
Diabetes in cats is caused by a lack of insulin production by the pancreas, or the ineffective use of insulin, resulting in high levels of glucose in the bloodstream. Treatment for diabetic cats involves insulin injections and dietary changes. Before starting insulin injections, it is recommended to consult a veterinarian to determine the appropriate diet for your cat's specific needs. This may involve promoting weight loss for overweight cats or prioritizing protein and calorie density for underweight cats. Consistency in medication, feeding, and lifestyle are crucial for effectively managing a diabetic cat's condition.
| Characteristics | Values |
|---|---|
| Diet | Diabetic cats should eat a low-carbohydrate, high-protein diet to reduce the amount of glucose in the body. |
| Feeding routine | Some owners leave food out for their cats to graze on throughout the day (free-choice feeding). However, veterinarians may recommend switching to meal feeding if the cat is being treated with insulin. |
| Weight loss | Overweight cats are less sensitive to insulin. A slow, regulated weight loss of 1-2% of body weight per week can improve insulin sensitivity and may reduce the amount of insulin required. |
| Monitoring | It is important to constantly monitor a cat's appetite, weight, water consumption, and urine output. Blood and urine testing will typically be performed every one to three months. |
| Oral medication | New oral medications have been approved to help regulate blood glucose levels in cats, including once-daily medications such as bexagliflozin (Bexacat) and velagliflozin (Senvelgo). |
| Insulin injections | Most cats require insulin injections twice daily, administered under the skin in rotating sites, preferably at the same times each day. |
| Remission | Diabetic remission occurs when a cat maintains normal glucose levels for more than four weeks without insulin injections. Remission may last for months or years, and cats in remission should continue to be monitored closely. |
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What You'll Learn

Insulin injections are typically required twice daily
It is crucial to monitor your cat's overall health and behaviour. Keep track of their appetite, weight, water consumption, and urine output. If your cat becomes unwell, starts vomiting, or refuses to eat, do not administer insulin and contact your veterinarian immediately. Additionally, be cautious about potential hypoglycaemic events, which can be life-threatening. Watch for signs such as low energy, unresponsiveness, or wobbliness.
To ensure the accuracy of insulin dosage, it is recommended to use a syringe with a very fine needle or a purpose-designed insulin pen. Always measure the appropriate dose and inject the air from the syringe into the insulin bottle before drawing out the required amount. It is also important to vary the injection sites to prevent skin inflammation.
While insulin injections are essential for managing your cat's diabetes, dietary changes are equally crucial. A proper diet can improve blood glucose control and reduce the amount of daily insulin needed. High-protein and high-fat diets are recommended because they are typically lower in sugar. However, it is important to consult with your veterinarian to determine the specific dietary needs of your cat.
It is important to note that the information provided here is general in nature, and each cat's situation may vary. Always follow the advice and instructions provided by your veterinarian, as they will tailor the treatment plan to your cat's specific needs.
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A low-carbohydrate diet is recommended
The diet for your cat will depend on its health and weight, the severity of their diabetes, and their personal taste. Your veterinarian can guide you in choosing the right nutritional plan. For instance, if your cat is overweight, your goal should be to help them lose weight gradually. Obese diabetic cats should be fed a diet that promotes a 1-2% loss of body weight per week. This slow, regulated weight reduction improves insulin sensitivity, may reduce the amount of insulin required, and increases the probability of long-term remission.
It is important to note that there is no one-size-fits-all diet for diabetic cats. While a low-carbohydrate diet is generally recommended, the specific dietary needs of each cat may vary. For example, a diet that promotes weight loss may be recommended for an overweight cat, while a diet that prioritises protein and calorie density may be more suitable for an underweight cat.
Consistency in feeding is also important for managing diabetes in cats. It is recommended to coordinate meals with insulin dosing to avoid a dangerous drop in blood glucose levels. This may involve switching from free-choice feeding, where food is always left in the bowl, to meal feeding, where food is provided at specific mealtimes.
In addition to diet, regular monitoring of your cat's health is crucial. This includes checking their blood sugar levels, appetite, weight, water consumption, and urine output. Close monitoring can help prevent complications and provide early detection of any issues.
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Weight loss can help manage diabetes
Weight management is extremely valuable for cats with diabetes. A combination of home exercise and a strict diet can lead to weight loss, which, along with appropriate insulin therapy, may result in diabetic remission. Cats in remission no longer require insulin, provided their diet and weight are maintained.
Diabetes in cats is a disorder where the body cannot effectively utilise and regulate blood sugar. When a cat has diabetes, the pancreas either doesn't produce enough insulin or the body cannot use the insulin effectively. This leads to an accumulation of glucose in the blood, a condition known as hyperglycemia. The body, unable to use glucose without insulin, begins to break down fat and muscle for energy, resulting in weight loss.
