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Laboratory diagnosis of insulinoma in the dog: A retrospective study and a new diagnostic procedure
Authors:B Siliart  F Stambouli
Institution:Department of Biology and Pharmacology, Laboratoire des Dosages Hormonaux - Laboratoire National de Référence, CP 3028 Ecole Vétérinaire de Nantes - F - 44087 Cedex 03, France
Abstract:Simultaneous insulin and glucose measurements from a single sample are often insufficient for the laboratory diagnosis of insulinoma in the hypoglycaemic dog. Although the simple insulin ((xU/litre): glucose (mmol/litre) ratio is best, when the selected threshold is set at 13-5, it is not always efficient to confirm or refute insulinoma. The fasting test consists of collecting four samples on a given day (no accurate time period is set between any two samples) from a fasting dog for simultaneous insulin and glucose measurements to detect at least one abnormal insulinaemia peak.
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