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Harris-Samson AR, Rand J, Ford SL. Detemir improves diabetic regulation in poorly controlled diabetic dogs with concurrent diseases. J Am Vet Med Assoc 2023; 261:327-335. [PMID: 36656678 DOI: 10.2460/javma.22.09.0402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
OBJECTIVE This study evaluated the use of detemir for treating diabetic dogs with comorbidities that were poorly controlled with intermediate-acting insulins. ANIMALS 7 insulin-treated diabetic dogs. PROCEDURES Retrospective pilot study. Dogs were treated with detemir for at least 3 months, and glycemia was assessed by the owners at home initially 2 to 4 times daily for 6 to 8 weeks and twice daily thereafter. Clinical evaluations occurred on days 7 to 14, day 30, and then every 60 to 90 days, and dosage adjustments of detemir occurred as needed to control glycemia. RESULTS The mean, peak, nadir, morning, and evening preinsulin daily blood glucose concentrations were significantly lower after dosing with detemir for 1, 3, or 6 months and during the last month of treatment compared to the final month of treatment with intermediate-acting insulin. Intermediate-acting insulins resulted in significantly worse glycemic control than detemir in all 3 categories of control. The odds of a biochemical hypoglycemic measurement with detemir were not significantly different compared to intermediate-acting insulins. Clinical hypoglycemia did not occur following detemir treatment. When insulin was withheld because of low morning preinsulin blood glucose concentration < 6.7 mmol/L (≤ 120 mg/dL) and dogs were fed, mean blood glucose concentration was significantly higher 1 hour later. Glucose concentrations were also significantly higher 12 hours later on days when insulin was withheld in the morning or evening for either 1 or 12 hours. CLINICAL RELEVANCE Detemir is useful in diabetic dogs with other comorbidities and can be considered an alternative treatment in poorly controlled diabetic dogs.
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Affiliation(s)
| | - Jacquie Rand
- 2School of Veterinary Science, The University of Queensland, Gatton, QLD, Australia.,3Australian Pet Welfare Foundation, Kenmore, QLD, Australia
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Letters to the Editor. J Am Vet Med Assoc 2022. [DOI: 10.2460/javma.260.9.986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Laflamme DP, Backus RC, Forrester SD, Hoenig M. Evidence does not support the controversy regarding carbohydrates in feline diets. J Am Vet Med Assoc 2022; 260:506-513. [DOI: 10.2460/javma.21.06.0291] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
| | - Robert C. Backus
- 2Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, MO
| | | | - Margarethe Hoenig
- 4Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois at Urbana-Champaign, IL
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Diabetic cats have decreased gut microbial diversity and a lack of butyrate producing bacteria. Sci Rep 2019; 9:4822. [PMID: 30886210 PMCID: PMC6423039 DOI: 10.1038/s41598-019-41195-0] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2018] [Accepted: 02/26/2019] [Indexed: 12/19/2022] Open
Abstract
Obesity and inactivity are major risk factors of feline diabetes mellitus (FDM) and human type II diabetes mellitus (T2DM). In recent years, changes in the gut microbiota have been suggested as a contributing factor to T2DM. Whether the gut microbiota (GM) composition plays a role in FDM remains unknown. The aim of the current study was firstly a cross-sectional comparison of the GM of diabetic cats, to that of lean, and of obese/overweight non-diabetic cats of a similar age. Specifically, fecal samples from 82 privately-owned cats from Denmark and Switzerland were sequenced using 16S rRNA gene amplicon metabarcoding. Secondly dietary intervention data was generated, by obtaining additional samples from a subset of cats after placing them on a high-protein diet for four weeks. The GM diversity of diabetic cats was lower than that of lean cats in the cross-sectional study, and lower compared to lean and to overweight/obese cats after diet intervention. Diabetic cats also exhibited fewer Anaerotruncus, Dialister, and unknown Ruminococcaceae than lean cats. Serum fructosamine levels correlated negatively with Prevotellaceae abundance and positively with Enterobacteriaceae abundance. In summary the intestinal microbiota of diabetic cats was characterized by decreased GM diversity and loss of butyrate producing bacterial genera.
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Asaro NJ, Berendt KD, Zijlstra RT, Brewer J, Shoveller AK. Carbohydrate level and source have minimal effects on feline energy and macronutrient metabolism. J Anim Sci 2019; 96:5052-5063. [PMID: 30219852 DOI: 10.1093/jas/sky365] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2018] [Accepted: 09/10/2018] [Indexed: 11/14/2022] Open
Abstract
The carnivorous nature of the domestic cat makes feline metabolism of carbohydrates unique. The cats' glycemic response has been previously studied, with variable outcomes in response to carbohydrate level and source, but is an important response to understand how to control glycemia. The objectives of this study were to determine the glucose and insulin responses of cats fed 3 commercial diets differing in carbohydrate content and source, and to investigate the effects of diet on RQ, energy expenditure (EE), and glycemic response. Domestic shorthair cats (=19, 10 males, 9 females) of similar age (4.3 ± 0.48 yr, mean ± SD) and of ideal body condition score were used. Cats were fed, once a day, 1 of 3 commercial diets that differed in their perceived glycemic response (PGR; 36.8%, 30.7%, and 23.6% starch for high, medium, and low PGR, respectively) with cats cycling through all diets in 3 periods in 6 complete and 1 incomplete 3 × 3 Latin square. Each period consisted of 8 d of adaptation to the diet, followed by 21-h calorimetry measurements, and real-time interstitial glucose measurements on day 9. On day 10, sequential blood sampling was completed to determine blood glucose and insulin. BW and ME intake did not differ among treatments. EE in the fasted state did not differ among treatments (P = 0.160), whereas postprandial EE was highest for the high PGR diet compared with the medium PGR and low PGR diets (P < 0.001). In conclusion, cats revealed a prolonged postprandial glucose and insulin response compared with other monogastric animals, yet diet effects were minimal. Overall, interstitial glucose measures were less variable than serum glucose measurements and followed a parallel pattern to RQ. Therefore, going forward, calorimetry and continuous interstitial glucose monitoring should be considered as less invasive alternatives to repeated blood sampling.
