Use of aglepristone for the treatment of P4 induced insulin resistance in dogs

J Vet Sci. 2014;15(2):267-71. doi: 10.4142/jvs.2014.15.2.267. Epub 2013 Dec 27.

Abstract

Insulin resistance (IR) in dogs is suspected when hyperglycemia is present despite administration of insulin doses greater than 1.0 to 1.5 UI/kg. IR is caused by increases in counter regulatory hormones concentrations (glucagon, glucocorticoids, catecholamines and growth hormone). This study was conducted to investigate the use of aglepristone (RU 46534), a P4 receptor antagonist, for the treatment of IR diabetes mellitus in bitches during the luteal phase. All animals were treated with porcine insulin zinc suspension (Caninsulin) and aglepristone (Alizin) 10 mg/kg subcutaneously at day 1, 2, 9 and 17 from diagnosis. At day 5, no significant variation in glycemia was shown. At day 12 and 20, serum glucose concentrations were significant lower (p < 0.05). From day 12 the insulin dose was reduced to 0.8 IU BID. Insulin was reduced in the following weeks and glycemia was controlled.

Keywords: aglepristone; bitches; diabetes mellitus; diestrus; insulin resistance.

MeSH terms

  • Animals
  • Blood Glucose / analysis
  • Diabetes Mellitus / drug therapy
  • Diabetes Mellitus / etiology
  • Diabetes Mellitus / veterinary*
  • Dog Diseases / drug therapy*
  • Dog Diseases / etiology
  • Dogs
  • Estrenes / therapeutic use*
  • Estrous Cycle
  • Female
  • Hypoglycemic Agents / therapeutic use
  • Insulin Resistance
  • Pregnancy
  • Radioimmunoassay / veterinary
  • Receptors, Progesterone / antagonists & inhibitors*

Substances

  • Blood Glucose
  • Estrenes
  • Hypoglycemic Agents
  • Receptors, Progesterone
  • aglepristone