How much does a cat need to eat before insulin

 

Feed your cat as usual. Make sure your cat gets enough exercise. Once your cat's optimal insulin dosage has been determined, and her diabetes is well regulated, monitoring may involve regular glucose curves or random “spot checks” of urine for the presence of glucose. For Twice-Daily Insulin Injections: The first meal (half of the daily amount) is given just before the morning insulin injection. This means that U-100 has 2. Even in a very large cat, the starting dose of insulin should not exceed 2 U per cat q 12 hr. Preparing the Injection. Find out more diabetes information, treatment options and Caninsulin and VetPen FAQs for dogs. You need to get the owners to bring the cat in after a couple of days to measure its blood glucose 3 hours after their insulin dose and breakfast. These include rapid-acting insulin, intermediate-acting insulin, and long-acting insulin. Monitor for response to treatment. You can also use a commercial freeze-dried meat cat treat: mash it up and sprinkle it on the food. How do you know if your cat is excessively thirsty? Typically, cats need between 3. • Evening meal before your overnight fast: – If you take insulin, take your usual evening insulin dose with your evening meal. A. Rapid-acting insulin is used to regulate glucose levels after meals quickly. Cats should be re-evaluated at appropriate intervals and the insulin dose adjusted based on clinical signs in conjunction with appropriate Apr 21, 2012 · Written by Sandy Eckstein. An alarming number of cats are developing diabetes mellitus, which is the inability to produce enough insulin to balance blood sugar, or glucose, levels Sep 20, 2020 · On Tight Regulation, the starting dose is weight (in kgs) x . Your cat should have been started on a very low dose of insulin, 1-2 U per dose, twice a day. Encourage your cat to play and be active in order to help it remain in diabetic remission. However, a general rule of thumb is that an insulin-dependent dog should eat between 2 and 4 cups of food per day. 7 unit marks) On SLGS, the starting dose is . Vetsulin ® (porcine insulin zinc suspension) [Freedom of Information Summary]. A cat with diabetes that has not been fed needs far less insulin. Step 5: Using your non-dominant hand, gently pick up the loose skin in between your cat’s shoulder blades. It is important to avoid injecting the insulin too quickly, as this can cause pain or discomfort to your cat. May 23, 2015. If your cat has not had blood work done recently, it should be done. Normal blood glucose levels for the average cat are between 70 - 100 mg/dL) before a meal, and remain below 150 mg/dL after eating. You can give ½ the calories per meal from dry food and ½ from wet or ¼ of the calories from dry and ¾ from wet. ) Schedule demonstration to teach proper insulin handling and administration. Feb 18, 2020 · If you are worried your cat will not eat its food after being given insulin, you could consider giving your cat a carb-free food when you are at work. Dose changes should be made based on pre-insulin glucose concentration, nadir (lowest) glucose concentration, daily water drunk, and urine glucose concentration. Cats with diabetes mellitus either are not producing May 16, 2016 · Dec 28, 2009. Type II diabetes mellitus is different, because some insulin-producing cells remain, but the amount of insulin produced is insufficient, or there is a delayed response in secreting it, or the tissues of the cat's body are relatively insulin resistant. ; 2008. Grab a fold of skin and inject the insulin at a 90-degree angle. Check your blood glucose levels for at least 3 days before your scan. Is diabetes in animals similar to that of humans? 1. PZI insulin is a long-acting insulin formerly available as a beef origin product. Do bring the food you usually use, and do bring the insulin. This can cause them to become constantly hungry For diabetic dogs, moving the food through the digestive tract quickly is advantageous. ) When the needle is in your skin, you don’t need to draw back the syringe plunger to check for blood. Aug 21, 2019 · Call 530-752-1393 to schedule an appointment with the Community Medicine Service. Most guaranteed analyses will not tell you if the fiber in the diet Mar 15, 2024 · Get off your feet and take a break. Following your cat’s meal, either immediately take your cat to the veterinary clinic May 21, 2023 · Published: May 21, 2023. This dose should be given once daily concurrently with or right after a meal. The proper dose of insulin is determined by your veterinarian through a series of glucose level tests. Nov 4, 2022 · Conclusion. Most cats are well regulated on insulin at an average dose of 0. , Seattle, WA 98195 | 206. 