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Affiliation(s)
- Natalie J Asaro
- Department of Animal Biosciences, University of Guelph, Guelph, ON, Canada
| | - Kimberley D Berendt
- Department of Agricultural, Food, and Nutritional Science, University of Alberta, Edmonton, AB, Canada
| | - Ruurd T Zijlstra
- Department of Agricultural, Food, and Nutritional Science, University of Alberta, Edmonton, AB, Canada
| | - Jason Brewer
- The Iams Company, Procter & Gamble, Lewisburg, OH
| | - Anna K Shoveller
- Department of Animal Biosciences, University of Guelph, Guelph, ON, Canada
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Impact of dietary macronutrient profile on feline body weight is not consistent with the protein leverage hypothesis. Br J Nutr 2018; 120:1310-1318. [PMID: 30311593 DOI: 10.1017/s000711451800257x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
The protein leverage hypothesis proposes that the need to prioritise protein intake drives excess energy intake (EI) when the dietary ratio of protein to fat and carbohydrate is reduced. We hypothesised that cats may become prone to overconsuming energy content when moderate protein diets were offered, and considered the potential influence of fat and carbohydrate on intake. To determine the effect of dietary protein and macronutrient profile (MNP) on EI, weight and body composition, cats (1-4 years) were offered food in excess of energy requirements (ER). A total of six diets were formulated, containing moderate (approximately 7 % w/w; approximately 22 % metabolisable energy (ME)) or high (approximately 10 % w/w; approximately 46 % ME) protein and varying levels of carbohydrate and fat. For 4 weeks, 120 cats were offered 100 % of their individual ER of a diet at the MNP selected by adult cats (50:40:10 protein energy ratio:fat energy ratio:carbohydrate energy ratio). EI, body weight (BW), body composition, activity and palatability were measured. Subsequently, cats were offered one of the six diets at 200 % of their individual ER for 4 weeks when measurements were repeated. Cats offered excess high protein diets had higher EI (kJ/kg) throughout, but at 4 weeks BW was not significantly different to baseline. Cats offered excess moderate protein diets reduced EI and gradually lost weight (average loss of 0·358 (99 % CI 0·388, 0·328) kg), irrespective of fat:carbohydrate and initial palatability. The data do not support the protein leverage hypothesis. Furthermore, cats were able to adapt intake of a wet diet with high protein in an overfeeding environment within 28 d.
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Prantil LR, Heinze CR, Freeman LM. Comparison of carbohydrate content between grain-containing and grain-free dry cat diets and between reported and calculated carbohydrate values. J Feline Med Surg 2018; 20:349-355. [PMID: 28569080 PMCID: PMC11129224 DOI: 10.1177/1098612x17710842] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objectives The aim of this study was to compare the carbohydrate content of grain-containing and grain-free dry cat diets and compare major protein and carbohydrate sources of these diets. Methods This was a cross-sectional study of 77 randomly selected dry cat diets (42 grain-containing, 35 grain-free). Reported carbohydrate values were compared between grain-containing and grain-free cat diets. A subset of 25% of diets from each category (grain-containing and grain-free) was analyzed and nitrogen-free extract was calculated as an estimate of carbohydrate content. These calculated values were compared with reported values from the manufacturer. Animal- and plant-sourced ingredients were also compared between grain-containing and grain-free diets. Results Mean reported carbohydrate content of the grain-free diets (n = 35) was lower than the grain-containing diets (n = 41; 64 ± 16 vs 86 ± 22 g/1000 kcal; P <0.001). Reported carbohydrate values were higher than analyzed nitrogen-free extract (n = 20; 79 ± 30 vs 73 ± 27 g/1000 kcal; P = 0.024). Poultry ( P = 0.009) and soy (P = 0.007) were less common in grain-free diets than in diets containing grain. The alternative carbohydrate sources of chickpeas, lentils, peas, potato, sweet potato and cassava/tapioca were more common ( P <0.05) in grain-free diets than in diets containing grain. Conclusions and relevance This sample of grain-free diets had lower mean reported carbohydrate content than grain-containing diets, but there was considerable overlap between groups and individual diets' carbohydrate/nitrogen-free extract content varied widely.
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Affiliation(s)
| | - Cailin R Heinze
- Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, MA, USA
| | - Lisa M Freeman
- Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, MA, USA
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Reeve-Johnson MK, Rand JS, Vankan D, Anderson ST, Marshall R, Morton JM. Cutpoints for screening blood glucose concentrations in healthy senior cats. J Feline Med Surg 2017; 19:1181-1191. [PMID: 28164734 PMCID: PMC11104175 DOI: 10.1177/1098612x16685675] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objectives The objectives of this study were to determine the reference interval for screening blood glucose in senior cats, to apply this to a population of obese senior cats, to compare screening and fasting blood glucose, to assess whether screening blood glucose is predicted by breed, body weight, body condition score (BCS), behaviour score, fasting blood glucose and/or recent carbohydrate intake and to assess its robustness to changes in methodology. Methods The study included a total of 120 clinically healthy client-owned cats aged 8 years and older of varying breeds and BCSs. Blood glucose was measured at the beginning of the consultation from an ear/paw sample using a portable glucose meter calibrated for cats, and again after physical examination from a jugular sample. Fasting blood glucose was measured after overnight hospitalisation and fasting for 18-24 h. Results The reference interval upper limit for screening blood glucose was 189 mg/dl (10.5 mmol/l). Mean screening blood glucose was greater than mean fasting glucose. Breed, body weight, BCS, behaviour score, fasting blood glucose concentration and amount of carbohydrate consumed 2-24 h before sampling collectively explained only a small proportion of the variability in screening blood glucose. Conclusions and relevance Screening blood glucose measurement represents a simple test, and cats with values from 117-189 mg/dl (6.5-10.5 mmol/l) should be retested several hours later. Cats with initial screening blood glucose >189 mg/dl (10.5 mmol/l), or a second screening blood glucose >116 mg/dl (6.4 mmol/l) several hours after the first, should have fasting glucose and glucose tolerance measured after overnight hospitalisation.
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Affiliation(s)
| | - Jacquie S Rand
- School of Veterinary Science, The University of Queensland, QLD, Australia
- Australian Pet Welfare Foundation, Kenmore, QLD, Australia
| | - Dianne Vankan
- School of Veterinary Science, The University of Queensland, QLD, Australia
| | | | | | - John M Morton
- School of Veterinary Science, The University of Queensland, QLD, Australia
- Current address is Jemora Pty Ltd, PO Box 2277, Geelong, VIC, Australia
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Verbrugghe A, Hesta M. Cats and Carbohydrates: The Carnivore Fantasy? Vet Sci 2017; 4:vetsci4040055. [PMID: 29140289 PMCID: PMC5753635 DOI: 10.3390/vetsci4040055] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2017] [Revised: 10/30/2017] [Accepted: 11/08/2017] [Indexed: 01/02/2023] Open
Abstract
The domestic cat’s wild ancestors are obligate carnivores that consume prey containing only minimal amounts of carbohydrates. Evolutionary events adapted the cat’s metabolism and physiology to this diet strictly composed of animal tissues and led to unique digestive and metabolic peculiarities of carbohydrate metabolism. The domestic cat still closely resembles its wild ancestor. Although the carnivore connection of domestic cats is well recognised, little is known about the precise nutrient profile to which the digestive physiology and metabolism of the cat have adapted throughout evolution. Moreover, studies show that domestic cats balance macronutrient intake by selecting low-carbohydrate foods. The fact that cats evolved consuming low-carbohydrate prey has led to speculations that high-carbohydrate diets could be detrimental for a cat’s health. More specifically, it has been suggested that excess carbohydrates could lead to feline obesity and diabetes mellitus. Additionally, the chances for remission of diabetes mellitus are higher in cats that consume a low-carbohydrate diet. This literature review will summarise current carbohydrate knowledge pertaining to digestion, absorption and metabolism of carbohydrates, food selection and macronutrient balancing in healthy, obese and diabetic cats, as well as the role of carbohydrates in prevention and treatment of obesity and diabetes mellitus.
