News Dr. Peterson will be lecturing once again at CE and the City later this month. His lecture this year will be "Diagnosis and Management of Subcli

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Dr. Peterson will be lecturing once again at CE and the City later this month. His lecture this year will be "Diagnosis and Management of Subclinical to Mild Hyperthyroidism in Cats." CE and the City takes place from 8am to 6pm at the Westin New York:

The Westin New York Grand Central
212 East 42nd Street
New York NY 10017

Click here to register.

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Dr. Peterson is serving as the Endocrinology Section Editor for the next edition of August's Consultations in Feline Internal Medicine, published by Elsevier and due out early next year.

Topics for his section include management of idiopathic hypercalcemia, the difficult diabetic, clinical remission and survival in diabetes, and use of thyroid hormone supplementation to preserve kidney function in cats treated for hyperthyroidism.

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Upcoming Lectures and Seminars

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CE in the City 2014
New York, New York, April 26, 2014

Topic:
• Diagnosis and management of subclinical to very mild hyperthyroidism in cats

NYS Vet Conf SPRING14lo

Spring New York State Veterinary Conference
Rye Brook, New York, May 17, 2014

Clinical Debate between Drs. Mark E. Peterson and Dennis Chew:

Pitfalls in the diagnosis and treatment of hypercalcemia: interactive case studies

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2014 ACVIM Forum
Nashville, Tennessee, June 4 - 7, 2014

Topics:
• Ultra-low doses of radioiodine are highly effective in restoring euthyroidism without inducing hypothyroidism in most cats with milder forms of hyperthryoidism: 131 cases.
• Advances in feline hyperthyroidism: A strategy to slow progression of concurrent CKD
• Pitfalls and complications in the diagnosis and treatment of thyroid disease in cats

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FDA Approves First Insulin Automatic Injection Pen for Diabetic Dogs and Cats

This Month's Top Post on the Animal Endocrine Blog

VetPen - 2 sizes

The U.S. Food and Drug Administration (FDA) has approved the first insulin injection pen (VetPen, Merck Animal Health) for diabetic cats and dogs, the agency announced today, March 19, 2014 (1).

The VetPen may now be used to administer Vetsulin insulin cartridges, also made by Merck Animal Health. The refillable VetPen automatically measures the prescribed insulin dose and provides the owners of diabetic dogs and cats with an additional option for insulin delivery.

There are two sizes of refillable VetPens. One (tan cap) dispenses insulin doses from 1-16 units per dose in full unit increments. The other (blue cap) dispenses 0.5-8 unit doses in full or half unit increments. Both pens use 2.7 ml insulin cartridges which hold a total of 108 units (IU) of U-40 Vetsulin (or Caninsulin).

Vetsulin is an FDA-approved insulin for use in dogs and cats (2). This insulin is identical to Caninsulin, the brand name of the insulin sold in Europe (3).

Merck said the VetPen is easier to dose and administer and is more accurate than traditional delivery systems, such as syringes and vials (4). “For years, insulin pens have made managing diabetes more convenient for human diabetics,” the company said. “Merck Animal Health has now brought the same technology to veterinary medicine.”

An informational website (2) provides tools for both veterinarians and pet owners to make managing pet diabetes easier. More online information about the VetPen can also be found on the Caninsulin website (5); the Pet Diabetes website has an informational brochure that can be downloaded (6).

Vet Pen

For questions on how to obtain Vetsulin or the VetPen, please contact Merck Animal Health Customer Service at 800-521-5767.

To read this post on our blog, and to review the references used, please click here.

I also answer more questions about the VetPen in a follow-up blog post here.

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Recent Blog Posts

What's the Best Dosage of Desmopressin when Injected Subcutaneously?
What dose do you recommend for this formulation (per patient or per kg)?

Top Endocrine Publications of 2013: Canine Diabetes Mellitus
Listed below are 27 research papers written in 2013 that deal with a variety of topics and issues related primarily to the pathophysiology, diagnosis, monitoring, and treatment of diabetes mellitus in dogs.

Can Twice-Daily Insulin Be Injected at Any Time of the Day?
Despite insulin treatment, the dog remains hyperglycemic and glycosuric and if very thin.

Humulin Versus Novolin NPH Insulin: Are They Bioequivalent?
Any concerns with the ReliOn brand or in switching from Humulin N to Novolin N insulin?

FDA Approves First Insulin Automatic Injection Pen for Diabetic Dogs and Cats
The U.S. Food and Drug Administration (FDA) has approved the first insulin injection pen (VetPen, Merck Animal Health) for diabetic cats and dogs, the agency announced today...

