The long-term complications of diabetes mellitus
are a result of prolonged hyperglycaemia.
- Diabetic cataract
- Diabetic retinopathy
Due to their shorter life span, diabetic
dogs seem to develop fewer long-term complications than human
diabetics. Obtaining optimal control of blood glucose concentration
helps to prevent the long-term complications of diabetes mellitus.
Diabetic cataract Cataracts are seen far
more commonly in cases of canine diabetes than feline diabetes.
In fact if diabetic dogs are followed for one year or more, almost
all of them will develop cataracts. Excess glucose present
in the lens of the eye due to hyperglycaemia is converted into sorbitol,
which causes an increase in the influx of water into the lens. The
increase in water causes a breakdown of the lens fibres and disruption
of the normal structure. The lens becomes cloudy resulting in loss
of vision, usually in both eyes. Treatment is by surgical
removal of the lens. It is advisable to perform the surgery after
the diabetic dog has been regulated successfully for at least 3
months.
Diabetic retinopathy Very rare complication
of canine diabetes caused by changes in retinal blood vessels. |