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Affiliation(s)
- Adronie Verbrugghe
- Department of Clinical Studies, Ontario Veterinary College, University of Guelph, 50 Stone Road E, Guelph N1G 2W1 ON, Canada.
| | - Myriam Hesta
- Laboratory of Animal Nutrition, Faculty of Veterinary Medicine, Ghent University, Heidestraat 19, Merelbeke B-9820, Belgium.
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Asaro NJ, Guevara MA, Berendt K, Zijlstra R, Shoveller AK. Digestibility Is Similar between Commercial Diets That Provide Ingredients with Different Perceived Glycemic Responses and the Inaccuracy of Using the Modified Atwater Calculation to Calculate Metabolizable Energy. Vet Sci 2017; 4:vetsci4040054. [PMID: 29117110 PMCID: PMC5753634 DOI: 10.3390/vetsci4040054] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2017] [Revised: 10/30/2017] [Accepted: 11/02/2017] [Indexed: 11/16/2022] Open
Abstract
Dietary starch is required for a dry, extruded kibble; the most common diet type for domesticated felines in North America. However, the amount and source of dietary starch may affect digestibility and metabolism of other macronutrients. The objectives of this study were to evaluate the effects of 3 commercial cat diets on in vivo and in vitro energy and macronutrient digestibility, and to analyze the accuracy of the modified Atwater equation. Dietary treatments differed in their perceived glycemic response (PGR) based on ingredient composition and carbohydrate content (34.1, 29.5, and 23.6% nitrogen-free extract for High, Medium, and LowPGR, respectively). A replicated 3 × 3 Latin square design was used, with 3 diets and 3 periods. In vivo apparent protein, fat, and organic matter digestibility differed among diets, while apparent dry matter digestibility did not. Cats were able to efficiently digest and absorb macronutrients from all diets. Furthermore, the modified Atwater equation underestimated measured metabolizable energy by approximately 12%. Thus, the modified Atwater equation does not accurately determine the metabolizable energy of high quality feline diets. Further research should focus on understanding carbohydrate metabolism in cats, and establishing an equation that accurately predicts the metabolizable energy of feline diets.
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Affiliation(s)
- Natalie J Asaro
- Department of Animal Biosciences, University of Guelph, 50 Stone Road East, Guelph, ON N1G 2W1, Canada.
| | - Marcial A Guevara
- The Iams Company, MARS Pet Care, 6571 OH-503 North, Lewisburg, OH 45338, USA.
| | - Kimberley Berendt
- Department of Agricultural, Food and Nutritional Science, University of Alberta, 116 St & 85 Ave, Edmonton, AB T6G 2R3, Canada.
| | - Ruurd Zijlstra
- Department of Agricultural, Food and Nutritional Science, University of Alberta, 116 St & 85 Ave, Edmonton, AB T6G 2R3, Canada.
| | - Anna K Shoveller
- Department of Animal Biosciences, University of Guelph, 50 Stone Road East, Guelph, ON N1G 2W1, Canada.
- The Iams Company, MARS Pet Care, 6571 OH-503 North, Lewisburg, OH 45338, USA.
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Prat V, Rozec B, Gauthier C, Lauzier B. Human heart failure with preserved ejection versus feline cardiomyopathy: what can we learn from both veterinary and human medicine? Heart Fail Rev 2017; 22:783-794. [DOI: 10.1007/s10741-017-9645-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Öhlund M, Egenvall A, Fall T, Hansson-Hamlin H, Röcklinsberg H, Holst BS. Environmental Risk Factors for Diabetes Mellitus in Cats. J Vet Intern Med 2016; 31:29-35. [PMID: 27906456 PMCID: PMC5259626 DOI: 10.1111/jvim.14618] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2016] [Revised: 08/29/2016] [Accepted: 11/01/2016] [Indexed: 12/12/2022] Open
Abstract
Background Diabetes in cats resembles type 2 diabetes in people. The etiology is not fully understood, but both genetic and environmental factors are believed to contribute. Objectives To assess the associations of environmental risk factors with diabetes in cats. Animals Cats with a diagnosis of diabetes (n = 396) insured by a Swedish insurance company during years 2009–2013, and a control group (n = 1,670) matched on birth year. Methods A web‐based questionnaire was used in a case–control study. An invitation to participate was sent to owners of 1,369 diabetic cats and 5,363 control cats. The survey contained questions related to the cat's breed, age, sex, neutering status, body condition, housing, access to the outdoors, activity level, diet, eating behavior, feeding routine, general health, stressful events, other pets in the household, medications, and vaccination status. Data were analyzed by multiple logistic regression. Results Response rate was 35% for the diabetic group and 32% for the control group. Indoor confinement, being a greedy eater, and being overweight were associated with an increased risk of diabetes. In cats assessed by owners as being normal weight, there was an association between eating predominantly dry food and an increased risk of diabetes (Odds ratio 3.8; 95% confidence intervals 1.3–11.2). Conclusions and Clinical Importance Dry food is commonly fed to cats worldwide. The association found between dry food and an increased risk of diabetes in cats assessed as normal weight by owners warrants further attention.
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Affiliation(s)
- M Öhlund
- Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden
| | - A Egenvall
- Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden
| | - T Fall
- Department of Medical Sciences, Molecular Epidemiology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden
| | - H Hansson-Hamlin
- Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden
| | - H Röcklinsberg
- Department of Animal Environment and Health, Swedish University of Agricultural Sciences, Uppsala, Sweden
| | - B S Holst
- Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden
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Lewitt MS, Strage E, Church D. An individual approach to feline diabetes care: a case report and literature review. Acta Vet Scand 2016; 58:63. [PMID: 27766967 PMCID: PMC5073813 DOI: 10.1186/s13028-016-0245-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Background Achieving insulin independence is emerging as a realistic therapeutic goal in the management of feline diabetes mellitus. Case presentation The management of an 11-year-old spayed female Burmese cat presenting with diabetes mellitus after corticosteroid administration is described. Remission was achieved after the frequency of insulin administration was increased to four times a day, and supported by intensive home blood glucose monitoring and a high protein, low carbohydrate diet. Conclusion Owners are important collaborators in feline diabetes care and, with intensive home monitoring, more frequent insulin treatment may lead to remission without hypoglycemia. More frequent insulin injections than recommended in the literature may be necessary to achieve glycemic control and used as an alternative to a longer-acting insulin.
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Reeve-Johnson MK, Rand JS, Anderson ST, Appleton DJ, Morton JM, Vankan D. Dosing obese cats based on body weight spuriously affects some measures of glucose tolerance. Domest Anim Endocrinol 2016; 57:133-42. [PMID: 27572923 DOI: 10.1016/j.domaniend.2016.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2015] [Revised: 05/18/2016] [Accepted: 05/19/2016] [Indexed: 10/21/2022]
Abstract
The primary objective was to investigate whether dosing glucose by body weight results in spurious effects on measures of glucose tolerance in obese cats because volume of distribution does not increase linearly with body weight. Healthy research cats (n = 16; 6 castrated males, 10 spayed females) were used. A retrospective study was performed using glucose concentration data from glucose tolerance and insulin sensitivity tests before and after cats were fed ad libitum for 9 to 12 mo to promote weight gain. The higher dose of glucose (0.5 vs 0.3 g/kg body weight) in the glucose tolerance tests increased 2-min glucose concentrations (P < 0.001), and there was a positive correlation between 2-min and 2-h glucose (r = 0.65, P = 0.006). Two-min (P = 0.016 and 0.019, respectively), and 2-h (P = 0.057 and 0.003, respectively) glucose concentrations, and glucose half-life (T1/2; P = 0.034 and <0.001 respectively) were positively associated with body weight and body condition score. Glucose dose should be decreased by 0.05 g for every kg above ideal body weight. Alternatively, for every unit of body condition score above 5 on a 9-point scale, observed 2-h glucose concentration should be adjusted down by 0.1 mmol/L. Dosing glucose based on body weight spuriously increases glucose concentrations at 2 h in obese cats and could lead to cats being incorrectly classified as having impaired glucose tolerance. This has important implications for clinical studies assessing the effect of interventions on glucose tolerance when lean and obese cats are compared.
