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Table 1 Diagnostics and management techniques for dogs diagnosed with diabetes mellitus

From: Diabetes mellitus in dogs attending UK primary-care practices: frequency, risk factors and survival

 

Number of cases (%)

(n = 409)

Diagnostic procedures (multiple tests allowed per dog)

 Urinalysis

310 (75.8%)

 Blood Glucose (BG)

356 (87.0%)

 Fructosamine

169 (41.3%)

 Blood (unspecified)

330 (80.7%)

 Othera

36 (8.8%)

 Diagnostic tests not recorded

17 (4.2%)

Blood glucose level at diagnosis

 Median (range) mmol/L

28.1 (12.2–51.7)

  < 20 mmol/L

34 (8.3%)

 20 to < 30 mmol/L

108 (26.4%)

 30 to < 40 mmol/L

83 (20.3%)

  > 40 mmol/L

23 (5.6%)

 Level unrecorded

161 (39.4%)

Ketotic at diagnosis

 Ketotic

134 (32.8%)

 Not ketotic

263 (43.8%)

 No record of assessing ketones

96 (23.5%)

Insulin treatment

 Dog started on insulin

362 (88.5%)

 Dog not started on insulinb

40 (9.8%)

 Insulin treatment unknown

7 (1.7%)

Insulin regime

 Once a day

67 (16.4%)

 Twice a day

224 (54.8%)

  > 2x daily injections

24 (5.9%)

 Constant Rate Infusion

13 (3.2%)

 Unable to determine initial insulin regime

81 (19.8%)

Cataracts present

 Cataracts diagnosed

134 (32.8%)

 Not recorded

275 (67.2%)

Hospitalised at diagnosis

 Dog hospitalised

66 (16.1%)

 No evidence of hospitalisation

343 (83.9%)

Number of days hospitalised

 Median (range)

0 (0–12)

 0 days

343 (83.9%)

 1–3 days

49 (12.0%)

 4+ days

17 (4.2%)

Referred for advanced management

 Dog referred

24 (5.9%)

 Not referred

385 (94.1%)

Management methods first 3 months (multiple methods allowed per dog)

n = 361

Home blood glucose measurements

45 (12.5%)

Blood glucose curve practice

234 (64.8%)

Fructosamine

135 (37.4%)

Spot blood glucose

247 (68.4%)

Bloods (unspecified)

110 (30.5%)

Urinalysis

160 (44.3%)

Recommended diet change

149 (41.3%)

Otherc

128 (35.5%)

  1. Diagnostics and management for dogs aged 3 years and older diagnosed with diabetes mellitus in UK primary-care practices in 2016.
  2. a The majority of “other” tests (91.7%, 33 dogs) were imaging
  3. b Dogs not started on insulin included those where the owner opted for euthanasia, or specifically declined insulin treatment
  4. c “Other” management included 92.2% (118) fluid therapy, 10.2% [13] imaging