Be sure the client understands that a learning curve is associated with glucose monitoring. Blood Glucose Curves: The Whys & Hows Audrey K. Cook, BVM&S, MRCVS, DACVIM, DECVIM Texas A&M University, College of Veterinary Medicine and Biomedical Sciences The information gathered from a blood glucose curve (BGC) guides decisions re-garding insulin type and dose, particularly if a patient is not doing well. Please note that for a dog on twice-daily dosing the curve will appear very similar, but just within a 12-hour time period. Glucose curves should be performed to interpret the response and duration of the selected insulin type and dosage. If a reading seems unusual or does not match the clinical signs, a second reading should be taken or another method used to confirm the blood glucose measurement. Routine monitoring of blood using a glucose curve can help your veterinarian determine if the insulin dose is appropriate, too high, or too low, or if a different type of insulin is needed. When blood glucose is checked multiple times within a set period, the saved results can give a visual read of insulin effectiveness through the Blood Glucose Curve Generator. If you feel your dog is at risk for developing diabetes, consider having your pet tested during a regular veterinary examination at least once a year. Feed and inject your dog with Vetsulin®. The ideal goal of insulin therapy in diabetic dogs and cats is to maintain the blood glucose concentration between 5 and 15 mmol/L and 5 and 17 mmol/L, respectively, throughout the day and night and to have the average blood glucose concentration be less than 15 mmol/L during the time period of the glucose curve. Ideal Blood Glucose Curve Below is an example of an ideal blood glucose curve for a dog on once-daily dosing where the range remains between 100–250 mg/dL … Maximum and minimum blood glucose levels, which should ideally be between 100 and 250 mg/dL, Length of time between the insulin injection and the blood glucose reaching 250 mg/dL, Duration of effectiveness used to determine frequency of insulin injections. This will help your veterinary team see a more accurate representation of your pet’s blood glucose without the stress of visiting the hospital. Copyright © While blood glucose curves (BGC) are an important monitoring tool, they have limitations. You’d think no one would have a glucose curve run at the clinic. This information helps your veterinarian prescribe the best treatment plan. Staying Ahead of The Curve. Feed and inject your dog with Vetsulin® (porcine insulin zinc suspension) as normal. Record dose, dose time and meal time. A blood glucose curve will help determine: If and when the insulin given to your dog starts working. How efficient the insulin dose is at reducing the blood glucose concentration. Of course, cats at much lower levels who have inadequate insulin supply coupled with infection, dehydration, or fasting can also develop ketones. In this case the curve will be more representative of the pet’s glucose level in … Normal blood glucose levels in dogs and cats are similar to those in humans, about 80-120 mg/dl (4.4-6.6 mmol/L). Fortunately for us, they will also act mostly normal if their blood glucose levels are as high as 100-250 mg/dl (5.5-13.75 mmol/L). Your veterinarian may want to make a blood glucose curve for your diabetic dog. When creating a glucose curve, remember that stress can affect the reliability of results and the glucose curve is only one tool among others that can help manage dogs with diabetes. In general, problems with diabetic control can be categorized as Wexford, PA 15090 724-933-7387 Glucose Curve Worksheet Pet Owners: Please complete the below section. In general, maintaining blood glucose levels in a dog with diabetes between 100–250 mg/dL for the majority of the day will minimize the symptoms of diabetes and complications. Collection by your veterinarian of a venous blood sample from a peripheral vein. Normal blood glucose levels of dogs should be between 88 and 120 mg/dL.While there may be certain mitigating circumstances, values of blood sugar above or below these values often indicate the presence of certain pathologies.When a dog shows signs of a disease or illness, it is … Furthermore, the cost of a handful of glucose test strips is much more affordable than paying the vet staff to run the blood glucose curve for you. Specific parameters for clinical signs and blood glucose readings that should prompt the client to contact the office (For example: Call the office if you obtain 2 readings over 350 mg/dL or any readings under 100 