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Affiliation(s)
- M K Reeve-Johnson
- School of Veterinary Science, The University of Queensland, QLD, Australia.
| | - J S Rand
- School of Veterinary Science, The University of Queensland, QLD, Australia
| | - S T Anderson
- Biomedical Science, The University of Queensland, QLD, Australia
| | - D J Appleton
- Hill's Pet Nutrition Pty Ltd., P O Box 1003, North Ryde, NSW 1670 Australia
| | - J M Morton
- School of Veterinary Science, The University of Queensland, QLD, Australia
| | - D Vankan
- School of Veterinary Science, The University of Queensland, QLD, Australia
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Reeve-Johnson MK, Rand JS, Vankan D, Anderson ST, Marshall R, Morton JM. Diagnosis of prediabetes in cats: glucose concentration cut points for impaired fasting glucose and impaired glucose tolerance. Domest Anim Endocrinol 2016; 57:55-62. [PMID: 27565231 DOI: 10.1016/j.domaniend.2016.05.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2015] [Revised: 05/18/2016] [Accepted: 05/19/2016] [Indexed: 11/20/2022]
Abstract
Diabetes is typically diagnosed in cats once clinical signs are evident. Diagnostic criteria for prediabetes in cats have not been defined. The objective of the study was to establish methodology and cut points for fasting and 2-h blood glucose concentrations in healthy client-owned senior cats (≥8 yr) using ear/paw samples and a portable glucose meter calibrated for feline blood. Of the 78 cats, 27 were ideal (body condition score [BCS] 4 or 5 of 9), 31 overweight (BCS 6 or 7), and 20 obese (BCS 8 or 9); 19 were Burmese and 59 non-Burmese. After an 18-24-h fast and an ear/paw blood glucose measurement using a portable glucose meter, glucose (0.5 g/kg bodyweight) was administered intravenous and blood glucose measured at 2 min and 2 h. Cut points for fasting and 2-h glucose concentrations were defined as the upper limits of 95% reference intervals using cats with BCS 4 or 5. The upper cut point for fasting glucose was 6.5 mmol/L. Of the overweight and obese cats, 1 (BCS 7) was above this cut point indicating evidence of impaired fasting glucose. The cut point for 2-h glucose was 9.8 mmol/L. A total of 7 cats (4 with BCS 8 or 9 including 1 Burmese; 3 with BCS 6 or 7, non-Burmese) were above this cut point and thus had evidence of impaired glucose tolerance. In conclusion, the methodology and cutpoints for diagnosis of prediabetes are defined for use in healthy cats 8 yr and older with a range of BCSs.
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Affiliation(s)
- M K Reeve-Johnson
- The School of Veterinary Science, University of Queensland, Brisbane, Australia.
| | - J S Rand
- The School of Veterinary Science, University of Queensland, Brisbane, Australia
| | - D Vankan
- The School of Veterinary Science, University of Queensland, Brisbane, Australia
| | - S T Anderson
- The School of Biomedical Sciences, University of Queensland, Brisbane, Australia
| | | | - J M Morton
- The School of Veterinary Science, University of Queensland, Brisbane, Australia; Jemora Pty Ltd, PO Box 2277, Geelong, Australia
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Abstract
OBJECTIVES Rebound hyperglycaemia (also termed Somogyi effect) is defined as hyperglycaemia caused by the release of counter-regulatory hormones in response to insulin-induced hypoglycaemia, and is widely believed to be common in diabetic cats. However, studies in human diabetic patients over the past quarter century have rejected the common occurrence of this phenomenon. Therefore, we evaluated the occurrence and prevalence of rebound hyperglycaemia in diabetic cats. METHODS In a retrospective study, 10,767 blood glucose curves of 55 cats treated with glargine using an intensive blood glucose regulation protocol with a median of five blood glucose measurements per day were evaluated for evidence of rebound hyperglycaemic events, defined in two different ways (with and without an insulin resistance component). RESULTS While biochemical hypoglycaemia occurred frequently, blood glucose curves consistent with rebound hyperglycaemia with insulin resistance was confined to four single events in four different cats. In 14/55 cats (25%), a median of 1.5% (range 0.32-7.7%) of blood glucose curves were consistent with rebound hyperglycaemia without an insulin resistance component; this represented 0.42% of blood glucose curves in both affected and unaffected cats. CONCLUSIONS AND RELEVANCE We conclude that despite the frequent occurrence of biochemical hypoglycaemia, rebound hyperglycaemia is rare in cats treated with glargine on a protocol aimed at tight glycaemic control. For glargine-treated cats, insulin dose should not be reduced when there is hyperglycaemia in the absence of biochemical or clinical evidence of hypoglycaemia.
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Affiliation(s)
- Kirsten Roomp
- Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Esch-Belval, Luxembourg
| | - Jacquie Rand
- School of Veterinary Science, The University of Queensland, Queensland, Australia
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Singh R, Rand JS, Coradini M, Morton JM. Effect of acarbose on postprandial blood glucose concentrations in healthy cats fed low and high carbohydrate diets. J Feline Med Surg 2015; 17:848-57. [PMID: 25344379 PMCID: PMC11112197 DOI: 10.1177/1098612x14556559] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/10/2024]
Abstract
OBJECTIVES Feeding a low carbohydrate diet is recommended for diabetic cats; however, some cats may require diets containing moderate-to-high carbohydrate and may benefit from the use of therapeutic agents to improve glycemic control. The aim of the study was to determine the effect of the α-glucosidase inhibitor acarbose on postprandial plasma glucose concentration when combined with commercially available feline diets high and low in carbohydrate. METHODS Twelve healthy, adult, non-obese, neutered cats were enrolled. Plasma glucose concentrations were assessed over 24 h after feeding high and low carbohydrate diets, with and without acarbose, during single and multiple meal tests, in a crossover study. Commercially available feline diets were used, which were high and low in carbohydrate (providing 51% and 7% of metabolizable energy, respectively). RESULTS In cats fed the high carbohydrate diet as a single meal, mean 24 h glucose concentrations were lower when acarbose was administered. Mean glucose concentrations were lower in the first 12 h when acarbose was given once daily, whereas no significant difference was observed in mean results from 12-24 h. Acarbose had little effect in cats eating multiple meals. Compared with consumption of the high carbohydrate diet with acarbose, lower mean 24 h and peak glucose concentrations were achieved by feeding the low carbohydrate diet alone. CONCLUSIONS AND RELEVANCE In healthy cats meal-fed diets of similar composition to the diets used in this study, acarbose has minimal effect when a low carbohydrate diet is fed but reduces postprandial glucose concentrations over 24 h when a high carbohydrate diet is fed. However, mean glucose concentrations over 24 h are still higher when a high carbohydrate diet with acarbose is fed relative to the low carbohydrate diet without acarbose. Future studies in diabetic cats are warranted to confirm these findings.
