Ryan Ong

Journal club: "A dose titration protocol for once-daily insulin glargine 300 U/ mL for the treatment of diabetes mellitus in dogs" by Tardo et al.

Clinical takeaways * Insulin glargine 300 q 24hrs can achieve good glycaemic control in most dogs (72% of dogs that do not have comorbidities, 50% of dogs with concurrent diseases) * The placement of a flash glucose monitoring system (FGMS) allows daily and hourly assessments of interstitial glucose concentrations. Coupled with insulin

By Ryan Ong

Journal Club "Pharmacological therapy for hyperkalaemia in feline urethral obstruction has no additional benefit over intravenous fluid and calcium gluconate therapy and prompt unobstruction" by Maciorowski et al.

Quick Clinical Takeaways * For male cats with urinary obstruction presenting with severe hyperkalaemia (serum potassium >= 7.5 mEq/L), prompt unblocking of the cat, intravenous fluid therapy and calcium gluconate administration should be prioritised, particularly for cost-constrained clients * Cats with urinary obstruction and hyperkalaemia have a good prognosis

By Ryan Ong

Gastrointestinal Neoplasms

Journal Club: "Retrospective study of survival time and prognostic factors for dogs with small intestinal adenocarcinoma treated by tumour excision with or without adjuvant chemotherapy" by Smith et al.

Quick Clinical Takeaways * Majority of dogs with small intestinal adenocarcinomas are male and older than 8 years old * Most present with non-specific gastrointestinal signs. Pulmonary metastasis is uncommon, and the most common abdominal ultrasonographic abnormality includes an intestinal mass with partial or complete obstruction, sometimes mimicking a foreign body

By Ryan Ong