Friday, September 10, 2010

Pediatrics- orthopaedic surgery

Sarabjit Singh wiring of the head of femur of 30days old puppy done successfully

SAVIN- Small Animal Veterinary Information Network photos
15 July at 05:51 · · · Share
  • 4 people like this.
    • Swarupmay Majumdar That must be a real taugh Job! I fear there will not be enough space to move the forceps
      15 July at 10:12 ·

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Diabetes management

Sushil Kumar Paudel Hi! Dear Vets, Sorry for long Gap! today i want to open floor to discuss about the management Of diabetic(DM) animal(esp. Dog and Cat), can we discuss about the best way to get ideal glucose curve in short period of time? ( I am extremely sorry, if already discussed)

14 July at 14:44 · · · Flag
  • Saurabh Saxena likes this.
    • Swarupmay Majumdar if it is useful, lets discuss it 100 times! This is for us! No one dictates terms here! Discuss whatever is good for the vet profession ..not once, 100 times! U will find me around you! truly and hope many more will join u soon
      14 July at 15:23 ·
    • Sumit Virmani Dr. swarup, i think, we just got an idea for a new event :Diabetes Management.
      14 July at 18:37 · · 1 person
    • Rajshankar Tony Sarma The problem is that it necessarily takes a lot of time to curve an animal (ideally 24hours, minimum 12) and more time to get its curve to respond to insulin appropriately- each alteration in dose will take several days to stabilise before you can assess it by curve.
      15 July at 03:25 ·
    • Saurabh Saxena i like the idea of event on diabetes management and endocrinology in general
      15 July at 05:20 · · 1 person
    • Sumit Virmani ‎@ Dr. Saurabh: I second that idea.
      15 July at 07:18 ·
    • Joseph Cyrus do u need a glucose curve to manage diabetes and is it practical in the practice scenario?
      15 July at 09:06 ·
    • Rajshankar Tony Sarma
      It's gold standard, and cannot be got rid of altogether. Tests like fructosamine can give you an idea of how good glycaemic control has been over the past few weeks - but there can be a large cross-over between normal and mildly/moderately ...See more
      15 July at 09:47 ·
    • Swarupmay Majumdar Grt on, from Raj. But I wonder I have no nowledge abt glucose nadir, and how do I do it serially? can anyone help
      15 July at 10:11 ·
    • Rajshankar Tony Sarma
      Technical term for simple concept! After an injection of insulin, plasma glucose levels *should* go down. The nadir is the lowest glucose concentration that the insulin injection causes. The time from injection to that point depends on type...See more
      15 July at 10:53 · · 2 people
    • Sushil Kumar Paudel Thanks to all! furthermore i want to know the ideal range of Glucose during 12hr(between 2 insulin injections), coz its very likely to face to the problem of Hypoglycemia and reverse hyperglycemia, when we increase the dose of insulin dose. Is there any way to know, that how much we can increase, or its trial or error method? And also, what about the effectiveness of HUMULINE in dogs?. Thanks!
      15 July at 13:51 ·
    • Rajshankar Tony Sarma
      Right. Protocol for SIMPLE (no ketoacidosis, no ketones in urine) diabetics is as follows.

      Choose an Insulin. Currently, lente insulins are preferred for dogs and cats, even though twice daily dosing is routinely needed in cats (in humans, t...See more
      15 July at 19:33 ·
    • Rajshankar Tony Sarma No personal experience of Humulin, sorry. I'd guess that it'd be a case of curving to work out what it does to the patient, as with any other insulin.
      15 July at 19:34 ·
    • Joseph Cyrus The glucose curve is the gold standard I agree but I find it very hard to convince owners. BTW fructosamine do you use a human lab to assay it or do you have one that does veterinary?
      15 July at 20:10 ·
    • Rajshankar Tony Sarma
      We have veterinary labs.

      I think the key to persuading owners of the curve is to talk to them. When they understand how complicated the disease is, and all the things we need to look for, they are much more amenable. Costs are an issue to t...See more
      15 July at 21:38 ·

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