5 min read. This is because the increased blood glucose injures cells in the pancreas that produce insulin, preventing the cat’s body from ever controlling glucose without an external source of insulin. Mix the insulin by gently rolling the bottle between your palms. 598. You will need to pack the insulin, syringe, and any meals or food your cat should get during the hospital stay. Free access to a measured amount of Owners must be properly trained to give insulin injections and educated on the important aspects of the disease in cats. If you were to take an average cat and give them a lethal dose of insulin, it would probably take around 0. 2–4. 60 g–105 g dry or 160 g–365 g wet food. Because the cells will be getting glucose to fuel them, you may see an uptick in energy levels. More numbers would give you this answer. To warm the cat’s ear, pack a few tablespoons of uncooked rice or rolled oats in a sock. Nutritional Considerations for Cats with Diabetes. Jul 23, 2014 · Dec 28, 2009. 25 to 0. (2016). 5 since you can't get syringes with . 5 units per Aug 14, 2022 · It is going to vary depending on the individual cat's response to the hormone. 9 Administer appropriate intravenous fluid therapy for patient support (3ml/kg/hr in cats, 5ml/kg/hr in dogs). • Meal feeding is ideal, but eating does not need to be coordinated with insulin administration (grazing is allowed) • Recommend weight loss in obese cats o 1-2% loss of body weight per week • The author has had success with Hill’s Prescription Diet Metabolic when cats gain weight or fail Feb 6, 2024 · Therefore, they may need to be fed closer to their surgery time. insulin that you inject (brand names Victoza or Byetta), take your Jul 19, 2011 · U-100 will have 100 units per mL, and U-40 has 40 units per mL. Gently pinch the skin, insert the needle Page 1 of 6 | PET/CT FDG Scan for Patients with Diabetes. Then, follow these steps: Remove the cap from the needle and draw back the plunger to the appropriate dose. Apr 13, 2024 · 4. These factors include the severity of the cat’s condition, the individual cat’s May 19, 2023 · Step 4: Use an alcohol wipe to disinfect the injection area on your cat. $1500 and 3 months later we are still at square one. Ever since then, his urination hasn't gotten any better. 8–20 pounds. Body condition score. Sharing is Caring. The 6 keys to treatment of diabetes in cats include: Change your cat’s diet. If they are fed wet food, try warming this for a few seconds in the microwave, to make it more aromatic and potentially, more appealing for them. Mar 6, 2023 · As you can see, even just from this partial list, there are many possibilities, other than diabetes, for your cat's excessive thirst. 2–0. Recently he found a new spot to pee; on top of the kitchen counter, and it was A LOT. Pharmacology of a 40 IU/ml porcine lente insulin preparation in diabetic cats: findings during the first week and after 5 or 9 weeks of therapy. It does not matter about meal-feeding cats, as they do not Nov 14, 2016 · You have 1 hour on either side of that time you chose to give the insulin shots. I didn’t know what it meant,” he says. When you are ready to inject the insulin, hold the syringe at a 90-degree angle and gently insert the needle into the injection site. Insulin must be given to your pet by an injection 1 to 2 times a day. You’ll need 1 unit of fast-acting insulin to adjust to your target of 120. You may see a decrease in appetite, thirst, urination, and defecation because of this (less going in = less going out). 2–3. Pay Normal blood glucose levels for the average cat are between 70 - 100 mg/dL) before a meal, and remain below 150 mg/dL after eating. Don’t panic if your cat ends up requiring more insulin than this, but take it slow. J Vet Intern Med;30, p 964–972. 6200. After mixing the insulin, carefully insert the needle into the insulin bottle. Maintain a consistent diet, exercise and insulin treatment plan. December 8, 2022. 10+ years. Although short-term reactions to insulin are quick, it still takes time (wait at least a week) for the cat's body to fully adjust to a new insulin dose. besides. Veterinarians should reevaluate canine patients at appropriate intervals and adjust the dose based on clinical signs, urinalysis results, and glucose curve values until Use the AAHA Anesthesia Guidelines for Dogs and Cats as a foundation. It’s important to administer insulin Dosing Schedules. 