Diabetic remission in a cat

RE: Diabetic remission in a cat

Richard Carter — Tue, 26 Oct 2021 09:08:20 GMT

As Sarah said I’ve also seen hypoglycaemia with normal fructosamine - some cats ok with very low insulin doses - try sid, eod, see if pd/pu; glucosuria recurs. A Burmese I treated had 3-4 month cycles of not needing any insulin and then when did, was 1 iu sid caninsulin

RE: Diabetic remission in a cat

KMurphy — Tue, 26 Oct 2021 09:08:19 GMT

I don't have any experience with the Libre but it sounds ideal for this case. Thank you to everyone!

RE: Diabetic remission in a cat

niamhjl — Mon, 25 Oct 2021 21:29:36 GMT

I don’t think I would make this decision based on frustosamine alone - it’s great for seeing general trends but I usually check any “unexpected” results with a glucose curve, preferably using a freestyle libre, as then there is no hospitalisation stress to affect the results and the owners can usually manage the monitoring very well at home. could you monitor this cat with a freestyle libre for a few days? If that confirms your suspicious of remission, you can then continue monitoring as you gradually withdraw insulin, to make sure that hyperglycaemia isn’t recurring.

RE: Diabetic remission in a cat

Jill Butterworth — Mon, 25 Oct 2021 18:37:23 GMT

I've seen occasional cats go into remission for a while ( you will usually find owners want to stop injecting, it's a very tying chore for them), warn them they are likely to relapse and arrange to check bloods regularly or if they become symptomatic. I've never stressed about it as there isn't the risk of cataracts as in dogs.

RE: Diabetic remission in a cat

Sara Ramsey — Mon, 25 Oct 2021 17:47:31 GMT

It's not easy when they are challenging patients.

Would it be possible to reduce the dose and get the owner to be vigilant regarding recurrence of symptoms or dipstick urine at home?

If no symptoms and urine negative for glucose then stop insulin?

In the past, I have had ones got hypoglycaemic or we spotted it on home curves and we obviously stopped the insulin straight away. Several became symptomatic again after a few weeks or months.

Might a libre be useful for monitoring trends?