Feline Diabetes
Feline
Diabetes
Insulin is produced by special cells in the pancreas (an organ
close to the liver) and this hormone is critical in the control and utilization
of blood glucose (sugar). Insulin is produced and released into the blood in
response to increasing levels of blood glucose, and this allows the glucose to
be taken up by cells in the body (and used for energy) and helps to maintain
normal levels of glucose in the blood.
Diabetes
in cats appears to be very similar to type 2 diabetes in humans.
What is feline diabetes?
Diabetes
mellitus (also known as sugar diabetes) is a complex but common disease in
which a cat's body either doesn't produce or doesn't properly use insulin.
During digestion, the fats, carbohydrates and proteins that are consumed in the
diet are broken down into smaller components that can be used by cells in the
body. One component is glucose, a fuel that provides the energy needed to
sustain life.
Cat owners usually notice these classical signs of diabetes:
• Ravenous appetite
• Weight loss
• Increased need to wee
• Increased need to drink more
Diabetes
mellitus is generally divided into two different types in cats. Insulin
dependent diabetes (IDDM) and noninsulin dependent diabetes (NIDDM). Insulin
dependent diabetic cats therefore require insulin injections as soon as the
disease is diagnosed and non insulin dependent cats require insulin injections
to control the condition.
While
diabetes can affect any cat, it most often occurs in older, obese cats. Male
cats are more commonly affected than females. The exact cause of the condition
is not known, although obesity, chronic pancreatitis, hyperthyroidism,
Cushing's disease and certain medications have all been linked to the condition
Treatment of diabetes in cats
Diabetes
is usually a treatable condition but it is not a simple condition to manage and
does require dedication and commitment from owners. It can be however, an
extremely rewarding problem to manage when things go well.
Initially,
it is important to identify any complicating factors like if the drugs that are
being given are causing the diabetes. These should be gradually withdrawn.
Dietary
management
There
are two major considerations with dietary management of diabetic cats. Firstly,
if the cat is overweight or obese, it is very important to regulate their body
weight. This itself may result in the resolution of diabetes (obesity
interferes with the action of insulin). Weight loss can be achieved through a
combination of reduced calorie intake and increased exercise although the
latter can be challenging in cats. If your cat is very overweight then your vet
may suggest a special weight reduction diet to help.
As a routine, cats with diabetes appear to benefit a lot from a diet that is low in carbohydrates. Several studies have shown that cats with diabetes are easier to manage, have lower insulin requirements and in some cases, the diabetes actually resolves itself simply by changing them to a diet that is very low in carbohydrates. Some diets available from your vet are specifically made to meet the requirements of a diabetic cat but if these are not available, feeding a low carbohydrate kitten diet may be a suitable alternative. Speak to your vet about these options.
Some
weight loss tips include:
• Have your cat's weight
checked regularly by a vet nurse. Regular contact with a nurse can dramatically
help with your cat's weight loss. Feeding quantities may need adjusting in
order to find the correct amount for your cat.
• Weigh out the daily food
allowance in the morning and place it in a container to divide between the
allocated meals. This way you are less likely to overfeed your cat. You can
take out a few kibbles and give as treats throughout the day.
• It is important that no
“extras” are added to your cat's daily allowance which includes milk and cat
milk.
• Increase your cat's exercise
levels gently in line with the nurse who can help to design an exercise
program. Cats can exercise by use of toys, wheels, etc. Remember that “little
and often” is generally more beneficial for weight loss.
• Place the food in different
areas or hide kibbles around the house to encourage your cat to exercise more.
A food dispenser is also ideal In these situations making the cat work a little
to get its food.
• If you have more than one
cat, it is important to feed them separately and to watch over them when they
eat. If just one of the cats is obese, try feeding the others on a high surface
that the obese cat cannot jump onto or perhaps feed them in a box with only a
small entry hole that an obese cat cannot squeeze through.
• It can be wise to inform your
neighbors too that your cat is going on a weight loss program and not to
feed them.
• For a weight loss program to be successful, everyone involved in caring for the cat and who may feed the
cat, needs to be on the same side.
Oral
drugs to control diabetes
In
humans with diabetes, a number of oral drugs (tablets) are available that can
help control the condition. Many of these are either toxic to cats (so should
not be used) or simply do not work in cats. Some tablets (that lower blood
glucose) can work in a small proportion of diabetic cats but their long term
use is a little disputed. This may be an option occasionally for cats that are
very difficult to inject with insulin.
Most
diabetic cats will need to have their diabetes managed with daily or twice
daily injections of insulin just as is needed for many humans with diabetes.
Although the prospect of having to inject your cat once or twice a day is very
daunting for most owners, it can actually be very easy to do with practice and
because insulin syringes and needles are small, the cat usually does not feel a
thing. The injection is given under the skin, usually in the scruff of the
neck.
Your
vet will help by talking you through the whole procedure and letting you
practice before ever having to give insulin to your own cat. Sometimes
practicing by injecting water into something like an orange can help to get the
feel of how to handle the syringe and needle and gain confidence. It is usually
easiest to try and inject your cat when they are distracted with other things
(when they are eating a tasty treat for example) and to begin with it may be
better to have a second person who can help hold your cat although with
practice, this will not be needed.
