Sia Whitney K, Sun Jessica A
VCA Family and Oahu Veterinary Specialty Center, 98-1254 Ka'ahumanu Street, Pearl City, Hawaii 96782, USA.
Can Vet J. 2025 Jan;66(1):58-63.
The FreeStyle Libre (Abbott) is a human continuous glucose monitor sensor that has been used to monitor glucose concentrations in dogs and cats with diabetes. This sensor and other similar continuous glucose monitoring sensors are increasingly popular in veterinary medicine, specifically for management of diabetes mellitus. The sensor decreases veterinary visits and reduces the stress (and expense) of multiple blood sample collections needed to produce glucose curves. However, there are no established guidelines for sensor placement in small animals and, to date, no substantial complications have been reported. A 15-year-old neutered male cairn terrier dog with a history of diabetes and suspected inflammatory bowel disease with progressive weight loss was presented with acute dyspnea <24 h after placement of a FreeStyle Libre 2 sensor. He was diagnosed with a continuous pneumothorax suspected secondary to a FreeStyle Libre 2 sensor placement. Multiple thoracocenteses were completed but further treatment was declined, and the dog was euthanized. Key clinical message: This case highlights the importance of sensor placement selection, especially in small animals, and documents the first reported pneumothorax suspected to be secondary to a continuous glucose monitor placement. This specific complication has apparently not been documented previously.
FreeStyle Libre（雅培公司）是一种用于监测糖尿病犬猫血糖浓度的人体连续血糖监测传感器。这种传感器及其他类似的连续血糖监测传感器在兽医学中越来越受欢迎，特别是用于糖尿病的管理。该传感器减少了兽医就诊次数，并降低了绘制血糖曲线所需的多次采血带来的压力（及费用）。然而，目前尚无关于小动物传感器放置的既定指南，且迄今为止，尚未报告有严重并发症。一只15岁已绝育的雄性凯恩梗犬，有糖尿病病史，怀疑患有炎症性肠病且体重逐渐减轻，在植入FreeStyle Libre 2传感器后不到24小时出现急性呼吸困难。它被诊断为疑似因FreeStyle Libre 2传感器植入继发的持续性气胸。进行了多次胸腔穿刺，但拒绝进一步治疗，该犬被安乐死。关键临床信息：本病例突出了传感器放置选择的重要性，尤其是在小动物中，并记录了首例疑似继发于连续血糖监测器放置的气胸。这种特定并发症此前显然未被记录。
