110 Mother’s Day Gifts

So last week my sweet little 7 month old puppies brought me the sweetest gift: half a rat. They had been playing at our ranch in East Texas, and FINALLY caught a rat (or large mouse), and were fighting over the back half. I assume they ate the front half. When I told them to “drop it”, they did so and were so proud. I gave them each a big treat for killing a rodent. Rodent extermination is their chief terrier job description.

We have to remember that our four legged children do some genetically hardwired traits to do certain things. Labradors retrieve. Shelties herd. Pointers point birds. Huskies pull. Greyhounds run. Cats will catch mice & birds and even small snakes. It is a beautiful thing to see God’s creatures do what there were designed to do.

But if your cat brings you a ‘”gift” of a snake or your terrier “gifts” you with half a rat, you should praise them, reward them, THEN throw it away.

108 Car vs Cat (or dog) Anatomy Lesson

Many of you know that my husband and I “do” old cars, specifically Model A Fords. Built by Henry Ford in 1928, 29, 30, &31, they are classic, fun to drive, and so simple to work on. And we work on them a lot. So I know a little bit about “car anatomy” of these classic cars, which are way less complicated than today’s computerized monstrosities. As a result of this hobby, I find myself using car analogies when I talk to clients about their pets. For example, for lameness, I look at the toe nails like I would tire tread to look for odd wear patterns.

Body systems of Cars and Animals:

Dermal system– This is obviously the painted sheet metal. Some car owners get really fussy about their paint job. Others just want it not to rust too badly. We even call rust spots “cancer”. So it needs some care like washing and waxing. “Wax on, wax off”, kind of like a cat licking itself or bathing a dog. Fortunately for pets, their skin heals on its own. Hail damage or a dented sheet metal doesn’t heal itself. Fortunately for cars, there aren’t “car fleas”. I think of the tires like feet with sneakers on, or maybe more like stiletto heels when we use those skinny tires with tubes. And if the tires aren’t aligned right, we call it “toeing in “or “toeing out”. Imagine the way a bull dog walks “toe in”, or a dachshund with crooked legs walks “toe out”.

Skeletal system– The frame (or chassis) is like an animal’s bones which support the rest of the car body (unlike today’s “unibody” cars). The “joints” of a car are very like out joints- they need lubrication and can wear out. Car joints can be replaced, but then so can some dog joints. We give the cars a shot of grease when they get creaky and we give pain medicine to arthritic dog. And the steering and braking were all mechanical back in the 30s, so you have to really stomp on those brakes, and your arms can get tired after fighting that steering wheel after a long day’s drive. Fatigued and broken metal frames can be welded instead of pinned or cast in plaster. Actually, many Model A bodies are partially wood instead of all metal.

Circulatory system (heart & blood)– This would be the engine with oil and coolant. The radiator would be like the capillaries & sweat glands in the skin to help cooling, (dogs and cat don’t really “sweat” through their skin), but they do pant or radiate on their foot pads, nose & ears. Standard Model As do not have a pressurized coolant system, and you can actually read the engine temp on the thermometer that looks like hood ornament on the radiator cap. I wish cats had a pop out thermometer so I wouldn’t have to take it rectally. Sometimes when I see an anemic dog, I say they are a “quart low. “ And I often compare a spleen to an oil filter, because it filters blood.

Respiratory system– The nose would be like intake manifold, the lungs are like the carburetors because Model As are air-aspirated (no fuel injection back in 1930). The carburetor mixes the air with the gasoline and feeds it to the engine. This is really important when we go into the mountains where the air is thinner. At least we can manually” adjust” the carburetor, unlike a dog or cat. They just breathe harder until their bodies adjust to the altitude. One different is a dog bark or cat meow is air driven, while the famous “ahooga” horn is purely electrical. Low voltage car, sad sounding horn.

Gastrointestinal system– This is where the fuel goes, but gas instead of kibble. Buy crummy gas, have poor running car. So I guess the muffler is “you know what”. I don’t know of any “prescription” fuels, but they definitely come in different grades based on Octane. My husband, in the petroleum industry, swears all “gasoline” is the same, but the additive packages in different brands make a huge difference on the lifetime of an engine, which makes him a gas “snob”, just like some pet owners are with pet food labels. Back in 1930, these cars could run on just about anything, even moonshine. Some dogs and cats seem to get by with low quality food, where others need the expensive stuff.

