Treatment FAQ

what to expect when cat starts insulin treatment

by Roosevelt Bergnaum DVM Published 3 years ago Updated 2 years ago
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Mar 29, 2018 · The initial regulation of a cat on insulin generally takes 2-8 weeks. The process of getting a cat regulated can be costly. Insulin must usually be given twice a day, every day at specific times, probably for the life of the cat. Insulin must be …

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How long before insulin takes effect in cats?

Do not give insulin to a pet that is showing signs of low blood sugar levels (see side effects below). This medication should take effect within 1 to 2 hours; however, effects may not be noted outwardly and therefore laboratory tests will need to be done to evaluate this medication's effectiveness.

How do cats feel after insulin?

"If a cat receives too much insulin, it is possible for the blood sugar level to drop dangerously low." Clinical signs displayed by a cat with a very low blood sugar level include weakness and lethargy, shaking, unsteadiness and even convulsions.

How do I know if my cats insulin is working?

Spotting the symptoms
  1. Changes to eating habits. Hypoglycaemia can go either way when it comes to appetite. ...
  2. Bumbling behaviour. In a hypoglycaemic state, you may notice that your cat can't do normal, basic behaviours, such as jumping onto furniture or negotiating a cat flap. ...
  3. Weakness and lethargy. ...
  4. Jerking or twitching.

Does insulin make a cat hungry?

Because insulin helps the body to use sugar for energy, lack of insulin also means that the body's organs will not receive enough energy. This will make your cat feel hungry all the time, and though it will eat a lot more food, it will not gain weight.Jun 19, 2009

Does insulin have to be given exactly 12 hours apart?

#2: If your pet's insulin is supposed to be given twice daily, try to time it as close to 12 hours apart as possible. We understand that having a diabetic pet requires a huge time commitment, especially when ensuring twice-daily insulin injections are given on time.Oct 31, 2019

What are the final stages of diabetes in cats?

In the final stages, the cat starts wasting, with the body breaking down its own fat and muscle to survive. Lethargy/limpness and acetone-smelling breath are acute symptoms of ketoacidosis and/or dehydration and constitute a medical emergency. Untreated, diabetes leads to coma and then death.

Is my diabetic cat suffering?

The Bottom Line on Feline Diabetes

If you suspect your cat is sick, visit your veterinarian as soon as possible. Excessive urination, thirst, heightened appetite, vomiting, lethargy, and inactivity are symptoms of diabetes mellitus.

How do I know if my cat is in remission from diabetes?

How to recognise and approach diabetic remission
  1. rises rapidly or significantly over 10mmol/L cats should be discharged on 1U twice daily.
  2. rises slowly towards or just above 10mmol/L, then cats should be discharged on 1U once daily.

Do insulin shots hurt cats?

Typically, cats tolerate the injections very well and do not find them to be uncomfortable. This is due to the tiny width of the insulin needles and the fact that they have a large amount of loose skin which is not painful to inject under (unlike in humans).

Is Fancy Feast okay for diabetic cats?

Fancy Feast Fish and Shrimp Feast is one of the lower-cost foods that is good for diabetic cats. Its low-carb formula is primarily comprised of ocean fish, fish broth, shrimp, and vegetable oil. There are several kinds of Friskies for diabetic cats.

Can I give my cat insulin 3 hours late?

If your day's schedule isn't cooperating, it's OK to give the insulin injection as much as 2 hours early or 2 hours late on occasion. Otherwise, try to keep an every 12 (or 24) hour schedule.

Do cats with diabetes pee a lot?

Increased urination.

One of the most common cat diabetes symptoms is frequent urination. If you use clumping litter, you can check out the litter box for more, or larger, clumps than usual—a possible sign of increased urination. This may be a little challenging with a multi-cat household.

It’S A Treatable disease.

A diagnosis of diabetes means your cat can get treatment. When an older cat is presented to me with the common symptoms of drinking lots of water,...

Sometimes Diabetes Is Reversible; It Goes away.

