TACTICAL APPROACHES TO DIAGNOSIS AND THERAPY OF CATS WITH METABOLIC SYNDROME A.N. MARTYNOV
In the article describes the procedure of the diagnosis of metabolic syndrome in cats. In order to conduct adequate therapy for each patient was determined by body mass index, performed ultrasound and echocardiography, fundoscopy, hematological and biochemical parameters, levels of insulin and fructosamine and content of microalbumin in urine. At intake revealed 100 % of the weight gain or obesity and dysmetabolic nephropathy; the presence of pathology of the hepatobiliary system, and increasing the concentration of triglitstseridov at 95.6 %; High blood glucose levels, the development of hyphema at 4 %; increase in the content of cholesterol in 54.8 % of patients. Criteria to refine diabetes fructosamine levels were more than 365 mmol/l. The aim of therapeutic measures were carried weight loss, speed control of metabolic processes and blood pressure. To influence the pathogenetic links of the pathological process used a comprehensive, non-drug and drug therapy. Of non-drug means integrated diet therapy (Prescription Diet ™ W / D Feline company Hills and Diabetic Feline company Royal Canin) and exercise stress. As a hypoglycemic agent used glyukobay, active principle which is acarbose, a dose of 12.5 mg / cat 2 times a day while taking food; as antihypertensive treatment - the combination of an ACE inhibitor (ramipril 0.125 mg / kg one time a day) and amlodipine 0.625 mg / cat to 1 times per day.At follow-up for three months marked reduction of glucose, cholesterol, triglycerides of fructosamine in the blood; weight loss in cats has averaged 1.2 % per week, getting fed Prescription Diet ™ W / D Feline Hills company and 1.15 % in cats receiving Diabetic Feline company Royal Canin.