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使用以大麻二酚为主的提取物作为猫 2 型糖尿病治疗的辅助疗法:病例报告。

Use of Cannabidiol-Dominant Extract as Co-Adjuvant Therapy for Type 2 Diabetes Mellitus Treatment in Feline: Case Report.

作者信息

Massabo José Ignacio, Puiatti Gabriela, Ferrero Paola

机构信息

Consultorio Cannabis VET 365, Cannabis Medicinal Río Negro, Area veterinaria, Río Negro, Argentina.

RACME, Red Argentina de Cannabis Medicinal- comisión de veterinaria, Buenos Aires, Argentina.

出版信息

Med Cannabis Cannabinoids. 2024 Sep 14;7(1):206-212. doi: 10.1159/000541034. eCollection 2024 Jan-Dec.

Abstract

INTRODUCTION

Diabetes mellitus (DM) is a common endocrinopathy in felines. Treatment is based on glycemic control and management of clinical signs by insulin administration coupled with a low-carbohydrate and high-protein content diet. However, achieving adequate remission or glycemia control is not always possible. Effects of cannabinoids on the regulation of glucose uptake and the incidence of diabetes have been observed in experimental models. Nevertheless, little is known about their possible relevance in controlling this condition in veterinary and human medicine.

CASE PRESENTATION

This is a case study of an 18-year-old, neutered, mixed-breed female domestic longhair cat diagnosed with type 2 DM. She was treated with long-acting glargine (3-5 IU/12 h), and her diet changed to ultra-processed commercial food for diabetic cats. Three months after the start of the treatment with insulin, cannabidiol (CBD)-enriched extract in handmade olive oil, tetrahydrocannabinol: CBD ratio = 1:24, was incorporated. The route of administration was oromucosal. After 3 months, the glycemia was reduced. The patient decreased the polyuria/polydipsia, recovered sleep cycles, remained attentive to all movements, and increased her physical activity.

CONCLUSION

This report provides evidence that using a CBD-rich extract was effective as a co-adjuvant in alleviating clinical signs of DM and concurrent disorders, allowing for the reduction of insulin intake.

摘要

引言

糖尿病(DM)是猫科动物中常见的内分泌疾病。治疗基于通过胰岛素给药以及低碳水化合物和高蛋白含量饮食来控制血糖和管理临床症状。然而,实现充分缓解或血糖控制并非总是可行的。在实验模型中已观察到大麻素对葡萄糖摄取调节和糖尿病发病率的影响。然而,关于它们在兽医和人类医学中控制这种疾病的可能相关性知之甚少。

病例报告

这是一例18岁、已绝育的混种雌性家猫的病例研究,该猫被诊断为2型糖尿病。它接受了长效甘精胰岛素治疗(3 - 5国际单位/12小时),饮食改为针对糖尿病猫的超加工商业食品。在开始胰岛素治疗三个月后,加入了手工橄榄油中富含大麻二酚(CBD)的提取物,四氢大麻酚:CBD比例 = 1:24。给药途径为口腔黏膜给药。三个月后,血糖降低。该猫减少了多尿/多饮症状,恢复了睡眠周期,对所有动作保持警觉,并增加了身体活动。

结论

本报告提供了证据,表明使用富含CBD的提取物作为辅助药物在减轻糖尿病的临床症状和并发疾病方面是有效的,从而可以减少胰岛素的摄入量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/523d/11521493/562daeccb66d/mca-2024-0007-0001-541034_F01.jpg

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