Miller E
Department of Clinical Sciences, College of Veterinary Medicine, Colorado State University, Fort Collins, USA.
Vet Clin North Am Small Anim Pract. 1995 May;25(3):571-84. doi: 10.1016/s0195-5616(95)50054-3.
Management of diabetic dogs or cats requires the use of all available monitoring technology (Fig. 6). First, one should ask questions about the clinical control of DM. Are the clinical signs of DM resolved, and is the owner satisfied with insulin therapy? Other important questions would include: Is the dog or cat developing long-term complications of diabetes such as neuropathies or cataracts? Is body weight remaining stable? Is the dog or cat showing any signs of hypoglycemia? One should determine if the blood glucose curves are close to ideal for the type of insulin being administered. Urine glucose and ketones should be negative or trace as assessed by the at-home monitoring by the owner. In the problem diabetic, long-term glucose control can be assessed by serum fructosamine or glycosylated hemoglobin determinations. Regulation of the diabetic patient is accomplished when the owner is satisfied with the therapy and when the serum glucose monitoring parameters are acceptable.
糖尿病犬猫的管理需要运用所有可用的监测技术（图6）。首先，应该询问有关糖尿病临床控制的问题。糖尿病的临床症状是否已消除，主人对胰岛素治疗是否满意？其他重要问题包括：犬猫是否正在出现糖尿病的长期并发症，如神经病变或白内障？体重是否保持稳定？犬猫是否有任何低血糖迹象？应该确定血糖曲线是否接近所使用胰岛素类型的理想状态。通过主人在家监测评估，尿糖和酮体应为阴性或微量。对于难治性糖尿病患者，可通过测定血清果糖胺或糖化血红蛋白来评估长期血糖控制情况。当主人对治疗满意且血清葡萄糖监测参数可接受时，糖尿病患者的病情就得到了控制。