Insulin Injection Pen (VetPen): More Questions (and Answers) about this New Diabetic Product
Do we buy a single VetPen and use it forever? Or does the VetPen have to be replaced after a month or two?

What's the Best Insulin for Treating Dogs with Diabetes Mellitus?
He has always been in good health but over this past week he has had 2 ”accidents” where he has urinated in the bed.

Escalating Costs of Glargine Insulin; Can We Switch to Another Insulin?
Over the last few months, the price of Glargine has skyrocketed to over $250 for a 10-ml vial. The owner would like to switch to a more affordable insulin

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Current Publications

• Peterson ME. Diagnosis and management of iatrogenic hypothyroidism, In: Little SE, ed. August's Consultations in Feline Internal Medicine: Elsevier, 2014 (in press).

• Broome MR, Peterson ME. Treatment of severe, unresponsive, or recurrent hyperthyroidism. In: Little SE, ed. August's Consultations in Feline Internal Medicine: Elsevier, 2014 (in press).

• Broome MR, Peterson ME. Using thyroid hormone supplementation to preserve kidney function in cats with concurrent renal disease after treatment for hyperthyroidism. In: Little SE, ed. August's Consultations in Feline Internal Medicine: Elsevier, 2014 (in press).

• Peterson ME: Advances in the treatment of feline hyperthyroidism: a strategy to slow the progression of CKD. Proceedings of the 2014 American College of Veterinary Internal Medicine (ACVIM) Forum. 2014 (in press).

• Peterson ME: Hyperthyroidism, In: Greco D, Davidson A(eds), Blackwell’s Five-Minute Veterinary Consult Clinical Companion: Small Animal Endocrinology and Reproduction. Ames, Iowa, Wiley-Blackwell. 2014; (in press).

• Peterson ME: The Parathyroid Glands and Disorders of Calcium Metabolism, In: Alello, S (ed), The Merck Veterinary Manual (Ninth Ed), Merial, Ltd (in press).

• Peterson ME: The Thyroid Gland, In: Alello, S (ed), The Merck Veterinary Manual (Ninth Ed), Merial, Ltd (in press).

• Kintzer PP, Peterson ME. Hypoadrenocorticism in dogs. In: Bonagura JD, Twedt DC (eds): Current Veterinary Therapy XV. Philadelphia, Saunders Elsevier, 2014; pp 233-237.

• Kintzer PP, Peterson ME. Differential diagnosis of hyperkalemia and hyponatremia in dogs and cats. In: Bonagura JD, Twedt DC (eds): Current Veterinary Therapy XV. Philadelphia, Saunders Elsevier, 2014; pp. e92- e93. Web Chapter 16 (www.currentveterinarytherapy.com).

• Rosenthal KL, Peterson ME: Hyperadrenocorticism in the ferret. In: Bonagura JD, Twedt DC (eds): Current Veterinary Therapy XV. Philadelphia, Saunders Elsevier, 2014; pp. e94- e97. Web Chapter 17 (www.currentveterinarytherapy.com).

• Peterson ME, Broome MR. Radioiodine for hyperthyroidism. In: Bonagura JD, Twedt DC (eds): Current Veterinary Therapy XV. Philadelphia, Saunders Elsevier, 2014; pp. e112-e122. Web Chapter 21 (www.currentveterinarytherapy.com).

• Meleo KA, Peterson ME. Treatment of insulinoma in the dog, cat, and ferret. In: Bonagura JD, Twedt DC (eds): Current Veterinary Therapy XV. Philadelphia, Saunders Elsevier, 2014; pp. e130-e134. Web Chapter 23 (www.currentveterinarytherapy.com).

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About the Animal Endocrine Clinic

The Animal Endocrine Clinic is the only clinic of its kind in the country that specializes in the diagnosis and treatment of cats and dogs with endocrine disorders. Dr. Peterson has set up two NY clinics (Manhattan and Bedford Hills) to service clients from New York City, Long Island, Westchester County, New Jersey and Connecticut.

This Clinic is separated into three divisions: the Endocrine Clinic, dedicated to diagnosing and treating dogs and cats with endocrine disorders; the Hypurrcat treatment center designed for treating hyperthyroid cats with radioactive iodine (I-131); and Nuclear Imaging for Animals, a state-of-the-art medical imaging facility where we use radioactive tracers to perform nuclear scanning (scintigraphy) for diagnosing of thyroid, bone, liver, and kidney diseases in dogs and cats.

The Animal Endocrine Clinic is a referral-only hospital, and does not offer prophylactic or routine care. We can be reached by phone at (212) 362-2650 or (914) 864-1631; by email at info@animalendocrine.com or on the web at www.animalendocrine.com.

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