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

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.

【摘要】本研究旨在了解兽医对患有糖尿病（diabetes mellitus）及/或糖尿病酮症酸中毒（diabetic ketoacidosis）的猫咪开展血液与组织间液血糖监测的认知，重点关注动态血糖监测系统（flash glucose monitoring system，FGMS）——雅培（Abbott）巴西地区在售的FreeStyle Libre。本研究分为两个阶段实施，共回收调查问卷516份，其中480份（93%）为有效问卷。受访兽医中，333名（69.4%）未使用该动态血糖监测系统，147名（30.6%）正在使用。影响该系统临床接受度的最大阻碍因素为设备成本，共有116名（78%）受访者提及该问题。使用该设备的兽医认为，其在糖尿病酮症酸中毒患猫的住院血糖监测中不可或缺，且可有效提升血糖监测的精准性。此外，该传感器的首选粘贴位置为胸前外侧壁，且患猫对此操作的耐受性良好。对糖尿病患猫开展血糖监测需要宠主与兽医团队共同投入精力，以确保落实适配猫咪的精细化管理方案。