1. Clinical signs, goals of therapy and techniques
A GOOD understanding of the clinical signs, goals of therapy and available monitoring techniques is important for the successful management of dogs with diabetes mellitus. The best monitoring 'tool' is the dog's owner - despite the array of tests available to monitor diabetics, the absence of the cardinal clinical signs of disease probably remains the most reliable indicator of good diabetic control. This article discusses the techniques that may be used, both at home and in the clinic, for monitoring diabetics, emphasising the benefit of serial glucose measurements and the 'glucose curve'. An accompanying article, on pages 421 to 430 of this issue, looks at how monitoring tests can influence management changes to restore good glycaemic control and resolve clinical signs in problem cases.
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