Nervous system (brain & spinal nerves)– the electrical system. Now in the stock Model A, you find a 6 V system instead of 12V. Many of us have upgraded to a more standard and more powerful 12V, so we have brighter lights, modern batteries and alternators. No computers or fancy sensors back in 1930. You get a mechanical “speedo” with odometer, a fuel gauge that floats in the tank and points vaguely to your level (located just behind the engine basically over your lap), and a dash light bulb that you have to turn on to use. Does that make the headlights like eyes? I often compare the eye’s cornea to a windshield and the eyelids to windshield washers. Model A don’t have windshield washing systems, with solutions. We get out and wash them by hand, and use a lot of Rainex.
For electrical things to work right, those wires have to be intact, no electrical shorts. Kind of like a dachshund that is down in the back. And if you pull the master fuse on a Model A, it is like a dog fainting. No signals going anywhere. I don’t think cars “seizure”, but when they sputter, it sure feels like it.
Cars can “store” electrical energy in the battery. Dogs and cats store biochemical energy in their fat. Some store a lot more than others.

Endocrine and Immune systems– I read in on a woman’s auto repair site, that modern on-board computers and sensors are the like endocrine and immune systems. I am sure glad dogs and cats have them, but there is nothing like that in an old Model A. We rely on traveling in groups to help when we have “unscheduled roadside seminars” (aka breakdowns). Imagine a hyperactive Cabriolet with hyperthyroidism, or a sluggish Phaeton with hypothryoidism! A diabetic Woody Station Wagon? What about a moody Coupe “in heat”? But it sure would be handy to leave two cars in the garage together, and come back to find a little baby Roadster!

Come out the Pate Car Swap Meet this weekend (April 25-17, 2019) at Texas Motor Speedway to see the shrine of the rusty old car part and classic automobile. Admission is free, but parking is $5. And yes, my husband will be there, working for the Model A Club. AAhhooogggaaaa!
See you down the road.

106 Easter Toxins

The ASPCA has put out their list of the top 5 Easter Toxins. Let’s be careful out there this Easter Weekend!

Chocolate– we all know chocolate is “bad”, but it does depend on the type of chocolate and the size of the dog. Check out the  chocolate calculator link. So if my little 16# terrier ate 2 oz of dark chocolate, it is WAY worse than 2 oz of milk chocolate. Did you know white chocolate isn’t toxic?

Lilies– Keep cats away from Easter lilies, even their leaves and vase water. See the link for the types of “true” lilies.

Easter grass– this plastic stuff isn’t digestible and clogs up intestines. Be super careful if you use it in Easter baskets where it might get food smells on it.

Table food– Many of us will make special holiday foods like ham or brisket. They can be fatty and very rich for our pets, so only tiny amounts if you must share. And I have a picture of peeps on this blog, but peeps aren’t toxic. I just love the photo of rabbit peep getting neutered.

Herbicides– gardeners will often be using herbicides in the spring, so follow the directions, especially if you have pets. Most are safe when dried.

https://www.aspcapro.org/resource/shelter-health-poison-control/top-5-easter-toxins

103 The Top 10 Animal Toxins of 2018

National Poison Prevention Week- March 17-23, 2019.

It’s that time of year when the ASPCA Animal Poison Control Center examines its data and releases the Top 10 categories of toxins pets come in contact with each year. The data was gathered from about 213,773 cases of potential animal poisonings examined by the APCC in 2018.
Here are the top 10 toxins, beginning with the category which caused the most calls to APCC toxicologists.

1) OTC Medications:
Over-the-counter medications were the most common group of toxicants pets ingested this year. This is a varied group of medications including items such as vitamins, OTC pain medications (acetaminophen, ibuprofen and naproxen), herbal supplements, antihistamines and cold and flu medications. Ingestion of OTC medications are usually accidental, but I have seen owners give too much aspirin for pain, over several days. Last year this was #2, after human prescriptions.

2) Human Prescriptions:
Medications prescribed for people dropped to number two this year. ADHD medications, antidepressants and heart medications make up a significant amount of these cases, which is typically what I have seen, along with birth control and topical hormones. Remember to keep all medications out of reach of pets.

3) Food:
Food is number 3. Xylitol, grapes and raisins, and onions and garlic make up most of these cases. Xylitol is one that I worry about because it is in many sugar free gums, and not harmful for people. Who knew gum could be toxic?

