[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-502108-105":59,"doc-detail-502108-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","2018-aaha-diabetes-management-guidelines-for-dogs-and-cats-2022-update","2018 AAHA Diabetes Management Guidelines for Dogs and Cats - 2022 Update","","Diabetes mellitus is a treatable condition requiring coordinated, ongoing management by veterinarian and client in canine and feline patients. The 2018 AAHA Diabetes Management Guidelines revise prior 2010 recommendations by retaining applicable core principles while adding current expert guidance on insulin control, owner competency, recognition of inadequate management, and home blood-glucose monitoring. Recommendations address insulin selection by efficacy and duration, non-insulin medications, dietary management, identification of at-risk patients, and monitoring to avoid unnecessary therapy and hypoglycemia.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/2018-aaha-diabetes-management-guidelines-for-dogs-and-cats-2022-update/502108/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/2018-aaha-diabetes-management-guidelines-for-dogs-and-cats-2022-update/502108.png","ImageObject",300,407,{"name":92,"@type":93},"RuangKosong","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-10","2026-10-03",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the main treatment approach for clinical diabetes mellitus in dogs and cats?","Question",{"text":113,"@type":114},"Insulin therapy is the mainstay of treatment. The guidelines discuss recommended insulin options and how choice is generally based on efficacy and duration of effect for each species.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Why is owner involvement important in diabetes management?",{"text":118,"@type":114},"Successful management depends on the owner being able to administer insulin, recognize clinical signs of inadequately managed disease, and monitor blood glucose levels at home. Home monitoring is described as ideal but not mandatory.",{"name":120,"@type":111,"acceptedAnswer":121},"How do the guidelines help avoid inappropriate insulin use?",{"text":122,"@type":114},"The guidelines review how to identify and monitor patients at risk for developing diabetes, helping avoid unnecessary insulin therapy in cases such as transient hyperglycemia or mildly elevated blood glucose.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},502108,1791299293,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":56,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},962090883219,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","VETERINARY PRACTICE GUIDELINES  \n2018 AAHA Diabetes Management Guidelines for Dogs and Cats 􀀁  \nEllen Behrend, VMD, PhD, DACVIM, Amy Holford, VMD, DACVIM†, Patty Lathan, VMD, DACVIM, Renee Rucinsky, DVM, DABVP†, Rhonda Schulman, DVM, DACVIM  \n  ABSTRACT    \nDiabetes mellitus (DM) is a common disease encountered in canine and feline medicine. The 2018 AAHA Diabetes Management Guidelines for Dogs and Cats revise and update earlier guidelines published in 2010 . The 2018 guidelines retain much of the information in the earlier guidelines that continues to be applicable in clinical practice, along with new information that represents current expert opinion on controlling DM. An essential aspect of successful DM management is to ensure that the owner of a diabetic dog or cat is capable of administering insulin, recognizing the clinical signs of inadequately managed DM, and monitoring blood glucose levels at home, although this is ideal but not mandatory; all topics that are reviewed in the guidelines. Insulin therapy is the mainstay of treatment for clinical DM. The guidelines provide recommendations for each insulin formulation currently available for use in dogs and cats, the choice of which is generally based on efficacy and duration of effect in the respective species. Also discussed are non-insulin therapeutic medicationsand dietary management. These treatment modalities, along with insulin therapy, give the practitioner an assortment of options for decreasing the clinical signs of DM while avoiding hypoglycemia, the two conditions that represent the definition of a controlled diabetic. The guidelines review identifying and monitoring patients at risk for developing DM, which are important for avoiding unnecessary insulin therapy in patients with transient hyperglycemia or mildly elevated blood glucose. (JAm Anim HospAssoc 2018; 54:1–19 . DOI 10 .5326/JAAHA-MS-6822)  \nAFFILIATIONS  \nFrom the Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, Auburn, Alabama (E.B.); Department of Small Animal Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, Tennessee (A.H.); Department of Clinical Sciences, College of Veterinary Medicine, Mississippi State University, Starkville, Mississippi (P.L.); Mid Atlantic Cat Hospital, Queenstown, Maryland (R.R.); Animal Specialty Group, Los Angeles, California (R.S.) .  \nCONTRIBUTING REVIEWERS  \nAudrey Cook, BVM&S, MRCVS, DACVIM, DECVIM-CA, DABVP (Feline), Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Texas A&M University, College Station, Texas; Lawren Durocher-Babek, DVM, MS, DACVIM, Red BankVeterinary Hospital, Hillsborough, New Jersey.  \nCorrespondence: [aholford@utk.edu](aholford@utk.edu) (A.H.); [rucinsky.mach@gmail.com](rucinsky.mach@gmail.com) (R.R.)  \n􀀁 These guidelines were sponsored by a generous educational grant from Boehringer Ingelheim Animal Health and Merck Animal Health. They were subjected to a formal peer review process.  \n† A. Holford and R. Rucinsky were co-chairs of the Diabetes Management Guidelines Task Force.  \nNote: These guidelines include updates made in 2022 .  \nThese guidelines were prepared by a Task Force of experts convened by the American Animal Hospital Association. This document is intended asa guideline only, not an AAHA standard of care. These guidelines and  \nrecommendations should not be construed as dictating an exclusive protocol, course of treatment, or procedure. Variations in practice may be warranted based on the needs of the individual patient, resources, and limitations unique to each individual practice setting. Evidence-based support for specific recommendations has been cited whenever possible and appropriate. Other recommendations are based on practical clinical experience and a consensus of expert opinion. Further research is needed to document some of these recommendations. Because each case is different, veterinarians must base their decisions on the best ava","cbCaiuiPw5bPB02k","https://ap.wps.com/l/cbCaiuiPw5bPB02k","pdf",1366152,"English","# Introduction\n## Diabetes Mellitus Management Principles\n## Goals of Diagnosis, Treatment, and Ongoing Monitoring","[{\"question\":\"What is the main treatment approach for clinical diabetes mellitus in dogs and cats?\",\"answer\":\"Insulin therapy is the mainstay of treatment. The guidelines discuss recommended insulin options and how choice is generally based on efficacy and duration of effect for each species.\"},{\"question\":\"Why is owner involvement important in diabetes management?\",\"answer\":\"Successful management depends on the owner being able to administer insulin, recognize clinical signs of inadequately managed disease, and monitor blood glucose levels at home. Home monitoring is described as ideal but not mandatory.\"},{\"question\":\"How do the guidelines help avoid inappropriate insulin use?\",\"answer\":\"The guidelines review how to identify and monitor patients at risk for developing diabetes, helping avoid unnecessary insulin therapy in cases such as transient hyperglycemia or mildly elevated blood glucose.\"}]","2018 AAHA Diabetes Management Guidelines for Dogs and Cats - 2022 Update | PDF",1791029356,48]