1. Reference values for glucose tolerance and glucose tolerance status in cats.
- Author
-
Link KR and Rand JS
- Subjects
- Aging blood, Animals, Cat Diseases blood, Cat Diseases diagnosis, Confidence Intervals, Diabetes Mellitus blood, Diabetes Mellitus diagnosis, Diabetes Mellitus veterinary, Female, Glucose, Glucose Intolerance blood, Glucose Intolerance diagnosis, Glucose Intolerance veterinary, Male, Prospective Studies, Queensland, Reference Values, Stress, Physiological blood, Stress, Physiological complications, Stress, Physiological veterinary, Blood Glucose analysis, Cats blood, Glucose Tolerance Test veterinary
- Abstract
Objective: To determine the reference range for glucose tolerance, using a simplified glucose tolerance test (GTT), and to evaluate glucose tolerance status in cats., Design: Prospective study., Animals: 57 clinically normal cats., Procedure: 2 catheters were placed in the cephalic veins of nonsedated cats at least 3 hours before the test. Blood samples were obtained before (0 minutes) and 2, 5, 10, 15, 30, 45, 60, 90, and 120 minutes after glucose (0.5 g/kg [0.23 g/lb] of body weight) was injected i.v. Blood glucose concentration was measured by a glucose meter. Glucose half-life (t1/2) and disappearance of glucose (Kglucose) were calculated., Results: Glucose tolerance in cats was considered normal when upper limits for glucose concentration were < or = 159 mg/dl at 0 minutes, < or = 322 mg/dl at 60 minutes, < or = 238 mg/dl at 90 minutes, or < or = 171 mg/dl at 120 minutes and glucose t1/2 was < or = 94.7 minutes or Kglucose was > or = 0.41%/min. Impaired glucose tolerance in cats was defined as a glucose concentration > or = 160 mg/dl at 0 minutes, > or = 323 mg/dl at 60 minutes, > or = 239 mg/dl at 90 minutes, or > or = 172 mg/dl at 120 minutes. The frequency of impaired glucose tolerance was 2%. Five cats had stress-affected GTT. Significant differences in glucose t1/2 or Kglucose between cats < 7 and > or = 7 years old were not found., Clinical Implications: The simplified GTT and measurement of glucose concentration by a glucose meter provides a simple and low-cost method of assessing glucose tolerance status in cats that are normoglycemic after food is withheld. Use of absolute glucose concentrations overcomes the need to calculate glucose t1/2 values. The high glucose concentration at 0 minutes found in this study may reflect a more realistic concentration to use in assessing client-owned cats in a hospital environment.
- Published
- 1998