Why is my cat's diabetic neuropathy spreading even if controlled?

It seems like it is painful for some cats while others don't seem to be in much pain at all. This seems to be fairly similar to people with diabetic neuropathy - some people experience tingling or numbness while others experience pain that can be extreme. Unfortunately it can be difficult to assess pain in our pets, especially cats. If you're worried Spider is painful you could ask your vet about a pain medication trial.

Thanks for using Petco Pet Education Center, formerly Petcoach! This is concerning as it may be an indication that his diabetes is not well-controlled at the moment. I would highly recommend that you check in with a veterinarian as soon as possible to check for this possibility. If this is the case, they can work in getting him to feel better and then possibly focusing in controlling his diabetes better. Best of luck!

Hello. If she is still drinking and peeing and having glucose in her pee then the diabetes isn't under control. Chat with your vet about checking for infections (urinalysis is recommended) as well as Cushing's disease. If these are present the diabetes won't become controlled. Hair loss is associated woth Cushings as well. Good luck with her!

Poor Hamm! It's common for diabetic cats to develop a condition called diabetic neuropathy, which is characterized by weakness and lack of coordination in the rear legs. Affected cats will also sometimes stand or walk with their entire hock (the lower part of the leg) flat on the ground, which is called a plantigrade stance. I would recommend calling your vet or taking Hamm in for a check-up to discuss this issue and confirm that it is due to diabetic neuropathy and not some other problem. If so, many cats with this problem improve once their high blood sugar is under control - so Hamm may need some testing to check his glucose levels and see if his insulin dose needs to be adjusted. Weekly vitamin B12 injections have also been shown to help with this condition in some cats, so this is something that you could discuss with your veterinarian as well.

Hi. I would be concerned about a neuropathy and that Missy isn't regulated well enough. I would recommend calling your veterinarian in the morning for a recheck and to check the glucose and discuss further testing. Another option is to get a second opinion. If she is wobbly, and weak, I would recommend the ER to get the glucose checked.

It sounds like his diabetes is not controlled well. I would start with a glucose check and a urine test. This will confirm if the sugar is still high and if he has ketones in his urine. Ketones can make them sicker and feel bad. They usually require IV fluids and a different, strong but shorter acting insulin to help get it under control they can also do blood work to check for cushings or a low thyroid or a secondary infection somewhere as these are common with diabetes and makes it harder to control diabetes until these are treated also. Once the blood sugar stop fluctating and staying high, his appetite will come back and the drinking slow down.

Please try to bring her appointment forward to get her rechecked and her blood sugar levels controlled more effectively if possible. It may be necessary to change her insulin type but she should also be checked for infections/inflammation etc which may be altering her ability to regulate her condition