therapeutic & obesity diabetes periodntl dz

Therapeutic Nutritionand

Small Animal Nutritional Diseases I

Formulated for nutritional management of diagnosed disease conditions in dogs and cats

NOT intended to cure disease conditions

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

Clinical: diagnosable by or based on clinical observations.

Sub-clinical: not detectable by the usual clinical observations.

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

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

Prescription Diet®

(Hill’s Pet Nutrition, Inc.)

Iams Veterinary Diets®

(The Iams Company)

Purina Veterinary Diets™ (Nestlè Purina Petcare Company)

Royal Canin™ Veterinary Diets

1. Disease 2. Goals 3. KNF4. Products

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

Clinical Definition:20% or more over ideal body weight

“Rocky” 7 years, M(N) DSH 20# BCS 5/5(enjoys yoga )

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

Reduce weight (slowly in cats)

Increase satiety

Increase lean body tissue

Jesse James 40lbs

Increased fiber

Decreased energy density/fat

Added carnitine

Jesse James 40lbs

Primary predisposing factor is OBESITYOBESITY

Amadeus, 26 lbs

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

1. Stabilize blood glucose & reduce fluctuations

2. Reduce weight – slowlylowly in cats

3. Provide balanced formulation

High Fiber

Consistent profile

High fiber

Consistent profile

High protein in certain cases

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

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

Image Source: Dr. Geneva Acor, DVM

““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”

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)

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

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

o Reduce precursors to plaque buildup

o Provide regular (daily) removal of plaque

o Dental Prophylaxis

Daily tooth brushing is the most effective method of home dental care

Mechanical removal of plaque and tartar via food

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

Therapeutic Nutrition II:Acute Care/Recovery

Food AllergiesCanine Osteoarthritis