With proper diet and the correct insulin therapy, a significant number of cats can go into remission, or have their diabetes reversed. We don’t com...

Better Diets Are Helping Diabetics Live Healthier Lives.

A poor diet may have brought on your cat’s diabetes in the first place. Now it’s time to get back on the right track.Most experts recommend a diet...

Your Cat May Live For Many Years With Proper Treatment.

Many diabetic cats come in to me and the owner, and the cat, don’t think they’re that sick! The cat is eating well, but thinks his water bowl has t...

Insulin Injections Are Not Complicated. No Needle Panic!

Injections are not that difficult to give, even when Mr. Mug is acting like Mr. Angrypants. Stick the furry face in some food and pop in the tiny a...

Home Monitoring Is possible.

Home monitoring devices are available for pets, just like human diabetics use. These cut down on vet visits and are great for the cat who is anxiou...

The Cost of Insulin For A Cat Is Fairly reasonable.

I begin all cats on an insulin called Lantus (glargine). Research has shown that early treatment with Lantus gives the best possibility of remissio...

Cats Don’T Act “Sick” When Their Diabetes Is Well Managed.

Proper diabetes care for a cat allows many patients to lead normal lives. There are certainly exceptions, and some diabetic cats have many problems...

It’S Relatively Easy to Find A Pet Sitter, Friend Or Kennel to Give Injections When You’Re away.

If you’re used to leaving your cat for long weekends with a big bowl of food and a “see you later,” your life is going to have to change. If your c...

Think of It as A Bonding Experience With Your Cat!

Caring for a diabetic cat is both a challenge and something to be proud of. Tons of information is available, and the owner of a diabetic cat shoul...

How is insulin administered to cats with diabetes mellitus?

In cases of standard diabetes where the patient is otherwise relatively healthy, cats will generally be started on insulin injections immediately once the diagnosis is made.

How will my cat respond to regular insulin injections?

Typically, cats tolerate the injections very well and do not find them to be uncomfortable. This is due to the tiny width of the insulin needles and the fact that they have a large amount of loose skin which is not painful to inject under (unlike in humans).

What happens if my cat misses an injection?

In view of the fact that an overdose is significantly more dangerous than an underdose, there are some important principles where insulin management is concerned.

Can cats with diabetes get insulin injections?

Insulin injections for cats with diabetes are actually not complicated. Injections are not that difficult to give, even when cat, Mr. Mug, is acting like Mr. Angrypants. Stick the furry face in some food and pop in the tiny amount of insulin, and it’s over.

Can cats die from diabetes?

No, diabetes is not a death sentence for your cat. Here’s what you should know, including symptoms, treatment — and the cost of insulin for cats. By Petful Veterinary Team Jul 11, 2012. May 19, 2020. One of the classic cat diabetes symptoms is when you notice your cat drinking more water than usual. Photo: pip0ka.

Can you leave a cat for a long weekend?

If you’re used to leaving your cat for long weekends with a big bowl of food and a “see you later,” your life is going to have to change. If your cat needs insulin injections, you’ll need to find a reliable pet sitter familiar with diabetics, a family member or a pleasant boarding situation.

Can you use glargine insulin in a pharmacy?

Many veterinary specialists worry about the quality of compounded insulin. Most experts don’t recommend using compounded glargine insulin.

What to do if your dog is diabetic?

If your diabetic animal will be in a pet sitter’s or kennel’s care, make sure the caretakers will call your vet if there is any change in behavior, such as:

How long is a 10ml vial good for?

A 10 ml vial is good for at least 3–4 months, maybe longer if handled properly. Most cats require very little insulin, so some of the insulin will go to waste, even if it lasts for 6 months. Pharmacists may tell you that you can use the bottle only for 1 month. They are wrong.

What happens if a cat has diabetes?

An excess build up of ketones causes ketoacidosis which in turn stresses the cat's body especially when accompanied by diabetes.

Where does insulin come from?