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Affiliation(s)
- Ranee Singh
- Department of Pharmacology and Toxicology, Faculty of Veterinary Medicine, Khon Kaen University, Khon Kaen, Thailand
| | - Jacquie S Rand
- School of Veterinary Science, The University of Queensland, Gatton, QLD, Australia
| | - Marcia Coradini
- School of Veterinary Science, The University of Queensland, Gatton, QLD, Australia
| | - John M Morton
- School of Veterinary Science, The University of Queensland, Gatton, QLD, Australia Current address: Jemora Pty Ltd, PO Box 2277, Geelong, VIC, Australia
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Kostogrys RB, Franczyk-Żarów M, Maślak E, Topolska K. Effect of low carbohydrate high protein (LCHP) diet on lipid metabolism, liver and kidney function in rats. ENVIRONMENTAL TOXICOLOGY AND PHARMACOLOGY 2015; 39:713-719. [PMID: 25766070 DOI: 10.1016/j.etap.2015.01.008] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2014] [Revised: 01/11/2015] [Accepted: 01/14/2015] [Indexed: 06/04/2023]
Abstract
The objective of this study was to compare effects of Western diet (WD) with low carbohydrate high protein (LCHP) diet on lipid metabolism, liver and kidney function in rats. Eighteen rats were randomly assigned to three experimental groups and fed for the next 2 months. The experimental diets were: Control (7% of soybean oil, 20% protein), WD (21% of butter, 20% protein), and LCHP (21% of butter and 52.4% protein) diet. The LCHP diet significantly decreased the body weight of the rats. Diet consumption was differentiated among groups, however significant changes were observed since third week of the experiment duration. Rats fed LCHP diet ate significantly less (25.2g/animal/day) than those from Control (30.2g/animal/day) and WD (27.8 g/animal/day) groups. Additionally, food efficiency ratio (FER) tended to decrease in LCHP fed rats. Serum homocysteine concentration significantly decreased in rats fed WD and LCHP diets. Liver weights were significantly higher in rats fed WD and LCHP diets. At the end of the experiment (2 months) the triacylglycerol (TAG) was significantly decreased in animals fed LCHP compared to WD. qRT-PCR showed that SCD-1 and FAS were decreased in LCHP fed rats, but WD diet increased expression of lipid metabolism genes. Rats receiving LCHP diet had two fold higher kidney weight and 54.5% higher creatinin level compared to Control and WD diets. In conclusion, LCHP diet decreased animal's body weight and decreased TAG in rat's serum. However, kidney damage in LCHP rats was observed.
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Affiliation(s)
- Renata B Kostogrys
- Department of Human Nutrition, Faculty of Food Technology, University of Agriculture in Krakow, Balicka St. 122, 30-149 Kraków, Poland.
| | - Magdalena Franczyk-Żarów
- Department of Human Nutrition, Faculty of Food Technology, University of Agriculture in Krakow, Balicka St. 122, 30-149 Kraków, Poland
| | - Edyta Maślak
- Jagiellonian Centre for Experimental Therapeutics (JCET), Jagiellonian University, Bobrzyńskiego St. 14, 30-348 Kraków, Poland
| | - Kinga Topolska
- Department of Nutrition Technology and Consumption, Faculty of Food Technology, University of Agriculture in Krakow, Balicka St. 122, 30-149 Kraków, Poland
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Dietary fat and carbohydrate have different effects on body weight, energy expenditure, glucose homeostasis and behaviour in adult cats fed to energy requirement. J Nutr Sci 2015; 4:e2. [PMID: 26090098 PMCID: PMC4463014 DOI: 10.1017/jns.2014.60] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2014] [Revised: 10/16/2014] [Accepted: 10/20/2014] [Indexed: 01/17/2023] Open
Abstract
The effects of dietary carbohydrate and fat on feline health are not well understood. The
effects of feeding diets moderately high in fat (HF; n 10; 30 % fat, 26 %
carbohydrate as fed) or carbohydrate (HC; n 10; 11 % fat, 47 %
carbohydrate), for 84 d, were investigated in healthy, adult cats (3·5 (sd 0·5)
years). Data on indirect calorimetry, blood biomarkers, activity, play and cognition were
collected at baseline, and at intervals throughout the study. Body composition was
measured by dual-energy X-ray absorptiometry at baseline and on day 85. There were no
significant main effects of diet on body weight and composition. When data were analysed
over study day within diet, cats fed HF diets experienced a significant increase in body
fat (P = 0·001) and body weight (P = 0·043) in contrast
to cats consuming the HC diet that experienced no change in body fat or body weight
(P = 0·762) throughout the study. Overall, energy expenditure was
similar between diets (P = 0·356 (fasted), P = 0·086
(postprandial)) and respiratory quotient declined with exposure to the HF diet and
increased with exposure to the HC diet (P < 0·001; fasted and
postprandial). There was no difference in insulin sensitivity as an overall effect of diet
(P = 0·266). Activity declined from baseline with exposure to both
diets (HC: P = 0·002; HF: P = 0·01) but was not
different between diets (P = 0·247). There was no effect of diet on play
(P = 0·387) and cats consuming either the HF or HC diet did not
successfully learn the cognitive test. Overall, cats adapt to dietary macronutrient
content, and the implications of feeding HC and HF diets on risk for adiposity as driven
by metabolic and behavioural mechanisms are discussed.
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Key Words
- Activity
- BMC, bone mineral content
- BW, body weight
- Cognition
- DXA, dual-energy X-ray absorptiometry
- EE, energy expenditure
- Energy expenditure
- G:I, glucose:insulin
- HC, high carbohydrate
- HF, high fat
- Indirect calorimetry
- Insulin
- LBM, lean body mass
- ME, metabolisable energy
- Macronutrients
- Play
- RQ, respiratory quotient
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Davison LJ. Diabetes mellitus and pancreatitis - cause or effect? J Small Anim Pract 2015; 56:50-9. [DOI: 10.1111/jsap.12295] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2013] [Revised: 07/30/2014] [Accepted: 08/02/2014] [Indexed: 02/06/2023]
Affiliation(s)
- L. J. Davison
- Department of Veterinary Medicine, University of Cambridge, Cambridge CB3 0ES and Wellcome Trust Centre for Human Genetics; University of Oxford; Oxford OX3 7BN
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Abstract
Dietary macronutrients include protein, fat, and carbohydrates. Current nutritional recommendations establish minimums but not maximums for protein and fat but not for carbohydrates; thus, commercial feline maintenance diets have a wide range of macronutrient distribution depending on manufacturer, ingredients, and processing. There is growing interest and discussion, however, in defining the ideal macronutrient composition of feline diets to maximize longevity and health. Current recommendations should be tailored to each patient based on age, body condition, presence of muscle mass atrophy, and the presence of disease.
