Diabetes Mellitus in Cats River City Animal Hospital
Overview of Diabets Mellitus in Cats In short, diabetes mellitus is a lack of insulin production by the body.
It is unkown exactly what causes diabetes, but is thought to be a combination of genetics and bad luck.
Certain factors can increase the chance of diabetes: obesity, chronic pancreatitis or GI problems, 
or long term use of corticosteroids. Treatment of Diabetes in Cats All cats diagnosed with diabetes 
will require insulin injections, sometimes permanently, and some cats
will revert away from the need for insulin with initial therapy and appropriate diet changes (which is one
of the challenging aspects of diabetes management in cats, as one cannot predict which cats will require
lifelong insulin and which will require for a short period). Cats require specific diet changes. The key to
diabetes control is consistency of feeding, insulin injections, and monitoring of blood glucose readings.
Treatment of diabetes is not a cheap endeavor with costs of food, insulin, and monitoring. Additionally,
dental care is even more important in diabetic patients, as the bacteria from poor dental health and
higher blood sugars can create more difficulty in controlling the diabetes.
Insulin: We recommend Lantus or Glargine insulin in cats, as research has shown it to be the most
effective product in cats with the highest rate of remission. The initial cost of the Glargine is expensive,
ranging from 180-200$ / bottle, however the product will keep in refrigerator for up to 6 months (in the
human world, they recommend replacing the bottle every 30 days, however it has been shown that the
product maintains effectiveness when refrigerated for 6 months). The syringes for Glargine are human
U-100 syringes, 1/3 ml syringes (smallest) to make the small doses of insulin needed for cats easier to
administer. DO NOT use any other insulin syringes.
Monitoring: All cats will require blood sugar checks to determine how well the blood sugars are being
controlled, in general home glucose testing is better as the patient is less stressed, the costs to the
owner are lower, and excellent control can be obtained. We recommend the use of Alpha Trak
glucometers, as they are specifically designed for use on pets. The glucometers are available through
River City for at home testing. The values can be called into the clinic for a doctor to review and
recommendations made. Each phone consultation will be charged at $19.30. Some owners and some
patients are not willing or able to pursue at home blood glucose testing, and will require in hospital
monitoring of blood sugars. There is a link to a video on the River City web site of how to obtain blood
glucose readings on your own, and our technicians are happy to help you / show you as well.
1) After the first week of insulin treatment, the patient will need to have blood sugars obtained
just prior to food and insulin administration, and then 6 hours later. If the sugars are still
significantly out of range, adjustment may be made to the insulin dose.
2) Generally, 2 weeks later (3 weeks from diagnosis), a full glucose curve will need to be
performed. A glucose reading is obtained just before insulin as above, and then generally every
two hours through the course of the day to allow full evaluation of how well the sugars are
regulated, to see the high and low points of blood sugars, as well as how long the insulin is
3) In most cases with cats, 2-3 curves are required to get a diabetic cat fully controlled. Once a
patient is regulated, approximately twice monthly a blood sugar should be obtained before food
and insulin to assure that control has not changed. If the value is under 100 mg/ dl or over 200
mg/ dl you should contact the doctor. This step is especially important in feline diabetics, as
they can go into remission and not need insulin at any time, without warning.
4) Insulin shock: if a patient gets too much insulin, or does not eat enough food, the blood sugar
can get dangerously low. If your cat appears drunk or wobbly, weak, but is still alert, try to get
the patient to eat or administer sugar water by mouth to increase blood sugars. In severe cases,
low blood sugar can cause seizures or coma and the pet should be taken to a vet or emergency
clinic immediately.
Diet: The most appropriate diets for cats that have diabetes are very high in protein and low in
carbohydrates. Almost all dry foods for cats are very high in carbohydrates, as to make the nuggets
"stick" together they have to be. Where possible, diabetic cats should be placed on an entirely canned
diet. We recommend Science Diet MID canned diet as the initial diet, however, not all cats will eat it.
