Mimi 3/5 vet called about fructosamine. Help

So I was somehow convinced that a fructosamine is different than a BG.. anyway, I had to do a bunch of blood work on her because she’s getting her teeth cleaned at the end of the month and the vet called me to say her fructosamine was in the “fair range”

Here’s the results.

He’s not super familiar with diabetes but from what he does know this seems like it’s not as controlled.

Also Mimi has a lump where I was injecting initially into the scruff that hasn’t gone away and he’s going to remove it and do a biopsy on it just to be safe.
He thought it should have been gone by now, what does everyone thing about that? It’s like an extra 500$ to do that.


@carfurby
@Sienne and Gabby (GA)
@Bobbie And Bubba
@Chris & China (GA)
@Marje and Gracie (if you’re back)
 

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Here's a link to what those fructosamine numbers indicate, reference ranges for fructosamine

your file is very fuzzy, and hard to read, I think your reading was 442, so it seems you fall into the category of good control.

You can get injection site lipomas if you don't move the shots around. They do absorb back over time. I wouldn't think a biopsy is necessary, but since I have seen what your vet has, I can't compare with my experience with them. Maverick gets them occasionally, I just need to keep moving the shots around, side, shoulder area, upper scruff, left, right, etc. and in my experience they go away.
 
I'd go by the SS. Those numbers are more real time than the fructosamine test. If the lump is just from the testing, it's probably not anything to worry about. However, there is a chance it could be soemthing else and the biopsy would give you peace of mind. :bighug::bighug::bighug:
 
I wouldn’t be talked into a fructosomine test again since we are all testing constantly, we know what the BGs are over a given period of time. I told my vet that and that I would rather put my $$ to other more important tests. They have respected my opinion and have not asked me again.

As far as the lump, it sounds like it could be from the injection. Like Carla said, you’ll have peace of mind if they remove it. Hopefully , they will do it while he is all ready under anesthesia. All though my vet office won’t mix surgical procedures with a dental.


Glad you are getting the dental done. Hopefully, she’ll start to see better numbers.
 
Christie & Maverick said:
Here's a link to what those fructosamine numbers indicate, reference ranges for fructosamine

your file is very fuzzy, and hard to read, I think your reading was 442, so it seems you fall into the category of good control.

You can get injection site lipomas if you don't move the shots around. They do absorb back over time. I wouldn't think a biopsy is necessary, but since I have seen what your vet has, I can't compare with my experience with them. Maverick gets them occasionally, I just need to keep moving the shots around, side, shoulder area, upper scruff, left, right, etc. and in my experience they go away.
Click to expand...
That’s odd I don’t know why it uploaded fuzzy.
Ya they want to remove the mass while she’s under-
It’s like an extra 500$ though
 
Bobbie And Bubba said:
I wouldn’t be talked into a fructosomine test again since we are all testing constantly, we know what the BGs are over a given period of time. I told my vet that and that I would rather put my $$ to other more important tests. They have respected my opinion and have not asked me again.

As far as the lump, it sounds like it could be from the injection. Like Carla said, you’ll have peace of mind if they remove it. Hopefully , they will do it while he is all ready under anesthesia. All though my vet office won’t mix surgical procedures with a dental.


Glad you are getting the dental done. Hopefully, she’ll start to see better numbers.
Click to expand...

I know my one dentist doesn’t like to do that either, but I guess this will be quick? I’m still not sure I want to bother with it. The vet said that if it’s from the injections that it can turn into cancer- examples are from vaccine site injections.

only thing is she has had a lump on her stomach from her spay site that I would think would be of more concern. It seems like she could be prone to reactions from injections?
 
Bobbie And Bubba said:
I wouldn’t be talked into a fructosomine test again since we are all testing constantly, we know what the BGs are over a given period of time. I told my vet that and that I would rather put my $$ to other more important tests. They have respected my opinion and have not asked me again.

As far as the lump, it sounds like it could be from the injection. Like Carla said, you’ll have peace of mind if they remove it. Hopefully , they will do it while he is all ready under anesthesia. All though my vet office won’t mix surgical procedures with a dental.


Glad you are getting the dental done. Hopefully, she’ll start to see better numbers.
Click to expand...


The vet tech kept saying that fructosamine is different than glucose readings, that it measure what if constantly is or something like that?
I kept trying to say “yes I know but I have a SS of with multiple testings done”
But again he kept insisting that’s not the same thing... does this vet tech need to review his literature again?
 
Idexx updated the fructosamine ranges last summer, June 24, 2019. https://www.idexx.fi/fi/veterinary/...-and-feline-fructosamine-reference-intervals/

New reagants are being used, at least in Europe. I have someone checking into if those ranges are also different for the US. So that fructosamine document we refer members to is out of date.

Fructosamine measures what the BG has been over a period of about 1 to 3 weeks. And it gives you sort of an average. It's measuring the binding of glucose to serum proteins in the blood, which can be an indicator of the blood glucose levels over time.

"The trend for an individual patient is more important than the absolute values and all results should be interpreted in conjunction with clinical history (including home records), clinical signs, changes in body weight, laboratory findings and response to current treatment."

"It is important when making comparisons between results, and assessing trends, that the result is generated not only by the same methodology but most importantly by the same type of analyser/machine. Therefore, we would advise that trends in fructosamine, which is the best way to use the test, are assessed on results generated from the same source i.e. either in-house or reference laboratory and not a combination of both."

There is more information in the link I gave. You might consider reading it.
 
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