5 times the amount of active insulin per mL, therefore 2. For an overweight dog, a diet with 10-20% of the dry food as fiber is a good plan. “Cats with diabetes mellitus exhibit signs of increased hunger due to their inability to break down and use glucose for energy,” she says. Sprinkling parmesan cheese on the food is another trick, as is using a small bit of human baby food (chicken or meat flavor). Some sick cats can be encouraged to eat more by hand feeding. Jun 23, 2015 · “The goal is for your cat to understand that pinching is associated with good things, like receiving food rewards. Round to the nearest half unit if more precision is required. e. Side effects including diarrhea. Also, if you have to give insulin at 8 one time, do not make the next dose at 6. 0h [before morning insulin], 4h, 8h and 12h after morning insulin). She is a good patient and hasn't complained too much as I've been learning how to do the glucose tests and give the injections. Fructosamine is a protein found in blood serum that has sugar attached to it. sugar) from food and bring it into the cells where it can be broken down into Dec 5, 2021 · As a general rule, feed half of your dog’s total daily food right before or with each injection. 5 if eating only low carb food and 1U if kitty is not on a wet/canned low carb diet. Dec 5, 2021 · As a general rule, feed half of your dog’s total daily food right before or with each injection. For some young cats, this may mean that the time they can have a very small amount of food is around 4–6 hours before their Dec 28, 2009 · Sep 6, 2012. Depending on the length of time since the missed dose and your cat’s current blood sugar levels, your veterinarian may advise you to give a smaller or larger dose than usual. i usually use parmesan. Get a number (btw, fantastic you are testing!) at +2 and +3 to see what is happening with the insulin. This means your cat should eat twice a day before receiving insulin injections . If you’re pricking your cat’s ear to draw a blood sample, warming the ear can encourage blood flow and make it easier to draw a sample. Not only so you can give insulin, but also to avoid fatty liver disease. Nov 4, 2010. The first meal (half of the daily ration) is given just before the morning insulin injection. When performing a blood glucose curve, samples probably only need to be taken every 4 hrs over 12 hrs in many cats (ie. 25-0. Your veterinarian will need to screen your cat carefully before recommending Bexacat TM. It is very important that your cat eat reliably in the morning and evening You can tempt reluctant cats to eat by putting a small bit of tuna or cooked chicken on top of his food. 3. S. Sep 4, 2015 · First, prepare for the day. 1/3 to 2/3. 5 times as strong. It is generally recommended that cats eat 1/8 to 1/4 cup dry food or 2-4 tablespoons of canned food before receiving insulin injections. Jan 2, 2018 · However, many cats require lifelong insulin treatment. “Insulin is the only hormone in the body that allows it to take glucose (i. Prepare the syringe by drawing up the correct insulin dose as directed by your veterinary surgeon. In this test, a series of blood glucose (sugar) tests are done over a 12 to 24-hour period. 10 to 14. Although the time it takes for cats to start feeling better after starting insulin can vary, it typically ranges from a few days to a couple of weeks. Hi - My cat was diagnosed with Diabetes over 3 months ago. Millsboro, DE: Intervet Inc. Cleanse the top of the insulin bottle In dogs, diabetes mellitus is usually insulin dependent diabetes mellitus (also called Type 1 diabetes). 8 U/kg. Clear insulin does not need to be mixed. Q. Dec 26, 2017 · Do not use if past the expiration date. **Risk of Hypoglycemia:** While the primary concern with a missed dose of insulin is hyperglycemia, there is also a risk of hypoglycemia, or low blood sugar levels, especially if your cat receives a large dose of insulin. Dosing initiated at 0. May 20, 2024 · Weight (lbs) Dry Food Amount (cups) 5 to 9. If you plan to eat a meal that has 60 grams Apr 3, 2024 · Serum fructosamine testing is used by veterinarians to evaluate how well a diabetic cat is responding to insulin therapy or insulin alternatives over the long term. Slowly inject the insulin and then remove the needle from your cat’s skin. Apr 16, 2019 · The important thing is to make sure your cat eats before you give an insulin shot. Immediately after meals: This allows you to see that your cat is feeling well and eating normally before the insulin is given; Diabetic cats are generally administered insulin twice daily and their diet is usually split into two equally sized meals, but cats are often fussy and prefer to eat when they choose. 