Management of spontaneous diabetes mellitus in a companion rat (Rattus norvegicus)

IF 0.5 4区 农林科学 Q4 VETERINARY SCIENCES
Julianne E. McCready , Matthew R. Kornya , Jessica Aymen , Allison E. Dianis , Trinita Barboza
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Abstract

Background

Rats are a common model for diabetes mellitus in humans, but spontaneous diabetes in pet rats has not been described.

Case Description

A 1-year, 5-month-old, intact male domestic rat (Rattus norvegicus) was evaluated for polydipsia and weight loss. Diagnostics revealed glucosuria and hyperglycemia (414 mg/dL; normal 89–165 mg/dL) consistent with diabetes mellitus. Hypercholesteremia and elevated liver enzymes were also noted. Treatment with glipizide (0.5–1 mg/kg, orally, every 12 hours), metformin (50–150 mg/kg, orally, every 12 hours), and intermediate-acting porcine insulin (1–3 units, subcutaneously, every 12 hours) were ineffective at producing normoglycemia. Long-acting glargine insulin (1 unit, subcutaneously, every 12 hours) resulted in improved body weight and longer periods of normoglycemia for 3 months. Eleven months after diagnosis, the rat presented with rapid weight loss and tail necrosis; euthanasia was elected. On histopathology of the pancreas, the few visible islets and lack of amyloid production was considered more consistent with insulin-dependent (type I) diabetes mellitus than insulin-independent (type II). Other necropsy findings included bronchopneumonia, radiculoneuropathy, skeletal muscle necrosis of the tail, and chronic renal disease.

Conclusions and clinical relevance

Although uncommon, diabetes mellitus should be considered in pet rats presenting with polydipsia, polyuria, and weight loss. Insulin therapy may be useful for treatment of diabetes mellitus in pet rats but requires careful monitoring and further evaluation.

伴侣大鼠(褐家鼠)自发性糖尿病的处理
大鼠是人类糖尿病的常见模型,但宠物大鼠的自发性糖尿病尚未被描述。对1岁5个月的雄性褐家鼠(Rattus norvegicus)进行了烦渴和体重下降的评估。诊断为血糖过高(414 mg/dL;正常89-165 mg/dL),符合糖尿病。还注意到高胆固醇血症和肝酶升高。格列吡嗪(0.5-1 mg/kg,口服,每12小时一次)、二甲双胍(50-150 mg/kg,口服,每12小时一次)和中效猪胰岛素(1-3单位,皮下注射,每12小时一次)对产生正常血糖无效。长效甘精胰岛素(1单位,每12小时皮下注射一次)改善了体重,延长了血糖正常的时间,持续了3个月。诊断后11个月,大鼠出现体重迅速下降和尾巴坏死;选择了安乐死。在胰腺组织病理学上,胰岛可见少且淀粉样蛋白缺乏被认为更符合胰岛素依赖型(I型)糖尿病,而非胰岛素依赖型(II型)糖尿病。其他尸检结果包括支气管肺炎、神经根神经病变、尾部骨骼肌坏死和慢性肾病。结论及临床意义虽然不常见,但出现多饮、多尿和体重减轻的宠物大鼠应考虑糖尿病。胰岛素治疗可能对治疗宠物大鼠糖尿病有用,但需要仔细监测和进一步评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Exotic Pet Medicine
Journal of Exotic Pet Medicine 农林科学-兽医学
CiteScore
1.20
自引率
0.00%
发文量
65
审稿时长
60 days
期刊介绍: The Journal of Exotic Pet Medicine provides clinicians with a convenient, comprehensive, "must have" resource to enhance and elevate their expertise with exotic pet medicine. Each issue contains wide ranging peer-reviewed articles that cover many of the current and novel topics important to clinicians caring for exotic pets. Diagnostic challenges, consensus articles and selected review articles are also included to help keep veterinarians up to date on issues affecting their practice. In addition, the Journal of Exotic Pet Medicine serves as the official publication of both the Association of Exotic Mammal Veterinarians (AEMV) and the European Association of Avian Veterinarians (EAAV). The Journal of Exotic Pet Medicine is the most complete resource for practitioners who treat exotic pets.
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