Vet360 Issue 4 Volume 2 | Page 18

ACCREDITED CPD Important points • Start with a lower dose low and work up • Use insulin bid if at all possible • Don’t change dose more frequently than every 5 days (7d for glargine) • NEVER base a decision to change treatment on one observation/result on its own These patients only show clinical signs when the blood glucose goes really low. • Clinical signs of a hypoglycaemic episode (hypo) : Tachycardia, nervousness, tremor, strange behaviour, hunger, seizures, coma. Assessing response to treatment: There are various methods than can be used. Clinical signs: As per the monitoring table. Urine glucose is [