Diabetic Pet Discharge Template

Hospital

Hospital name

Hospital address

Hospital phone number

ER hospital name

ER hospital phone number

Patient

Pet's name

Species

Canine Feline

Sex

M MN F FS

Recheck appointment

A recheck appointment should be made in

days weeks months

Remission (cats)

Remission can occur in diabetic cats. This means that they no longer require insulin therapy. Your cat has the best chance of remission if you achieve precise blood glucose control within six months of diagnosis, carefully monitor your cat at home, stop any medications that could interfere with the insulin, and use an appropriate insulin in combination with a low-carbohydrate diet.

Insulin

Prescribed insulin

Type of syringe

Directions

shake it vigorously roll it gently between your hands do not roll or shake

Number of units

Frequency

Feeding

Prescribed food

Amount of food

Cups or cans

cup(s) can(s)

Feed every

8 h 12 h 24 h

Feeding instructions (check all that apply)

Monitoring at home

Home monitoring encouragement

Measure food & water intake

twice daily once daily Other

Advanced: test blood glucose at home

Advanced: urine testing

None Glucose only Glucose and ketones

Additional instructions

Seek immediate care if…

Uncheck any that don't apply.

Other emergency criteria

Diabetic Pet Discharge Template

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