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Dietary therapy goals and management

The goals of dietary therapy are to optimize body weight with appropriate protein and carbohydrate levels, fat restriction, and calorie and portion control.

Monitoring principles

The overarching goal of monitoring diabetic cats and dogs is to control clinical signs of DM while avoiding hypoglycemia.

Blood glucose curves

Blood glucose curves serve two very useful purposes that other monitoring parameters do not.

Glycosylated proteins

The glycosylated proteins include fructosamine and glycosylated hemoglobin (A1C). Fructosamine, the glycosylated protein used in veterinary medicine, is formed by nonenzymatic, irreversible binding of glucose to serum proteins, mainly albumin.

Diagnosis and assessment

These guidelines describe different approaches to DM diagnosis and assessment depending on the level of hyperglycemia and the presence of clinical signs.

References

References for the 2018 AAHA Diabetes Management Guidelines for Dogs and Cats

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