Obese diabetic cats should be fed a diet that promotes a 1-2% loss of body weight per week. This slow, regulated weight reduction improves insulin sensitivity, may reduce the amount of insulin required, and increases the probability of long-term remission. A high-protein, low-carbohydrate diet helps in regulating blood sugar levels. These diets mimic the natural eating patterns of cats and can reduce the amount of insulin needed.
Consistency in feeding schedules and portion control are vital. Feeding your cat at the same times each day and in consistent amounts helps maintain stable blood glucose levels. Transitioning diets should be done gradually to avoid gastrointestinal upset. Work closely with your veterinarian to select the best diet for your diabetic cat. Regular, moderate exercise can help in controlling weight and improving insulin sensitivity. However, it is important to ensure that exercise is safe and appropriate for your cat’s condition and age.
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Consistent treatment is vital
Consistency is crucial for the successful management of diabetes in cats. This includes consistent administration of insulin or prescribed oral medication, consistent feeding, and providing a stable, stress-free lifestyle for your cat.
Administration of Insulin or Medication
It is important to administer insulin or prescribed oral medication consistently. Insulin injections are typically given under the skin approximately every 12 hours. However, varying injection times by one to two hours when needed will not negatively impact your cat's treatment. It is also essential to coordinate meal times with insulin dosing to avoid a dangerous drop in blood glucose levels.
Consistent Feeding
Maintaining a consistent feeding routine is essential for managing your cat's diabetes. Cats with diabetes often require a diet specific to their needs, which may involve promoting weight loss for overweight cats or prioritizing protein and calorie density for underweight cats. Canned food is generally recommended over dry food due to its lower carbohydrate content.
Stable and Stress-Free Environment
Providing a stable and stress-free environment for your cat is crucial. It is recommended to keep your cat indoors to minimize uncontrollable variables that can disrupt regulation. Stress can impact your cat's glucose levels, so maintaining a calm and consistent environment is important for effective diabetes management.
Regular Monitoring and Adjustments
Regular monitoring of your cat's progress is essential. This includes checking their appetite, weight, water consumption, and urine output, as well as blood sugar levels. Close monitoring allows for adjustments to insulin dosage and dietary plans, increasing the chances of achieving diabetic remission.
Consistency in treatment, feeding, and environment is vital for effectively managing your cat's diabetes. By following the recommendations provided by your veterinarian and maintaining a consistent routine, you can help improve your cat's quality of life and increase the likelihood of achieving diabetic remission.
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Oral medication may be an alternative to insulin injections
Insulin injections are the traditional treatment for diabetes mellitus in cats. However, oral medication may be an alternative to insulin injections. Bexacat (bexagliflozin tablets) and Senvelgo (velagliflozin oral solution) are two new drugs that have been approved by the FDA to treat diabetes mellitus in cats. These drugs are different from insulin shots and can be effective for treating certain cats with diabetes that don't require insulin injections.
Bexacat and Senvelgo are SGLT2 inhibitors, which means they work by preventing the kidneys from reabsorbing glucose into the blood, causing excess glucose to be passed out in the urine and resulting in lowered blood glucose levels. These drugs are not suitable for all diabetic cats and should only be used under the guidance of a veterinarian. Proper screening, monitoring, and knowledge of how to recognize and treat adverse reactions are crucial to the safe use of these drugs.
Oral medication may be a more convenient and less painful option for administering treatment to your cat. It eliminates the need for injections, which some owners may be initially fearful of administering. However, it is important to note that oral medication does not eliminate the need for consistent treatment and monitoring. As with insulin injections, oral medication must be administered consistently, and your cat's progress must be regularly monitored through blood and urine testing.
Additionally, oral medication may not be suitable for all cats. Your veterinarian will carefully review your cat's medical history and recommend the most appropriate treatment option. The goal of treating diabetes is to regulate blood glucose quickly and reach a point where your cat no longer needs any medication. Consistent administration of medication, a proper diet, and a stable, stress-free lifestyle are crucial components of managing your cat's diabetes.
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Frequently asked questions
Yes, a cat with diabetes should be on a special diet. This usually means a low-carbohydrate, high-protein, and high-fat diet. Canned food has fewer carbohydrates than dry food, so it is often recommended. The diet should be specific to the needs of your cat, and a veterinarian can guide you in choosing the right nutritional plan.
Some common signs of diabetes in cats include increased appetite, water consumption, and urination, along with weight loss. If left untreated, diabetes can lead to vomiting, dehydration, lethargy, coma, vision loss, labored breathing, and even death.
Insulin injections are the standard treatment for diabetic cats. These injections are usually administered under the skin every 12 hours, preferably at the same times each day. The injections are typically done at home by the cat owner, and due to the small needle size, most cats tolerate them very well.











































