Ideally, your veterinarian will perform a 12 - 24
hour glucose curve, during which insulin is administered intermittently and blood glucose is measured to establish the type of insulin and dosing frequency that best controls blood glucose while avoiding inappropriately low blood glucose levels (hypoglycemia).
To get a reliable blood glucose reading is a management problem — the cats have to be seen quickly, and / or kept up high, covered and away from other dogs and other cats during the waiting time — which is also the reason these 12 and 24
hours glucose curves are going to be useless — that is a whole day of «stress».
For the proper long - term management of diabetes, blood - glucose is periodically monitored; and ideally, 24 -
hour glucose curves are established to regulate the glucose within a controlled range.
Not exact matches
The glycemic index (GI) is «defined as the area under the two
hour blood
glucose response
curve (AUC) following the ingestion of a fixed portion of carbohydrate (usually 50 g).»
It is also well known that eating fat with sugar slows the absorption and «flattens» the blood
glucose and insulin
curve, resulting in perhaps higher 2
hour glucose values.
Daily plasma
glucose concentrations were 10 percent lower with the high - fiber diet than with the ADA diet (values for the area under the
curve, 3743 ± 944 vs. 3365 ± 1003 mg ․
hour per deciliter [207.8 ± 52.4 vs. 186.8 ± 55.7 mmol ․
hour per liter]; P = 0.02), and plasma insulin concentrations were 12 percent lower (values for the area under the
curve, 1107 ± 650 vs. 971 ± 491 μU ․
hour per milliliter [6642 ± 3900 vs. 5826 ± 2946 pmol ․
hour per liter]; P = 0.05)(Figure 1).
The high - fiber diet also lowered the area under the
curve for 24 -
hour plasma
glucose and insulin concentrations, which were measured every two
hours, by 10 percent (P = 0.02) and 12 percent (P = 0.05), respectively.
The initial regulation phase of treatment may include several «
glucose curves» where a starting dose of insulin is given, and the blood
glucose is checked immediately after eating, as well as 4 - 6 more times at 2 -
hour intervals to monitor the dogs blood
glucose levels throughout the day.
At the peak time (determined by the
glucose curve), the cat will be very unresponsive; however, a few minutes to a few
hours later he / she will appear normal.
A dose will be selected based on what research has shown to be a good starting point, and after a couple of weeks your dog will return for a
glucose curve where blood sugar levels will be mapped out over the course of a 10 to 24
hour period.
To determine whether dose adjustments are needed (or if a different type of insulin is more appropriate), your pet will need a
glucose curve where blood sugar levels are monitored every 2 to 4
hours or so for 12 to 24
hours.
A dose will be selected based on what research has shown to be a good starting point, and after a couple of weeks your cat will return for a
glucose curve in which blood sugar levels will be mapped out over the course of a 10 to 24
hour period.