Nov 2014 Veterinary Practice News article
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beggargirl
Member Since 2011
"The use of low carbohydrate (LC) high protein (HP) diets approached statistical significance, but the N was not sufficient to draw a firm conclusion."
"The remission rate for the entire 290 cats was 25 percent"
"Twenty-five percent had blood glucose checked at home; 75 percent ate a low carbohydrate diet; and 25 had a recent history of steroid administration prior to the onset of diabetes. The panel concluded that successful treatment of diabetes is multifactorial, as is induction of remission."
"We discussed home glucose testing. Over 80 percent of the panel members recommend it although a survey of the members revealed that only about 21 percent of clients are willing to do so. It was pointed out that in a multicat household the best monitor for clinical signs is having the owner weigh the cat about once per week using a digital scale." <------BOO!
"We discussed that the best benefit of home glucose monitoring may be in decreasing patient stress, since the patient is not coming to the clinic, but that the values reported by owners do not seem significantly different than those obtained during clinic visits for the same patients, which agreed with a study comparing home testing and clinic testing.1 (1. Alt N, Kley S, Haessig M, Reusch CE. Day-to-day variability of glucose concentration curves generated at home in cats with diabetes mellitus. JAVMA 2007;230:1011-1017.) "
"The tight control approach3 was discussed. Many panel members had tried it, but no one was still using it. The most common problem encountered was excessive hypoglycemic events."
"Bill Folger, DVM, noted that a hypoglycemic crisis treated at a local emergency clinic would cost the owner about $1,500 in the Houston area, and two events usually result in euthanasia." cat(2)_steam
"It was also noted that the protocol required blood-glucose-testing an average of five times every day, which panel members would not recommend to their clients." confused_cat
"Low-carbohydrate diets were further discussed even though there was not statistical evidence for using them. Every panel member recommended LC diets and strongly believe that diabetic control is improved with it. It was also noted that we are in the midst of a shift to LC, HP diets for most if not all cats, including those with renal disease." <----- Why are there no statistically significant studies out there proving this? This is silly.
"The remission rate for the entire 290 cats was 25 percent"
"Twenty-five percent had blood glucose checked at home; 75 percent ate a low carbohydrate diet; and 25 had a recent history of steroid administration prior to the onset of diabetes. The panel concluded that successful treatment of diabetes is multifactorial, as is induction of remission."
"We discussed home glucose testing. Over 80 percent of the panel members recommend it although a survey of the members revealed that only about 21 percent of clients are willing to do so. It was pointed out that in a multicat household the best monitor for clinical signs is having the owner weigh the cat about once per week using a digital scale." <------BOO!
"We discussed that the best benefit of home glucose monitoring may be in decreasing patient stress, since the patient is not coming to the clinic, but that the values reported by owners do not seem significantly different than those obtained during clinic visits for the same patients, which agreed with a study comparing home testing and clinic testing.1 (1. Alt N, Kley S, Haessig M, Reusch CE. Day-to-day variability of glucose concentration curves generated at home in cats with diabetes mellitus. JAVMA 2007;230:1011-1017.) "
"The tight control approach3 was discussed. Many panel members had tried it, but no one was still using it. The most common problem encountered was excessive hypoglycemic events."
"Bill Folger, DVM, noted that a hypoglycemic crisis treated at a local emergency clinic would cost the owner about $1,500 in the Houston area, and two events usually result in euthanasia." cat(2)_steam
"It was also noted that the protocol required blood-glucose-testing an average of five times every day, which panel members would not recommend to their clients." confused_cat
"Low-carbohydrate diets were further discussed even though there was not statistical evidence for using them. Every panel member recommended LC diets and strongly believe that diabetic control is improved with it. It was also noted that we are in the midst of a shift to LC, HP diets for most if not all cats, including those with renal disease." <----- Why are there no statistically significant studies out there proving this? This is silly.
Melanie and Smokey
Member Since 2010
I am glad the posted the study participants. A list of what vets NOT to use. cat(2)_steam
Nancy and Scotty
Member Since 2014
How sad for all the cats that will be diagnosed and treated by these vets or vets who read and believe the article.
JoyceOlive
Member Since 2014
A true case of " the blind leading the blind"!!!
marniepaul & miles
Member Since 2011
I personally thought it was interesting and heartening to see a group of vets get together and have a real discussion about everything related to feline diabetes. All the differing factors, from insulin to dosing to diet (including the unique health of each cat and the effectiveness of the human caregiver) can impact the animals' recovery in many ways. In some cases the cats are too sick to be treated by the time they are brought to the vet, and certainly that affects success rates. I hope their roundtable discussion becomes a regular event and that the communication between doctors continues to improve.
Thanks for sharing this.
Thanks for sharing this.
Maggies Mom Debby
Member Since 2009
I think it's great that vets are talking about this, even if we question some of the findings. But I think we all can agree with them on this part:
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