Director Animal Diabetes Australia Melbourne, Victoria, Australia
Disclosure(s):
Linda M. Fleeman, BVSc, PhD, MANZCVS: No relevant disclosure to display
Presentation Description / Summary: The recent advent of affordable and practical continuous glucose monitoring (CGM) has the potential to completely change the way diabetes is managed in dogs and cats. This presentation will provide tips on how CGM can improve patient outcomes, staff satisfaction, and practice profit. It is necessary to know what CGM devices are available in your region and their relative costs, advantages, and limitations. It is especially helpful to have online access to patient data via a program such as Libreview. A key to successful use of CGM is frequent (e.g. daily) support, communication, and feedback to owners about the glucose data. This requires a more intensive management approach than traditional monitoring methods and means that diabetic control can be achieved much more rapidly than ever before. A major advantage of CGM is that it allows efficient titration of insulin dose, especially when using a modern insulin formulation with minimal day-to-day variability. It is also easier to obtain sufficient data to understand problems such as within-day and day-to-day glycemic variability. It is critical to manage client expectations at the outset. The most practical approach typically is to charge for daily support before starting a period of dose titration or problem-solving. It is also necessary to discuss issues such as early sensor loss, that clients usually do not need to take any action based on glucose results, that interstitial glucose is not the same as blood glucose, and that CGM often cannot differentiate between low and normal blood glucose.
Learner Outcomes: 1. List the advantages and disadvantages of CGM for management of diabetes in dogs and cats 2. Identify suitable patients and clinical problems that are most likely to benefit from CGM. 3. Develop a system for the veterinary team to provide client support, communication, and feedback when using CGM to rapidly gain control of diabetes or understand specific problems.
Learning Objectives:
List the advantages and disadvantages of CGM for management of diabetes in dogs and cats
Identify suitable patients and clinical problems that are most likely to benefit from CGM
Develop a system for the veterinary team to provide client support, communication, and feedback when using CGM to rapidly gain control of diabetes or understand specific problems