4) Chocolate:
Chocolate moved up another spot from last year! The popularity of chocolate gifts for occasions like Christmas, Valentine’s Day and Easter adds to the danger. If your pet has eaten some chocolate, call us or the poison control center. We have a calculator to determine if the amount and type of chocolate is enough to be toxic. (Dark chocolate is stronger and more toxic)

5) Veterinary Products:
Chewable medications and misread labels are a big reason pets run into trouble with veterinary products. I have had more than one patient eat six months of heartworm prevention at a time. Those are expensive dog “treats.” Make sure to read the prescription labels and keep the containers safe. Just because it is childproof doesn’t mean it is dog proof.

6) Household Items:
This group includes cleaning products, moth balls, batteries, detergents, cigarettes, and alcohol. Or maybe alcohol should be food?

7) Rodenticides:
Rodenticide exposure is increased from last year. Unfortunately pets, along with rodents, find baits very tasty. We had a patient die this winter after eating rat bait from a bait station. While anticoagulants and bromethalin baits are still available, cholecalciferol baits made a comeback this year. Rats are tough.

8) Insecticides:
Insecticide exposure cases decreased for the second year in a row . Insecticides includes items such as ant baits, bug sprays and yard products. Ant baits use attractants like peanut butter which unfortunately attract pets as well as ants. I don’t see nearly as many insecticide toxicities as I used to. Thank goodness.

9) Plants:
Plants remained in ninth place. Indoor and outdoor plants as well as prepared bouquets can present major problems. The APCC app has lots of helpful information regarding plant exposures as well as other toxins. Would this include marijuana and edibles? I expect to see more therapeutic uses of CBD oil for humans and pets, which seems to have low toxicity.

10) Garden Products:
Garden products still came in last. Fertilizer, bone meal and compost are all garden products many dogs find irresistible. Many pet owners call about herbicides like Roundup, but they usually aren’t tasty, even though we commonly use them in pet areas like yards.

102 Local Emergency Pet Clinics

The Flower Mound Emergency Pet Clinic and the North Texas Emergency Pet Clinic have both been purchased by an outstanding veterinary corporation, Southern Veterinary Partners. These two local emergency clinics were started by local vets who pooled together as shareholders to start the corporation to build and manage them. I have been a shareholder of the NTEPC almost since the beginning in the 90s, and with the FMEPC since it was built in the 2000s. This now means I am not a shareholder in these 2 clinics, but I still highly recommend them to my clients. If my puppies or Sarge were to get sick at night or on a weekend, I would take them there.

Being purchased by a large vet corporation has many positives, especially for an emergency clinic. They have greater success in finding emergency specialist vets and nurses, and usually offer more benefits than a small practice can offer. They have better purchasing power for medicines and equipment. I expect great things to happen at our two local emergency clinics.

The other local emergency hospital is the Center for Veterinary Specialty and Emergency Care, which is a large full service hospital with day specialists in neurology, neurosurgery, and internal medicine. It is conveniently located in south Lewisvlle, just off 121 tollway, near Costco. They have an outstanding reputation also and are open 24 hours. I have referred neurology and daytime emergency patients there since it opened a few years ago.

We are very fortunate here in Lewisville to have 3 great options for our pet emergencies. Just like the numerous small and large emergency clinics for humans, it is great to have choices.

97 Your pet might need a teeth cleaning – Jan 31, 2019

February is National Pet Dental Health Month, again.

In the great tradition of Jeff Foxworthy, let’s play …… “Your pet might need a teeth cleaning”
1. If your dog’s mouth smells worse than his butt…
2. If you smell your dog before you see him…
3. If your dog pants in your face and your eyes water…
4. If you have to feed canned food because she can’t eat kibble anymore….
5. If his pillow is wet in the morning from drool…
6. If the edges of the sofa are stained with blood from her rubbing her mouth on it…
7. If she flinches when you pet her face…
8. And last – If you have to chew your pets food for him…

Actually, these are examples of oral and gum disease gone WAY past needing a “just a cleaning. “

Let us help BEFORE it gets that bad.

