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Diabetes Mellitus

Painted illustration of diabetes mellitus in a cat

What is it?

In cats, diabetes usually occurs because the body stops responding well to insulin, similar to type 2 diabetes in people. Overweight, older, and male cats are at higher risk.

What signs should I watch for?

Signs to watch for include increased thirst and urination; weight loss with a good or big appetite; weakness in the back legs or a flat-footed stance; and lethargy, vomiting (may signal an emergency).

How is it diagnosed and treated?

Diagnosis is based on persistently high blood and urine sugar. Treatment generally involves insulin injections, a high-protein, low-carbohydrate diet, and regular monitoring.

Can it be prevented, and what's the outlook?

  • Some cats, especially when treated early and brought to a healthy weight, go into remission and no longer need insulin.
  • Keeping your cat lean is the best prevention.

Reviewed by the Adler Veterinary Hospital veterinary team, October 2026.

Overweight, older, and male cats

Who's at risk:

More thirst and urination, weight loss with a big appetite

Main signs:

Ongoing management with your vet

Urgency:

When to call a vet right away

  • Lethargy
  • Vomiting

Not sure whether it can wait? Call us anyway. Our team can help you decide.

Source:

Related conditions

Hyperthyroidism

Hyperthyroidism

Lower Urinary Tract Disease and Urethral Obstruction

Urinary Blockage

Obesity

Obesity

Next steps

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