5% at maximum doses. It is important that your cats eat. 5 ounces (about ½ a cup) of water per 5 pounds of body weight per day. Step 13 : Pat, your cat and reward him with something he likes. Some Insulin brands we stopped after 2-3 weeks, as her numbers remained above 600 despite After giving the cat insulin, the process to stabilise Fluffy at home, usually starts at 1 or 2 units of either kind of insulin twice a day. Step 12 – after injecting the insulin, dispose of the needle and syringe. You can also ask your vet for an appetite stimulant. g. A 5. Insulin will allow him to use the glucose in his body for energy. you could also try crushing dry food or treats and then sprinkle those on food. These cats may be heading into a diabetic remission. He was concerned about having to give his cat Administering insulin is an important step in managing your cat’s diabetes. Also, check that the food bowls are Aug 10, 2021 · Warm your cat’s ear. Insulin resistance is also suspected when excessive amounts of insulin are required to maintain glucose < 300 (i. Absence of glucose on a urine test can be a concern, so if this is found, your veterinarian should be notified. Dr. The canninsulin may just not last as long in your kitty. Oct 5, 2023 · The Speed Of Transformation. This guide will walk you through each step of the administration process. Obesity is a predisposing factor in type II diabetes, which appears to be the most common type Jun 10, 2024 · Generally, most felines will need $50–$80 of insulin every 30–40 days, but those with a less severe form of diabetes will only need roughly $20–$30 of insulin in that same period. Keep in mind that this chart represents only a rough Sep 1, 2000 · Clean your skin with cotton dipped in alcohol. Consult the feeding chart on the back of your cat’s food packaging. This means that a 10 pound cat would need around 1 unit of insulin to die. 5 oz can of cat food can range from 120 to 200 based on the brand. This type of diabetes typically results from the destruction of most or all of the beta-cells that produce insulin in the pancreas. Jun 8, 2012 · The diagnosis -- diabetes -- surprised Frostig. 5 IU insulin/kg of body weight. Hypoglycemia can be dangerous and may result in symptoms such as weakness, tremors, disorientation, and seizures. In rare cases, metformin can have a serious Jan 13, 2023 · The amount of food that a cat should eat before insulin varies depending on the individual cat and the type of insulin being used. My 10 year old cat has been diagnosed with diabetes about 4 months ago and has been receiving 3cc of insulin everyday, twice every 12 hours. Some get 5-6 hours of duration. 7U but we always start a little lower for safety (so 1. Oct 6, 2010 · Sep 24, 2014. 5 to 1 U adjustments to your cat's dose when indicated. Get the needle, syringe, insulin bottle, and dog ready. in the meantime, whatever you can do to encourage kitty to eat and drink would be helpful. Insulin resistance is suspected only after it is required that the animal gets >1. All owners need to assess how well their cat is eating, drinking and general behavior. Your veterinarian will advise you if there are any foods that you should not offer. If this happens, they will become groggy, listless, nauseous, and may act uncoordinated or “drunken. Experts emphasize that you must always match the appropriate syringe with the right insulin. Metformin is very effective at controlling blood glucose and lowers A1c levels by as much as 1. Some get less. If your cat is overweight – help your cat lose weight! (this is critical) Give insulin every 12 hours. The amount of insulin required is related to how much food is eaten, and so if no food is eaten for more than a 12-hour period (when normally it would have been expected to have been eaten) and is refused when offered, do not give the insulin and contact your Diabetes mellitus is a condition in which the body cannot properly produce or respond to the hormone insulin. Therefore, it is important to measure food and monitor your cat We would like to show you a description here but the site won’t allow us. For example, you need to use U40 syringes with U40 insulin; and use U100 syringes with U100 insulin. The results of this test facilitate proper insulin dosage and time of insulin administration. Your veterinarian will advise you on how much insulin to give your cat before it is admitted, or may wish to give a reduced dose of insulin for you. He still urinates like crazy and not inside his box. Normally animals need to have an empty stomach before they are anesthetized. With early intervention and good glycemic control, diabetic remission was achieved in 84–100% of cats in two recent studies. There are no real contraindications to performing this test, but care Mar 21, 2022 · However, if your dog simply appears to be uninterested in the food on offer or won’t eat enough of it, you have a certain amount of time to try to tempt them. Caninsulin should be injected at the same time as, or immediately after feeding. 