February is National Pet Dental Health Month. Here at Garden Ridge Animal Hospital, we offer 15% off dental cleaning procedures during February. All animals will have pre-anesthetic bloodwork, be fully anesthetized, monitored, and on fluids during the ~30-45 minute procedure. The entire mouth will be fully examined, probed, cleaned, polished & fluoride treatment applied. If we find problems like teeth that need extractions or oral masses, you will get a phone call with a plan. It is a “day” anesthetic procedure, and they don’t stay overnight. We don’t perform dental radiographs, but if they are indicated, we will refer your pet to the local veterinary board certified dentist.

Test Yourself!
How much do you know about your pet’s dental health? Take this quiz to find out.

For more information:
https://www.avma.org/public/PetCare/Pages/Pet-Dental-Care.aspx
Periodontal youtube video by AVMA

95 The Truth about Pet Insurance

One in three pets will need unexpected veterinary care each year. Wouldn’t it be great if there were Pet Health Insurance?

There really is a pet insurance industry, and it works much more efficiently than human health insurance. I think of it more like car insurance or property insurance. You enroll online; no exam need, pick a plan and deductible, and pay a monthly fee. Most plans reimburse at 80-90%, after a deductible. This switches pet medical expenses to a planned monthly budget item.

We all know that veterinary expenses can add up, especially if your pet has an emergency (like gets into rat poison or in a dog fight), or even a chronic problem (like skin allergies, frequent ear infections or thyroid problems), or gets cancer. No company covers preexisting conditions. So I usually suggest signing up when the pets are puppies or kittens. I just looked up the price for my little terrier puppy on Pet Plan, and it was about $30/month. So the insurance pays off if I have a vet bills over $360 after my deductible (not including routine vaccination or heartworm prevention on most plans).

As a veterinarian, I don’t get a commission on recommending pet insurance. The reason I recommend it because those insured pets usually get better care in the long run because the cost isn’t as big an issue. Our staff members have carried pet insurance before, and one nurse used it to have her beloved pit bull treated TWICE for two cancers with expensive radiation & new chemotherapy. She used Pets Best, so I have recommended that company for years.

AAHA has recently partnered with a different pet insurance company called Pet Plan. They have done their research, and picked this company. They cover injuries and illnesses, hereditary and chronic conditions, prescription medications, specialist treatments, imaging (x-rays, MRI, CT scan and ultrasound), and even alternative therapies. Reimbursement is as easy as submitting their claim form on your smartphone. You choose your maximum annual coverage (2500 to unlimited), your deductible (from $100 to $2500), and your reimbursement (70%, 80%, or 90%). You can go online to GoPetplan.com/AAHA to get a free quote, and get a 10% discount using the promo code “AAHA”.

Ask yourself:
1) Would it be comforting to know I have help managing my veterinary costs?
2) Could I handle an expensive veterinary bill without some financial cushion?
3) Would I pay almost any amount to care for my pet?

I suggest checking out several insurance providers before selecting a plan. PetPlan, Pets Best, ASPCA Pet Health, Nationwide, Trupanion are the ones I have seen my clients use.

You can decide for yourself it pet insurance makes sense (and saves you cents in the long run) or gives you peace of mind.

88 Holiday Blues and Pets

Much has been written about the depression many people feel about this time of year. Most people recognize that the first Thanksgiving and Christmas after a family member has passed will be rough, filled with moments of sadness instead of joy. “Pet Parents” often consider family pets as  family members  and so  may experience similar grieving.

Some pet owners will be the newly grieving. Right now, we are experiencing the usual late fall/early winter euthanasia season. This happens around the first cold snap, for older pets with severe arthritis or house soiling problems. In mild weather, the management is tolerable, but when it is freezing outside, the burden and suffering is too great.

Some pet owners will experience depression now even though the pet passed months or years ago. Last year,  Fluffy’s stocking was put in the holiday decorations box in the attic with no thought it would be the last Christmas. Opening up that box will be hard this year, and for years to come.

For other owners, the sadness of knowing their beloved pet is declining and that this might be their last Christmas will be a cause of much sadness. For me, the toughest Christmas was the last one with my little Pekinese , a month before she passed. We knew she was failing, had a mass in her chest, and wouldn’t be with us long. I wanted to make it special for her, but she didn’t feel much joy. I am sure some families with members in hospice have a similar experience.

