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steps in the management of diabetes in cats, based on current recommendations by the team running the Royal Veterinary College Diabetic Remission Clinic. Classification and diagnosis To provide the best possible treatment options and an accurate prognosis, classification of the type of diabetes should be offered at time of diagnosis. This
Treatment comprises vitamin K1 (2.5mg/kg SQ 1st day then 0.25-2.5mg/kg PO in divided doses) for at least a week (up to 6weeks), with monitoring of the PT 24 hours after stopping treatment to dictate whether further treatment is required.
A porcine lente product (porcine zinc insulin suspension, Vetsulin) is approved for both species. Human recombinant protamine zinc insulin, or PZI (ProZinc) insulin, is also FDA approved for both cats (as of 2009) and dogs (as of 2019). It is considered by clinicians as a long-acting insulin.
Feline diabetes mellitus, one of the most commonly encountered feline endocrine diseases, is comprehensively reviewed, with an emphasis on providing up-to-date information on diagnosis and treatment based on current literature and research.
10 Μαΐ 2019 · Predictors of diabetic remission in cats include achieving excellent glycemic control within 6 mo of diagnosis, using intensive home monitoring, discontinuation of insulin-antagonizing medications, and use of insulin glargine (Lantus) or detemir (Levemir) along with a low-carbohydrate diet. 4
15 Οκτ 2024 · Sodium-glucose cotransporter 2 inhibitors (SGLT2is) are a new treatment option for felines with diabetes. This treatment works by blocking the reabsorption of glucose in the kidneys, leading to normal glycemia.
Management. The general goals of treatment are to mitigate clinical signs through improvement of hyperglycemia and avoidance of diabetic complications (e.g., hypoglycemia, ketosis). These goals are most reliably met using a combination of insulin administration and carbohydrate-restricted dietary modification.
