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Diabetes in dogs : ウィキペディア英語版
Diabetes in dogs

Diabetes mellitus is a disease in which the beta cells of the endocrine pancreas either stop producing insulin or can no longer produce it in enough quantity for the body's needs. The condition is commonly divided into two types, depending on the origin of the condition: Type 1 diabetes, sometimes called "juvenile diabetes", is caused by destruction of the beta cells of the pancreas. The condition is also referred to as insulin-dependent diabetes, meaning exogenous insulin injections must replace the insulin the pancreas is no longer capable of producing for the body's needs. Dogs have insulin-dependent, or Type 1, diabetes; research finds no Type 2 diabetes in dogs.〔 (PDF)〕 Because of this, there is no possibility the permanently damaged pancreatic beta cells could re-activate to engender a remission as may be possible with some feline diabetes cases, where the primary type of diabetes is Type 2.〔 There is another less common form of diabetes, diabetes insipidus, which is a condition of insufficient antidiuretic hormone or resistance to it.〔(【引用サイトリンク】title=Diabetes Insipidus )〕〔(【引用サイトリンク】title=Diabetes Insipidus )
This most common form of diabetes strikes 1 in 500 dogs.〔
〕 The condition is treatable and need not shorten the animal's life span or interfere with quality of life. If left untreated, the condition can lead to cataracts, increasing weakness in the legs (neuropathy), malnutrition, ketoacidosis, dehydration, and death.〔(【引用サイトリンク】title=Diabetic neuropathy )〕 Diabetes mainly affects middle-age and older dogs, but there are juvenile cases.〔〔 (PDF)〕 The typical canine diabetes patient is middle-age, female, and overweight at diagnosis.
The number of dogs diagnosed with diabetes mellitus has increased three-fold in thirty years. In survival rates from almost the same time, only 50% survived the first 60 days after diagnosis and went on to be successfully treated at home. Currently, diabetic dogs receiving treatment have the same expected lifespan as non-diabetic dogs of the same age and gender.
==Classification and causes==

At present, there is no international standard classification of diabetes in dogs.〔 Commonly used terms are:
*Insulin deficiency diabetes or primary diabetes, which refers to the destruction of the beta cells of the pancreas and their inability to produce insulin.〔〔(【引用サイトリンク】title=Canine Etiology )
*Insulin resistance diabetes or secondary diabetes, which describes the resistance to insulin caused by other medical conditions or by hormonal drugs.〔〔
While the occurrence of beta cell destruction is known, all of the processes behind it are not. Canine primary diabetes mirrors Type 1 human diabetes in the inability to produce insulin and the need for exogenous replacement of it, but the target of canine diabetes autoantibodies has yet to be identified. Breed and treatment studies have been able to provide some evidence of a genetic connection. Studies have furnished evidence that canine diabetes has a seasonal connection not unlike its human Type 1 diabetes counterpart, and a "lifestyle" factor, with pancreatitis being a clear cause.〔 This evidence suggests that the disease in dogs has some environmental and dietary factors involved.〔
Secondary diabetes may be caused by use of steroid medications, the hormones of estrus, acromegaly, (spaying can resolve the diabetes), pregnancy, or other medical conditions such as Cushing's disease.〔 In such cases, it may be possible to treat the primary medical problem and revert the animal to non-diabetic status.〔〔(【引用サイトリンク】title=Hormones Which Raise or Lower Blood Glucose )〕 Returning to non-diabetic status depends on the amount of damage the pancreatic insulin-producing beta cells have sustained.〔
It happens rarely, but it is possible for a pancreatitis attack to activate the endocrine portion of the organ back into being capable of producing insulin once again in dogs. It is possible for acute pancreatitis to cause a temporary, or transient diabetes, most likely due to damage to the endocrine portion's beta cells.〔 Insulin resistance that can follow a pancreatitis attack may last for some time thereafter. Pancreatitis can damage the endocrine pancreas to the point where the diabetes is permanent.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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