Diabetic Clinical Score Your Name (First & Last): * Pet's Name: * Your Email: * Is this an Access Vet Care patient? * Yes No, my pet is seen elsewhere Your Veterinarian's Email: * Instructions: Please choose the category that best describes how your pet is today Drinking/Urination - Compared to before the onset of Diabetes: Thirst * NORMAL: Drinks/urinates the same amount or less MILD: Some increase in drinking/urinating MODERATE: Notable increase in drinking/urinating SEVERE: Constantly seen to be drinking/urinating Appetite - Compared to before the onset of Cushing's: Appetite * NORMAL: Appetite is the same amount or less MILD: Finishes food more eagerly MODERATE: Finishes food more eagerly then begs for more SEVERE: More obsessed with food than ever Condition - Compared to YOUR LAST VISIT, is your pet's general condition (coat, muscle tone, weight): Condition * NORMAL: Condition is the same MILD: Slight UNINTENTIONAL weight loss, and/or loss of coat condition/muscle tone MODERATE: Moderate UNINTENTIONAL weight loss, and/or poor coat condition/muscle tone SEVERE: Substantial UNINTENTIONAL weight loss, and/or poor coat condition/muscle tone Weight gained and/or general condition improved. Attitude/Activity - Compared to before the onset of Cushing's: Behavior * NORMAL: Attitude/activity is the same MILD: Not quite themselves MODERATE: A lot quieter and less active, less running/jumping SEVERE: Very quiet, dull and weak and/or lying about all the time Your Pet's Diabetes Clinical Score: If you are human, leave this field blank. Email to My Veterinarian
