Feline
Diabetes

Feline Diabetes? No but this is a nice cat at the vets pic.
Photo by Scott Beale / Laughing Squid - laughingsquid.com.
Introduction
Feline
diabetes was and still is something that I am
particularly interested in as my cat is susceptible to it, being
overweight, and in the past I have been fearful that she may have
developed it. For a long time is was thought that if a cat was
overweight she was susceptible to contracting diabetes. In fact this,
it seems, is still the general view.
About 2.5% of cats taken to the vet are taken for feline diabetes. As
there are an estimated 90 million domestic cats in the USA and about 7
million in the UK, there are an estimated 2.25 million diabetic cats in
the USA and 175,000 in the UK. These are just examples of course. These
are large numbers, almost frightening numbers.
What is causing the increase in percentage of cats that develop feline
diabetes?
One veterinarian is convinced that it is linked to the changing diet of domestic
cats and it's our job to do something about it. Her name is Dr.
Hodgkins.
Feline diabetes (diabetes mellitus) is a complicated disorder of the
pancreas that concerns the metabolism of carbohydrates, fat and
protein, which is caused by the inability of the cat with the condition
to produce enough insulin (or to utilize it adequately). Insulin is a
hormone.
Although it can occur in cats of any age, it is more likely to affect
cats over the age of 6. It would seem that there is a greater incidence
of this disease in Siamese cats. I am not sure if that cuts across all
Siamese cats as there are now at least three types, the Modern
(skinny), the Thai (classic Siamese) and the traditional
Siamese (the original appearance). In my view the Modern is
less healthy than the traditional (go to Siamese
cat health problems)

Cat at vets but as far as I am aware not for feline diabetes
Nice photo, nice face - photo by by Chuckumentary
What are the symptoms of feline
diabetes?
If the following scenario is in place you might consider having your
cat checked by a veterinarian for diabetes. These symptoms are however
not exclusive to a diabetic cat. The symptoms are due to the cats
inability to store or use glucose. This results in higher levels in the
blood and some glucose is excreted in the urine. As glucose needs to be
in solution (dissolved in water) water is lost from the cat in the
urine. Hence greater thirst and more urine. These are some symptoms
- Your cat's diet is made up, substantially, of
dry cat food (if you subscribe to the Dr. Hodgkins theory as I do.
- Muscle wasting
- Your cat drinks more water than usual. This is
noticeable as the water bowl will need topping up more frequently and
the litter will have more urine in it.
- Many diabetic cats are overweight neutered
males drinking a lot and urinating to excess.
- Your cats coat may be in poor condition (this
though may be due to poor grooming du to being overweight).
- more technical indicators are the presence of
jaundice and dehydration.
- Some diabetic cats walk with their hocks
touching the ground. The hock is the part of the hind leg that extends
up from the toes to the first joint (dwarf
cats are prone to this due
to their dwarfism).
- Sometimes, it is believed, the symptoms of
diabetes are not apparent for a long time due to a "compensated state".
The diabetes may become apparent when and if the cat suffers another
illness.
Does
dry cat food contribute to feline diabetes?
photograph
© vovchychko
Cause of Diabetes
There are 2 types of diabetes. In type I, insulin dependent diabetes,
the cat doesn't produce enough insulin. The lack of production of
insulin is due in turn to lack of functional beta cells. It is
currently thought that the reason for this is due to genetic
predisposition and environmental factors (e.g a viral infection).
In
type II diabetes the condition develops because the cells of the body
do not respond to insulin. This may be due to overeating and being
overweight. In overweight or obese cats there is a reduced number of
"receptor sites" where insulin acts.
Dr. Elizabeth Hodgkins believes that an underlying cause of cats being
overweight and diabetic is a diet
of dry cat food.
Although of course a cat's genetic make up dictates her susceptibility
to such a condition. There is an increase in dry food diets and in feline
diabetes. The two,
it seems, are linked.
Dry food is popular as it is convenient and modern mankind likes
convenience as we are too busy for anything less than convenient. Dry
cat food is high in sugar. Diabetic cats on a dry food diet can
become hypoglycemic (become faint through low blood sugar levels).

Photo © Mags
The Analysis
If your cat has the symptoms above see a vet.
You can also use the
human blood sugar level testers (glucometer) available in pharmacies to
track blood sugar levels your cat under the direction of a vet.
The Cure
Clearly the starting point is a
trip to the
vet. Elizabeth Hodgkin's views will not necessarily be the views of all
vets. My vet,
some years ago, advised an exclusively dry food diet for my cat (Hills
RD or LD) as my cat was overweight. I didn't want to comply as
it sounded
horribly boring so I have given her Hills LD and fish plus canned cat
food.
However the mainstay of my cat's diet has been dry food and I am
doubting that this is correct. Cats are obligate carnivores (see header
picture). The photograph above sums it up. The cat instinctively looks
for
meat. The cat food manufacturers instinctively manufacture food that
humans find convenient (e.g. dry food) and the cat finds tasty (high in
sugar, flavored and smelling good)
The cure, from Dr. Hodgkins's point of view, is the immediate stopping
of a dry food diet and a return to
canned or wet cat food high in proper meat content and low in vegetable
and sugar content. This though should be quality cat food low in
starches. You can get canned food that is made
for diabetic cats too.
In addition to the above your vet may advise regular shots of insulin
to
control sugar levels until they stabilize, under the new diet.
The conventional treatment of Type
I (insulin dependent) diabetes is to administer insulin
injections. This means daily (or twice daily) doses adjusted to the
levels of glucose in the blood. Accidental over administering of
insulin will result in a fall in blood sugar levels with accompanying
signs of weakness and drowsiness in the cat. This can and must be
rectified by giving the cat a sugar solution or some honey for example,
which will be fast acting.
Conventional treatments support Dr. Hodgkin's view in my opinion. A
controlled diet is necessary. This diet should have less complex
carbohydrates (starch), restricted fat content and more fiber. Less
starch and more fiber avoids the temporary higher levels of glucose in
the blood that would require more insulin to control. Diet control will
also (or should also) have a beneficial effect on weight.
Type II diabetes (non-insulin dependent) can be controlled by combining
the above diet with hypoglycemic drugs given by mouth and thereafter
all being well by diet alone. This concurs with Dr. Hodgkins
(above).
The prognosis
This is good. The cat may return to good
health and a correct sugar
level within several months, or sooner, under a carefully managed
regime of insulin
(if the vet advises) and her new diet.
Disclaimer
I don't believe in non-vets trying to be vets. You can go very wrong.
It's alright taking risks with an inanimate object (like fixing your
computer) but when it comes to ourselves and our fellow creatures risk
is to be avoided. However, there is nothing wrong in studying a
subject. Sometimes laypeople (non-experts) can know more of a certain
subject that the experts for various reasons.
I would though advise people to read what Elizabeth Hodgkin's
says about feline diabetes yourself, see a vet and research the matter
on line further. This
article is meant to be an introduction
only to this important and growing problem.
Source:
- My thanks to Elizabeth M
Hodgkins DVM and her excellent book "Your Cat"
- Veterinary Notes for Cat Owners by Dr. Trevor
Turner and Jean Turner VN
The photographs are reproduced under a creative
commons license.
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Feline Diabetes to Cat Facts
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