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Affiliation(s)
- Cecilia Villaverde
- Departament de Ciència Animal i dels Aliments (Animal and Food Science Department), Universitat Autònoma de Barcelona, Edifici V, Campus UAB, Bellaterra 08193, Spain.
| | - Andrea J Fascetti
- Department of Molecular Biosciences, University of California Davis, One Shields Avenue, Davis, CA 95616-8741, USA
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Coradini M, Rand JS, Filippich LJ, Morton JM, O'Leary CA. Associations between meal size, gastric emptying and post-prandial plasma glucose, insulin and lactate concentrations in meal-fed cats. J Anim Physiol Anim Nutr (Berl) 2014; 99:757-66. [PMID: 25545403 DOI: 10.1111/jpn.12280] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2014] [Accepted: 11/10/2014] [Indexed: 01/21/2023]
Abstract
Plasma glucose and insulin concentrations are increased for 12-24 h in healthy cats following moderate- to high-carbohydrate meals. This study investigated associations between gastric emptying time and post-prandial plasma glucose, insulin and lactate concentrations in cats fed an extruded dry, high-carbohydrate, moderate-fat, low-protein diet (51, 28, 21% metabolizable energy, respectively) once daily by varying meal volume. Eleven healthy, non-obese, neutered adult cats were enrolled in a prospective study and fed to maintain body weight. Ultrasound examinations were performed for up to 26 h, and blood collections over 24 h after eating meals containing approximately 100% and 50% of the cats' daily caloric intake (209 and 105 kJ/kg BW, respectively). Gastric emptying time was increased after a meal of 209 kJ/kg BW compared with 105 kJ/kg BW (median gastric emptying times 24 and 14 h, respectively; p = 0.03). Time for glucose to return to fasting was longer after the 209 kJ/kg BW meal (median 20 h; 25th and 75th percentiles 15 and 23 h, respectively) than the 105 kJ/kg BW meal (13, 12 and 14 h; p < 0.01); however, peak glucose was not higher after the 209 kJ/kg BW meal compared with the 105 kJ/kg BW meal [(mean ± SD) 6.6 ± 0.6 and 7.8 ± 1.2 mmol/l, respectively, p = 0.07]. Times for insulin to return to fasting were not significantly longer after the 209 kJ/kg BW meal than the 105 kJ/kg BW meal (p = 0.29). d- and l-lactate concentrations were not associated with gastric emptying time or post-prandial blood glucose and insulin. Based on results obtained, prolonged gastric emptying contributes to prolonged post-prandial hyperglycemia in cats meal fed a high-carbohydrate, low-protein, dry diet and fasting times for cats' meal-fed diets of similar composition should be 14-26 h, depending on meal size.
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Affiliation(s)
- M Coradini
- School of Veterinary Science, The University of Queensland, Gatton, Qld, Australia
| | - J S Rand
- School of Veterinary Science, The University of Queensland, Gatton, Qld, Australia
| | - L J Filippich
- School of Veterinary Science, The University of Queensland, Gatton, Qld, Australia
| | - J M Morton
- School of Veterinary Science, The University of Queensland, Gatton, Qld, Australia
| | - C A O'Leary
- School of Veterinary Science, The University of Queensland, Gatton, Qld, Australia
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Bloom CA, Rand J. Feline diabetes mellitus: clinical use of long-acting glargine and detemir. J Feline Med Surg 2014; 16:205-15. [PMID: 24563492 DOI: 10.1177/1098612x14523187] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
PRACTICAL RELEVANCE Diabetes mellitus is a common endocrine disorder in feline practice, affecting approximately 1 in 200 cats. The majority of diabetic cats have type 2 diabetes mellitus, which results from a combination of peripheral insulin resistance and a progressive reduction in insulin production. CLINICAL CHALLENGES While usually easy to diagnose, management of diabetes mellitus presents a number of challenges for practitioners and clients alike. Practitioners must decide on diet, insulin type and dose, monitoring method and intensity, and concomitant therapy, which will vary based on individual patient and client needs, and geographic location. Practitioners may also encounter patients with diabetic ketoacidosis or other diabetic complications, and patients with multiple concurrent diseases. Clients may be challenged by the substantial time and financial commitment involved in owning a diabetic cat. AUDIENCE Understanding the pathophysiology, optimal treatment protocols and current goals of diabetes management will benefit practitioners managing diabetic cats. This article reviews the most current management plans for feline diabetics. It places particular emphasis on best practice for achieving diabetic remission, which is an attainable goal in the majority of newly diagnosed diabetic cats. EVIDENCE BASE The information in this article is drawn from the recent human and veterinary literature, including prospective and retrospective studies. The body of prospective clinical data on the use of newer, long-acting insulins (glargine and especially detemir) in cats is limited, but growing.
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Affiliation(s)
- Carly Anne Bloom
- The Animal Medical Center, 510 East 62nd Street, New York, NY, 10065, USA
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Coradini M, Rand JS, Morton JM, Rawlings JM. Metabolic determinants of body weight after cats were fed a low-carbohydrate high-protein diet or a high-carbohydrate low-protein diet ad libitum for 8 wk. Domest Anim Endocrinol 2014; 49:70-9. [PMID: 25084314 DOI: 10.1016/j.domaniend.2014.06.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/06/2014] [Revised: 06/01/2014] [Accepted: 06/01/2014] [Indexed: 11/23/2022]
Abstract
Overweight and obese conditions are common in cats and are associated with the development of a number of diseases. Knowledge of metabolic determinants and predictors of weight gain may enable better preventative strategies for obesity in cats. Lean, healthy cats were fed either a low-carbohydrate high-protein diet (n 16) or a high-carbohydrate low-protein (n 16) diet ad libitum for 8 wk. Potential determinants and predictors of final body weight assessed were body fat and lean masses, energy required for maintenance, energy requirements above maintenance for each kilogram of weight gain, insulin sensitivity index, fasting, mean 24-h and peak plasma glucose, insulin, and leptin concentrations, and fasting and mean 24-h serum adiponectin concentrations. In cats fed the low-carbohydrate high-protein diet, after adjusting for initial body weight, those with higher energy requirements for weight gain and higher fasting glucose concentration had higher final body weights (P ≤ 0.01). Predicted final body weights using initial body weight, fasting glucose and mean 24-h insulin concentrations (partial R(2) 37.3%) were imprecise. An equation using just initial body weight and fasting glucose concentration would be of more practical value, but was marginally less precise. In cats fed the high-carbohydrate low-protein diet, those with lower fasting leptin concentration initially had higher final body weights (P = 0.01). Predicted final body weights using initial body weight, energy requirements for maintenance, total body fat percentage and fasting leptin concentration (partial R(2) 39.2%) were reasonably precise. Further studies are warranted to confirm these findings and to improve the precision of predicted final body weights.
