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Diabetes in Cats - Types, Causes, Symptoms, Treatment

Diabetes in cats (diabetes mellitus) is a condition where a cat’s body cannot properly regulate blood glucose levels. This happens when the body either does not produce enough insulin or when the body’s cells do not respond to insulin effectively. 

Insulin is a hormone produced by the pancreas that allows glucose from food to enter the body’s cells and be used for energy. When insulin is not working properly, glucose builds up in the bloodstream instead of being used by the body. 

Diabetes in cats is similar to type 2 diabetes in people, where the body develops insulin resistance. With appropriate treatment and monitoring, many cats with diabetes can live comfortable and happy lives. 

Certain factors may increase the risk of a cat developing diabetes, including: 

  • Obesity 

  • A sedentary lifestyle 

  • Pancreatitis 

  • Long-term use of certain medications, such as steroids 

  • Middle-aged and older age 


Written by Gill Burkhill, Veterinary Surgeon, Animal Trust Vets CIC | Published March 2026 | Review date March 2029 | This advice is for UK pets only and is not a replacement for seeing a vet

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Symptoms of Diabetes in Cats

Common symptoms of diabetes in cats include: 

  • Passing urine more frequently 

  • Weight loss despite eating normally or more than usual 

  • Poor coat condition 

  • Weakness, especially in the back legs 

  • Urinary tract infections - Cats with diabetes are more prone to urinary tract infections because higher levels of glucose in the urine can encourage bacterial growth. Signs may include: 

    -Urinating more 

    -Straining to urinate 

    -Blood in the urine 

    -Urinating outside the litter tray 

When to contact your vet  

If you notice signs such as increased thirst, frequent urination, or unexplained weight loss, contact your vet for advice. Early diagnosis of diabetes in cats can make the condition easier to manage and may reduce the risk of complications. 

Diagnosis 

Your vet may diagnose diabetes using a combination of: 

  • Your cat’s medical history and reported symptoms 

  • A full physical examination 

  • Urine tests to check for glucose or ketones 

Additional blood tests may sometimes be recommended to confirm the diagnosis or to check for other health conditions that can occur alongside diabetes.  

Treatment of Diabetes in Cats  

How diabetes is treated will depend on the individual cat and their overall health. 

  • Insulin is the most common treatment for diabetes in cats. It is usually given as an injection under the skin, typically twice daily. Your vet or veterinary nurse will show you how to give these injections safely at home. Most cats tolerate insulin injections very well. 

  • Oral therapies may be used to help manage diabetes in cats in some cases. These medications are not suitable for every cat, and your vet will advise whether this treatment option is appropriate.  

  • Diet can play an important role in managing diabetes. Your vet may recommend a specific diet to help stabilise blood glucose levels and support weight management if your cat is overweight. 

  • Regular monitoring is important to ensure treatment is working effectively. Your vet may recommend follow-up appointments and repeat blood or urine tests to check glucose levels and adjust treatment if needed. 

Possible Complications of Diabetes in Cats

If diabetes is not well controlled, some complications can occur: 

  • Diabetic ketoacidosis is a serious complication that can develop if diabetes is untreated or poorly controlled. Signs may include: 

    Vomiting 

    Loss of appetite 

    Severe lethargy 

    Collapse 

This is a medical emergency and requires urgent veterinary treatment. 

  • Hypoglycaemia occurs when blood glucose levels drop too low, most often due to too much insulin. Signs may include: 

    Weakness 

    Disorientation 

    Collapse 

    Seizures 

If you notice these signs, contact your vet immediately. 

Preventing Diabetes in Cats

Not all cases of diabetes can be prevented, but the following steps may help reduce the risk: 

  • Feeding a balanced diet that is high in protein and low in carbohydrates 

  • Limiting treats 

  • Monitoring your cat’s weight 

  • Encouraging regular play and exercise to help maintain a healthy weight 

  • Providing a stimulating environment with toys, scratching posts and climbing areas 

Outlook

The long-term outlook for cats with diabetes varies depending on their age, how easily their diabetes can be stabilised, and whether they have any other health conditions. Many diabetic cats can have a good quality of life and live happily for years when their diabetes is well managed.