About Glucose Curves

Managing Canine Glucose Curves

The blood glucose curve is an ideal tool to determine the effectiveness of the insulin and identify the appropriate dose and frequency of administration. In general, maintaining blood glucose levels in a dog with diabetes between 100–250 mg/dL for the majority of the day will minimize the symptoms of diabetes and complications.

Try our online glucose curve generator

When creating a glucose curve, remember that stress can affect the reliability of results and the glucose curve is only one tool among others that can help manage dogs with diabetes.

How to complete a glucose curve

Feed and inject your dog with Vetsulin^® (porcine insulin zinc suspension) as normal. Your veterinarian may suggest you doing this at home, or they will do it at their office. If your dog exercises at home during the day, the same exercise routine should be adhered to while your dog is in the clinic.

Blood sampling:

• Just prior to giving insulin
• Then, in at least 60 to 120 minute intervals
• Over a period of 12 to 24 hours

How to interpret a glucose curve

Your veterinarian can help explain the glucose curve, and how they interpret these readings based on your pet.

The glucose curve helps determine:

• Insulin effectiveness. Maximum and minimum blood glucose levels, which should ideally be between 100 and 250 mg/dL

Glucose nadir (lowest level) goal:

• 100-150 mg/dL

Duration of insulin effectiveness:

• Length of time between the insulin injection and the blood glucose reaching 250 mg/dL
• Duration of effectiveness used to determine frequency of insulin injections

Measuring blood glucose

Two different options:

1. Collection by your veterinarian of a venous blood sample from a peripheral vein. These plasma glucose concentrations are measured in a in a laboratory or by an in-clinic analyzer.
2. Collection done, at home or in clinic, of a drop of capillary blood from the ear (pinna), or sometimes the inner lip or elbow callus, analyzed with a handheld blood glucose meter (glucometer).
   • Glucometers should be calibrated specifically for dogs and cats because of the difference in the ratios of glucose in plasma and red blood cells from humans.
   • Readings may vary by as much as 15% from samples submitted to the laboratory.
   • Handheld meters are reasonably accurate. If a reading seems unusual or does not match the clinical signs, a second reading should be taken or another method used to confirm the blood glucose measurement.

Management goals

Management of canine diabetes can be considered successful when the clinical signs of diabetes mellitus improve without inducing hypoglycemia.

Routine rechecks

After your dog has been stabilized successfully, your veterinarian may perform routine rechecks every 2–4 months.

Careful monitoring and control will help to limit the long-term complications associated with diabetes.

Blood glucose concentrations

The aim of therapy is to produce a blood glucose curve that approaches the reference range, avoiding potentially fatal hypoglycemia.

An example of a stable dog with diabetes is a blood glucose range of 100–250 mg/dL for most of a 24-hour period.

Ideal blood glucose curve

Below is an example of an ideal blood glucose curve for a dog on once-daily dosing where the range remains between 100–250 mg/dL for most of the 24-hour period. Please note that for a dog on twice-daily dosing the curve will appear very similar, but just within a 12-hour time period. Not all blood glucose curves will be ideal at first.

Tracking Results

If you feel your dog is at risk for developing diabetes, consider having your pet tested during a regular veterinary examination at least once a year.

Tracking Tools & Resources

1. Pet Diabetes Tracker app
   Review and keep important information to manage care.
2. Blood Glucose Curve Tool
   Easily record blood glucose readings to generate a blood glucose curve.
3. Helpful Downloads
   Additional resources to understand and manage canine diabetes.

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Further Reading