This year, we have new joy in our household. My granddaughter is 9 months old, and a smiles at me every time I see her. And we have 2 new little terrier mix puppies that are a delightful challenge. But at least the puppies will grow out of this “diaper” phase quicker than my granddaughter. They are coming to work every day with me for training. If you come by, ask to see the puppies! They need socialization with lots of people.

https://www.psychologytoday.com/us/blog/the-truisms-wellness/201608/why-losing-pet-hurts-so-much
https://www.griefhealingblog.com/2014/05/pet-loss-is-it-different-kind-of-grief.html
http://theconversation.com/why-losing-a-dog-can-be-harder-than-losing-a-relative-or-friend-68207
https://www.washingtonpost.com/national/health-science/the-death-of-pet-can-hurt-as-much-as-the-loss-of-a-relative/2012/02/21/gIQALXTXcS_story.html?noredirect=on&utm_term=.ebee72896b6e
https://thepetlosscenter.com/

87 Thanksgiving Pet Safety

This is straight from the AVMA website.

Thanksgiving is a special holiday that brings together family and friends, but it also can carry some hazards for pets. Holiday food needs to be kept away from pets, and pet owners who travel need to either transport their pets safely or find safe accommodations for them at home. Follow these tips to keep your pets healthy and safe during the holiday.

Poison Risks
Overindulging in the family feast can be unhealthy for humans, but even worse for pets: Fatty foods are hard for animals to digest. Poultry bones can damage your pet’s digestive tract. And holiday sweets can contain ingredients that are poisonous to pets.
Keep the feast on the table—not under it. Eating turkey or turkey skin – sometimes even a small amount – can cause a life-threatening condition in pets known as pancreatitis. Fatty foods are hard for animals to digest, and many foods that are healthy for people are poisonous to pets – including onions, raisins and grapes. If you want to share a Thanksgiving treat with your pet, make or buy a treat that is made just for them.
No pie or other desserts for your pooch. Chocolate can be harmful for pets, even though many dogs find it tempting and will sniff it out and eat it. The artificial sweetener called xylitol – commonly used in gum and sugar-free baked goods – also can be deadly if consumed by dogs or cats.
Yeast dough can cause problems for pets, including painful gas and potentially dangerous bloating.
Put the trash away where your pets can’t find it. A turkey carcass sitting out on the carving table, or left in a trash container that is open or easily opened, could be deadly to your family pet. Dispose of turkey carcasses and bones – and anything used to wrap or tie the meat, such as strings, bags and packaging – in a covered, tightly secured trash bag placed in a closed trash container outdoors (or behind a closed, locked door).
Be careful with decorative plants. Don’t forget that some flowers and festive plants can be toxic to pets. These include amaryllis, Baby’s Breath, Sweet William, some ferns, hydrangeas and more. The ASPCA offers lists of plants that are toxic to both dogs and cats, but the safest route is simply to keep your pets away from all plants and table decorations.
Quick action can save lives. If you believe your pet has been poisoned or eaten something it shouldn’t have, call your veterinarian or local veterinary emergency clinic immediately. You may also want to call the ASPCA Poison Control Hotline: 888-426-4435. Signs of pet distress include: sudden changes in behavior, depression, pain, vomiting, or diarrhea. Contact your veterinarian immediately.

Precautions for Parties
If you’re hosting a party or overnight visitors, plan ahead to keep your pets safe and make the experience less stressful for everyone.
Visitors can upset your pets. Some pets are shy or excitable around new people or in crowds, and Thanksgiving often means many visitors at once and higher-than-usual noise and activity levels. If you know your dog or cat is nervous when people visit your home, put him/her in another room or a crate with a favorite toy. This will reduce the emotional stress on your pet and protect your guests from possible injury. If your pet is particularly upset by houseguests, talk to your veterinarian about possible solutions to this common problem.
Learn about dog bite prevention.
. If any of your guests have compromised immune systems (due to pregnancy, some diseases, or medications or treatments that suppress the immune system), make sure they’re aware of the pets (especially exotic pets) in your home so they can take extra precautions to protect themselves.
. If you have exotic pets, remember that some people are uncomfortable around them and that these pets may be more easily stressed by the festivities. Keep exotic pets safely away from the hubbub of the holiday.
Watch the exits. Even if your pets are comfortable around guests, make sure you watch them closely, especially when people are entering or leaving your home. While you’re welcoming hungry guests and collecting coats, a four-legged family member may make a break for it out the door and become lost.
Identification tags and microchips reunite families. Make sure your pet has proper identification with your current contact information – particularly a microchip with up-to-date, registered information. That way, if they do sneak out, they’re more likely to be returned to you. If your pet isn’t already microchipped, talk to your veterinarian about the benefits of this simple procedure.
• Watch your pets around festive decorations. Special holiday displays or candles are attractive to pets as well as people. Never leave a pet alone in an area with a lit candle; it could result in a fire. And pine cones, needles and other decorations can cause intestinal blockages or even perforate an animal’s intestine if eaten.

