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COMPANION ANIMALS:MONITORING
Additional information is available for the following diagnostic tests.
Disease Monitoring & Diagnosis Tests
  • FRUCTOSAMINE
  • 24hr GLUCOSE CURVE


  • Related protocols are available for
  • Adrenal Function
  • Reproductive Function
  • Other Diagnostic Tests


  • Please contact the laboratory if you require further assistance or guidance on test protocol not shown.

    FRUCTOSAMINE
    The fructosamine concentration is a useful measure of the adequacy of glycaemic control in treated diabetic dogs and cats.

    In one study well controlled dogs has a mean of 251 umol/l, against 422 umol/l for moderately controlled and 476 umol/l for poorly controlled cases

    For cats, a fructosamine result of <400 umol/l is associated with adequate glycaemic control, whereas results > 400 umol/l (usually >500 umol/l) are consistent with insufficient glycaemic control.

    It is suggested that fructosamine levels should be checked at 2 - 3 week intervals until the animal is stabilised on insulin therapy and then every 4 - 6 months.


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    24hr GLUCOSE CURVE
    In diabetic dogs which prove difficult to stabilise on insulin therapy, taking sequential oxalate fluoride preserved blood samples at 2 - 4 hour intervals throughout a 24 hour period for glucose estimation can be a useful technique. Usually a total of six samples are collected.

    A chart of blood glucose against time, indicating on the time axis when key events such as feeding, insulin dosing and exercise occurred, can then be prepared.

    Insulin resistence, inadequate insulin dosing, or indeed insulin overdosing resulting in Somogyi overswing can then be indentified by studying the resulting glucose curve.

    This technique is much less useful in cats, because the species is prone to stress hyperglycaemia.


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