Monitoring of Kidney Functions is a MUST!!!
During our previous post, regarding “Elevations in Sex Hormones in Dogs with SARDs”, we had briefly mentioned that Oscar was exhibiting issues with his blood-pressure and kidney functions.
During Oscar’s August examination, these were his critical statistics:
- Blood Pressure — 227/13x
- Urine Protein – 37.0 mg/dL
- Urine Creatinine — 39.9 mg/dL
- Ratio – 0.9
- Microalbuminuria — 20.0 mg/dL
- Triglyceride — 2180.0 mg/dL
Because the high blood-pressure was taxing Oscar’s adrenal system, our local veterinarian, Dr. Matsuura, having consulted Dr. Grozdanic, immediately placed Oscar on a prescription of enalapril to reduce high blood-pressure. Additionally, Oscar was prohibited from exercising on his new treadmill because the exercise would induce an even higher blood-pressure.
Because the high blood-pressure was an immediate threat to Oscar’s health, his prednisone therapy, which was prescribed to reduce a general auto-immune response, was immediately halted.
We realized that Oscar’s excessive weight, caused by SARDs, was contributing to the high blood-pressure as well. However, because we now had no way to exercise Oscar to good health, as he was prohibited from exercising on the treatmill, we needed to find an alternate method of treating him.
With physical exercise not being a suitable option, and a medical prescription already in place, our last option was to change Oscar’s diet.
Dr. Grozdanic suggested that we contact U.C. Davis Veterinary Nutrition Services to seek their guidance on the course of treatment for Oscar addressing a specific renal diet.
Following his advice, we contacted U.C. Davis and went through the necessary steps to acquire a customized diet for Oscar. The information for this process can be found at this link: Working with U.C. Davis Nutrition Support Services.
However, here is a brief summary of the necessary steps:
- We completed a medical and diet history for Oscar and forwarded it to our vet, Dr. Matsuura.
- Dr. Matsuura had to complete a separate medical history form.
- Dr. Matsuura had to include Oscar’s latest lab work: blood tests, urinalysis, and blood-pressure.
- Dr. Matsuura submitted all of the paperwork to U.C. Davis.
U.C. Davis will not work directly with any patient-clients, unless you have previously visited a veterinarian at U.C. Davis. Because we had no established patient-client relationship with U.C. Davis, we had to go through our veterinarian as the intermediary.
Although the steps seem complicated, it is, in fact, quite easy. After the necessary forms were submitted, U.C. Davis responded within three (3) weeks and formulated a custom diet for Oscar based on his past and existing medical condition.
Because the diet is specific to Oscar’s condition, we will not be posting the custom recipe. Similar to prescription drugs for humans, a very specific diet to manage health issues should not be administered to other dogs. We do not wish to empower and encourage irresponsible behavior by other pet owners who may attempt to address their pet’s issues with what may be an inappropriate diet for their dog’s particular condition.
However, with Oscar’s specific sections appropriately removed, we have posted U.C. Davis’ recommendations, which can be downloaded vis this link: U.C. Davis Recommendation.
Over the past four (4) weeks, Oscar has lost the expected .25 lbs/week, and has dropped from 25 lbs down to 24 lbs. Additionally, his most recent tests show a significant improvement in all of the areas previously listed:
- Blood Pressure — 183/110
- Urine Protein – not tested, as it was not necessary
- Urine Creatinine — not tested, as it was not necessary
- Ratio – n/a
- Microalbuminuria — 5.5 mg/dL (down from 20.0 mg/dL)
- Triglyceride — 201.0 mg/dL (down from 2180.0 mg/dL)
For those of you who are technically inclined, you can download a side-by-side comparison of his previous and current test results: Test Comparison.
If you wish to obtain support from U.C. Davis, you can engage the process by completing the forms at this site: U.C. Davis Nutrition Support Services — Fact Sheets / Brochures / Newsletters.