2 U/kg in the dog). Each starting with a small dose and increasing slowly. Anastasia is supposed to get 1 unit of Lantus every 12 hours. Initially, giving your cat an insulin injection may seem intimidating or overwhelming, but over time, the process will become routine for both of you. Diabetes. Step 6: In the area of lifted skin, insert the needle at a 45-degree angle and gently pull back on the syringe. This allows the insulin to work more effectively and helps keep the blood sugar levels in check. The second meal (the remainder of the daily amount) is usually given about 10–12 hours later, prior to the second Switching to a low-carb diet will at least help reduce the amount of insulin your cat will need, will increase the chances of going into remission, will make your cat's insulin dose much easier to regulate, and may even be enough to manage the diabetes without insulin. Nov 23, 2022 · Some cats will be able to eat small meals and snacks during insulin shots, while others will need to wait until their next mealtime. Apr 27, 2023 · Remember that cats receiving insulin should be fed according to the insulin schedule, meaning that diabetic cats should eat at the same time as the insulin injection. Review the instructions in this handout with this provider. 3/4 to 1. “I didn’t even know that a cat could have diabetes. If you typically feed and give insulin before 7:30 AM, feed and give insulin as usual, then bring the patient it at 8:30. , baby socks or bubble wrap If you typically feed and give insulin at 7:30 AM or later, do not feed the patient or give insulin before bringing him or her into the clinic. alex will often eat if i sprinkle a little cheese (the stinkier, the better) on her food. May 12, 2021 · A measured cup of dry cat food is between 300 and 500 calories (this is an average and varies with brands). These amounts are PER DOSE not per day. Appropriate syringes are made for use with the respective insulin, marked with the correct measure for dosage. If your cat becomes unwell, is vomiting or is refusing to eat, DO NOT give insulin. So if you chose 7 am/pm, then between 6 and 8 is acceptable. Sep 4, 2015 · One of the best ways to determine the optimal insulin dose in a cat is the glucose curve. When it’s time to administer your cat’s next dose of insulin, be sure to follow your veterinarian’s instructions carefully. Make only 0. (If you’re thin, you may need to pinch the skin and inject the insulin at a 45-degree angle. The dosage calculations vary slightly depending on the type of insulin used, but the typical starting range is 0. In conclusion, it is best to follow your veterinarian’s specific feeding guidelines for your dog. Tie the end off in a knot. An alternative is to hospitalize your cat in order to feed her via a feeding tube. Oct 6, 2010 · Oct 6, 2010. Inject the air from the syringe into the bottle. I do not know the nutritional content of wet cat food, but if you give your cat some chicken or maybe some tuna, you would not need to give them insulin, because chicken and tuna are carb-free. As the name implies, dogs with this type of diabetes require insulin injections to stabilize blood sugar Jun 21, 2011 · Dec 28, 2009. We have tried 4 types of insulin (ProZinc, Vetsulin, Novolin N and Lantus). 5 U/kg q12h (Most average cats are initiated on 1 U/cat q12 hrs. The level of fructosamine in blood serum samples is representative of the average blood sugar levels Apr 15, 2024 · Your veterinarian will need to prescribe insulin for your cat. However, a slow increase in doses or extended release preparations can often prevent this. Normally, the cells of the body use insulin to take in the glucose and use it for energy. Remove the insulin from the refrigerator a few minutes before drawing up the injection to allow it to warm slightly. 5 U/kg q 12 hr, with a range of 0. 