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DIAGNOSTICS - FRUCTOSAMINE

First broadcast on www.provet.co.uk  


This information is provided by Provet for educational purposes only.

You should seek the advice of your veterinarian if your pet is ill as only he or she can correctly advise on the diagnosis and recommend the treatment that is most appropriate for your pet.

Fructosamine is useful in monitoring glycaemic stabilisation in diabetic dogs and cats

Fructosamine is a glycoprotein formed between glucose and albumin and measurement of serum fructosamine gives an indirect measure of the time-averaged glucose concentrations that albumin has been exposed to over the preceding period of 1-2 weeks.

This test is useful because it can be used to differentiate between chronic hyperglycaemia (due to diabetes mellitus) and transient hyperglycaemia - such as may occur with stress.

The normal range for serum fructosamine has been reported to be :

  • Dogs - 250-350mmol/l
  • Cats - 150-270mmol/l

Concentrations below 400mmol/l indicate good glycaemic control in treated diabetic dogs and cats, greater than 400mmol/l in cats and greater than 500mmol/l in dogs indicates poor glycaemic control or untreated diabetic animals. 

Fructosamine gives an indication of glucose levels over a 2-3 week period.  Fructosamine concentrations are approximately :

Fructosamine values (micromol/l)

Dogs
Non-diabetic 225-365
Recently diagnosed 320-850
Treated - excellent control 350-400
Treated - good control 400-450
Treated - fair control 450-500
Treated - poor control 500+
Cats
Non-diabetic 190-365
Recently diagnosed 350-730
Treated - excellent control 350-400
Treated - good control 400-450
Treated - fair control 450-500
Treated - poor control 500+
Limitations of fructosamine tests are : cannot detect short-term changes eg hypoglycaemia, hyperthyroid cats with concurrent diabetes may have low fructosamine due to increased protein turnover rate. Hypoalbuminaemia in dogs can cause  false negative low fructosamine. 

Insulinoma in dogs may result in low fructosamine concentrations - ie below 250mmol/l.

Last updated : January 2016