Insulin management of steroid induced diabetes

Using this protocol, you can expect to start seeing some very “normal” numbers within a few days or weeks of starting. As long as you are feeding your cat ONLY low-carbohydrate foods, you do not need to be fearful of clinical hypoglycemia. In fact, those blood glucose numbers in the 60-120 range are the objective of the protocol. Even if the blood glucose drops to 30-50, do not feed sugar syrup or dry food. A small, high protein wet food meal is all you need for a cat at these numbers and that is more for the owner than the cat. As time passes, smaller doses will achieve the same results that larger ones once did, and you will even start skipping doses as you test and find the blood glucose is still in the normal range many hours or even days after the last dose of insulin. When this happens, you will know your cat’s own pancreas is beginning to function on its own. For more information on this method, see .

A final note. Some veterinarians use a test called a fructosamine test to determine the level of diabetes control in a particular patient on insulin. This test was valuable before the days when owners started hometesting their own cats. The frucosamine test measures a rough “average” of the amount of glucose in the cat’s circulation over the 3 weeks or so preceding the test. If the fructosamine test gives a high value, meaning the cat is not well regulated, a blood glucose curve is then done to determine how to adjust the cat’s insulin. Because pet owners who home test are already doing their own curves at home, yielding more precise information for making these insulin on a day to day basis, the fructosamine test gives no useful additional information in such cases.

Lifestyle changes (in nutrition and physical activity) are clearly important to delay the development of type 2 diabetes in individuals with insulin resistance and are the primary recommendation for prevention of diabetes in high-risk individuals. Metformin is the only drug recommended by guidelines, for those patients at highest risk. Education about these changes must be directed to all groups at risk for type 2 diabetes. Childhood obesity is epidemic and on the rise in the developed countries. Changes must be made in homes and school cafeterias to ensure healthier nutrition .

Insulin management of steroid induced diabetes

insulin management of steroid induced diabetes


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