Monroe William E, Laxton David, Fallin Edward A, Richter Keith P, Santen Douglas R, Panciera David L, Towell Todd L, Williams Kimberly A, Hart John R, Hill Steve, Finkler Mark R, Shinn Jennifer S
Department of Small Animal Clinical Sciences, VA-MD Regional College of Veterinary Medicine, Virginia Tech, Blacksburg, USA.
J Vet Intern Med. 2005 Sep-Oct;19(5):675-82. doi: 10.1892/0891-6640(2005)19[675:easoap]2.0.co;2.
The objective of this study was to evaluate the safety and efficacy of a purified porcine insulin zinc suspension for treating dogs with uncomplicated diabetes mellitus. Fifty-three dogs were treated for 60 days after an initial dose determination period. The means of the blood glucose concentrations during 12-hour glucose curves and the means of the blood glucose nadir concentrations during 12-hour glucose curves for all dogs were determined before beginning insulin therapy (time 0), at the end of the dose determination period (time 1), 30 days after time 1 (time 2), and 60 days after time 1 (time 3). Presence of polyuria, polydipsia, and ketonuria was determined at each time point. Adequacy of control of hyperglycemia was based on 12-hour blood glucose curves and improvement in clinical variables (results of physical examinations, historic information, polyuria, polydipsia, and ketonuria). Safety was evaluated by questionnaire, performance of physical examination, CBC, serum chemistry profile, and urinalysis. The means of the blood glucose concentrations during 12-hour glucose curves and the means of the blood glucose nadir concentrations during 12-hour glucose curves for all dogs at times 1, 2, and 3 were significantly lower compared with time 0 (P < .0001). There was a reduction in the proportion of dogs with polyuria, polydipsia, and ketonuria of 82, 86, and 80%, respectively. All of the dogs had adequate glycemic control at time 1, 66% at time 2, and 75% at time 3. At time 3, 66% of dogs required insulin injections q12h. Other than hypoglycemia, there were no important adverse effects of insulin administration. The insulin, was safe and efficacious for reducing blood glucose and clinical signs in dogs with diabetes mellitus.
本研究的目的是评估一种纯化猪胰岛素锌混悬液治疗无并发症糖尿病犬的安全性和有效性。53只犬在初始剂量确定期后接受了60天的治疗。在开始胰岛素治疗前(时间0)、剂量确定期末(时间1)、时间1后30天(时间2)和时间1后60天(时间3),测定所有犬12小时血糖曲线期间的血糖浓度均值以及12小时血糖曲线期间的血糖最低点浓度均值。在每个时间点测定多尿、多饮和酮尿的存在情况。高血糖控制的充分性基于12小时血糖曲线以及临床变量的改善情况(体格检查结果、病史信息、多尿、多饮和酮尿)。通过问卷调查、体格检查、血常规、血清化学指标和尿液分析评估安全性。与时间0相比,所有犬在时间1、2和3时12小时血糖曲线期间的血糖浓度均值以及12小时血糖曲线期间的血糖最低点浓度均值均显著降低(P <.0001)。多尿犬、多饮犬和酮尿犬的比例分别降低了82%、86%和80%。所有犬在时间1时血糖控制良好,时间2时为66%,时间3时为75%。在时间3时,66%的犬需要每12小时注射一次胰岛素。除低血糖外,胰岛素给药没有其他重要的不良反应。该胰岛素对于降低糖尿病犬的血糖和临床症状是安全有效的。