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Nov 13, 2023 · Continuous glucose monitors are used with increasing frequency in small animal practice to monitor canine and feline diabetic patients, seeming to both offer a solution to the problem of interpreting single blood glucose curves and avoiding serial venepuncture.
Aug 30, 2023 · Overall, studies suggest that for most diabetic cats, the difference between the interstitial glucose and the blood glucose has little or no impact on clinical decision-making, and that the FSL is sufficiently accurate for monitoring affected cats.
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- About The CGM System
- Application of The Device
- Interpretation of Data
- Indications For Use of A CGM
- Complications and Limitations
- Conclusions
The most commonly used CGM system currently is the “FreeStyle Libre” (Abbott) which consists of a small sensor disc placed on the animal (Figure 1) which measures interstitial glucose, and either a mobile phone application or a reader device which stores the data from the sensor disc. As well as providing a glucose reading, the phone or reader will...
The vast majority of sensors can be placed in conscious patients, but pushing the sensor on requires a little pressure so, for some feline patients and when inexperienced at placing sensors, sedation or anxiolysis with gabapentin or butorphanol may be helpful. If diabetic patients are sedated for other procedures (eg imaging), the opportunity shoul...
The sensor should be scanned every eight hours to upload the data to a phone or reader device. Results can be sent from clients to the clinic using the application, or the reader connected to a computer to upload the data once required software is installed. Figure 6shows an example of a report which has various features including daily graphs, ave...
The system can be used in clinic on newly diagnosed diabetics to look at response to insulin and duration of effect, after which the patient is discharged with the sensor in place. Cats with diabetic ketoacidosis (DKA), unstable diabetics (eg persistent clinical signs, persistent hyperglycaemia or hypoglycaemia episodes, suspicion of Somogyi oversw...
A recent study examined the complications of the FreeStyle Libre device in 20 cats (Shoelson et al., 2021). A total of 33 sensors were placed, most of which were placed over the dorsolateral thorax. The most common complications were early sensor detachment (15 percent) and other complications related to the skin site where the sensor attached, mai...
CGM can be a useful tool in the management of diabetic cats. However, data must be interpreted along with clinical parameters indicative of response (weight, water intake, appetite) and limitations of the monitoring system acknowledged. There may be discrepancy between interstitial and blood glucose, particularly during rapid changes in blood gluco...
These can be achieved by obtaining good glycaemic control (keep-ing glucose levels under the renal threshold of about 15 mmol/l) while preventing hypoglycaemia and other complications (e.g. diabetic ketoacidosis). Some dia-betic cats can enter a state of diabetic remission, with exogenous insulin no longer needed.
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Glargine insulin is a human recombinant insulin that results in a continual release of small amounts of insulin. This keeps the blood glucose level far more stable. Glargine is often considered to be superior to PZI or lente insulins in newly-diagnosed diabetic cats.
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Nov 22, 2023 · Continuous glucose monitors (CGMs) read interstitial glucose levels and are most accurate when used on patients that have a normal hydration status. CGMs provide 24-hour glucose curves and can catch hypoglycemic events or Somogyi reactions, helping veterinary teams create more effective patient management plans.
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