Several
different types of insulin are available, some are specifically licensed for
use in dogs and cats, others may be licensed for use in humans but still be
suitable for dog and cat use. In general, insulins are divided into:
• Short acting preparations
(soluble insulin)
• Intermediate acting
preparations (lente insulin)
• Long acting preparations
(protamine zinc insulin, insulin glargine and insulin detemir)
Individual
cats may respond differently to different insulin's but most cats will require
twice daily injections of an intermediate or long acting type of insulin
although some cats can be managed with once daily injections.
Storing and handling Insulin
It is
important to store insulin properly so that it maintains its efficiency.
Insulin should be kept in a fridge at all times and never frozen. Before
drawing up insulin into a syringe, the contents of the bottle should be gently
mixed so that an even suspension is obtained but you should not shake the
bottle as this may damage the insulin.
• Always carefully follow the
instructions from your vet when using the insulin
• Carefully draw up the correct
amount of insulin in the syringe. Occasionally, insulin pens are used which
help to make giving small amounts of insulin easier.
• If you are not sure whether
an injection has been given successfully, never give a second injection.
It is better to miss a dose rather than risk giving too much insulin
Stabilizing a diabetic cat
Many
vets will hospitalized diabetic cats undergoing initial stabilization. Insulin
is given and regular blood tests are used to monitor the effect on blood
glucose. This allows adjustments to be made to the insulin dose (and if
necessary, a change in the type of insulin or frequency of injection) to get
good control of the diabetes.
In
some cases, this may be done on an outpatient basis with regular trips to your
vet to check blood glucose levels. In these cases, it may take a little longer
to stabilize the cat as changes in the insulin dose will be made slowly to
avoid causing problems.
Long term management of the diabetic cat
Day
to day routines, feeding (type of food, frequency), activity and body weight
should be kept as constant as possible as this will help minimize changes in
insulin needs. Once a diabetic cat is stable, the dose of insulin may still
need to be adjusted on an occasional basis. Only do this with the advice of
your vet though.
Several
things will help you and your vet monitor your diabetic cats. Your vet will,
from time to time, want to:
• Check blood samples to look
at blood glucose levels
• Check the weight of your cat
• Check urine samples (for
glucose and ketones)
• Check the general health of
your cat
To
help you and your vet manage the diabetes, it is extremely helpful if you are
able to keep a daily diary and record key things on a day to day basis. Looking
and the changes over time can be extremely helpful in managing your cat.
Keep
a daily not of:
• The time of injection and the
amount of insulin given
• The cat's appetite and the
amount of food eaten
• The overall demeanour of your
cat, noting if they become lethargic or more sleepy than usual
• The presence of any vomiting
or diarrhea
• If at all possible, measure
the amount of water your cat drinks each day. Use a measuring jug to fill their
bowl and at the end of the day, tip the water back into the jug to see how much
they have drunk. Measuring the water intake is one of the most useful ways to
monitor how well the diabetes is controlled. Even if you have more than one cat
in your house, measuring how much they all drink my still be a useful guide.
• Weight. If possible, keep a
weekly note of your cat's weight and record this in the diary as well. Take the
diary with you whenever you go to the vet so that you and your vet can review
what has been happening.
• Urine glucose. Your vet may
suggest you collect a urine sample from your cat from time to time so that you
(or your vet) can check for glucose in the urine with a very simple paper strip
test. You can collect urine by replacing the normal litter with an non
absorbent litter in the litter box. Special cat litters will be available from
your vet.
Only
change the dose of your cat's insulin after first talking with your vet. You
should never give more insulin unless your vet has told you to. This is
important as giving too much insulin can cause a condition called
hypoglycemia, where the blood glucose level is too low.
The
signs of hypoglycemia are weakness, disorientation, the cat may appear as
though they are intoxicated, they may collapse and this can progress to fits
and/or a coma. This is a life threatening situation and requires immediate
action. If your cat ever shows any of these signs, contact your vet
immediately. In the meantime, it is helpful to give some glucose syrup or
powder by mouth to your cat. As a precaution, it is always best to have a small
bottle of glucose syrup (available from your vet or chemist) in the house when
you have a diabetic cat.
What is the prognosis of a diabetic cat?
The
long term outlook for cats with diabetes varies according to how old they are,
how easy it is to stabilize their diabetes, whether they have any other
conditions and how severe they are. Many diabetic cats have an excellent
quality of life and may can live happily with their diabetes if they are well
managed. These cats can be extremely rewarding to manage but not every cat
responds well. Your vet will want to carry out regular examinations to evaluate
the response with your cat and if your cat proves difficult to stabilize,
becomes unstable or appears to need large doses of insulin, further tests may
be needed to look for other underlying problems.
vetcornell
*This article is just to help you understand more about Feline Diabetes. Always take your cat to the vet if you think something is not right with him/her.*
*This article is just to help you understand more about Feline Diabetes. Always take your cat to the vet if you think something is not right with him/her.*
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