Objective—To evaluate owner compliance with longterm
home monitoring of blood glucose concentrations
in diabetic cats and assess the influence of
home monitoring on the frequency of reevaluation of
those cats at a veterinary hospital.
Animals—26 cats with diabetes mellitus.
Procedure—Medical records of diabetic cats for
which home monitoring was undertaken were
reviewed, and owners were contacted by telephone.
Signalment, laboratory test results, insulin treatment
regimen, details of home monitoring, clinical signs
during treatment, frequency of follow-up examinations,
and survival times were evaluated.
Results—Monitoring of cats commenced within 12
weeks (median, 3 weeks) after initial evaluation; 8
owners were unable to perform home monitoring,
and 1 cat was euthanatized after 1 week. In 17 cats,
duration of home monitoring was 4.8 to 46.0 months
(median, 22.0 months); 6 cats died after 7.0 to 18.0
months (median, 13.0 months). In 11 cats, home
monitoring was ongoing at completion of the study
(12.0 to 46.0 months' duration). Fourteen owners
completed blood glucose curves every 2 to 4 weeks.
Cats managed with home monitoring received higher
dosages of insulin, compared with cats that were not
monitored. Four of 17 cats managed by home monitoring
had transient resolution of diabetes mellitus for
as long as 1 year. Home monitoring did not affect the
frequency of reevaluation at the veterinary hospital.
Conclusions and Clinical Relevance—Owner compliance
with long-term home monitoring appeared to
be satisfactory, and home monitoring did not affect
the frequency of reevaluation of patients by veterinarians.
(J Am Vet Med Assoc 2004;225:261–266)