Steroid diabetes must be distinguished from stress hyperglycemia , hyperglycemia due to excessive intravenous glucose, or new-onset diabetes of another type. Because it is not unusual for steroid treatment to precipitate type 1 or type 2 diabetes in a person who is already in the process of developing it, it is not always possible to determine whether apparent steroid diabetes will be permanent or will go away when the steroids are finished. More commonly undiagnosed cases of type 2 diabetes are brought to clinical attention with corticosteroid treatment because subclinical hyperglycemia worsens and becomes symptomatic. Generally, steroid diabetes without preexisting type 2 diabetes will resolve upon termination of corticosteroid administration.
Dietary therapy plays an important role in managing copper associated liver disease. The ideal food is low in copper, high in zinc, high in B-vitamins (which are often deficient with liver disease), and contains adequate but not excessive amounts of high quality protein since eating too much protein can adversely affect brain function in dogs with liver disease. The diets should be tasty enough to encourage dogs to eat and nutrient dense so that pets with marginal appetites don’t have to take in large volumes. Feeding multiple meals throughout the day is often necessary to maintain a dog’s body condition.