DIABETIC PET DISCHARGE TEMPLATE

Save time and increase compliance! Complete the following form to create customized, printable discharge instructions for your diabetic canine or feline patient.


Hospital



Patient
Recheck Appointment
Remission (Cats)
Insulin
Feeding
Monitoring At Home
Seek Immediate Veterinary Care if




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Discharge Instructions

CanineFeline Diabetes Mellitus

[HOSPITAL NAME]
[HOSPITAL ADDRESS]
[HOSPITAL PHONE NUMBER]

[DATE]

To [PET NAME]’s caregivers,

You’re doing a great job caring for [PET NAME]. Your veterinary team at [HOSPITAL NAME] will continue to support you as you manage [HIS/HER] diabetes. Dr. [VETERINARIAN NAME] would like you to follow these directions until your next recheck appointment in [RECHECK NUMBER] [RECHECK TIME].

INSULIN DIRECTIONS

Happy Cat Happy Dog

Please give [PET NAME] [NUMBER OF UNITS] units of [TYPE OF INSULIN] [FREQUENCY].

Use [TYPE OF SYRINGE] only.

When handling [TYPE OF INSULIN], be sure to [ROLL VS. SHAKE] before administering it to [PET NAME]. Store it in the refrigerator. Call us if the insulin changes color or becomes cloudy.

Do not change this regimen unless you have spoken with a member of our veterinary team.

FEEDING

[FEEDING INSTRUCTIONS]

EXERCISE

[PET NAME] will benefit from regular, consistent exercise as this can help [HIM/HER] lose weight and may decrease insulin requirements.

[PET NAME] will benefit from regular, consistent exercise as this can help [HIM/HER] lose weight and may decrease insulin requirements. Discuss how to encourage your cat to exercise with your veterinarian.

MONITORING AT HOME

Home monitoring is key when caring for a diabetic animal. You are acting as an extension of your veterinary team by taking on these important tasks. [HOME MONITORING ENCOURAGEMENT]

  • Please monitor [PET NAME]’s food and water intake [MEASURE FOOD & WATER] and record in a diabetic monitoring journal or app. An increase in food or water intake could be a sign that [PET NAME]’s insulin requirements are increasing.
  • Please measure [PET NAME]’s urine output every day. An increase in urine production could mean that [HIS/HER] diabetes is becoming uncontrolled. This includes having accidents outside the litter box or you needing to scoop it more often than usual.This includes having accidents in the house or asking to go outside more often than normal.

SEEK IMMEDIATE VETERINARY CARE IF [PET NAME]:

  • [EMERGENCY CRITERIA]

If we are not available and you need help, please contact [ER HOSPITAL] at [ER HOSPITAL NUMBER]. [PET NAME] should be re-evaluated by our veterinary team in [RECHECK NUMBER] [RECHECK TIME]. If you haven’t already, please schedule that appointment right away. Frequent rechecks with our team to fine tune [PET NAME]’s insulin, diet, and other treatments are critically important for [HIM/HER] to thrive. We appreciate all the hard work you are pouring into [PET NAME] and we’re honored to be walking alongside you on this journey.

Please call our hospital at [HOSPITAL NUMBER] with any questions or concerns.