Starting Regulation with Vetsulin®
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When Health Status is Known and Diagnosis Confirmed
- Take time to explain thoroughly to the owner what diabetes is, that achieving regulation may take time (up to 1 to 2 months), and what the implications are for the family. Make sure the cat owner understands the therapy involved, and that the cat should be able to live a happy, healthy life with consistent management. This is crucial, as complete cooperation of the owner is essential to the success of the management.
- Treat existing infections or other medical conditions. Many diseases will affect insulin metabolism.
- Introduce appropriate diet.
- Begin therapy with Vetsulin® (porcine insulin zinc suspension).
Starting Vetsulin in Clinic
- Weigh the cat to obtain a benchmark for future weight gain or loss.
- Start the cat on 1-2 IU injections of Vetsulin given twice daily at 12-hour intervals. Administer injections concurrently with or right after meals for cats fed twice daily. No change in feeding schedule is needed for cats fed ad libitum.
- Hospitalize the cat for the day to verify that the starting dose does not cause hypoglycemia.
- Instruct owner on:
- How to administer injections
- How to identify and treat hypoglycemia
- Parameters to monitor at home
- Preferred diet and frequency of meals
- Discharge cat to owner’s care for 1 to 2 weeks. This allows the cat and owner to get used to the injection regimen.
At Home, Have the Owner
- Monitor and record water and food consumption.
- Monitor and record urine glucose and presence of ketone bodies.
- Maintain starting dose and frequency of administration for 1 to 2 weeks, unless there’s evidence of hypoglycemia.
- Bring the cat in for re-evaluation 1 to 2 weeks after starting Vetsulin treatment, or earlier if clinical signs of hypoglycemia develop.
Help Your Practice Manage Diabetes Mellitus
Check out these tools and resources to help manage feline diabetes.
Create a blood glucose curve to monitor and evaluate diabetes treatments.
Create a customized, printable form for clients about their new diagnosis.
Access online tools and more to support staff and pet parents.
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Learn More About Dosing& Administration
Important Safety Information:
Vetsulin® should not be used in dogs known to have a systemic allergy to pork or pork products. Vetsulin is contraindicated during periods of hypoglycemia. Keep out of reach of children. As with all insulin products, careful patient monitoring for hypoglycemia and hyperglycemia is essential to attain and maintain adequate glycemic control and prevent associated complications. Overdosage can result in profound hypoglycemia and death. The safety and effectiveness of Vetsulin in puppies, breeding, pregnant, and lactating dogs has not been evaluated. See package insert for full information regarding contraindications, warnings, and precautions.
1. Martin GJ, Rand JS. Pharmacology of a 40 IU/ml porcine lente insulin preparation in diabetic cats: findings during the first week and after 5 or 9 weeks of therapy. J Feline Med Surg. 2001;3(1):23–30. 2. Vetsulin® (porcine insulin zinc suspension) [Freedom of Information Summary]. Millsboro, DE: Intervet Inc.; 2008. 3. Data on file, Merck Animal Health. 4. Graham PA, Nash AS, McKellar QA. Pharmacokinetics of porcine insulin zinc suspension in diabetic dogs. J Small Anim Pract. 1997;38(10):434–438. 5. Martin GJ, Rand JS. Pharmacokinetic and Pharmacodynamic Study of Caninsulin in Cats with Diabetes Mellitus. 2000: Internal Study Report. 6. Feldman EC, Nelson RW. Canine and Feline Endocrinology and Reproduction. 3rd ed. St. Louis, MO: Saunders; 2004:539–579. 7. Tennant B, ed. BSAVA Small Animal Formulary. 4th ed. Gloucestershire, UK: British Small Animal Veterinary Association; 2002. 8. Feldman EC, Nelson RW. Canine and Feline Endocrinology and Reproduction. 3rd ed. St. Louis, MO: Saunders; 2004:486–538. 9. Reusch C. Feline diabetes mellitus. In: Ettinger SJ, Feldman EC, eds. Textbook of Veterinary Internal Medicine. 7th ed. St. Louis, MO: Saunders; 2010:1796–1816. 10. Nelson RW. Canine diabetes mellitus. In: Ettinger SJ, Feldman EC, eds. Textbook of Veterinary Internal Medicine. 7th ed. St. Louis, MO: Saunders; 2010:1782–1796. 11. Burgaud S, Riant S, Piau N. Comparative laboratory evaluation of dose delivery using a veterinary insulin pen. In: Proceedings of the WSAVA/FECAVA/BSAVA congress; 12–15 April 2012; Birmingham, UK. Abstract 121. 12. Burgaud S, Guillot R, Harnois-Milon G. Clinical evaluation of a veterinary insulin pen in diabetic dogs. In: Proceedings of the WSAVA/ FECAVA/BSAVA congress; 12–15 April 2012; Birmingham, UK. Abstract 122. 13. Burgaud S, Guillot R, Harnois-Milon G. Clinical evaluation of a veterinary insulin pen in diabetic cats. In: Proceedings of the WSAVA/FECAVA/BSAVA congress; 12–15 April 2012; Birmingham, UK. Abstract 45. 14. Davison LJ, Walding B, Herrtage ME, Catchpole B. Anti-insulin antibodies in diabetic dogs before and after treatment with different insulin preparations. J Vet Intern Med. 2008;22:1317-1325. 15. Banfield State of Pet Health 2016 Report. p 12-13.