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Affiliation(s)
- M Coradini
- School of Veterinary Science, The University of Queensland, Gatton, Queensland 4343, Australia.
| | - J S Rand
- School of Veterinary Science, The University of Queensland, Gatton, Queensland 4343, Australia
| | - J M Morton
- Jemora Pty Ltd, Geelong, Victoria 3220, Australia
| | - J M Rawlings
- WALTHAM Centre for Pet Nutrition, Melton Mowbray, Leicestershire LE14 4RT, UK
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25
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Hoelmkjaer KM, Bjornvad CR. Management of obesity in cats. VETERINARY MEDICINE-RESEARCH AND REPORTS 2014; 5:97-107. [PMID: 32670850 PMCID: PMC7337193 DOI: 10.2147/vmrr.s40869] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/05/2014] [Accepted: 04/23/2014] [Indexed: 12/15/2022]
Abstract
Obesity is a common nutritional disorder in cats, especially when they are neutered and middle-aged. Obesity predisposes cats to several metabolic and clinical disorders, including insulin resistance, diabetes mellitus, lameness, and skin disease. Prevention and treatment of obesity is therefore of great importance in veterinary practice. Correct assessment of body composition is important for recognizing early states of obesity and for monitoring success of weight-loss programs. Various methods for assessing body composition have been proposed, of which a 9-point body-condition score has been validated in cats, and is possibly the most simple to use in the clinic; however, for extremely obese individuals, it is less useful. When calculating the appropriate daily caloric intake for a weight-loss plan, the aim is to maintain a safe weight-loss rate, increasing the chance of preserving lean body mass and decreasing the risk of developing hepatic lipidosis, while also producing a sufficient weight-loss rate to keep owners motivated. A weight-loss rate of 0.5%–2% per week is recommended, which for a cat that needs to lose 3 kg body weight results in an anticipated time for reaching the target weight of 24–60 weeks. There are several purpose-made weight-loss diets available. The optimal composition of a weight-loss diet for cats is unknown, but most of the available products have lower caloric density, an increased nutrient:energy ratio, and higher protein and fiber content. Regular follow-up visits allow the caloric intake to be adjusted based on progress, and possibly increase the chance of success. This review discusses the risk factors for and consequences of obesity, and gives directions for formulating a weight-loss plan, including daily caloric intake, choice of diet, and common problems based on the current literature. This review further provides a nutritional comparison of the current composition of selected commercial veterinary-specific weight-loss diets.
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Affiliation(s)
- Kirsten M Hoelmkjaer
- Department of Veterinary Clinical and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg, Denmark
| | - Charlotte R Bjornvad
- Department of Veterinary Clinical and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Frederiksberg, Denmark
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27
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Hoenig M. Carbohydrate Metabolism and Pathogenesis of Diabetes Mellitus in Dogs and Cats. PROGRESS IN MOLECULAR BIOLOGY AND TRANSLATIONAL SCIENCE 2014; 121:377-412. [DOI: 10.1016/b978-0-12-800101-1.00012-0] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Effects of dietary macronutrient composition and feeding frequency on fasting and postprandial hormone response in domestic cats. J Nutr Sci 2013; 2:e36. [PMID: 25191586 PMCID: PMC4153086 DOI: 10.1017/jns.2013.32] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2013] [Revised: 09/27/2013] [Accepted: 10/03/2013] [Indexed: 01/23/2023] Open
Abstract
The objective was to evaluate the effects of dietary macronutrients and feeding frequency
on blood glucose, insulin, total ghrelin and leptin. A total of twelve adult lean neutered
male cats were used in three tests, all cross-over studies composed of a 15 d adaptation
and blood sampling on day 16. In trial 1, differences between two- and four-meal feeding
were tested. On day 16, blood samples were collected every 2 h for 24 h. In trial 2,
macronutrient boluses were tested. Instead of the control diet, the morning meal on day 16
was replaced with an isoenergetic bolus of carbohydrate (maltodextrin), protein (chicken
meat), fat or water. Fasted and ten postprandial blood samples were collected. In trial 3,
diets high in fat (HF), protein (HP), carbohydrate (HC) or a control diet were tested. On
day 16, fasted and ten postprandial blood samples were collected. Data were analysed to
identify baseline and AUC changes. Cats fed four meals daily had greater
(P = 0·03) leptin incremental AUC0–24 h compared with cats fed
twice daily. The carbohydrate bolus increased glucose (P < 0·001)
and insulin (P < 0·001) incremental AUC0–6 h and tended
to increase (P = 0·09) leptin net AUC0–6 h. Cats fed the
control and HC diets had greater (P = 0·03) glucose incremental AUC
compared with the HF and HP conditions. Circulating hormone data were highly variable and
indicated changes due to dietary macronutrients and feeding frequency, but further study
is needed to identify impacts on appetite and contributing mechanisms.
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O'Leary CA, Duffy DL, Gething MA, McGuckin C, Rand JS. Investigation of diabetes mellitus in Burmese cats as an inherited trait: a preliminary study. N Z Vet J 2013; 61:354-8. [DOI: 10.1080/00480169.2013.817295] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Gooding MA, Flickinger EA, Atkinson JL, Duncan IJH, Shoveller AK. Effects of high-fat and high-carbohydrate diets on fat and carbohydrate oxidation and plasma metabolites in healthy cats. J Anim Physiol Anim Nutr (Berl) 2013; 98:596-607. [PMID: 24033683 DOI: 10.1111/jpn.12126] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2011] [Accepted: 07/31/2013] [Indexed: 02/06/2023]
Abstract
High-fat (HF) or high-carbohydrate (HC) diets (30% fat, 18.9% carbohydrate; HF and 10% fat, 46.3% carbohydrate; HC) and lengths of adaptation were investigated in cats (Felis catus; 10 ± 2 months, 3.6 ± 0.3 kg). Cats randomly received each treatment for 14 days in a crossover design with a 14-day washout period between each diet. Three 22-h indirect calorimetry studies were conducted after acute (day 0), semichronic (day 4) and chronic (day 13) dietary exposure. Blood samples were collected after a 24-h fast on days 1, 5 and 14. When cats consumed the HC and HF diet, oxidation of the restricted nutrient exceeded intake while oxidation of the nutrient in excess matched intake. Mean max energy expenditure (EE) of cats consuming the HF and HC diet were 107 and 102 kcal/kg(0.67)/day and occurred at a mean of 4 and 12 h post-feeding respectively. Maximal fat (0.90 g/h) and carbohydrate (carbohydrate; 1.42 g/h) oxidation were attained at 26 min and 10.4 h post-feeding respectively. The changes observed in macronutrient oxidation and EE suggest that cats adapt whole-body nutrient metabolism in response to changes in dietary macronutrient content, but may require longer than 14 day to adapt to a macronutrient that is present at a lower concentration in the diet.
