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This study assesses the use of fructosamine as a diagnostic tool for hyperglycemia in alpacas in view of their sensitivity to stress and susceptibility to conditions like lipid mobilization syndrome. Plasma fructosamine, like in diagnosing diabetes in cats and dogs, can reveal long-term blood glucose trends, differentiating stress-induced spikes from persistent diabetic hyperglycemia. In 125 alpacas presented as patients of a veterinary clinic, plasma glucose and fructosamine concentrations were compared for correlations with findings of the general clinical examination, laboratory parameters, demographic data, and a behavioral stress assessment processed by using principal component analysis. Hyperglycemia was observed on admission of 71% (89/125) of the animals. This was significantly associated with a higher concentration of serum cortisol and a higher behavioral stress scoring. Fructosamine above the reference limit was detected in only 15% (13/89) of the hyperglycemic individuals. In addition to a positive correlation of fructosamine to glucose concentration, positive relationships with different plasma proteins were detected. A relationship to stress parameters was not observed. These findings underscore stress as a significant trigger for hyperglycemia in alpacas and suggest fructosamine as a valuable parameter for distinguishing between stress-induced and diabetic hyperglycemia. However, the dependence of fructosamine formation on total plasma protein concentration should be considered to avoid misinterpretation., (© 2024. The Author(s).)

Objective: The objective of this study was to provide orientation values for fructosamine in adult llamas and to characterize relationships with other laboratory and clinical parameters., Animals: Data from 22 healthy adult llamas of both sexes., Methods: A retrospective study was conducted with the findings of a veterinary herd visit from August 2022. Fructosamine measured from plasma samples was characterized, and its relationships with clinical and laboratory diagnostic data was analyzed using descriptive statistics and correlation analysis., Results: Fructosamine was 311 ± 34 µmol/L (mean ± SD), with a range of 254.8 to 409.2 µmol/L. Males showed significantly higher plasma fructosamine levels than females (P < .05). Plasma fructosamine revealed significant positive correlations with glucose, total protein, and albumin and also with PCV, hemoglobin, calcium, sodium, and selenium. Female llamas revealed further positive correlations with body condition scoring., Clinical Relevance: The results of this study can be used as orientation values for fructosamine in llamas. Fructosamine is used to distinguish acute hyperglycemia caused by stress from chronic hyperglycemia in other species, which might be caused by disorders of the glucose metabolism.