarian for review and dose adjustments, as needed.

Continuous glucose monitoring systems

Recently, continuous glucose monitoring systems have become available that are less invasive and easier for owners and pets because they don’t require any blood sampling. Currently, the most common system prescribed by veterinarians is the FreeStyle Libre, which is designed for humans, but can also be used in pets.

The system consists of a small, circular glucose sensor with a tiny tube that’s adhered to the pet’s skin.  The sensor, which is about the size of two stacked quarters, measures the glucose in the fluid under the skin once a minute for up to 14 days. A handheld reader can wirelessly scan the sensor and save the glucose readings (with an app, your smart phone can serve as a reader).

The amount of glucose in this fluid is slightly different than what’s in the blood, but it’s fine for general monitoring. For pets that are showing signs of hypoglycemia, however, a blood sample and glucometer should be used.

Implanting the sensor is a quick, simple and typically painless procedure that usually doesn’t require anesthesia. The veterinarian shaves and cleans a patch of skin on your pet and presses the sensor into the skin. Your pet may need to wear a shirt or bandage to help prevent the sensor from becoming dislodged. The doctor will explain how to transfer the data to the clinic. After two weeks, the sensor should be disposed of properly.

Watch your pets for signs

Even with all this blood glucose data, you should still watch your pet for signs that diabetes may be out of control. It helps to keep a daily diary that lists information such as food and water consumption, insulin dose administered and general amount/frequency of urination. If possible, weigh your pet periodically. Changes in weight, appetite, thirst, urination and even energy level should spark a call to your veterinarian.

The Do’s and Don’ts of Pet Pain Relief

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Maybe your pup roughhoused at the dog park and is now favoring a leg. Or your cat drops food from her mouth as if it’s painful to chew. What’s the harm in exploring your medicine cabinet for a little pain relief? After all, over-the-counter pain medications such as aspirin are relatively harmless for people, so the same goes for pets, right?

Unfortunately, that kind of well-meaning thinking has led to potentially serious health problems for both cats and dogs. Since pets don’t metabolize these drugs like people do, medications such as aspirin, ibuprofen, naproxen and acetaminophen can be harmful or even deadly to your dog or cat.

As part of Animal Pain Awareness Month, we’re sharing some tips on pet pain relief to help keep your beloved ones safe.

Human NSAIDs and pets

Medications such as aspirin (Bufferin), ibuprofen (Advil, Motrin) and naproxen (Aleve) are considered non-steroidal anti-inflammatory drugs, or NSAIDs, but human NSAIDs, especially in high doses, can cause gastrointestinal ulcers, kidney failure, liver failure, bleeding problems and even neurological issues in pets. Cats are even more sensitive to NSAIDs than dogs. Signs of potential toxicity include vomiting, diarrhea, black/tarry stools, pale or yellow gums, changes in amount or frequency of urination, collapse and seizures.

While acetaminophen (Tylenol) is a pain reliever and fever reducer, it has no anti-inflammatory properties, so it is not considered an NSAID. It may be combined with aspirin in products such as Excedrin. While acetaminophen can be toxic to dogs, it’s often fatal for cats. Ingestion can lead to liver damage and a condition called methemoglobinemia, in which red blood cells cannot carry necessary oxygen to the body. In these cases, the blood may actually appear brown rather than the healthy red color of oxygenated blood. Signs include increased respiratory rate, pale or muddy gums, vomiting, swelling of the face or extremities and collapse.

If you see these signs after inadvertently giving your pet over-the-counter human pain relievers, or after your pet accidentally chewed through the bottle of pain relievers in your purse or backpack, contact your veterinarian immediately or call the ASPCA’s Poison Control Center at 1-888-426-4435.

Pain relief dos and don’ts

So how can you help a pet that you suspect may be in pain?

  • DO schedule an appointment with your veterinarian. Depending on the cause, the doctor may prescribe a veterinary NSAID for your pup that has been shown to be safe and effective in dogs. While there are no NSAIDs approved for long-term use in cats, your veterinarian may prescribe other medications for pain relief.
  • DON’T give your pet any over-the-counter pain medication without consulting your veterinarian first. Wouldn’t you rather ask now than end up at the emergency clinic later?
  • DON’T give your pet a veterinary NSAID that was prescribed for another pet. You may accidentally give the wrong dose, or this pet may have an underlying health condition or be on medications that aren’t compatible with the NSAID.
  • DO let your vet know what other medications your pet is taking. In particular, if they are already taking steroids such as prednisone or prednisolone, they shouldn’t start taking NSAIDs.
  • DON’T administer any additional NSAIDs if your pet is already taking a veterinary NSAID.
  • DO monitor them for potential side effects, if your dog is currently taking a veterinary NSAID. Loss of appetite, vomiting, diarrhea or lethargy are warning signs. Your veterinarian may also recommend periodic blood tests to make sure your dog’s liver and kidney values remain normal while on the medication.

