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Diabetes in Pets: Causes Symptoms Treatment and Holistic Care


A dog and a cat looking at the word diabetes in pets

Diabetes in pets is a serious but manageable condition that impacts the health and well-being of pets.


Understanding the different types of diabetes, their causes, and the symptoms to look out for is crucial for any pet owner.


This guide explores the following:


Discover the essential information pet owners need to care for their beloved animals and manage diabetes effectively.


What Is Diabetes In Pets?

A dog and cat leaning on each other while sitting on the floor

Diabetes in pets, particularly in dogs and cats, is a chronic disease characterized by the body’s inability to produce or respond appropriately to insulin, leading to elevated glucose levels in the blood. 


This condition affects the metabolism of energy in the body, which is crucial for the health of various organs, and it requires careful management and treatment from a veterinarian to maintain the pet's quality of life.


What Are The Types Of Diabetes In Pets?


There are primarily two types of diabetes in pets: Type 1 diabetes and Type 2 diabetes, each differing in the underlying cause and response to insulin. 


Table 1. Some Differences of Type 1 diabetes and Type 2 diabetes in pets.


Type 1 Diabetes

Type 2 Diabetes

Causes

  • Immune-mediated destruction of insulin-producing beta cells in the pancreas

  • little to no insulin production

  • more common in dogs than cats

  • Insulin resistance and, eventually, the failure of the pancreas to secrete enough insulin

  • more common in overweight cats and rare in dogs

Age Affected

  • middle-aged to older dogs (usually 4-14 years) but some occur earlier

  • In cats, it occurs at any age but is also more common in older cats

  • Primarily affects older, overweight cats, typically over 7 years of age

  • Less common in dogs, but when it occurs, it's usually in older, overweight dogs.

Symptoms

  • Increased thirst (polydipsia)

  • Increased urination (polyuria)

  • Increased appetite (polyphagia)

  • Weight loss despite a good appetite

  • Lethargy

  • Cataracts (more common in dogs)

  • Increased thirst

  • Increased urination

  • Increased appetite

  • Weight loss

  • Lethargy

  • Hind limb weakness in cats due to nerve damage (diabetic neuropathy)


Management

  • Requires lifelong twice-daily insulin injections

  • Diet management: Low-fat, high-fiber diet for dogs; high-protein, low-carbohydrate diet for cats

  • Regular exercise to help regulate blood sugar levels

  • Monitoring blood glucose levels and regular veterinary check-ups

  • Weight management: Crucial in controlling and potentially reversing Type 2 diabetes

  • Diet modification: High-protein, low-carbohydrate diet is essential for cats; low-fat, high-fiber for dogs

  • Oral hypoglycemic agents: Sometimes used in cats, though insulin is still needed in some cases

  • Insulin therapy: required if blood sugar levels cannot be managed with diet and oral medications

  • Regular blood glucose monitoring

  • Some cats go into remission with appropriate treatment, meaning they no longer require insulin

Managing these conditions requires a tailored approach focusing on diet, exercise, and regular veterinary check-ups to monitor blood glucose levels and adjust treatment as necessary.


What Causes Diabetes In Pets?

A dog and a cat sitting on the floor and looking up

The causes of diabetes in pets are multifactorial and often include genetic predispositions, obesity, and age-related changes in metabolism. 


Chronic diseases, such as Cushing's disease, also contribute to the development of diabetes in dogs, making it essential for pet owners to understand these risk factors for effective management.


“Canine Cushing's syndrome is closely associated with both diabetes and obesity, and this issue explores the intersection of diabetes and adrenal disease,” according to the 2010 study by Graves, T. 

Is Diabetes In Pets Hereditary?


Yes, pet diabetes is hereditary, especially in breeds like Bichon Frise and Beagle. Understanding this hereditary nature helps pet owners take preventive measures and work closely with their veterinarian. 


“Canine diabetes is associated with specific haplotypes of dog leucocyte antigen, which are common in diabetes-prone breeds and rare in diabetes-resistant breeds,” according to the 2007 study by Catchpole, B., Kennedy, L., Davison, L., & Ollier, W.

Breeders need to screen for genetic issues and pet owners to monitor high-risk pets. Regular check-ups and awareness of symptoms help mitigate the effects of inherited health issues.


What Other Factors Contribute To Diabetes In Pets?

Other factors contributing to diabetes in pets are listed below.


“Diabetes in dogs and cats is influenced by genetics, immune-mediated factors, and environmental factors, while type 2 diabetes in cats is mainly caused by obesity,” according to the 2014 study by Nelson, R., & Reusch, C.

