Casella Martina, Hässig Mike, Reusch Caudia E
Clinic for Small Animal Internal Medicine, Vetsuisse-Faculty University of Zurich, Winterthurerstrasse 260, 8057 Zurich, Switzerland.
J Feline Med Surg. 2005 Jun;7(3):163-71. doi: 10.1016/j.jfms.2004.08.006. Epub 2005 Jan 7.
Home-monitoring of blood glucose concentrations has recently been introduced to owners. The objectives of this study were to investigate the feasibility of home-monitoring of blood glucose in diabetic cats by owners, the problems encountered and to compare glucose concentrations at home with those measured in the hospital. Twelve of 15 cat owners were able to generate glucose curves over the study period of 4 months. Most problems were related to restraining the cat, generating negative pressure with the lancing device and producing a blood drop. In the majority of cases, these problems could be resolved during the study. Blood glucose concentrations in the clinic tended to be lower than at home; some of the differences were significant. No association between tolerance of the procedure and blood glucose concentrations measured at home was found. We, therefore, assume that the lower glucose levels in the hospital were caused by lack of food intake. In 38% of cases, treatment based on hospital curves would have been different from that based on home curves. Home-monitoring appears to be a valuable tool in the management of cats with diabetes mellitus. One of its major advantages is that it enables frequent generation of blood glucose curves, which is of particular importance in cats that are difficult to regulate.
血糖浓度的家庭监测最近已被引入宠物主人中。本研究的目的是调查宠物主人对糖尿病猫进行血糖家庭监测的可行性、遇到的问题，并比较在家中测得的血糖浓度与在医院测得的血糖浓度。在15只猫的主人中，有12人能够在4个月的研究期间绘制出血糖曲线。大多数问题与限制猫咪、用采血装置产生负压以及获取血滴有关。在大多数情况下，这些问题在研究期间可以得到解决。诊所测得的血糖浓度往往低于在家中测得的；其中一些差异具有显著性。未发现对该操作的耐受性与在家中测得的血糖浓度之间存在关联。因此，我们认为医院中较低的血糖水平是由于食物摄入不足所致。在38%的病例中，基于医院血糖曲线的治疗方案会与基于家庭血糖曲线的治疗方案有所不同。家庭监测似乎是管理糖尿病猫的一个有价值的工具。其主要优点之一是它能够频繁绘制出血糖曲线，这对难以调节血糖的猫咪尤为重要。
