Session 5 Therapeutic & Obesity Diabetes Periodntl Dz
Transcript of Session 5 Therapeutic & Obesity Diabetes Periodntl Dz
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Therapeutic Nutritionand
Small Animal Nutritional Diseases I
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Formulated for nutritional management of diagnosed disease conditions in dogs and cats
NOT intended to cure disease conditions
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Disease: any bodily abnormality or failure to function properly, except that resulting directly from physical injury
Acute: having a sudden onset, sharp rise, and short course
Chronic: marked by long duration or frequent recurrence
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Clinical: diagnosable by or based on clinical observations.
Sub-clinical: not detectable by the usual clinical observations.
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Nutrients of concern and other food characteristics that make them useful as a nutritional aid to specific disease management or prevention goals
KNFs are either increased or decreased in therapeutic nutritional formulas based on research
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Adjusted to help bring about desired outcome:
Improve or maintain nutritional status
Correct deficiency Gain or lose weight Rest an organ Avoid specific food ingredient Preventive for predisposition
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Prescription Diet®
(Hill’s Pet Nutrition, Inc.)
Iams Veterinary Diets®
(The Iams Company)
Purina Veterinary Diets™ (Nestlè Purina Petcare Company)
Royal Canin™ Veterinary Diets
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1. Disease 2. Goals 3. KNF4. Products
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Therapeutic Nutrition I
ObesityDiabetes Mellitus
Periodontal Disease
Therapeutic Nutrition II
Acute Care/RecoveryFood Allergies
Canine Osteoarthritis
Therapeutic Nutrition IIIGI Disease
Lower Urinary Tract Disease
Liver Disease
Therapeutic Nutrition IVRenal Disease
Cancer/Neoplasia
Cognitive Dysfunction Syndrome
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Clinical Definition:20% or more over ideal body weight
“Rocky” 7 years, M(N) DSH 20# BCS 5/5(enjoys yoga )
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Domino 106 lbs
Mr. Bojangles, 18 lbs
What Diseases are Associated with Obesity in Dogs and Cats?
Samantha, 13 lbs
Clemmie, 15 lbs
Missy 92 lbs
Gabby
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Reduce weight (slowly in cats)
Increase satiety
Increase lean body tissue
Jesse James 40lbs
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Increased fiber
Decreased energy density/fat
Added carnitine
Jesse James 40lbs
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Primary predisposing factor is OBESITYOBESITY
Amadeus, 26 lbs
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Type 1 Diabetes “Insulin-dependant”lack of insulin production
Type 2 Diabetes
“Non Insulin-Dependant”insulin resistance at the peripheral tissues
Insulin helps move glucose from the
blood circulation into the cell
Pancreas
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1. Stabilize blood glucose & reduce fluctuations
2. Reduce weight – slowlylowly in cats
3. Provide balanced formulation
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High Fiber
Consistent profile
High fiber
Consistent profile
High protein in certain cases
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DM Dietetic Management™
OM Overweight Management™
DCO Diabetes/Colitis Management™Weight Control D Optimum Weight Control Canine
Weight Control D OptimumWeight Control Feline
Prescription Diet® w/d
Prescription Diet® r/d
Prescription Diet® m/d
Diabetic HF 18Calorie Control CC High Fiber
Calorie Control CC High Protein
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Feline Canine
% DMB
Purina DM canned
Hill’sPrescription
Diet m/d canned
Purina DCO
Hill’s Prescription
Diet w/d canned
Protein 56.9 52.8 25.26 17.9
Fat 23.8 19.4 12.41 12.7
Fiber 3.65 6.0 7.63 12.4
Carnitine
mg/dln/a 524 ppm n/a 364 ppm
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Image Source: Dr. Geneva Acor, DVM
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““any pathologic process that affects the any pathologic process that affects the periodontium, i.e. structures that periodontium, i.e. structures that surround and support the tooth surround and support the tooth gingivae, cementum, periodontal gingivae, cementum, periodontal ligament, alveolar bone”ligament, alveolar bone”
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PlaquePlaque
Clear, sticky deposit on tooth Clear, sticky deposit on tooth surface, composed of bacteria and surface, composed of bacteria and salivary glycoproteins. salivary glycoproteins.
GingivitisGingivitis Inflammation of the gingiva (gum
tissue)
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Stain discoloration of the tooth or of tooth discoloration of the tooth or of tooth
accumulated materialsaccumulated materials
Tartar (Calculus)Tartar (Calculus) mineralized plaque that forms a hard
shell on tooth surfaces
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Tartar is visible to pet owners, but…
Bacterial plaque is the most important substrate in the
development of periodontal disease.
It is a major precursor!
*Nutrients, In: Hand, Thatcher, Remillard, Roudebush, ed. Small Animal Clinical Nutrition, 4th Ed. Mark Morris Institute, 2000;483.
www.technicianadvances.com
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o Reduce precursors to plaque buildup
o Provide regular (daily) removal of plaque
o Dental Prophylaxis
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Daily tooth brushing is the most effective method of home dental care
Mechanical removal of plaque and tartar via food
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3 Categories of Dental Care Products
Method PropertiesExamples of Products
Mechanicalfiber enhanced foods/treats;
special texture
Prescription Diet t/d;
Purina DH Dental Health; Greenies; Nylabone
Antibacterialuse Chlorhexidine as
bacteriostatic or bacteriocidal agent
CET Chews & Toothpaste; Nolvosan
Chelating
Use Hexametaphosphate to bind calcium in saliva
to prevent tartar formation
Iam’s Daily Dental Care
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Therapeutic Nutrition II:Acute Care/Recovery
Food AllergiesCanine Osteoarthritis