Susie is a 20 year old cat who has diabetes

As Susie has grown older, she now spends most of her time sleeping, and so she has stopped wearing down her own nails. She needs to have these trimmed every 6 months, so that they don’t grow into the pads of her feet. She hates having this done, and I need to wrap her gently but firmly in a towel so that she doesn’t bite and scratch. These visits are a useful opportunity to give her a general check over, and I always weigh her and give her a worm tablet.

a visit to the vet

On her most recent visit, Sandra mentioned that during the previous fortnight, she had started to piddle under the kitchen table. She had always been fully house trained, so this was very odd. I explained that the best way to find out what was going on would be to check a urine sample. But how could we collect urine from a cat like Susie who hated being handled? While we considered this dilemma, a nurse helped me to trim her nails, by doing the usual towel-wrap and restraint. Susie struggled, but we managed to achieve our task, and there was an unexpected bonus: Susie piddled on the table as soon as we’d finished.  I sucked up some urine with an empty syringe, and we were able to test it in our practice laboratory.
The results showed that Susie’s urine was full of blood and glucose. This gave us two diagnoses: first she had diabetes, and secondly she had a urinary tract infection. Diabetes is common in older cats, affecting one in 100 to 200 cats. And because diabetes causes glucose to appear in the urine, bacteria can easily proliferate, so  urinary tract infections are common. This combination of diseases explained why Susie was piddling in strange places: affected cats have a sudden sense of urgency.

Treatment

Treatment of the infection was simple, giving her a course of antibiotics. Diabetes is more complicated: many cats need twice daily injections of insulin, and this would not be possible in independent-minded Susie. There is one alternative: some cats respond to a simple change of diet, feeding a special high protein, low carbohydrate diet.  We started Susie onto this new diet, and she’s due for a revisit next week. This time we’ll need to collect a blood sample to check her blood glucose. Susie won’t like this, but I only need a drop of blood for the test, so a pinprick into the pad of her back foot while restraining her in the towel should do the trick. If her blood glucose is normal, the conclusion will be that the new diet is sufficient treatment, with no need for daily injections of insulin at home.

Sandra, myself, and of course Susie, are all hoping for the best.

 

2 Comments

  • toni says:

    We found your article too late after our sweet Suzi died at the age of 20 and 5 months. We think she suffered of diabetes in her last year and the big dilemma was whether to take her to stressful visits to the vet , put her through tests and then treatments, injections twice a day etc. or let her live peacefully in her garden the time left. We didn’t take her to the vet but we bought her the special food for diabetes , and she lived another year. I am now grieving her passing and feel so guilty that perhaps with treatments she could have lived a few more years? was our decision very wrong?

    • petethevet says:

      Sorry for the delay in replying. I think every case is different, and it is right to take stress of vet visits into account. There is no simple answer, and the age of twenty is fabulous for a cat, so I would focus on how lucky she was, rather than the possible small amount of extra time she might have had. I know this is a difficult time for you. Please take care.

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