Insulinoma is one of the most common neoplastic diseases affecting ferrets. It’s caused by tumors in the pancreas which produce excess insulin.
Some of the symptoms to look out for are:
- Staring into space
- Pawing at the mouth
- Episodes of drooling
- Occasional inactivity
- Extreme weakness
- Difficulty walking, especially in the rear limbs
Should the blood sugar drop very rapidly, it could cause tremors or seizures. In severe cases, the ferret could go into a coma due to lack of glucose in the brain.
If your ferret show signs of hypoglycemia (low blood sugar), that is … lying there limp and looking like it’s about to die (i.e. comatose) … you MUST rub either honey or Karo (corn) syrup on its gums IMMEDIATELY. If you don’t have either on hand, use Nutrigel (for Aussie ferret owners) but be aware that the sugar levels aren’t as high. It might be an idea to keep a small jar of honey/Karo syrup in the cupboard, just in case!
Please make sure that you don’t mistake your ferret in a coma for Deep Ferret Sleep (DFS) syndrome. Ferrets in DFS wake up when you shake them but a ferret in a coma will not.
Not all ferrets show any sign of insulinoma and to find your ferret lying in a coma is a really frightening experience.
It might take a while for the honey, or whatever you put on your ferret’s gums, to kick in but if you don’t do that, you can be assured that your ferret WILL slip off into a deep sleep and never wake up.
When we found Muis in that state, it was the most frightening thing I have ever experienced because it happened out of the blue and so quickly. Because it was so unexpected, I really freaked out and thought we were going to lose her.
It took about half-an-hour from the first rubbing of Nutrigel into her lips for her to open her eyes. That didn’t last long but it was such a hopeful sign. I put more Nutrigel on her gums and about half-an-hour after the second rubbing, she finally came to and looked “normal”!
I gave her a saucer full of smoothie and she ate that up very enthusiastically, so I topped that up and she licked that all up too.
After that she was completely herself and trotted down the corridor to join the rest of the gang in the chest of drawers. It really was incredible to see the difference – an hour ago she was at death’s door and then, after getting the Nutrigel on her gums, she managed to snap out of her coma and appeared perfectly normal!
When I took her to my vet, she said that if animals have a drop in their blood sugar when they are asleep, they go into this comatose state so it’s IMPERATIVE to rub something sweet on their gums.
Muis didn’t show any signs of insulinoma apart from one occasional a month earlier where she seemed unsteady but it lasted just a couple of minutes and then she was fine, without any help from Nutrigel.
I had taken her to my vet and voiced my concerns about insulinoma but the vet thought that it might have been an epileptic fit, so I was to keep an eye out for any more occurrences. But since that one time, nothing else happened to make me worry until this.
So, I cannot stress this enough. If you find your ferret lying like a limp, wet noodle with its eyes closed and breathing shallow, rapid breaths, grab one of the following – Karo, honey, Nutrical or Nutrigel – and rub a small blob on its gums ASAP and once it comes around, make sure it has something to eat (like the smoothy) to get it back to normal. Then get it to your vet as soon as you possibly can.
There are various options for a ferret with insulinoma but be aware that a ferret with insulinoma cannot be cured. The disease can be controlled and hopefully will give your pet a good quality of life for as long as possible.
One other thing I should point out here – please do NOT get complacent if you *think* your ferret is having a “Deep Ferret Sleep” (DFS) episode.
Not all ferrets sleep deeply but if yours does and you find it hard to wake your little one up, then please don’t just assume it was a DFS, especially if you had to rub honey/Karo syrup on its gums.
If that happened then PLEASE take your ferret to the vet to be checked for insulinoma.
Information about blood tests for insulation from “Maddogdodge”, an Aussie ferret owner (who works with a vet’s office) who advised an American ferret owner on September 5, 2017 ….
A ferret doesn’t have to be going through a insulinoma episode to test positive for it. As for fasting, i’m not 100% sure on that, i think it can be done either way, but i think it’s better to fast for 4 hours before the test (absolutely avoid surgery stuff before the test though!).Here in Australia we use a different unit to measure it (mmol/l as opposed to mg/dL) so I’ve just had to look up a converter. Normal fasted range in the measurement your vet uses is 65 to 112 (for us that is 3.6 to 6.2) My old girl who had insulinoma first tested at 3.1mmol/l which converts to 55.8mg/dL (that was a fasted test).Her second test was 10 days later and not fasted… her results came back even lower 2.8mmol/l which converts to 50.45mg/dL.
Her last test was not long before she passed. She had been fasted quite a long time in preparation for a general anaesthetic… her results came back as 0.4mmol/l which converts to 7.2mg/dL – That is insanely low!!!
My current insulinoma boy had 2 fasting blood tests… first one came back 3.6 (64.86) and his second was 3.1 (55.85).
Update … December 15, 2014
This is something I’ve just come across and all I can say is that I hope, hope, hope that our vets will be able to do something to prevent our babies from dying from insulinoma!
If your ferret has insulinoma, please print this article out and ask your ferret vet if he can help.
