1. Glycemic variability in newly diagnosed diabetic cats treated with the glucagon‐like peptide‐1 analogue exenatide extended release
- Author
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Federico Fracassi, A Riederer, Thomas A. Lutz, Anna L Krämer, Felicitas S Boretti, Barbara Contiero, Eric Zini, Nadja S Sieber-Ruckstuhl, Claudia E Reusch, University of Zurich, Krämer, Anna L, Kramer A.L., Riederer A., Fracassi F., Boretti F.S., Sieber-Ruckstuhl N.S., Lutz T.A., Contiero B., Zini E., and Reusch C.E.
- Subjects
Blood Glucose ,medicine.medical_specialty ,10253 Department of Small Animals ,medicine.medical_treatment ,3400 General Veterinary ,Incretin ,Standard Article ,Cat Diseases ,Gastroenterology ,Endocrinology ,remission ,Glucagon-Like Peptide 1 ,Internal medicine ,Diabetes mellitus ,medicine ,Animals ,Hypoglycemic Agents ,Insulin ,Prospective Studies ,feline ,Glycemic ,Retrospective Studies ,diabetes mellitus ,glycemic control ,incretin ,CATS ,630 Agriculture ,General Veterinary ,diabetes mellitu ,Insulin glargine ,business.industry ,medicine.disease ,10081 Institute of Veterinary Physiology ,Glucagon-like peptide-1 ,Standard Articles ,Diabetes Mellitus, Type 2 ,Cats ,570 Life sciences ,biology ,Exenatide ,SMALL ANIMAL ,business ,medicine.drug - Abstract
Background: Glycemic variability (GV) is an indicator of glycemic control and can be evaluated by calculating the SD of blood glucose measurements. In humans with diabetes mellitus (DM), adding a glucagon-like peptide-1 (GLP-1) analogue to conventional therapy reduces GV. In diabetic cats, the influence of GLP-1 analogues on GV is unknown. Objective: To evaluate GV in diabetic cats receiving the GLP-1 analogue exenatide extended release (EER) and insulin. Animals: Thirty client-owned cats with newly diagnosed spontaneous DM. Methods: Retrospective study. Blood glucose curves from a recent prospective placebo-controlled clinical trial generated 1, 3, 6, 10, and 16 weeks after starting therapy were retrospectively evaluated for GV. Cats received either EER (200 μg/kg) or 0.9% saline SC once weekly, insulin glargine and a low-carbohydrate diet. Mean blood glucose concentrations were calculated and GV was assessed by SD. Data were analyzed using nonparametric tests. Results: In the EER group, GV (mean SD [95% confidence interval]) was lower at weeks 6 (1.69 mmol/L [0.9-2.48]; P = .02), 10 (1.14 mmol/L [0.66-1.62]; P = .002) and 16 (1.66 mmol/L [1.09-2.23]; P = .02) compared to week 1 (4.21 mmol/L [2.48-5.93]) and lower compared to placebo at week 6 (3.29 mmol/L [1.95-4.63]; P = .04) and week 10 (4.34 mmol/L [2.43-6.24]; P < .000). Cats achieving remission (1.21 mmol/L [0.23-2.19]) had lower GV compared to those without remission (2.96 mmol/L [1.97-3.96]; P = .01) at week 6. Conclusions and clinical importance: The combination of EER, insulin, and a low-carbohydrate diet might be advantageous in the treatment of newly diagnosed diabetic cats.
- Published
- 2020