Diabetes in cats is more common than most owners realize, and it’s slowly rising. It’s a condition characterized by increased blood sugar levels. While it may seem simple, it’s much more complicated.
This metabolic disorder creates a lot of problems, from simple weight loss to complex issues such as cataracts.
To help you better understand it, we’ll talk more about cats and diabetes.
Can Cats Get Diabetes?
Yes, cats can get diabetes, and it’s considered a common concern that pet owners should look out for. Normally, the cat’s pancreas produces a hormone called insulin. This hormone allows glucose to move from the bloodstream to the body’s cells for energy.
In cats with diabetes, their bodies either don’t produce enough insulin or can’t make proper use of it. When this happens, the sugar builds up in the bloodstream. Since they cannot use the sugar for energy, the body will then break down fats and muscle for energy.
Just like in humans, cats can experience two different types of diabetes.
Type 1 Diabetes. This type happens when the pancreas fails to produce enough insulin. It’s relatively rare in cats, with more cases in dogs.
Type 2 Diabetes. Here, the cat’s body stops responding to the insulin it receives. This is the most common type in cats.
Type 3 Diabetes. While uncommon, cats can develop type 3 from other conditions that cause insulin resistance or pancreatic damage.
How Do Cats Become Diabetic?
Cats can develop diabetes from a variety of factors, many of which are preventable. In some cases, the causes are completely unavoidable. Here are the common risk factors:
Diet and Obesity
Obese cats are at a higher risk of diabetes. Excess body fat interferes with how the body uses insulin, essentially creating a resistance to it. When blood sugar inevitably rises, the pancreas gets strained, impairing insulin production.
Obese and overweight cats are more likely to develop diabetes than those at a healthy weight, especially if their diet is high in carbohydrates.
Age
Older cats and seniors are generally more vulnerable to diseases, including diabetes. These are cats that are usually around 7 years of age and older. This is because as a cat ages, its metabolism slows down, and the risk increases. Plus, the pancreas will also have a decline in insulin production.
Gender
Male cats, particularly neutered males, have a slightly higher risk of developing diabetes than females. This is thought to be related to hormonal differences that influence insulin sensitivity and fat distribution.
Breed Predisposition
Diabetes and cats have a polygenic relationship. This means that this metabolic disorder is contributed to by multiple genes, which suggests a genetic factor. Common breeds that have a greater risk of feline diabetes include:
Burmese
Norwegian Forest Cats
Tonkinese
However, it’s important to keep in mind that even though some breeds carry a higher risk, diabetes can still affect any kind of cat.
Pancreatitis
The acute and chronic inflammation of the pancreas damages the insulin-producing beta cells. This will result in decreased insulin production, which means an increased risk of diabetes. Plus, pancreatitis can also lead to a deficiency in digestive enzymes, which can worsen the condition.
Hyperthyroidism
Hyperthyroidism is a condition characterized by an overactive thyroid gland, which means that there is an overproduction of thyroid hormones. The excess hormones contribute to insulin resistance, triggering feline diabetes.
For cats with pre-existing diabetes, hyperthyroidism can only make the condition worse.
Medications
Certain medications, such as corticosteroids and progestins, can increase the risk of feline diabetes. It does this by contributing to insulin resistance. While these drugs are helpful for managing conditions such as cat asthma, they can be dangerous with long-term use.
What Are the Common Signs of Diabetes in Cats?

Knowing the signs is the first step to helping your cat. Here are the common ones:
Increased Thirst. One of the most noticeable signs of diabetes in cats is their thirst. Diabetic cats tend to spend more time in their water bowls or even seek out other sources of water to quench their thirst. Because of their elevated sugar levels, the kidneys tend to work harder.
Frequent Urination. With increased water intake comes more frequent urination. It’s a symptom that’s usually paired with increased thirst. You can notice this when your cat starts to use its litter box more often, which will require you to clean it more frequently.
Changes in Appetite. Diabetic cats often develop an increased appetite due to the body’s inability to utilize glucose. However, even with the increase in food intake, cats may still feel hungry. In some cases, cats will have a reduced appetite.
Weight Loss. Even with a bigger appetite, diabetic cats still lose weight. It’s often due to their body’s inability to process glucose, which then leads to burning fat and muscle instead.
Lethargy and Weakness. Cats with diabetes may appear less energetic and more sluggish than usual. They may sleep more, show less interest in playing, or seem weak when moving around.