Insulin is derived from a variety of sources such as genetically engineered bacteria. In addition protamine zinc (PZI) or isophane (NPH) are commonly prescribed long acting insulin injections. PZI is derived from pork or beef and used as veterinary insulin since its molecular structure is similar to cat insulin.

How long does it take for a cat to go into remission after insulin?

One study found that cats with good glucose control within six months of diagnosis had a 60 to 80% chance of remission as compared to 30% for cats that started insulin therapy more than six months after diagnosis. Body condition score.

What happens if a cat doesn't use insulin?

When there is not enough insulin produced by the pancreas, or the cat does not use it effectively, glucose cannot enter the cells and high levels of glucose build up in the bloodstream. This condition is called diabetes.

Is canned cat food good for diabetic cats?

Since canned food has fewer carbohydrates than dry food, moist diets are recommended, but low carbohydrate content is not the only dietary requirement of diabetic cats. There is a higher chance of remission if the food also has low fiber content. Many diabetic cats suffer from renal disease, so having a low phosphorus level in ...

Why is insulin important for cats?

Why is insulin important? Insulin keeps the body’s engine working properly. The body is like a well-tuned machine and needs fuel to run properly.

Can cats be in remission?

Cats can enter remission while treated with any type of insulin; however, many doctors find that cats have better glycemic control with long-acting products. There are several veterinary approved insulin products available. In addition to the commonly used medications, there are a couple of newer drugs.

What are the symptoms of diabetes?

The common signs of diabetes include increases in appetite, water consumption, and urination, along with weight loss. If untreated, diabetes results in vomiting, dehydration, lethargy, coma, vision loss, and even death.

What is the insulin response in cats?

This is also known as the Somogyi response , and occurs when an excess amount of insulin is injected into the pet's body. Once this happens, the body produces various hormones that cause an increase in blood glucose levels. The insulin dosage will then be altered in order to determine if the cat is really suffering from insulin resistance.

Why does my cat have diabetes?

Cat diabetes occurs when the pancreas doesn't produce sufficient insulin or if the body doesn't respond appropriately to the amount of insulin produced. Pets suffering from diabetes have high blood sugar levels, which could lead to life-threatening situations if not treated promptly.

Can pets have insulin resistance?

Pets suffering from insulin resistance may have a high number of antibodies present in the blood. These antibodies are the body's response to insulin medication, as it treats insulin like a foreign object and develops antibodies to combat insulin. However, newer forms of insulin reduce the pet's susceptibility to insulin resistance caused by antibodies.

How to control diabetes in dogs?

Diet. Type 2 diabetes can be controlled with oral medication and diet. Pets suffering from type 1 diabetes should also have a diet plan, as diets high in carbohydrates can reduce the effectiveness of insulin, causing pets to require higher dosages to keep the blood glucose levels normal.

Can dexamethasone cause insulin resistance?

Administration of drugs such as prednisone, cortisone or glucocorticoids such as dexamethasone can interfere with insulin absorption or reduce the effectiveness of insulin and lead to insulin resistance. In addition, pets treated with medication for underlying conditions such as hyperthyroidism, liver disease or pancreatitis may also develop insulin resistance.

What is the function of insulin?

Insulin allows cells in the body to absorb glucose (sugar) from the blood. Glucose is the cells’ main energy source and is critical to cellular function. Without insulin, the cells do not get the energy they need to function, and glucose levels in the blood rise.

Can cats get stressed out?

Cats can get enormously stress ed out by a visit to the vet (kind of like I feel about sitting in the dentist’s chair), and a really important effect of this stress can be a transient elevation in their blood glucose, which can even be significant enough to see glucose spilling over into the urine.

What is the disease of ketoacidosis?

Diabetic ketoacidosis (DKA) occurs when a relative deficiency of insulin and increased glucoregulatory hormones lead to an overproduction of ketones (1) . The condition is characterized by dehydration, electrolyte derangements, osmolality imbalances, hyperglycemia, glucosuria, and ketonemia/uria (2–4).

