Remission: A talk from RVC vet in the UK about their remission research.

The research work the Royal Veterinary College have done is very interesting, and has produced some very useful info, and some surprises...
In the trials Lantus and Prozinc produced similar remission rates.
1 in 3 of the 'general population' of diabetic cats may go into remission.
1 in 4 diabetic cats may have acromegaly.

Link to talk on Facebook:
https://www.facebook.com/vettimesuk/videos/10154849470681010/
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Thanks Elizabeth, that was a very interesting talk.

 

You're welcome, Bron!

I found the fact that so many cats might have acromegaly intriguing in that we don't seem to see that kind of representation here on the forum. Maybe acromegaly goes undiagnosed in many diabetics...? Hmmm.....
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It's the same old... vets don't get enough training in FD, let alone "related" issues such as acro. When my Tom was dx back in 2007 my vet had barely heard of it and I had to ask for the test. I think awareness has improved somewhat but there is still a way to go.

 

There's been quite a bit of research, but the resulting knowledge seems painfully slow to trickle down to the vets that most of us see in our own communities...

Edited to add: Diana, it's good to see that the RVC have now done many successful operations on Acro cats. Hopefully that treatment will become more mainstream...

 

There are a lot more over on the Lantus and Lev forums diagnosed with acromegaly than there used to be. I wouldn’t be surprised to see if it’s near that percentage. One of the issues is that cats in the RVC research had doses ranging from 1 to 35 units and averaging 7 units. Here, we don’t suggest people get tested until 6 units, unless they suspect from symptoms at lower doses. We’ve seen a couple acros on lower doses, but most beans don’t get the IGF-1 test done until 6 units. Even some people with kitties on 20 units don’t get tests done. I saw one paper say that kitties still unregulated after six months should also get tested. I personally don’t like the phrase “high dose condition” anymore. We have also seen IAA and Cushings kitties on 3+ units.

Had an internal medicine vet tell me this year it was rare. Someone needs a feline endocrine conditions refresher. We still get lots of beans who have to push their vet for the tests.

Surgery is slowly becoming an option in North America, though no where near the experience of RVC yet. Rather pricy though, out of most people’s range. Still I am happy to see all the good work being done at RVC, more options now than even five years ago.

 

@Djamila - found it! This was where I'd posted the link to the remission talk. (Thought I was losing my marbles there for a while...)

 

Elizabeth thank you for finding it. I was looking for this today to send to sineoand couldn’t find it.

 

Excellent video!

 

Very informative!

 

Really interesting.