How to Avoid DKA, Hypos, and Other Side Effects of Feline Diabetes

Ketones are waste products that result from the body's use of stored fat for energy. In a diabetic, any urinary ketones above trace, or any increase in urinary ketone level, or trace urinary ketones plus some of the symptoms above, are cause to call an emergency vet immediately, at any hour of the day. Diabetic ketoacidosis is caused by a lack of insulin or an insufficient amount of insulin.

Hypoglycemia is dangerously low blood sugar brought on by too much insulin. It can result in seizures, coma, and even death.

These two conditions represent the opposite ends of the diabetic spectrum, from too much insulin to not enough. Managing your cat's diabetes involves navigating between these two potentially lethal side effects. Diet, testing, and regulation are primary considerations in achieving this goal.

• Feed a low-carb wet diet.
  If your cat refuses to eat wet food, supplement the dry food with cooked meats as you transition away from the dry. See Dr. Lisa's Transitioning Dry Food Addicts to Canned Food for more ideas.
  
  
• Use a human glucometer to test your cats blood at home.
  Hometesting will give you the information you need to determine when a dose needs to be changed either up or down. If you have a good relationship with your vet, you can call and report your test numbers and work together to determine any dosing adjustments. If your vet doesn't support hometesting, join one of the Insulin Support Groups and work with others who have experience with your particular insulin.
  Hometesting video
  
  
• Use the results of your testing to achieve regulation.
  When your cat is first diagnosed with diabetes, your goal is to "regulate" her or his blood glucose, which may take a few weeks or even many months. Eventually you will want to aim for blood sugar levels in the 70 to 200 range. This won't happen right away but by reducing carbohydrates from your cats food and hometesting, you can achieve this goal safely. The well-regulated diabetic cat should look and act the same as he/she did before diabetes. If you have any concerns about your meter reading too low, you can test a non-diabetic cat as your control.

There's no sure-fire method for eliminating all risk of hypos, DKA, and other diabetes-related problems, but you can greatly reduce the risk by learning all that you can. Insulin is a powerful hormone. The more you know about it, the safer your cat will be.