id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ct-11141	Nakahara, Nima ; Llewellyn, Rachael-Kate ; Aveston Thomas, Philip George 	Hypoglycemia and ketosis in a pregnant bitch	2016	4	.pdf	application/pdf	3170	186	45	Undernourishment in late gestation and exposure to stressors (environmental and physiological) that can promote glucose consumption has been associated with the disease.2 Clinicopathological findings of pregnancy toxemia in species where it is well defined, namely sheep and other small ruminants, include severe hypoglycemia, cortisol-induced hematology changes (neutrophillia, lymphopenia, eosinopenia) and evidence of dehydration.3 Ketonemia and ketonuria are also common findings in pregnancy toxemia of small ruminants and occur as a result of the altered metabolism of carbohydrates and fats,4 allowing for the production and accumulation of ketone bodies. The ability of glucagon, norepinephrine and cortisol to respond to hypoglycemia is blunted in pregnancy.9 In pregnancy toxemia, regulatory mechanisms fail to raise blood glucose levels resulting in a catabolic state and hypoglycemia and mobilization of fat that releases fatty acids and ketones as an alternative energy source.	cache/ct-11141.pdf	txt/ct-11141.txt