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Affiliation(s)
- M A Gooding
- University of Guelph, Animal and Poultry Science, Guelph, ON, Canada
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31
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Coradini M, Rand JS, Morton JM, Arai T, Ishioka K, Rawlings JM. Fat mass, and not diet, has a large effect on postprandial leptin but not on adiponectin concentrations in cats. Domest Anim Endocrinol 2013; 45:79-88. [PMID: 23827214 DOI: 10.1016/j.domaniend.2013.06.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/11/2013] [Revised: 05/08/2013] [Accepted: 06/04/2013] [Indexed: 10/26/2022]
Abstract
Leptin and adiponectin play important roles in carbohydrate and lipid metabolism in different species. Information is limited on the effects of diet, weight gain, and fat mass on their concentrations in cats. This study compared fasting and postprandial blood leptin and total adiponectin concentrations before and after 8 wk of ad libitum feeding to promote weight gain in adult cats (n = 32) fed either a low-carbohydrate, high-protein (23% and 47% ME) or a high-carbohydrate, low-protein (51% and 21% ME) diet. There were significant effects of total, abdominal, and nonabdominal fat mass, but not diet or body weight, on mean 24-h and peak leptin (P < 0.01); observed increases in mean and peak leptin were greatest for abdominal fat mass (50% and 56% increase for every extra 100 g, respectively). After weight gain, postprandial leptin concentration increased markedly relative to when cats were lean, and the duration of the increase was longer after a mean weight gain of 37% with the low-carbohydrate, high-protein diet group compared with 17% with the high-carbohydrate, low-protein group (P ≤ 0.01). Adiponectin was lower than fasting at some time points during the postprandial period in both groups (P ≤ 0.05). For both fasting and mean 24-h adiponectin, there was no significant diet effect (P ≥ 0.19) or changes in weight gain relative to when cats were lean (P ≥ 0.29). In conclusion, fat mass, and not diet, has a large effect on postprandial leptin but not adiponectin concentrations in cats.
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Affiliation(s)
- M Coradini
- Centre for Companion Animal Health, School of Veterinary Science, The University of Queensland, Brisbane, QLD 4072, Australia.
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Farrow HA, Rand JS, Morton JM, O'Leary CA, Sunvold GD. Effect of dietary carbohydrate, fat, and protein on postprandial glycemia and energy intake in cats. J Vet Intern Med 2013; 27:1121-35. [PMID: 23869495 DOI: 10.1111/jvim.12139] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2012] [Revised: 03/13/2013] [Accepted: 05/29/2013] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND Reducing carbohydrate intake is recommended in diabetic cats and might also be useful in some healthy cats to decrease diabetes risk. OBJECTIVE To compare postprandial glucose and insulin concentrations and energy intakes between cats fed diets high in protein, fat, or carbohydrate. ANIMALS Twenty-four lean cats with normal glucose tolerance. METHODS In a prospective randomized study, each of 3 matched groups (n = 8) received a different test diet for 5 weeks. Diets were high in either protein (46% of metabolizable energy [ME]), fat (47% ME), or carbohydrate (47% ME). Glucose and insulin were measured during glucose tolerance, ad libitum, and meal-feeding tests. RESULTS During ad libitum feeding, cats fed the high-carbohydrate diet consumed 25% and 18% more carbohydrate than cats fed diets high in fat and protein, respectively, and energy intake was highest when the high-fat and high-protein diets were fed. Regardless of the feeding pattern, cats fed the high-carbohydrate diet had 10-31% higher peak and mean glucose compared with both other diets; peak glucose in some cats reached 10.4 mmol/L (188 mg/dL) in cats fed 47% ME carbohydrate and 9.0 mmol/L (162 mg/dL) in cats fed 23% ME. CONCLUSIONS AND CLINICAL IMPORTANCE High-carbohydrate diets increase postprandial glycemia in healthy cats compared with diets high in fat or protein, although energy intake is lower. Avoidance of high- and moderate-carbohydrate diets can be advantageous in cats at risk of diabetes. Maintenance energy requirements should be fed to prevent weight gain when switching to lower carbohydrate diets.
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Affiliation(s)
- H A Farrow
- School of Veterinary Science, The University of Queensland, Brisbane, Qld, Australia
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33
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Zoran DL, Rand JS. The Role of Diet in the Prevention and Management of Feline Diabetes. Vet Clin North Am Small Anim Pract 2013; 43:233-43. [DOI: 10.1016/j.cvsm.2012.11.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Farrow H, Rand JS, Morton JM, Sunvold G. Postprandial glycaemia in cats fed a moderate carbohydrate meal persists for a median of 12 hours--female cats have higher peak glucose concentrations. J Feline Med Surg 2012; 14:706-15. [PMID: 22653915 PMCID: PMC11104107 DOI: 10.1177/1098612x12449702] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The postprandial increase in glucose concentration is typically not considered in selecting diets to manage diabetic and pre-diabetic cats. This study describes increases in glucose and insulin concentrations in 24 clinically healthy, neutered adult cats following one meal (59 kcal/kg) of a moderate carbohydrate diet (25% of energy). Median time to return to baseline after feeding for glucose was 12.2 h (1.8-≥24 h) and for insulin was 12.3 h (1.5-≥24 h). Time to return to baseline for glucose was not different between male (10.2 h) and female (17.2 h) cats. There was evidence female cats had a longer return to baseline for insulin (18.9 h versus 9.8 h) and females had higher (0.9 mmol/l difference) peak glucose than males. This demonstrates that the duration of postprandial glycaemia in cats is markedly longer than in dogs and humans, and should be considered when managing diabetic and pre-diabetic cats.
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Affiliation(s)
- Heidi Farrow
- Centre for Companion Animal Health, School of Veterinary Science, The University of Queensland, St Lucia, Brisbane, Australia
| | - Jacquie S Rand
- Centre for Companion Animal Health, School of Veterinary Science, The University of Queensland, St Lucia, Brisbane, Australia
| | - John M Morton
- School of Veterinary Science, The University of Queensland, St Lucia, Brisbane, Australia
- Current address: Jemora Pty Ltd, PO Box 2277, Geelong 3220, Victoria, Australia
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Smith JR, Vrono Z, Rapoport GS, Turek MM, Creevy KE. A survey of Southeastern United States veterinarians' preferences for managing cats with diabetes mellitus. J Feline Med Surg 2012; 14:716-22. [PMID: 22661022 PMCID: PMC11104109 DOI: 10.1177/1098612x12450169] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/10/2024]
Abstract
This study evaluated primary practitioners' perceptions of managing feline diabetics. Surveys distributed during local continuing education events achieved a response rate of 46% (90/195). A mean of 74% feline diabetics required chronic insulin; 26% were transient diabetics. Choice of insulin was most influenced by duration of action: human recombinant protamine zinc insulin was ranked first (42%) and glargine second (27%). Dietary management was always/usually recommended by 97% respondents, with prescription or proprietary low-carbohydrate, high-protein diets recommended in 93% responses. More recent graduates (P=0.0419), those who worked in larger practices (P=0.0315), and those who saw more transient diabetics (P=0.0288) were more likely to recommend dietary change. In-house blood glucose curves (BGCs) were the most popular method of assessing glycemic control, while at-home BGCs were least popular, although their use correlated positively with annual diabetic caseload (r=0.43, P=0.0239). Owners mishandling insulin was cited as the most common cause of poor glycemic control, while clinical signs of acromegaly were rarely recognized.
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Affiliation(s)
- Jo R Smith
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USA.
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Effects of two commercially available feline diets on glucose and insulin concentrations, insulin sensitivity and energetic efficiency of weight gain – CORRIGENDUM. Br J Nutr 2012. [DOI: 10.1017/s0007114512001389] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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