Travel Concerns
Whether you take your pets with you or leave them behind, take these precautions to safeguard them when traveling over the Thanksgiving holiday or at any other time of the year.
Your pet needs a health certificate from your veterinarian if you’re traveling across state lines or international borders, whether by air or car. Learn the requirements for any states you will visit or pass through, and schedule an appointment with your veterinarian to get the needed certificate within the timeframes required by those states.
Never leave pets alone in vehicles, even for a short time, regardless of the weather.
Pets should always be safely restrained in vehicles. This means using a secure harness or a carrier, placed in a location clear of airbags. This helps protect your pets if you brake or swerve suddenly, or get in an accident; keeps them away from potentially poisonous food or other items you are transporting; prevents them from causing dangerous distractions for the driver; and can prevent small animals from getting trapped in small spaces. Never transport your pet in the bed of a truck.
Talk with your veterinarian if you’re traveling by air and considering bringing your pet with you. Air travel can put pets at risk, especially short-nosed dogs. Your veterinarian is the best person to advise you regarding your own pet’s ability to travel.
Pack for your pet as well as yourself if you’re going to travel together. In addition to your pet’s food and medications, this includes bringing medical records, information to help identify your pet if it becomes lost, first aid supplies, and other items. Refer to our Traveling with Your Pet FAQ for a more complete list.
Are you considering boarding your dog while you travel? Talk with your veterinarian to find out how best to protect your pet from canine flu and other contagious diseases, and to make sure your pet is up-to-date on vaccines.

Food Safety
Don’t forget to protect your family and loved ones from foodborne illnesses while cooking your Thanksgiving meal. Hand washing, and safe food handling and preparation, are important to make sure your holiday is a happy one. The U.S. Department of Agriculture offers tips for handling, thawing and cooking turkey, as well as saving your leftovers.

85 November is Pet Diabetes Month

Most pet owners are surprised when I tell then their overweight dog or cat is at increased for diabetes, just like a human. It never occurred to them that pets get this blood sugar disease too, but it affects 1 in 100 to 1 in 500 pets. That is why I am talking about Diabetes during Pet Diabetes Month.
Just like humans, the disease is a relative lack of insulin in the body, which is needed for the cells to take in glucose, which leads to high levels of glucose in the blood. We can see both Type 1 (insulin dependent), and Type 2 (non- insulin dependent) in pets, but most of the time by the time I diagnosis it, insulin in the only treatment. And most pets need the twice a day “shots”.

The most common symptoms that I see in practice are increased thirst and urine output, increased appetite with weight loss, or lethargy. Often the owner just thinks their cat or dog has a urinary tract infection or incontinence because they are having urine accidents in the house. Occasionally, I notice that a middle age dog has cataracts developing.
Diabetes has to be treated with insulin injections, usually twice a day, for dogs and cats. This is not fun, but most pets tolerate the tiny needles better than the owners. The other big downsides are the cost, and being tied into a set schedule which makes it challenging for boarding or pet sitters. Rarely, I have a cat that can be managed on pills, or diet alone.

Long term complications include urinary tract infections, diabetic crises of glucose too high or too low, cataracts, suppressed immune function, and slow healing. We seldom see the neuropathy and amputations that affect humans.

The best prevention for pet diabetes is maintaining a normal weight, avoiding obesity, staying active, and avoiding pancreatitis (often secondary to high fatty food). Some researchers are concerned that high carbohydrate diets could be a contributing factor, but a low carb diet is certainly part of the management while on insulin.

(This is a mostly a repeat that I wrote last November, but you might have missed it then. Diabetes hasn’t changed much in a year. )

https://www.avma.org/public/PetCare/Pages/Diabetes-in-Pets.aspx

https://catfriendly.com/feline-diseases/diabetes/

http://www.pethealthnetwork.com/dog-health/dog-diseases-conditions-a-z/november-national-pet-diabetes-month