Regular monitoring, a balanced diet, and exercise help. Avoiding high sugar and unhealthy fat diets is important. Veterinarians help plan a suitable diet. Regular physical activity is essential. Health check-ups detect early warning signs. Collaboration between pet owners and veterinarians is crucial for managing and preventing diabetes in pets.


What Are The Symptoms Of Diabetes In Pets?

A dog and a cat under the blanket

The symptoms of diabetes in pets, particularly dogs, are often subtle or mistaken for other health issues. Table 1 shows the common symptoms of Type 1 and Type 2 diabetes in pets. Recognizing these warning signs are crucial for early diagnosis and treatment of diabetes in your pet.


How Does Diabetes Affect Pets?


Diabetes significantly affects pets by disrupting their glucose levels and overall metabolism, leading to complications such as kidney failure, cataracts, Urinary Tract

Infections (UTI), and pancreatitis.


Uncontrolled diabetes also impacts various organs, decreases energy levels, and causes excessive thirst and urination in pets. Given these risks, it becomes essential for pet owners to prioritize regular veterinary check-ups and manage their pet's diet and medication consistently.


Doing so not only aids in stabilizing blood sugar levels but also significantly enhances the pet’s quality of life.


What Are The Warning Signs Of Diabetes In Pets?

The key symptoms to watch for a diabetic pet are listed below.


  1. Increased Thirst and Urination: Pets with diabetes often drink more water and urinate more frequently. This is the body's attempt to flush out excess glucose through urine. Also known as polyuria/polydipsia (PU/PD). 

  2. Weight Loss Despite Increased Appetite: Diabetic pets lose weight even though they are eating more than usual. This happens because their bodies can't properly convert food into energy.

  3. Lethargy and Weakness: Pets appear unusually tired or weak due to the lack of usable energy from glucose.

  4. Cloudy Eyes (Cataracts in Dogs): In dogs, diabetes leads to cataracts, causing their eyes to appear cloudy.

  5. Recurring Infections: Diabetic pets are prone to frequent infections, particularly urinary tract infections, due to the high sugar levels in their urine.

  6. Changes in Coat Condition: Skin issues such as dandruff, oily coats, or general poor coat condition also signal diabetes.


If owners notice any combination of these symptoms, it's important to consult with a veterinarian for proper testing and diagnosis.


How Is Diabetes In Pets Diagnosed?

A dog and a cat sitting and looking out the window

Diagnosing diabetes in pets involves a thorough evaluation by a veterinarian, which typically includes blood tests to measure glucose levels and assess the overall health of the pet.


High blood sugar readings, along with characteristic symptoms, confirm a diabetes diagnosis and guide the subsequent treatment plan.


What Tests Are Used To Diagnose Diabetes In Pets?


To diagnose diabetes in pets, veterinarians commonly use the tests below.


  • Blood Glucose Test: This is the primary method for diagnosing diabetes in pets measuring the glucose level in the blood using a blood sample. Persistent high blood sugar is a hallmark of diabetes, confirmed through multiple tests over time.

  • Urinalysis: This test checks for glucose and ketones in the urine. In healthy pets, glucose should not be present in the urine, but in diabetic animals, excess glucose spills into the urine. Ketones, which are byproducts of fat metabolism, is also found in cases of uncontrolled diabetes.

  • Fructosamine Test: This test measures the fructosamine level in the blood, which reflects average blood glucose concentrations over the past 1-2 weeks. It’s useful for confirming a diabetes diagnosis and monitoring long-term glucose control in pets.

  • Glucose Curve: To monitor and adjust treatment in diabetic pets, a glucose curve is conducted. Blood glucose levels are measured at intervals throughout the day to determine how well the insulin dose is managing the pet's blood sugar levels.

  • Glycated Hemoglobin (HbA1c): Though more commonly used in humans, this test measures the average blood glucose level over the past 2-3 months. It’s less commonly used in veterinary medicine but provides additional insight into long-term glucose control.

  • Serum Biochemistry panel: Evaluates organ function and reveals any potential complications that arise due to diabetes.


The interpretation of these results is vital, as it guides the veterinarian in making informed decisions about the management and treatment plan, allowing for a tailored approach to each pet’s needs.


How Is Diabetes In Pets Treated?

A dog and a cat in a clinic for check-up

The treatment of diabetes in pets typically involves a comprehensive management plan crafted by a veterinarian, which includes insulin therapy, dietary adjustments, and regular monitoring of blood sugar levels.


Pet owners play a crucial role in adhering to this plan to ensure their pets lead healthy lives despite the chronic disease.


What Are The Medications Used To Treat Diabetes In Pets?


The commonly used medications to treat diabetes in pets are listed below.


