Peer-reviewed veterinary case report
Comparing continuous and spot glucose monitoring in a dog
By W. Kim et al.·Published in Veterinární Medicína·2017·College of Veterinary Medicine, Chonnam National University, Gwangju, Republic of Korea, CZ·View original on DOAJ →
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Original publication title: Comparison of continuous and intermittent glucose monitoring systems in a dog with diabetic ketoacidosis: a case report
- Species:
- dog
Plain-English summary
A 12-year-old Miniature Schnauzer was brought to the vet because he was very tired, not eating, and had bleeding in his mouth. Tests showed he had extremely high blood sugar levels and signs of inflammation. The vet used both a portable glucose meter and a continuous glucose monitoring system (CGMS) to keep track of his blood sugar while giving him insulin treatment. The CGMS helped identify fluctuations in his blood sugar more effectively than the portable meter, allowing for better management of his condition. With this approach, the dog received the right amount of insulin and showed improvement in his symptoms.
People also search for: dog diabetes treatment · Miniature Schnauzer high blood sugar · continuous glucose monitoring for dogs
Abstract
A Miniature schnauzer (12 years old, neutered male) was referred for lethargy, anorexia, and oral bleeding. On initial evaluation, severe hyperglycaemia (blood glucose concentration of 34.9 mmol/l), ketonuria, systemic inflammation (fever, panting, left-shift neutrophilia, and a high C-reactive protein level of 980.97 nmol/l, abnormal pancreatic lipase immunoreactivity, and periodontitis were found. With consideration of possible insulin resistance, blood glucose (BG) levels were monitored using a portable glucose meter (q 1-3 h) and a continuous glucose monitoring system (CGMS) for 72 h (three consecutive trials); intensive insulin therapy was initiated using regular insulin (2.2 IU/kg intravenously). The insulin doses needed, based on the nadir, peak, and duration of insulin action from a traditional intermittent glucose curve were higher than those based on the CGMS results. Meanwhile, transient hyperglycaemic and hypoglycaemic periods, occurring between the intermittent measurements, were easily identified with the CGMS. Therefore, insulin resistance and the Somogyi phenomenon are less likely to occur with use of the CGMS than with intermittent BG measurements. By comparing data from a CGMS to those from an intermittent portable BG measurement system, this case report emphasises the importance and usefulness of a CGMS.
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Search related cases →Original publication on DOAJ: https://doi.org/10.17221/25/2017-VETMED