Comparison between a flash glucose monitoring system and a portable blood glucose meter for monitoring dogs with diabetes mellitus
3 de novembro de 2020
Comparação entre sistema de monitoração de glicose flash e sistema de glicômetro portátil para monitoração de cães diabéticos.
Francesca Del Baldo, Claudia Canton, Silvia Testa, Harry Swales, Ignazio Drudi, Stefania Golinelli, Federico Fracassi
Background: Flash glucose monitoring system (FGMS; FreeStyle Libre) was recently validated for use in diabetic dogs (DD). It is not known if this system is clinically useful in monitoring DD.
Objective: To compare the clinical utility of FGMS against blood glucose curves (BGCs) obtained with a portable blood glucose meter (PBGM) in monitoring DD.
Animals: Twenty dogs with diabetes mellitus.
Methods: Prospective study. Dogs with diabetes mellitus on insulin treatment for at least 1 month were included. Comparisons of insulin dose recommendations based on the in-hospital GCs acquired using FGMS and a PBGM, consecutive-day interstitial GCs (IGCs) acquired at home using the FGMS, and consecutive-day, home vs hospital IGCs acquired using the FGMS were made using concordance analysis.
Results: There was good concordance between insulin dose recommendations based on FGMS and PBGM generated GCs and IGCs obtained in the 2 different environments on 2 consecutive days, but almost absent concordance between IGCs obtained on 2 consecutive days at home. Glucose nadirs were detected in 34/43 (79%) of Ambulatory Glucose Profile (AGP) reports of the FGMS. In comparison, concordant glucose nadirs were identified in 14/34 (41%) BGCs using PBGM. The individual FGMS scans and PBGM identified 60% and 9% of low IG/hypoglycemic episodes, respectively.
Conclusions and Clinical Importance: Insulin dose adjustments based on BGCs can be suboptimal. The FGMS allows a more accurate identification of the glucose nadirs and hypoglycemic episodes compared to the use of a PBGM and assessment of day- to-day variations in glycemic control.
Canine, diabetes mellitus, FreeStyle Libre, interstitial glucose
Canino, Diabetes, glicose intersticial
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