Evaluation of long-term home monitoring of blood glucose concentrations in catswith diabetes mellitus: 26 cases (1999-2002)

摘要

Objective-To evaluate owner compliance with long-term home monitoring of blood glucose concentrations in diabetic cats and assess the influence of home monitoring on the frequency of revaluation 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 toperform 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 70 to 18 0 months (median, 130 months). In 11 cats, home monitoring was ongoing at completion of the study (120 to 460 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 homemonitoring appeared to be satisfactory, and home monitoring did not affect the frequency of reevaluation of patients by veterinarians. (J Am Vet Med Assoc 2004;225:261-266)