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Upon physical examination, an abnormal heart rhythm was detected on cardiac auscultation without any associated clinical signs. Owing to suspected conduction abnormalities, electrocardiography (ECG) was performed, which revealed a Mobitz Type II second\u2010degree atrioventricular (AV) block. Blood analysis revealed hyperglycaemia (&gt;\u00a0500 mg\/dL; reference interval [RI] = 65\u2013118 mg\/dL), elevated fructosamine (361 \u00b5mol\/L; RI = 177\u2013314 \u00b5mol\/L) and \u03b2\u2010hydroxybutyric acid concentrations (5.4 mmol\/L; RI \u2264 2.5 mmol\/L), leading to a diagnosis of diabetic ketosis. To manage the diabetic ketosis, porcine lente insulin (Caninsulin, MSD) was administered at a dose of 0.33 U\/kg q12h. Three days after initiating insulin therapy, the clinical signs improved, a stable blood glucose curve with a nadir of 150 mg\/dL was observed, and the \u03b2\u2010hydroxybutyric acid concentration decreased to 1.4 mmol\/L. Follow\u2010up ECG confirmed resolution of the AV block. Subsequently, the diabetes mellitus (DM) was well managed, and the AV block did not recur. A strong association between DM and AV block is reported in humans. However, studies investigating the relationship between DM and AV block in veterinary medicine are limited. This case report describes the potential for acute\u2010onset DM to induce cardiac conduction disturbances in dogs.<\/jats:p>","DOI":"10.1002\/vms3.70543","type":"journal-article","created":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:08:57Z","timestamp":1753888137000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Second\u2010Degree Atrioventricular Block With Steroid\u2010Induced Diabetes Mellitus in a Miniature Poodle"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1392-0060","authenticated-orcid":false,"given":"Chongho","family":"Kim","sequence":"first","affiliation":[{"name":"Laboratory of Veterinary Internal Medicine College of Veterinary Medicine Chungbuk National University  Cheongju Chungbuk Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6138-6229","authenticated-orcid":false,"given":"Dongseop","family":"Lee","sequence":"additional","affiliation":[{"name":"Laboratory of Veterinary Internal Medicine College of Veterinary Medicine Chungbuk National University  Cheongju Chungbuk Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9816-6900","authenticated-orcid":false,"given":"Yeon","family":"Chae","sequence":"additional","affiliation":[{"name":"Laboratory of Veterinary Internal Medicine College of Veterinary Medicine Chungbuk National University  Cheongju Chungbuk Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1372-4430","authenticated-orcid":false,"given":"Taesik","family":"Yun","sequence":"additional","affiliation":[{"name":"Laboratory of Veterinary Internal Medicine College of Veterinary Medicine Chungbuk National University  Cheongju Chungbuk Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4471-4342","authenticated-orcid":false,"given":"Byeong\u2010Teck","family":"Kang","sequence":"additional","affiliation":[{"name":"Laboratory of Veterinary Internal Medicine College of Veterinary Medicine Chungbuk National University  Cheongju Chungbuk Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8882-2329","authenticated-orcid":false,"given":"Hakhyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Laboratory of Veterinary Internal Medicine College of Veterinary Medicine Chungbuk National University  Cheongju Chungbuk Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jvim.15331"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2012-303220"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1042\/cs0960513"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-1676.2009.0302.x"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-1676.2002.tb01258.x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fvets.2021.666219"},{"key":"e_1_2_10_8_1","first-page":"213","volume-title":"Canine & Feline Endocrinology","author":"Feldman E. 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