  1. Insulin: This is the primary treatment for diabetes in pets. Most diabetic dogs and many cats require insulin injections to manage their blood sugar levels. There are various types of insulin, including short-acting, intermediate-acting, and long-acting formulations, which are selected based on the pet's specific condition. For example, insulin products like Vetsulin, Lantus, and ProZinc are frequently prescribed.

  2. Oral Hypoglycemic Agents: These are more commonly used in cats than in dogs, as some cats respond to oral medications like glipizide, which stimulates the pancreas to produce more insulin. However, oral medications are generally less effective than insulin injections and are typically used in mild cases or when insulin injections are not feasible.

  3. Dietary Management (Therapeutic Nutrition): Although not a medication, diet plays a crucial role in managing diabetes in pets. Specially formulated diets that are low in carbohydrates and high in protein help stabilize blood glucose levels, especially in cats, where dietary management sometimes reduces or eliminates the need for insulin.

  4. Acarbose: This medication is used as an adjunct therapy to insulin, particularly in managing postprandial (after eating) hyperglycemia. It works by slowing down the digestion of carbohydrates, which in turn slows the rise of blood glucose after meals.

  5. Newer Medications: Recently, the FDA approved a new oral medication specifically for cats called Bexacat (bexagliflozin tablets), which is the first SGLT2 inhibitor available for treating feline diabetes. It helps reduce glucose levels by causing the kidneys to remove glucose through the urine.


These treatments are typically accompanied by regular monitoring of blood glucose levels and dosage adjustments to ensure effective management of the condition.


What Are The Dietary Changes Needed For Pets With Diabetes?


For pets diagnosed with diabetes, dietary changes are a critical part of their management. The key changes needed are listed below.


  1. Consistency and Timing: Feed diabetic pets consistent meals at regular times. This helps stabilize their blood sugar levels, especially when combined with insulin therapy.

  2. Low Carbohydrate Diet: For diabetic cats, a diet low in carbohydrates and high in protein is recommended. This mimics their natural diet and helps manage blood glucose levels more effectively. Dogs also benefit from reduced carbohydrate intake, though the focus is often on fiber content.

  3. High Fiber: In diabetic dogs, diets high in fiber are beneficial as they slow the absorption of glucose, leading to more stable blood sugar levels. Fiber also helps with weight management, which is important since obesity complicates diabetes.

  4. Weight Management: Keeping a pet at an ideal weight is crucial. Obesity worsens insulin resistance, so a calorie-controlled diet is often necessary. Regular monitoring and adjustments are needed to ensure the pet maintains a healthy weight.

  5. Special Veterinary Diets: There are prescription diets formulated specifically for diabetic pets. These diets are designed to provide the right balance of nutrients while managing blood sugar levels.


These dietary changes should always be done under the guidance of a veterinarian, as every pet's needs are unique.


What Is Holistic Care For Pets With Diabetes?

A dog and a

Holistic care for pets with diabetes incorporates a variety of alternative therapies, such as homeopathy, acupuncture, and specific dietary supplements, to support their overall well-being alongside conventional treatments.


This comprehensive approach aims to enhance the quality of life for diabetic pets while promoting better management of their condition.


What Are Some Natural Remedies For Diabetes In Pets?


Natural remedies for diabetes in pets include specific supplements and homeopathic treatments designed to support insulin function and stabilize blood sugar levels. 


While these alternatives are beneficial, pet owners need to consult with a veterinarian before implementing any new remedies into their pet's treatment plan.


Numerous natural options exist that contribute to improved overall health. For instance:

  • Cinnamon: known to enhance insulin sensitivity

  • Alpha-lipoic acid: helps in reducing oxidative stress associated with diabetes

  • Omega-3 fatty acids: support heart health and reduce inflammation


“Cinnamon polyphenols improve insulin sensitivity and reduce fasting blood glucose levels in subjects with type 2 diabetes,” according to the 2008 study by Anderson, R.

Pet owners should be cautious, as some remedies interact with conventional medications or lead to unintended side effects. Therefore, maintaining an open dialogue with a veterinarian is crucial when considering these alternative approaches.


Taking into account the individual needs of a diabetic pet helps tailor a beneficial management plan.


How Can Exercise Help Manage Diabetes In Pets?


Regular exercise is crucial for managing diabetes in pets as it helps maintain a healthy weight and improve insulin sensitivity. 


“Therapeutic exercise decreases glycated albumin levels and ameliorates glycemic control in diabetic dogs,” according to the 2014 study by Saeki, K., Oda, H., Shono, S., Ueda, K., Maruyama, N., Akiyama, R., Onozawa, E., Mori, A., & Sako, T.

Different activities such as short walks, fetch games, agility training, and swimming benefit pets physically and mentally. Consistency is key, and consulting a veterinarian for a suitable exercise plan tailored to the pet's individual health needs is important.


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