There is also a list of alternative foods lover the counter foods on our River City web site
( that are also appropriate. If your pet will not eat the new food, return to the normal
diet (as it is important for your cat to eat), and make a gradual change to the new diet, adding
approximately 10% of the new food daily until the food can be fully changed to the new diet.
Generally, feeding should be performed in the following way: the patient should be fed twice daily
approximately 12 hours apart. The food should be offered and the pet should eat, and then 15-30
minutes later the insulin should be administered.
-If no food is eaten, DON'T GIVE INSULIN, unless a blood sugar has been checked.
-If half the food is eaten, administer ha/f the normal dose of insulin.
Snacks: Control of diabetes can be challenging in some patients, and we generally recommend not
giving snacks to diabetic cats particularly high sugar, over the counter snacks. If you must give snacks to
your cat, good treat options include meat, freeze dried meats, and only in limited quantities.
While some cats can be challenging to regulate, most cats will have an excellent quality of life with
diabetes. It is not uncommon for all diabetic cats to require some adjustment to insulin from time to
time. If your cat shows any of the following signs:
-Seems to feel ill, goes off of food, generally not feeling well, or shows significant changes in urination or
water consumption
-Is losing weight despite good appetite
Please schedule a follow up consultation with the doctor.

Low Carb/Lower Calorie Canned Cat Foods (7% carbohydrates or less)
   Chicken and Tuna Dinner (187 kcal/can)
   Classic Seafood Entrée (172 kcal/can)
   Country Style Dinner (187 kcal/can)
   Flaked with Tuna and Egg in Sauce (171kcal/can - high protein)
   Flaked with Tuna in Sauce (172 kcal/can - high protein)
   Kitten Mixed Grill Formula (99 kcal/can, 3oz cans)
   Liver and Chicken Dinner (172 kcal/can)
   Mariner's Catch (156 kcal/can)
   Mixed Grill (172 kcal/can)
   Ocean Whitefish and Tuna Dinner (172 kcal/can)
   Poultry Platter (187 kcal/can)
   Salmon Dinner (187 kcal/can)
   Sea Captain's Choice (172 kcal/can)
   Special Diet Beef and Chicken Entrée (183 kcal/can)
   Special Diet Beef and Liver Entrée (181 kcaL/can)
   Special Diet Ocean Whitefish Dinner (184 kcal/can)
   Special Diet Turkey and Giblets Dinner (175 kcal/can)
    Special Diet with Salmon (177 kcal/can)
   Supreme Supper (156 kcal/can)
   Turkey and Giblets Dinner (187 kcal/can)
Fancy Feast 
   Beef& Chicken Feast (95.3 kcal/3oz can)
   Beef& Liver Feast (93,6 kcal/ 3oz can)
   Chopped Grill Feast (96.1 kcal/3oz can)
   Chunky Chicken Feast (92.7 kcal/3oz can - high protein)
   Chunky Turkey Feast (95.2 kcal/3oz can)
   Cod, Sole & Shrimp Feast (84.2 kcal/3oz can - high protein)
   Filet & Pate Beef& Chicken Feast (90.2 kcal/3oz can high protein)
   Filet & Pate Chicken & Seafood Feast (91 kcal/3oz can)
   Filet & Salmon & Tuna Feast (90.2 kcal/3oz can - high protein)
   Flaked Fish & Shrimp Feast (89.3 kcal/can - high protein)
   Flaked Ocean Fish Feast (87.6 kcal/3oz can - high protein)
   Flaked Salmon & Ocean Whitefish Feast ( 97 kcal/3oz can - high protein)
   Flaked Trout Feast (99.5 kcal/3oz can - high protein)
