Well we got the fructosamine results back! Garrison's fructosamine is above 700. 722 for that matter. The highest we have seen at our cat hospital.
Normally a well maintained diabetic's fructosamine should be below 400.
For those of you who don't know what fructosamine is, read the following:
Fructosamines are serum proteins (albumin and others) that have undergone nonenzymatic, insulin-independent glycosylation. Serum fructosamine concentration is proportional to the blood glucose concentration over the lifespan of the glycated protein being measured. The lifespan of albumin in dogs (and presumably in cats) is 1-2 weeks. Thus, the serum fructosamine concentration should reflect the mean blood glucose concentration over the preceding 7-10 days.
Determining fructosamine concentrations cannot obviate the need for blood glucose curves, which remain the best way to monitor diabetic animals, especially at the beginning of treatment when choosing the correct type of insulin and optimal dosing schedules. Once glycemic control is obtained, fructosamine levels can be used together with clinical signs for further monitoring. If the fructosamine level is elevated, a blood glucose curve should be performed to determine the necessary changes.
Garrison started on his insulin last night for the first time. Humulin-L to be exact. 1 unit twice per day to start. Now Amber and I have to have a glucose curve party in a week. :)