Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy.
Vet Rec. 2012 Jan;170(2):52. doi: 10.1136/vr.100070. Epub 2011 Oct 17.
The objective of this study was to evaluate the safety and efficacy of insulin glargine in dogs with diabetes mellitus (DM). Twelve client-owned dogs with DM were included. All dogs received insulin glargine every 12 hours for at least six months, re-evaluations were performed after one, two, four, eight, 12 and 24 weeks and included clinical signs, blood glucose curves (BGCs) and measurement of serum fructosamine concentrations. Mean blood glucose concentrations were significantly lower after two weeks of treatment and remained significantly lower for the duration of the study. By week 24, polyuria/polydipsia had improved in 91 per cent of the dogs. No clinical signs that could have been caused by hypoglycaemia were observed. Based on BGCs and remission of the clinical signs for judging the success of the treatment, 58, 33 and 8 per cent of the dogs attained good, moderate and poor glycaemic control by week 24 of the study, respectively. Insulin glargine administered subcutaneously twice daily is a possible and safe method of treatment for dogs with naturally occurring DM. Although only a few studies are available on the use of other types of insulin in dogs, their success rate is somewhat greater than that with insulin glargine.
本研究旨在评估甘精胰岛素在糖尿病(DM)犬中的安全性和疗效。共纳入 12 只患有 DM 的患犬。所有犬均接受甘精胰岛素,每 12 小时给药一次,至少持续 6 个月。在治疗后 1、2、4、8、12 和 24 周进行重新评估,包括临床症状、血糖曲线(BGCs)和血清果糖胺浓度测量。治疗两周后,平均血糖浓度显著降低,在整个研究期间持续显著降低。在 24 周时,91%的犬多尿/多饮症状得到改善。未观察到任何可能由低血糖引起的临床症状。根据 BGCs 和临床症状的缓解来判断治疗的成功,在研究的第 24 周时,分别有 58%、33%和 8%的犬获得了良好、中度和较差的血糖控制。甘精胰岛素每天两次皮下给药是治疗犬自然发生 DM 的一种可行且安全的方法。尽管关于其他类型胰岛素在犬中的应用仅有少数研究,但它们的成功率略高于甘精胰岛素。