Perception of veterinarians on monitoring diabetic cats with emphasis on the flash glucose monitoring system

Souza, H.J.M.; Castro, S.M.; Alexander, D.; Saturiano, A.S.

doi:10.1590/1678-4162-12684

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Arquivo Brasileiro de Medicina Veterinária e Zootecnia

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Veterinary Medicine • Arq. Bras. Med. Vet. Zootec. 74 (4) • Jul-Aug 2022 • https://doi.org/10.1590/1678-4162-12684 copy

Perception of veterinarians on monitoring diabetic cats with emphasis on the flash glucose monitoring system

[Percepção dos veterinários sobre o monitoramento de gatos diabéticos com ênfase no sistema flash de monitoramento de glicose]

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

This study aimed to understand the perception of veterinarians regarding monitoring blood and interstitial glucose levels in cats with diabetes mellitus and/or diabetic ketoacidosis, with emphasis on the flash glucose monitoring system (FGMS) (FreeStyle Libre, Abbott, Brazil). This research consisted of two stages. In all, 516 response forms were obtained, and of these, 480 (93%) were considered valid. In total, 333 (69.4%) veterinarians did not use the FGMS, while 147 (30.6%) did. The cost of the FGMS (116, 78%) was the greatest deterrent to acceptability. Veterinarians who use the device consider it indispensable in the hospital monitoring of diabetic ketoacidosis and a facilitator in the accurate monitoring of measurements. In addition, the preferred location for application of the sensor is the cranial lateral wall of the chest and it is quite tolerable. Monitoring a diabetic cat requires commitment from the owner and the veterinary team to ensure feline-friendly management.

Keywords:
continuous monitoring system; glucometer; diabetic ketoacidosis; diabetes mellitus; friendly handling

Characteristics of professional performance		For the cats undergoing treatment, do you use the flash glucose monitoring system that measures the glucose in the interstitial fluid?				Total		P-Value ^*
		No (N = 333)		Yes (N = 147)
		N	%	N	%	N	%
What is your area of expertise within veterinary medicine?	Small animal clinic	195	58.6%	55	37.4%	250	52.1%	0.000^†
	Cats only veterinary clinic	73	21.9%	59	40.1%	132	27.5%
	Small animal endocrinologist	38	11.4%	43	29.3%	81	16.9%
	Small animal surgery	29	8.7%	11	7.5%	40	8.3%
	Other	71	21.3%	17	11.6%	88	18.3%
How long have you been working in this profession?	Over 10 years	97	29.1%	37	25.2%	134	27.9%	0.119^‡
	Between 1 and 5 years	123	36.9%	67	45.6%	190	39.6%
	Between 6 and 10 years	74	22.2%	35	23.8%	109	22.7%

	Recently graduated	39	11.7%	8	5.4%	47	9.8%
In your clinical care, which are the most used glucometers to diagnose diabetes mellitus in cats?	AlphaTRAK 2	4	1.2%	9	6.1%	13	2.7%	0.002 ^†
	FreeStyle Optium Neo	111	33.3%	83	56.5%	194	40.4%
	FreeStyle Freedom Lite	34	10.2%	33	22.4%	67	14.0%
	Accu-Chek Guide	127	38.1%	52	35.4%	179	37.3%
	Accu-Chek Performa	119	35.7%	68	46.3%	187	39.0%
	I do not use a glucometer	23	6.9%	3	2.0%	26	5.4%
	Other	30	9.0%	15	10.2%	45	9.4%
In the clinic, in what body part is the blood sample collected in the cat for the measurement of blood glucose?	Tail	20	6.0%	9	6.1%	29	6.0%	0.379 ^‡
	Cushion	23	6.9%	8	5.4%	31	6.5%
	Inner lip	6	1.8%	1	0.7%	7	1.5%
	Ear tip	179	53.8%	96	65.3%	275	57.3%
	Venipuncture	104	31.2%	41	27.9%	145	30.2%

Universidade Federal de Minas Gerais, Escola de Veterinária Caixa Postal 567, 30123-970 Belo Horizonte MG - Brazil, Tel.: (55 31) 3409-2041, Tel.: (55 31) 3409-2042 - Belo Horizonte - MG - Brazil
E-mail: abmvz.artigo@gmail.com

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[1] Corresponding author:
heloisajusten@gmail.com