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Nutritional guidelines for managing diabetes in cats

By Tabitha Hookey et al.·Published in Journal of feline medicine and surgery·2025·View original on Semantic Scholar

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Original publication title: Guidelines for nutritional management of feline diabetes mellitus: a proposed classification system integrating medical considerations

Species:
cat

Plain-English summary

A cat with diabetes mellitus (DM) can benefit from a tailored diet that considers their specific health needs. A new classification system has been proposed to help manage cats with diabetes, dividing them into three groups: those at risk of developing diabetes, those currently affected, and those in remission. Each group has different dietary recommendations focusing on the right balance of carbohydrates, proteins, and fats to improve their health. By working closely with a veterinarian and addressing any concerns, owners can help their cats achieve better health outcomes through proper nutrition.

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Abstract

The management of diabetes mellitus (DM) in cats can benefit from an integration of medical and nutritional strategies, based on an understanding of the dynamic nature of the disease, together with an appreciation of the interrelationships between nutritional status and clinical status. In this context, a new classification system for feline DM is proposed, comprising three clinical status categories: those at risk of developing DM, those with clinical DM and those in diabetic remission. The influence of individual dietary components (carbohydrate, protein, fat and water fractions) on clinical outcomes is discussed, followed by overarching principles for the dietary management of diabetic cats, based on both the limited scientific evidence and the clinical experience of the authors. Key aspects of nutritional assessment, the principles of therapeutic weight reduction and feeding practices are covered. Using the classification framework, recommendations for nutritional management are proposed for cats at risk of development of DM, cats with clinical DM and those in clinical remission. Successful implementation of these recommendations can be achieved by using a relationship-centred approach, where owner concerns are addressed and goals for management are agreed in partnership. It is hoped that these perspectives will help guide veterinary professionals in their clinical management decisions, thereby improving health outcomes in cats in all three categories of DM.

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Original publication on Semantic Scholar: https://www.semanticscholar.org/paper/41369075