Insulinomas

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                      General Information



An insulinoma is a rare tumor of the pancreas of dogs and cats.

These tumors release large amounts of insulin and cause a severe

decrease in blood sugar (glucose) levels.  Low blood sugar levels

rapidly cause abnormal brain activity, leading to

incoordination, weakness, collapse, muscle twitching,

blindness, depression, extreme hunger and seizures.  The cause

of these tumors is unknown.



                 Important Points in Treatment



1.  Surgical removal of the tumor is the best treatment.  If the

    tumor occupies a large portion of the pancreas, or if it has

    spread to other areas, complete removal may not be possible.



2.  Some patients with inoperable tumors can be maintained in

    reasonable health with dietary therapy and medication.



3.  Inflammation of the pancreas is common after surgery.

    Hospitalization is often necessary for several days after

    surgery.



4.  Blood sugar levels must be monitored closely during both

    medical and surgical treatment.



5.  Give all the medication as directed.  Call the doctor if you

    cannot perform any prescribed treatment.



6.  Diet:  Diet is important in both surgical and non-surgical

    patients.  Feed as follows:





7.  Activity:  Exercise decreases blood sugar levels.  Because

    insulin is still being released by the tumor, blood sugar

    levels may rapidly decrease during and after exercise.

    Allowable exercise includes:





       Notify the Doctor if Any of the Following Occur:



    * Your pet's signs continue or worsen.



    * Your pet refuses to eat.



    * Your pet seems to have abdominal pain.



    * Your pet's general well-being declines.



    * Your pet is depressed or vomits.