Page 166 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition

Basic laboratory diagnostics Basic laboratory diagnostics
Serum/Blood substrate concentrations Serum/Blood substrate concentrations

––––Rubrik Rubrik

VetBooks.ir

Hypoglycaemia
Hyperglycaemia

Shift Decreased
into the cells Increased use production Decreased uptake
Insulin resistence
Increased Insulin deficiency
Stress (diabetes type 2,
gluconeogenesis (diabetes type 1)
esp. cat)
Reduced – Chronic
glycogenolysis/ inadequate
Pseudo-
Excess insulin True use gluconeogenesis, food intake
hypoglycaemia
glycogen (rare in cat and
deficiency dog)
Influence of
glucocorticoids

– Insulinoma – Seizures – Prolonged storage – Hypoadreno-
– Insulin – Sepsis of blood sample corticism
overdose – Extreme before – Hepatic
physical exercise centrifugation dysfunction
– Hyperadreno- (e.g. hunting, – Cell-rich blood – Dwarf breeds
corticism racing) sample – Neonates
– Iatrogenic (e.g. leukocytes)
(therapy with
glucocorticoids)

156 157