Peer-reviewed veterinary case report
Evaluation of long-term home monitoring of blood glucose concentrations in cats with diabetes mellitus: 26 cases (1999-2002).
- Journal:
- Journal of the American Veterinary Medical Association
- Year:
- 2004
- Authors:
- Kley, Saskia et al.
- Affiliation:
- Clinic for Small Animal Internal Medicine
- Species:
- cat
Plain-English summary
This study looked at how well cat owners managed their diabetic cats by monitoring their blood sugar levels at home. Out of 26 cats with diabetes, most owners were able to keep track of their cats' blood glucose levels, but a few could not, and one cat was put to sleep shortly after starting the monitoring. The cats that were monitored at home received higher doses of insulin, and some even showed improvement in their diabetes for up to a year. However, the study found that monitoring at home did not change how often the cats needed to visit the vet for check-ups. Overall, the results suggest that most owners did a good job with home monitoring, but it didn't lead to more frequent vet visits.
Abstract
OBJECTIVE: To evaluate owner compliance with longterm home monitoring of blood glucose concentrations in diabetic cats and assess the influence of home monitoring on the frequency of reevaluation of those cats at a veterinary hospital. DESIGN: Retrospective study. ANIMALS: 26 cats with diabetes mellitus. PROCEDURE: Medical records of diabetic cats for which home monitoring was undertaken were reviewed, and owners were contacted by telephone. Signalment, laboratory test results, insulin treatment regimen, details of home monitoring, clinical signs during treatment, frequency of follow-up examinations, and survival times were evaluated. RESULTS: Monitoring of cats commenced within 12 weeks (median, 3 weeks) after initial evaluation; 8 owners were unable to perform home monitoring, and 1 cat was euthanatized after 1 week. In 17 cats, duration of home monitoring was 4.8 to 46.0 months (median, 22.0 months); 6 cats died after 7.0 to 18.0 months (median, 13.0 months). In 11 cats, home monitoring was ongoing at completion of the study (12.0 to 46.0 months' duration). Fourteen owners completed blood glucose curves every 2 to 4 weeks. Cats managed with home monitoring received higher dosages of insulin, compared with cats that were not monitored. Four of 17 cats managed by home monitoring had transient resolution of diabetes mellitus for as long as 1 year. Home monitoring did not affect the frequency of reevaluation at the veterinary hospital. CONCLUSIONS AND CLINICAL RELEVANCE: Owner compliance with long-term home monitoring appeared to be satisfactory, and home monitoring did not affect the frequency of reevaluation of patients by veterinarians.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/15323384/