The Pulse Of Veterinary Medicine
Vet-To-Vet Conversation With IDEXX
Author archive: Graham Bilbrough
Preventive care has always been important to veterinary professionals, but lab work has not been a regular part of the preventive care toolkit.
Fructosamine testing looks beyond the hour-to-hour and day-to-day blood glucose fluctuations, to provide the patient's average glucose over the previous 2–3 weeks. Fructosamine testing is integral to a thorough assessment of glycemic control. The bottom line: fructosamine is big picture, whereas blood glucose curves (BGCs) are hour-to-hour, and both are important.
Given that thyroid disease is common, especially in older pets, and the clinical signs sometimes subtle, it’s typically recommended to include total T4 (TT4) in chemistry profiles for all cats greater than seven years of age and for dogs with any hint of hypothyroidism. Furthermore, patients receiving therapy for thyroid disease require frequent monitoring of TT4. No matter how you look at it, TT4 is a frequently run, essential test.