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For cats that started with intensive blood glucose control within 180 days (6 months) of diagnosis of diabetes, the remission rate was 84%. The remission rate dropped to 35% for cats that were started on protocol later than 180 days after diagnosis . This was highly significant (P<0.001, Fisher's exact test, 95% CI 2.42, 45.48). Of cats that ...
Significantly higher remission rates were observed if good glycaemic control was achieved soon after diagnosis: 84% for cats started on the protocol within 6 months of diagnosis went into remission, and only 35% for cats that began more than 6 months after diagnosis (P<0.001).
- Kirsten Roomp, Jacquie Rand
- 2009
- Diagnosis
- Management
- Monitoring
- Assessment of Insulin Response
Overt DM is diagnosed by documenting persistent hyperglycemia with glycosuria in a patient with appropriate clinical signs (polyphagia, polydipsia, polyuria, and/or weight loss).7 To rule out stress hyperglycemia, additional testing such as blood or urinary glucose monitoring in a nonstressful environment or assessing a serum fructosamine concentra...
The general goals of treatment are to mitigate clinical signs through improvement of hyperglycemia and avoidance of diabetic complications (e.g., hypoglycemia, ketosis). These goals are most reliably met using a combination of insulin administration and carbohydrate-restricted dietary modification. A subset of newly diagnosed or insulin-naïve cats ...
No gold-standard diagnostic exists for monitoring diabetic patients or directing therapeutic decision-making. Additionally, management decisions are complicated by factors unique to veterinary medicine, such as owner compliance and finances and patient stress hyperglycemia. In the authors’ opinion, individualizing a monitoring plan for each patient...
BG curve monitoring is typically initiated 7 to 14 days after starting insulin or adjusting the insulin dose. This allows a consistent glycemic response to the insulin dose to develop and optimizes the accuracy of assessment. Once the appropriate insulin dose is found and DM controlled, the frequency of glucose monitoring is typically extended to i...
Roomp K, Rand J. Intensive blood glucose control is safe and effective in diabetic cats using home monitoring and treatment with glargine. J Feline Med Surg 2009; 11(8):668-682. Gottlieb S, Rand JS.
Feb 20, 2015 · Studies have shown median survival times in cats with DM of between 13 and 29 months, with longer survival times in better stabilised cats, and with many cats dying of diseases other than DM. 5 – 7 The prognosis for cats with DM is thus good when the disease is well managed.
- Andrew H Sparkes, Martha Cannon, David Church, Linda Fleeman, Andrea Harvey, Margarethe Hoenig, Mark...
- 2015
Aug 1, 2009 · Besides the traditional BGC that can be performed at home, current research suggests that especially in diabetic cats it is possible and safe to implement intense control of...
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Aug 1, 2009 · Frequency of diabetic remission, predictors of remission and survival in cats using a low-cost, moderate-intensity, home-monitoring protocol and twice-daily glargine. Susan Gottlieb Jacquie Rand Stephen T Anderson. Medicine. Journal of feline medicine and surgery.
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