Veterinary Medicine - May 2008 - (Page c19) Strategies for monitoring diabetes mellitus in dogs studies documenting substantial variability in glucose curves performed in dogs means that any results should be carefully interpreted in the context of other clinical and laboratory ndings.14 Currently, I perform a glucose curve when I cannot obtain the information needed using a more reliable method, such as the combination of periodic examination and owner-provided information. The use of continuous blood glucose monitoring may alleviate some of the current di culties with glucose curve data. E ective monitoring of diabetes after initiating treatment can mean the difference between success and failure of treatment. Involving owners in the pet’s healthcare to this degree means you must also ensure the owner’s responsibilities are manageable. The overarching goals of treatment are a high quality of life for the patient and owner and a reduction of morbidity associated with diabetic complications. With careful planning and implementation of a monitoring strategy, veterinarians can e ectively manage the majority of diabetic dogs. Reliability of history and physical examination ndings for assessing control of glycemia in dogs with diabetes mellitus: 53 cases (1995-1998). J Am Vet Med Assoc 2000;217:48-53. 5. Schaer M. A justi cation for urine glucose monitoring in the diabetic dog and cat. J Am Anim Hosp Assoc 2001;37:311-312. 6. Reusch CE, Liehs MR, Hoyer M, et al. Fructosamine. A new parameter for diagnosis and metabolic control in diabetic dogs and cats. J Vet Intern Med 1993;7:177-182. 7. Reusch CE, Haberer B. Evaluation of fructosamine in dogs and cats with hypo- or hyperproteinemia, azotemia, hyperlipidemia, and hyperbilirubinemia. Vet Rec 2001;148:370-376. 8. Wiedmeyer CE, DeClue AE. Continuous glucose monitoring in dogs and cats. J Vet Intern Med 2008;22:2-8. 9. Casella M, Wess G, Reusch CE. Measurement of capillary blood glucose concentrations by pet owners: a new tool in the management of diabetes mellitus. J Am Anim Hosp Assoc 2002;38:239-245. 10. Schermerhorn T. Has at-home glucose monitoring for management of diabetic dogs and cats come of age? Adv Small Anim Med Surg 2005;18:1-3. 11. Casella M, Wess G, Hässig M, et al. Home monitoring of blood glucose concentration by owners of diabetic dogs. J Sm Anim Pract 2003;44:298-305. 12. Mathes MA. Home monitoring of the diabetic pet. Clin Tech Small Anim Pract 2002;17:86-95. 13. Cohn LA, McCaw DL, Tate DJ, et al. Assessment of ve portable blood glucose meters, a point-of-care analyzer, and color test strips for measuring blood glucose concentration in dogs. J Am Vet Med Assoc 2000;216:198-202. 14. Fleeman LM, Rand JS. Evaluation of day-today variability of serial blood glucose concentration curves in diabetic dogs. J Am Vet Med Assoc 2003;222:317-321. 15. Heinemann L. Insulin pharmacology. In: Pickup JC, Williams G, eds. Textbook of diabetes. 3rd ed. Malden, Mass: Blackwell Science Ltd., 2003;42.142.15. 16. Nelson RW. Diabetes mellitus. In: Ettinger SJ, Feldman EC, eds. Textbook of veterinary internal medicine. 6th ed. Philadelphia, Pa: Elsevier/Saunders Publishing Co., 2005;1563-1591. 17. Hess RS, Saunders HM, Van Winkle TJ, et al. Concurrent disorders in dogs with diabetes mellitus: 221 cases (1993-1998). J Am Vet Med Assoc 2000;217:1166-1173. “Involving owners in the pet’s healthcare to this degree means you must also ensure the owner’s responsibilities are manageable.“ References 1. Miller E. Long-term monitoring of the diabetic dog and cat: Clinical signs, serial blood glucose determinations, urine glucose, and glycated blood proteins. Vet Clin North Am Small Anim Pract 1995;25:571-584. 2. Bennett N. Monitoring techniques for diabetes mellitus in the dog and cat. Clin Tech Small Anim Pract 2002;17:65-69. 3. Epidemiology of severe hypoglycemia in the diabetes control and complications trial. The DCCT Research Group. Am J Med 1991;90:450-459. 4. Briggs CE, Nelson RW, Feldman EC, et al. 19
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