Emergency — phone the vet now
Within hours
Diabetic emergency in cats
Diabetic cat that's vomiting, breathing fast, weak, or off food — phone the vet now; ketoacidosis is a life-threatening emergency.
Recognise the signs
- Hypo: wobbliness, weakness, seizures, collapse
- DKA: vomiting, lethargy, fast breathing, sweet breath, dehydration, collapse
First aid steps
- For suspected hypoglycaemia, rub honey/syrup on gums.
- Phone vet immediately.
- Bring insulin and dose log.
Do NOT
- Do not skip vet contact even for mild hypo.
- Do not give human medication.
- Do not delay if vomiting and lethargic.
While transporting to the vet
- Keep warm, calm, minimum handling.
When to phone the vet immediately
- Any vomiting, refusing food, weakness in diabetic cat
Common causes
- Same as dog — hypoglycaemia or ketoacidosis
What the vet will need to know
- Insulin name, dose, last given
- Last meal
- Other current illness
Aftercare
- Hospitalisation, IV fluids, insulin and electrolytes.
- Some cats achieve diabetic remission with prompt control and weight management.
Prevention
- Strict feeding and insulin schedule.
- Vet contact at any food refusal.
- Healthy weight from diagnosis.
Breed-specific notes
- Higher risk: Burmese.
Frequently asked questions
Can diabetic cats achieve remission?
Some — particularly with prompt insulin and a low-carb diet. Roughly 30-50% of newly diagnosed cats may achieve remission with good early control.
What's a sign of trouble at home?
Vomiting, refusing food, lethargy, fast breathing, drinking much more or much less than usual.
Should my cat eat before insulin?
Yes — never give insulin to a cat that hasn't eaten. Reduce or skip the dose and phone the vet.