What is the cause of diabetes mellitus?

4 0 Diabetes Mellitus is a metabolic disease caused by a failure of the pancreas to produce enough insulin. Insulin allows cells in the body to absorb glucose (sugar) from the blood. Glucose is the cells’ main energy source and is critical to cellular function.

How old is Davis Sugar?

Ann Della Maggiore, DVM, Diplomate ACVIM University of California—Davis Sugar, a 12-year-old spayed female Maine Coon cat, presented for poorly controlled diabetes and diabetic neuropathy. HISTORY Sugar was diagnosed with diabetes mellitus 2 years prior to presentation. Initially, her diabetes was moderately controlled on 5 to 6 units of recombinant human protamine zinc insulin (PZI) (40 U/mL; ProZinc, bi-vetmedica.com), but over the year prior to presentation the insulin dose had been progressively increased with no improvement in glycemic control. Upon presentation, Sugar was receiving 14 units of recombinant human PZI. The owner was performing blood glucose curves at home, but struggling to maintain Sugar’s blood glucose below 300 mg/dL. In addition to diabetes mellitus, Sugar had concurrent hypertrophic cardiomyopathy and chronic rhinitis, and persistent polyuria, polydipsia, polyphagia, and weakness. Key Points: Feline Diabetes Mellitus Diabetes is a disease of insulin deficiency. Diabetes in cats is most commonly classified as type 2-like diabetes—a disease process in which insufficient insulin production from beta cells takes place in the setting of insulin resistance. Insulin requirements can be altered by obesity, inflammation, or concurrent endocrine disease, such as hypersomatotropism (acromegaly) or hyperadrenocorticism. Some refer to a subclass of diabetic cats with secondary diabetes—patients in which diabetes occurs subsequent to (1) another endocrine disease (eg, acromegaly, hyperadrenocorticism) or (2) administration of diabetogenic drugs (eg, glucocorticoids).1 PHYSICAL EXAMINATION Physical examination revealed a symmetrically muscled cat, weighing 7.7 kg, with a body condition score of 6/9. Sugar had an unkempt hair coat, mild prognathia infer Continue reading >>

How many insulin injections do cats need?

Others, called long-acting insulin solutions, have a slow, even release and may require just one injection per day. Because cats metabolize insulin twice as fast as people or dogs and should be eating an extremely low carbohydrate diet, long-acting insulin is ideal for cats.

What happens when a cat has diabetes?

When a cat has diabetes, something’s gone wrong with either insulin production or insulin receptivity. A small percentage of feline patients have type 1 diabetes, which occurs when the immune system destroys the pancreatic beta cells that trigger insulin production.

Is diabetes rare in cats?

This disease is usually genetic and, again, rare among cats. Almost all feline diabetes patients exhibit metabolic abnormalities that are typical of type 2 diabetes, a name we give to chronically high blood sugar that’s not caused by an autoimmune disease (type 1 diabetes). Some doctors argue that calling it type 2 diabetes ...

What are the complications of diabetic cats?

Some of the complications include recurrent infections, diabetic neuropathy (nerve dysfunction), and life-threatening diabetic ketoacidosis. Although some of the complications can be quite serious, the risk of a diabetic cat developing these complications can be reduced with effective disease management.

What does diabetic neuropathy mean for cats?

Diabetic neuropathy typically affects the femoral nerve (a major nerve in the leg), causing weakness of the legs and something called a plantigrade gait. You and I have a plantigrade gait—we walk on the soles of our feet. Cats usually walk on their toes. When they have diabetic neuropathy, cats often walk on their hocks or heels. Cats with this type of gait look a bit like rabbits—they just don’t hop.

What causes diabetes in cats?

Type 2 diabetes, also called idiopathic hyperglycemia, has a range of root causes. These include obesity, a high-carbohydrate diet, inactivity, and genetic factors.

Is it bad for cats to lose weight?

Note that weight loss is one of the symptoms of diabetes, so some cats may even become underweight.

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