mg/dL) The follow-up schedule. Animals whose blood glucose levels are in this range will look and act normal. It is important to use a blood glucose meter designed for dogs and cats for the most accurate readings. In general, maintaining blood glucose levels in a dog with diabetes between 100–250 mg/dL for the majority of the day will minimize the symptoms of diabetes and complications. When blood glucose is checked multiple times within a set period, the saved results can give a visual read of insulin effectiveness through the Blood Glucose Curve Generator. Then, in at least 60 to 120 minute intervals, Insulin effectiveness. This makes sense because the kidney threshold for dogs is about 200 … TO DO A CURVE AT HOME. An example of a stable dog with diabetes is a blood glucose range of 100–250 mg/dL (5.6–13.9 mmol/L) for most of a 24-hour period. There are different types of insulin. Intervet Inc., d/b/a Merck Animal Health, a subsidiary of Merck & Co., Inc. The blood glucose curve is an ideal tool to determine the effectiveness of the insulin and identify the appropriate dose and frequency of administration. However, the normal blood glucose level depends on the individual. This may result in reduced functionality and affect the graphical presentation of this site.However, all content will still be available. Check blood glucose levels every 2 hours until it is time for the next insulin level. Instructions: 1 Take a blood glucose measurement before feeding your pet and record the value and time in the worksheet. Record blood glucose concentration and time of each sample. How low your dogs blood glucose falls and when this occurs. Collection done, at home or in clinic, of a drop of capillary blood from the ear (pinna), or sometimes the inner lip or elbow callus, analyzed with a handheld blood glucose meter (glucometer). The Glucose Curve. After your dog has been stabilized successfully, your veterinarian may perform routine rechecks every 2–4 months. document.write(new Date().getFullYear()) Your veterinarian may suggest you doing this at home, or they will do it at their office. See the Blood Glucose Curves section for additional recommendations. This is where the blood glucose is measured every 1-2 hours through the day. Monitoring glucose levels checks insulin performance. Typically, blood samples are taken every 1 1/2 to 2 hours until the effects of the insulin injection can be determined. This information helps your veterinarian prescribe the best treatment plan. Not all blood glucose curves will be ideal at first. Sample the blood in at least 60 to 120 minute intervals over a period of 12 to 24 hours. The primary new feature is the graphical and color-coded data points for showing the activity associated with each mg/dL measurement. Description. Handheld meters are reasonably accurate. Though it's important to have your veterinarian do an initial glucose curve, Glucometers should be calibrated specifically for dogs and cats because of the difference in the ratios of glucose in plasma and red blood cells from humans. 5. The distribution of glucose in blood differs among dogs, cats and humans. A glucose curve is a series of blood glucose determinations made after a dose of insulin is given. A glucose curve will reveal at what time the dog’s glucose level is the highest and when it is lowest relative to diet and insulin administration. Your veterinarian can help explain the glucose curve, and how they interpret these readings based on your pet. Where diabetes mellitus (DM) monitoring is concerned, clinical signs supersede all else. At high readings, combined with inadequate administration of insulin, and not eating or drinking enough, or an infection, animals can sometimes quickly develop diabetic ketoacidosis (DKA), which is immediately life-threatening. Having a card with information on it in the area with your driver's license stating you have a diabetic pet at home, possibly with some individual care information on it would be great. Visit AlphaTRAKmeter.com for … Dogs without cataracts: Between 100 mg/dl and 200 mg/dl. If your diabetic pet is very stressed during his visits to the hospital, your veterinarian might ask you to perform a glucose curve at home. Then open the file titled SampleSS.xls with Microsoft excel If you need addtional help on how to do this in Excel please email Anne Fiorenzo Max How To Perform a Blood Glucose Curve Feed your dog or cat normally. This is probably the most important glucose reading of the curve. Careful monitoring and control will help to limit the long-term complications associated with diabetes. In