Poor Coat Quality. Diabetic cats tend to have a dull, dry coat or appear less groomed overall. Dehydration, stress, and discomfort are factors that can make them want to groom less.
Vomiting or Diarrhea. Cats with uncontrolled diabetes might vomit and have diarrhea, especially if they develop complications such as diabetic ketoacidosis. Chronic cases can lead to dehydration.
Common Complications in Cats With Diabetes
Other than the general symptoms, feline diabetes can lead to some complex health issues. Here are the common ones:
Diabetic Ketoacidosis
Diabetic ketoacidosis is a highly fatal complication that arises from diabetes. It happens when the body rapidly breaks down fat because it’s unable to use glucose. As a result, ketones will be produced. This results in vomiting, dehydration, and collapse.
Cataracts
Although rare, diabetes can contribute to the buildup of sorbitol in the lens of cats. This attracts water and results in the cloudy appearance that cataracts are known for.
Diabetic Neuropathy
Long-term high blood sugar damages the small blood vessels of the nerves, leading to nerve damage. This condition results in muscle atrophy, hind limb weakness, and an unsteady gait.
Urinary Tract Infections
High blood sugar levels create suitable environments for bacteria to grow in. Since excess glucose is present in the urinary tract, bacteria are more likely to grow, resulting in urinary tract infections.
How Vets Diagnose Diabetes in Cats
Our vets will review your cat’s medical history and ask about anything notable in its diet, behavior, or weight. During the checkup, we’ll keep our eyes open for any of the common symptoms.
One of the most critical tools for diagnosing diabetes is a blood test, specifically a blood glucose test. Normal blood sugar levels range from 80 to 120 mg/dL. So, if your cat's blood sugar levels are beyond this range, then it's possible that it has diabetes.
To really make sure, we have to do repeated tests since this spike can be temporary at times.
Diabetic cats usually have blood glucose levels that exceed 200 mg/dL, while some even go beyond 300 mg/dL.
Additionally, a fructosamine test may be used to provide a more detailed view of your cat’s average blood sugar levels over the past 7 to 14 days. This test can also measure the efficiency of the treatment options.
We can also do a urinalysis since cats with diabetes often have excess glucose in the urine. In some cases, the presence of ketones will indicate diabetic ketoacidosis.
What Is the Treatment for a Cat With Diabetes?

Diabetes in cats can't be fully cured, but it can be properly managed to give them a much better life.
Insulin Therapy
For most diabetic cats, insulin injections are the cornerstone of treatment. These are usually administered twice a day, but it can depend on your cat’s condition. Because of these treatments, glucose levels will need to be closely monitored at home.
Dietary Changes
A low-carbohydrate, high-protein diet is essential for managing feline diabetes. Wet food is usually the most preferred option due to its low carb content and high water content. Specialized diet options will depend on your cat’s condition.
Monitoring Blood Sugar
We use glucometers and blood samples to keep track of your cat's blood sugar levels. From here, we can adjust the insulin dosage and the entire treatment plan.
Weight Management and Exercise
One of the most important parts of managing this disease is weight management. We can recommend a light exercise regimen and a few dietary changes to improve your cat's condition.
How Can I Treat My Cat's Diabetes at Home?
Home care is a crucial part of managing this disease and keeping your cat stable.
Administer Insulin on Schedule
If your cat is currently on insulin therapy, following the prescribed schedule helps ensure a smooth recovery.
Monitor Glucose Levels
Home glucometers designed for cats allow you to check glucose levels with a small blood sample. Keeping a log of these readings can help our vets fine-tune the treatment if needed.
Maintain a Balanced Diet
Prescription diets help manage your cat’s condition while still providing the nutrients it needs. Make sure to control the portions of food you give. Avoid giving treats unless they’re helpful.
Watch for Changes in Behavior
Keep an eye out for any changes in your cat’s behavior, appetite, and litter box habits. The smallest signs could help adjust the treatment during your next visit.
Make a Cozy Space
Keeping your cat comfortable helps reduce stress, helping with recovery. Provide fresh water at all times. Keep its sleeping area soft with bedding and blankets.
Stay in Touch with the Vets
Regular checkups are recommended so we can keep track of your cat's condition and adjust the treatment plan.
“Through simple care and dedication, your cat can lead a happy and fruitful life.”
- Dr. Soheyl Simaei
Final Thoughts
Diabetes can be challenging to deal with, and it's something you shouldn't do alone. Give our vets a call and we'll help create a solid plan to manage your cat's condition. With our help, your cat can live a happy and healthy life with you.
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