I’m not sure how many vets do the chemotherapy routine for ferrets in the States or the UK, and I certainly have no idea if any vets do this procedure in my wonderful land down under!
This “tip” for a ferret taking prednisone/prednisolone comes from the Three Rivers Ferret Council …
HEALTH INFORMATION: LIVER
“The liver is a vital organ that is involved with many functions having to do with blood volume, clotting, fats, glucose, cleaning blood.
“One job of the liver that many people don’t realize is that the liver makes, stores and uses glucose. That is why prednisolone (which bypasses the liver) works better than regular prednisone (which is turned into prednisolone in the liver) in older ferrets and ferrets with liver issues.
“A way to help support the liver which actually works is to give your ferret Milk Thistle. It’s the main component (along with B-vitamins) in Hepato-Support, which was recommended by Dr Wagner for a ferret with liver disease.
“It’s innocuous, and seems to have no side effects. I give about 1/4 capsule of Milk Thistle in some duck soup and I’m convinced it’s helped more than one ferret not only to feel better, but also to throw off liver infections.”
Another “tip” I came across was on the exoticpetvet.com with their article about “DMG: A Nutrient for the New Millennium” (DMG is short for dimethylglycine, which is a nutritional supplement that can provide wonderful positive benefits to humans and animals). This is from the article …
“DMG for Seizuring Animals
“Ferrets with Insulinoma
“DMG increases the threshold for seizures and can reduce seizures in all types of animals. In some cases, if DMG is added to a seizuring animal’s therapy, it may decrease the amount of anticonvulsants required by an animal. This can be very beneficial for ferrets suffering from insulinoma, until the blood sugar issues are under control. Diet plays a huge role in helping stabilize a ferret suffering from insulinoma, and Young Again Ferret Food is one very positive step in improving the health of a ferret. In some cases, an insulinoma may present as a solitary tumor in the pancreas, but for most ferrets, the lesions are microscopic infiltrates, and surgery is not considered the best way to treat this condition. Some veterinarians recommend surgically removing approximately 1/3 of the pancreas, usually the tail of the pancreas, however, the pancreas is a delicate organ and surgery is not always beneficial.”
I don’t know if it’s a coincidence or what but when I added Nutrigel to my guys’ smoothies, I had ferrets with insulinoma. Since I stopped using it, I haven’t!
When Dash, my sable boy, was diagnosed with lymphoma, I asked the vet if I could give him milk thistle and she agreed it was a good idea. She gave me a bottle of Herbal Authority’s liquid milk thistle and told me to give Dash 3 drops in the morning and three in the evening.
Unfortunately Dash died before the bottle was halfway finished so I started giving it to Mojo, who has a swollen liver and glands as a result of her adrenal disease.
We took Dash for his final visit to the vet in May and Philip thought that Mojo would be following soon afterwards, as she really didn’t look well. However I must say that the supplements I’ve been giving her in her smoothie have worked their magic and, wef October 2015, she’s still bright and alert and mooching about the house happily!
I really do recommend anyone whose ferret has insulinoma to give their babies milk thistle to help their liver cope with the medication!
You can read more on Insulinoma in ferrets here …
What Ferret Owners Should Know about Insulinomas by Jeff Rhody, DVM
Ferret Insulinoma by Long Beach Animal Hospital (includes photos of removing the cancerous tumors)
Insulinomas (Pet Care Veterinary Hospital)
Beta Cells Gone Wild! – insulinomas in the ferret by Exotic Animal Medicine for the Vet Tech
INSULINOMA (or pancreatic cancer) by The Ferret Society of Canberra
Insulinoma in the Domestic Ferret by Michael Janke, Miami Ferret
Insulinoma In Ferrets – Its Cause, Diagnosis & Treatment by Ron Hines, DVM PhD
Insulinoma: Diagnosis and Treatment by Judith A Bell, DVM, PhD
Insulinoma by L Vanessa Gruden, Ferret Association of Connecticut
Insulinoma by Jeffrey R Jenkins, DVM
Home Blood Glucose Testing for Ferrets Ferret Universe
A reader has very kindly shared his advice on how to look after a ferret suffering from this all-too-common disease. Pat’s ferret, Bandit, was diagnosed with Diffuse Insulinoma 2 years ago and is still enjoying good quality of life.
Caring for a Ferret with Insulinoma by Pat Ciriello
And for those of you who want to find supplements to help your baby, here is something to help you …
Ferrets and Insulinomas by David McCluggage, DVM, CVA (WellVet.com)
**NB Please note I haven’t personally tried these supplements when my guys had insulinoma so cannot give any personal advice if they work or not 🙁 At the time when any of my ferrets had insulinoma, I couldn’t get Diabenil in Australia 🙁 However I’ve since checked and it is now available but VERY expensive! 😮
(Last updated September 2015)
DISCLAIMER: The information contained on this page is not meant to replace seeing a veterinarian if you think your ferret is ill. It’s only meant to supply general information on a particular illness which was obtained either from personal experience with my sick ferrets, or from books and/or the Internet.