Who's your next CGM patient?

Most clinics already have one on the schedule. If you can say yes to any line below, this patient may benefit from continuous glucose monitoring.

Starting out

  • Newly diagnosed diabetic, starting insulin
  • Switching to a new insulin type

Not where you want them to be

  • Still drinking or urinating more than normal despite insulin
  • Weight loss or poor appetite despite treatment
  • You've raised the dose more than once and control hasn't improved

Safety questions

  • Owner has seen weakness, wobbliness or odd behavior after insulin
  • You suspect low blood sugar followed by a rebound high
  • You're unsure it's safe to increase the dose

Hard to measure in the clinic

  • Cat who gets stressed at the clinic (numbers may read falsely high)
  • Patient who is difficult to handle for repeated blood draws
  • Owner who can't do home glucose checks

Changes in the plan

  • New diet, including a switch to a low-carbohydrate food
  • Starting or stopping steroids
  • Other disease affecting control, such as pancreatitis or Cushing's
  • Recovering from diabetic ketoacidosis

Good news cases

  • Cat whose insulin needs are dropping and may be heading toward remission

Find them in 5 minutes

Search your practice software for every patient with insulin on the medication list. Then check their last recheck date. Your next CGM patient is probably on that list.

Source: AAHA 2018 Diabetes Management Guidelines for Dogs and Cats, which recognize continuous glucose monitoring as a useful tool for assessing glycemic control.