general a good blood glucose curve will have most of the numbers under 250 to 300 and bottom out (or nadir) around 100 mg/dl. This may result in reduced functionality and affect the graphical presentation of this site.However, all content will still be available. The FREE Pet Diabetes Tracker Mobile App is the best way to record blood glucose measurements, generate a blood glucose curve, and send results to your veterinarian. If applicable, feed and inject your dog with second dose of Vetsulin®. The aim of therapy is to produce a blood glucose curve that approaches the reference range, avoiding potentially fatal hypoglycemia. If your dog exercises at home during the day, the same exercise routine should be adhered to while your dog is in the clinic. 8 Try our online glucose curve generator. When Chuck got his first insulin prescription, it was for Humulin … For emergencies. This new blood sugar chart was created based on feedback from multiple users and doctors. All rights reserved. … document.write(new Date().getFullYear()) The blood glucose curve is an ideal tool to determine the effectiveness of the insulin and identify the appropriate dose and frequency of administration. Somewhere between 72 mg/dl and 108 mg/dl is the normal blood glucose level of a healthy person. Find a veterinarian to learn more about pet diabetes, and how cats and dogs can lead a happy, healthy life with proper management. Readings may vary by as much as 15% from samples submitted to the laboratory. Be sure to check glucose before feeding and before insulin is given. In general, maintaining blood glucose levels in a dog with diabetes between 5–14 mmol/l for the majority of the … Cats: Between 100 mg/dl and 300 mg/dl. A glucose curve procedure involves a veterinarian giving small insulin doses to see how quickly your dog metabolizes the insulin, how long the insulin lasts, and how long it takes for the insulin to exit their system. To perform a curve, measurement of the blood glucose level every 2 hours throughout a 12-hour period is necessary. Dogs already blind from cataracts: Between 100 mg/dl and 250 mg/dl. Copyright © Remember License: Personal Use (not for distribution or resale). The blood glucose curve is an ideal tool to determine the effectiveness of the insulin and identify the appropriate dose and frequency of administration. Some folks are very resistant to checking Fluffy’s blood glucose at home. Below is an example of an ideal blood glucose curve for a dog on once-daily dosing where the range remains between 100–250 mg/dL for most of the 24-hour period. The standard glucose curve and its alternative. Give the insulin injection as you normally would. An example of a stable dog with diabetes is a blood glucose range of 100–250 mg/dL for most of a 24-hour period. Intervet Inc., d/b/a Merck Animal Health, a subsidiary of Merck & Co., Inc. Tender Touch Veterinary Hospital 151 Wexford-Bayne Rd. Always check urine for ketonesat high readings. Thank you for taking the time to perform this blood glucose curve at home. Management of canine diabetes can be considered successful when the clinical signs of diabetes mellitus improve without inducing hypoglycemia. Wrong! All rights reserved. Record blood glucose concentration and time. What are the blood glucose goals for cats and dogs? Feline Blood Glucose Curves The blood glucose curve is an ideal tool to determine the effectiveness of the insulin and identify the appropriate dose and frequency of administration. However, the blood sugar level may temporarily increase to 140 mg/dl after a meal: this is a normal range. The 3 aspects of the curve are the peak, nadir, and curve level/duration between these 2 points (FIGURE 1). weight, and serum fructosamine concentration to determine when a blood glucose curve is needed helps reduce the frequency of performing blood glucose curves, minimize the animal’s aversion to these evaluations, and improve the chances of obtaining meaningful results when a blood glucose curve is needed. It also helps determine how long the insulin is lasting in your dog, the time of the peak effect and the degree of fluctuation in the blood glucose. Generally, around 72 mg/dl is the blood sugar level in humans. Just prior to insulin administration, sample the blood. Note the time of each glucose level, note the time of each feeding and the time the insulin is given. We will place the points on the above chart when we receive it. Glucose Blood Plasma See how easy it is to take a blood sample at home. What is a blood glucose curve?
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