title: Dosing obese cats based on body weight spuriously affects some measures of glucose tolerance.
abstract: The primary objective was to investigate whether dosing glucose by body weight results in spurious effects on measures of glucose tolerance in obese cats because volume of distribution does not increase linearly with body weight. Healthy research cats (n = 16; 6 castrated males, 10 spayed females) were used. A retrospective study was performed using glucose concentration data from glucose tolerance and insulin sensitivity tests before and after cats were fed ad libitum for 9 to 12 mo to promote weight gain. The higher dose of glucose (0.5 vs 0.3 g/kg body weight) in the glucose tolerance tests increased 2-min glucose concentrations (P < 0.001), and there was a positive correlation between 2-min and 2-h glucose (r = 0.65, P = 0.006). Two-min (P = 0.016 and 0.019, respectively), and 2-h (P = 0.057 and 0.003, respectively) glucose concentrations, and glucose half-life (T1/2; P = 0.034 and <0.001 respectively) were positively associated with body weight and body condition score. Glucose dose should be decreased by 0.05 g for every kg above ideal body weight. Alternatively, for every unit of body condition score above 5 on a 9-point scale, observed 2-h glucose concentration should be adjusted down by 0.1 mmol/L. Dosing glucose based on body weight spuriously increases glucose concentrations at 2 h in obese cats and could lead to cats being incorrectly classified as having impaired glucose tolerance. This has important implications for clinical studies assessing the effect of interventions on glucose tolerance when lean and obese cats are compared.
authors: School of Veterinary Science, The University of Queensland, QLD, Australia. Electronic address: m.reevejohnson@uq.edu.au.
authors: M K
authors: MK
authors: Reeve-Johnson
authors: School of Veterinary Science, The University of Queensland, QLD, Australia.
authors: J S
authors: JS
authors: Rand
authors: Biomedical Science, The University of Queensland, QLD, Australia.
authors: S T
authors: ST
authors: Anderson
authors: Hill's Pet Nutrition Pty Ltd., P O Box 1003, North Ryde, NSW 1670 Australia.
authors: D J
authors: DJ
authors: Appleton
authors: School of Veterinary Science, The University of Queensland, QLD, Australia.
authors: J M
authors: JM
authors: Morton
authors: School of Veterinary Science, The University of Queensland, QLD, Australia.
authors: D
authors: D
authors: Vankan
mesh_terms: D000818:Animals; D002371:Cat Diseases / Q000097:blood / Q000378:metabolism*; D002415:Cats; D005260:Female; D005947:Glucose / Q000008:administration & dosage*; D018149:Glucose Intolerance / Q000097:blood / Q000378:metabolism / Q000662:veterinary*; D008297:Male; D009765:Obesity / Q000097:blood / Q000378:metabolism / Q000662:veterinary*
chemical_list: D005947:Glucose
keywords: Endocrinology; Glucose tolerance test; Hyperglycaemia; Obesity