When in doubt, your veterinarian is always your best resource for safeguarding your pet’s health.

11 Spring Pet Safety Tips You Need to Know

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Depending on where you live, the tulips and daffodils may already be pushing up from the earth. You might spot robins feathering nests or a canopy of green buds unfurling overhead, and soon you’ll sleep with the windows cranked open. Ever notice how spring has a way of making the world feel fresh-scrubbed and alive?

No doubt, your pet is as eager to spend time outside as you are. But before you venture out, there are some things you should do to make sure your pet is safe and healthy this season. Here’s a checklist to help you on your way:

  • Initiate heartworm prevention — If your pet isn’t already on year-round heartworm prevention, now’s the time to make sure your dog or cat is protected. The parasite is transmitted by mosquitos, and infection is potentially fatal. Mosquitos can sneak indoors, so even indoor-only cats are at risk. (In one study, approximately one-third of the indoor-only cats tested were positive for heartworm infection.) Treatment can be risky and expensive for dogs, and there’s no effective treatment for cats. So prevention is the best approach.
  • Banish fleas and ticks — As the temperature rises, these freeloading parasites start actively looking for picnic spots on your pets. Fleas can make pets itch and twitch, and some pets are so allergic to flea saliva that a single bite can cause severe reactions. Once they’re in your house, fleas can be extremely difficult to eliminate. And ticks can cause serious tick-borne diseases. Ask your veterinarian to recommend an effective flea and tick preventive for your pets.
  • Double-check your pet’s identification tags — As the weather warms and more time is spent outdoors, there are more opportunities for pets to make a break for freedom. Make sure your pet’s ID tags are legible and contain all your current contact information. If your pet is microchipped, call the microchip company to make sure they have your most current contact information on file.
  • Watch for thawing ice — That same lake your dog raced across when the ice was two feet thick is becoming less safe by the minute. Keep pets on a leash and off the lakes, ponds and streams where they could break through thinning ice.
  • Retire that winter coat — Many pets start shedding their winter coats about now. Time to bring out your best inner groomer and help your dog or cat unload all that extra fur. If your pet has matted hair, let the professional groomers get the tangles out. A little brushing now can save a lot of time digging hair out of the vacuum cleaner later.
  • Freshen up pet beds and bowls — There’s nothing like sleeping in sheets that have just air-dried on the line outdoors. Chances are, your pet can appreciate fresh bedding, too. Now’s the time to wash those pet beds, bowls, toys and sweaters.
  • Make sure vaccines are current — Whether your dog is hobnobbing with other pups at the dog park or your cat is sunning itself on the outdoor catio, exposure to other pets can put them at risk for infectious diseases. Play it safe and update any vaccines that may have expired.
  • Prepare for allergy season — Does your dog scratch itself raw when the pollen swirls in the air? Check with your veterinarian to make sure you have allergy medications at the ready.
  • Clean up the yard — Pick up last autumn’s sticks and acorns that your pet could chew or swallow, and clear away leaf litter where ticks like to hide. Check your gardening supplies to make sure any lawn fertilizers, mulch or pest control products that may be toxic are out of your pet’s reach.
  • Bring the calm before (and during) the storms — If your dog becomes unglued when the thunder rolls, talk to your veterinarian about medications that can help ease your dog’s fears. Setting up a “safe room” away from doors and windows where your dog can curl up with his or her favorite toys may also help.
  • Ease into exercise — Has your pet been as much of a couch potato as you have over the winter? Then start outdoor exercise slowly and gradually build up the intensity as your pet’s muscles and endurance get stronger.

An interior graphic detailing a safety checklist of spring pet safety tips.

Now that you and your pet are prepared for spring, let the outdoor frisbee tournament begin. The sun is shining, so there’s no time to waste: your best friend is waiting to play outside with you.