tag:blogger.com,1999:blog-5544157836021393615.post8753092529610029113..comments2008-07-04T10:20:16.852-04:00TorontoVethttp://www.blogger.com/profile/15616609490455384195canadian.vet.art@gmail.comBlogger5125tag:blogger.com,1999:blog-5544157836021393615.post-29156626731168939272008-07-04T06:38:00.000-04:002008-07-04T06:38:00.000-04:00Yes, really a good photo !Françoishttp://vetblog.blogspirit.com/noreply@blogger.comtag:blogger.com,1999:blog-5544157836021393615.post-82922164461437887932008-06-29T11:27:00.000-04:002008-06-29T11:27:00.000-04:00Domo arigato!<BR/>Thank you for the comment.TorontoVethttp://www.blogger.com/profile/15616609490455384195noreply@blogger.comtag:blogger.com,1999:blog-5544157836021393615.post-11312594525090129792008-06-29T06:21:00.000-04:002008-06-29T06:21:00.000-04:00Nice to meet you.<BR/>It is nice blog!<BR/>Veterinaria in Japan.stary vethttp://vet.ameblo.jp/noreply@blogger.comtag:blogger.com,1999:blog-5544157836021393615.post-6645057501459401852008-06-14T03:36:00.000-04:002008-06-14T03:36:00.000-04:00Gaya,<BR/><BR/>I'm very sorry to hear this. It sounds like her elevations in kidney values are PRE-renal as opposed to renal. Both Cushing's and diabetes can both decrease urine specific gravity, so the mildly elevated (I'd need to know actual numbers) and likely low urine specific gravity may NOT necessarily mean decreased kidney function.<BR/>However, renal insufficiency is still certainly a possibility. Her Cushing's and diabetes both need to be treated and then her renal values reassessed. It may take some control before we see the numbers drop (if her kidneys are indeed ok). <BR/>Consider the "newer" drug trilostane for her Cushing's and insulin for her diabetes. Her insulin requirements may decrease as her Cushing's is treated.<BR/>A blood pressure check is recommended in all Cushing's patients as they often have high blood pressure (hypertension).<BR/>Continue to e-mail me at: canadian.vet.art@gmail.com for any other concerns.<BR/><BR/>Try not to wait too long before you start treating her. Good luck and say hi to Shandy for me.TorontoVethttp://www.blogger.com/profile/15616609490455384195noreply@blogger.comtag:blogger.com,1999:blog-5544157836021393615.post-41760732189028259042008-06-14T00:21:00.000-04:002008-06-14T00:21:00.000-04:00Shandy has just been diagnosed with Cushing's, Diabetes and kidney disease. I'm very concerned with the kidney disease. What does this usually mean for a dog? I know that the abnormal results don't show up until 70-75% damage has been donet to the kidneys...her values aren't far above the norm, just slightly, but it's obviously a serious problem. Is diet the only thing that can be adjusted? I expected the Cushing's, and even the Diabetes, but not the kidney problem. Hate to bother you with this, but I just feel a little lost. <BR/>-- GayaGayahttp://www.blogger.com/profile/11121615297304569631noreply@blogger.com