Time of onset |
- Juvenile mode (childhood-adolescence) but can be diagnosed at any age (usually
< 30-40) |
- Middle aged to older (8 years) |
Etiology |
- Immune mediated
|
- Variable evidence of anti-islet Ab
|
|
- Known genetic predisposition
|
- May be secondary to pancreatitis
|
|
|
- Etiology often not determined (diagnosed at end stage disease) |
|
|
- Genetic predisposition (Keeshond, Min. Schnauzer, Min. Poodle, Beagle) |
Pancreatic Histology |
- Beta cell deficiency
|
- Near complete absence of beta cells in majority of dogs at the time of diagnosis
|
|
- Insulitis (lymphocytic infiltration of islets) in early stages of disease |
- Insulitis is rarely detected |
Clinical
presentation & secondary organ injury |
- Ketosis-prone insulin dependent diabetes mellitus
|
- Ketosis-prone insulin dependent diabetes mellitus
|
|
- Microvascular disease (retinopathy, nephropathy) and atherosclerosis |
- Cataract formation leading to blindness |
|
|
- Rarely: Atherosclerosis |
Therapy |
- Insulin therapy required
|
- Insulin therapy required
|
|
- Dietary management is complementary |
- Dietary management is complementary |