   Flaked Tuna Feast (94.4 kcal/3oz can - high protein)
   Flaked Tuna & Mackerel Feast (97 kcal/3oz can - high protein)
   Gourmet Chicken Feast (93.6 kcal/3oz can)
   Ocean Whitefish & Tuna Feast (87.6 kcal/3oz can - high protein)
   Savory Salmon Feast (86.7 kcal/3oz can - high protein)
   Seafood Feast (88.5 kcall3oz can - high protein)
   Tender Beef Feast (94.4 kcal/3oz can)
   Tender Liver & Chicken Feast (89.3 kcal/3oz can)
Low Carb/Lower Calorie Canned Cat Foods (7% carbohydrates or less)
   Cowboy Cookout (154 kcal/can - high protein)
   Grammy's Pot Pie (159 kcal/can - high protein)
   Ocean Breeze (122 kcallcan)
   Southern Delight (157 kcal/can)
   Surf N Turf (157 kcal/can - high protein)
   Kitten Chicken & Liver Entrée Classic (99 kcal/3oz can)
   Adult Cat Sardines & Tuna Entrée in Aspic (77 kcal/3oz can)
   Chicken & Beef Dinner (162 kcal/can)
   Flaked Tuna in Sauce (147 kcal/can - high protein)
   Ground Chicken & Seafood Dinner (154 kcal/can)
   Ground Chicken & Tuna Dinner (161 kcal/can)
   Ground Chicken Dinner (159 kcal/can)
   Ground Liver & Bacon Dinner (176 kcal/can)
   Ground Super Supper (159 kcal/can)
   Ground Turkey and Giblet Dinner (156 kcal/can —high protein)
   Ground Turkey Dinner (154 kcal/can)
   Ocean Whitefish & Tuna Dinner (145 kcal/can —high protein)
   Ocean Whitefish Dinner (145 kcal/can - high protein)
   Prime Entrée w/Real Salmon (159 kcal/can)
   Prime Entrée w/Tuna & Shrimp (167 kcal/can)
   Prime Grill w/Beef (159 kcal/can)
Royal Canin
   Calorie Control CC-38 (130 kcal/can)
   Recovery RS (172 kcal/can)
   Urinary SO 30 (200 kcal/can)
Triumph Pouches
   Turkey Giblets in Gravy (87 kcal/3oz pouch - high protein)
   Tuna in Gravy (81 kcal/3oz pouch)
   Mixed Grill in Gravy (88 kcal/3oz pouch - high protein)
   Chicken Dinner (87 kcal/3oz pouch)
   Beef in Gravy (85 kcal/3oz pouch - high protein)
  Chicken & Tuna Dinner (165 kcal/can)
   Chicken Dinner (165 kcal/can)
   Seafood Kitty Chowder (150 kcal/can)
   Seafood Seaside Supper (150 kcal/can)
   Seafood with Salmon (150 kcal/can)
Purina Prescription
   DM (194 kcal/can - high protein)
Low Cat-b/Higher Caloric Canned Cat Foods (7% carbohydrates or less)
Eukanuba Prescription
   Maximum Calorie (340kcallcan)
   Kitten Ocean Whitefish (150 kcal/can, 3oz cans)
   Kitten Turkey Formula (172 kcal/can, 3 o cans)
   Kitten (280 kcal/can)
   EVO (217 kcal/can)
   EVO 95% Beef (209 kcal/can)
   EVO 95% Chicken and Turkey (209 kcal/can)
   EVO 95% Duck (215 kcal/can)
   EVO 95% Venison (237 kcal/can)
Royal Canin
   Modified (renal) (256 kcal/can)
   Growth DD (239kca1/can)
   Young Adult YWS (223kca1/can)
   Mature WK (21 4lccal/can)
   Chicken (220 kcal/can)
   Kitten (121 kcal/3oz can)
   Turkey (218 kcal/can)
   Turkey (170 kcal/3.5oz can)
A 10 pound cat needs about 200 calories (kcal) daily to maintain the same weight.
None of the dry formula cat foods are optimal for cats who need a low carbohydrate diet,
but these are the ones who come the closest:
Hill Presciption
   mid Dry {13% carbohydrates) (480 kcal/cup)
Natura Innova
   EVO cat & kitten Dry (8% carbohydrates) (612 kcallcup)
   DM Dry {13% carbohydrates) (592 kcal/cup)
   OM Dry (23% carbohydrates) (324 kcal/cup)