From:
"Tony Clarke"
Date: 2008-03-28 02:11:03 UTC
Subject: [ferrethealth] Re: Looking for advice/consultation for a very ill little girl
To: ferrethealth@yahoogroups.com
--- In ferrethealth@yahoogroups.com, "cbrolle" <cbrolle@...> wrote:
>
> Symptoms: General weakness. Lethargic. Barely responds to outside
> stimuli. Hardly fights being given her meds. Cannot walk without
> falling down. Sleeps constantly. Trembles almost constantly unless
> warmed by an outside source.
> Test: X-Ray shows no signs of trauma or bone problems.
> Test: Fasting glucose (60-65) and insulin (1.7). Glucose is on the
> low side but insulin is also quite low.
> Treatment: 0.2cc prednisone twice a day for 5 days, no result,
stopped
> this med. 0.3cc prednisolone twice a day for 24 hours so far. No
> improvement.
>
Be aware that low insulin is not proof of no insulinoma. The insulin
secreted by the beta cells during insulinoma is not high constantly,
it is emitted in erratic bursts and a reading at any one point can be
misleading. The general rule is if the glucose is 60 or less at any
time then it is almost certainly insulinoma irrespective of the
insulin reading or of any other clinical signs. If it is between 60
and 80 with walking/standing problems, shivering, staring into space,
sleeping, lethargy and salivating then it is probably insulinoma
irrespective of insulin readings.
See this link for expert info.
http://www.afip.org/ferrets/PDF/insulinoma.pdf
Tony (not a vet), Sugar and Suki.
In memory of Sally and Sue.
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