8/26/2026

DVM Intake Exam Estimated age: dentition and conformation consistent with o reported age of 6 years Microchip noted on Intake? scanned negative History: aco - os Subjective: BAR Observed Behavior - alert and active, solicits attn, allowed for all handling and tasks Is there evidence of suspected cruelty? N Objective: T = np P = wnl R = wnl BCS 8/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: moderate- severe wear and staining to visible dentition with copious calculus over the molars PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated, difficult to palpate d/t overconditioned U/G: FS, OVH scar seen MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment: Dental dz- moderate/severe DM Obese Prognosis: fair Plan: intake exam and tasks CBC/CHEM/T4 to lab- check for results tomorrow Spot BG: 319 house in med ICU with diabetic monitoring sheet pro-zinc 1 unit BID TFN in care with BG checks prior feed DM food- signage hung recheck in 2 days awaiting sort SURGERY: Prior altered

8/27/2026

Recheck diabetic - owner died, reported to be on insulin S/O: QAR, food untouched (glycobalance), offered regular kibble and she ate a few pieces, no c/s/v/d noted EENT: No ocular or nasal discharge LUNGS: Eupneic MSI: Obese CNS: Appropriate mentation CBC: monocytes 0.519 (H) CHEM: glucose 390 (H), phosphorus 6.7 (H), ALP 67 (H) T4: wnl A: Hyperglycemia consistent with DM Obese Dental disease P: Okay to feed regular food if not eating glycobalance Scheduled urine collection for UA Continue insulin BID CTM closely on rounds

8/27/2026

P noted to still not be eating during PM treatments, BG 264. Since still not eating, no insulin given aTT. Offered variety of HVTs, will sniff and show interest but will not eat. Tried to sit with p and encourage but still not eating. Given midaz 0.2mg/kg IM once (0.3mL) Rechecked 5 min later and p readily eating staff donate dry food (pro-plan salmon flavor) Monitor appetite closely and recheck as scheduled.

8/28/2026

Recheck diabetic S/O: QAR, allows all handling, ate well overnight, eating some kibble during the day, no c/s/v/d noted, no ocular or nasal discharge, eupneic, obese. A: Diabetes mellitus Obese Dental diseae P: Collected urine via cysto for UA Continue current treatment plan CTM on rounds

8/31/2026

Recheck DM cat, flux appetite and finicky eater prior in care. D/t not eating and BG less than 300 hasn't received insulin since 8/26. Noted by staff to be eating w/d well today and non diabetic dry food S/O BAR, A+A, no c/s/v/d appreciated, fair appetite but eating w/d well when put back into kennel. No ocular or nasal dc, eupneic UA results: (via cysto) USG: 1.073 (wnl) 3 + glucosuria trace proteinuria NEG for ketones A. Glucosuria- p has not been receiving insulin d/t not eating prior DM Obese Dental dz P. Now that p is eating, to recheck BG tonight, and if still eating and BG within parameters noted, insulin to be given Has not been eating DM food- now eating low cal (w/d) wet. Ideally should be receiving DM Seek placement Recheck in 2 days