2. Each cat’s response time may differ, as it depends on various factors. Recommend client daily treatment log listing dose, administration of feeding and insulin times Glargine (Lantus), q 12 hr based on the estimated ideal body weight of the cat and BG levels: This equates to 1 U q 12 hr in the average cat. My senior car has been on insulin for years and has always had a big appetite but as of lately, he’s not eating much. Recheck your blood sugar after 15 or 20 minutes. 2001;3(1):23–30. It is also important to monitor your dog’s blood sugar levels regularly, and to adjust their diet as needed in order Many cats have their glucose levels regulated with ½ to 1 unit twice a day (BID). Cats should be re-evaluated at appropriate intervals and the insulin dose adjusted based on clinical signs in conjunction with appropriate Step 10: Pinch and fold your cat’s skin with your thumb and index finger. If it's still low, take another 15 to 20 grams of a quick-acting sugar, and eat something if you can. Diabetes mellitus is a chronic condition that affects your cat’s ability to use the carbohydrates in food for energy. 5–4. 25 so would be 1. Nov 1, 2012 · If the cat has clinical signs of diabetes the insulin dose needs to be adjusted upward in the manner that was described previously. Because it is a protein, the acids in the stomach would digest it if you were to administer it orally. Most guaranteed analyses will not tell you if the fiber in the diet Insulin therapy is the primary form of treatment for feline diabetes. Your cat will need to be dropped at the veterinary clinic early after you feed them breakfast. Dec 28, 2009 · The link you sent gave me a few ideas. For diabetic dogs, moving the food through the digestive tract quickly is advantageous. G. Bexacat TM should not be started in cats that are ill, not eating, dehydrated, lethargic, or have liver, pancreatic, or kidney . If your cat cannot be tempted to eat voluntarily, your veterinarian may suggest giving liquid food via a syringe. Call your diabetes care provider 2 weeks before your scan to talk about the best way to prepare for your scan. This allows you to see that the dog is feeling well and eating normally before the insulin is given. UWMC Imaging Services | Box 357115 1959 N. Et al. Obviously, giving it at 7:00 on the dot is ideal, but sometimes life gets in the way. Jun 10, 2024 · 8–20 pounds. Fortunately, a human origin PZI insulin (called Prozinc®) became available at the end of 2009. Pacific St. After its manufacturer exhausted its supply of beef pancreas it became unavailable, much to the consternation of many diabetic cat owners. Cats that have diabetes for more than six months are less likely to go into remission. Food and Drug Administration approved the first oral new animal drug to improve glycemic control in otherwise healthy cats with diabetes mellitus not previously May 25, 2024 · 7. O’Neill, D. J Feline Med Surg. Hard to say, but here are some ideas. Cat feeding amounts vary from product to product based on calorie content and formula. ” If you suspect that this is happening, immediately offer your cat food. Select an injection site, typically along the flank or scruff of your dog’s neck. Generally, it’s recommended that cats receive their insulin injection shortly after eating a meal. 10 Avoid hypothermia by providing heat support through warm IV fluids; a fluid line warmer; insulation on the patient’s feet (e. In dogs, the labeled starting Vetsulin dose is 0. Calories: Being overweight makes it more difficult to control cats’ blood sugar. An insulin-dependent cat's optimal range would be thirty or so points higher overall, for safety. Note: Amounts listed above are for a 24-hour period. – If you take oral diabetes medicine or a diabetes medicine . When performing a blood glucose curve, samples probably only need to be taken every 4hrs over 12 hr in many cats (ie. #Step 11: Gently insert the needle into the focal point of the overlap. Overweight cats are less sensitive to the Apr 8, 2022 · Let’s say that you check your blood sugar before a meal and it’s 170. If the blood glucose level is below 250 mg/dl and the clinical signs are gone, either the insulin dose needs to be reduced or stopped entirely. When you first start, you may find it easier to clip a little patch of fur so you can see the skin where you will inject. May 6, 2019 · When a cat receives too much insulin, it is possible for their blood sugar to drop to a dangerously low level. He has recently been diagnosed… Initial Treatment. Various insulin types are available, each with its unique advantages and disadvantages. For a dog who is in good weight or slightly underweight, look for a diet with 5-15% fiber on a dry basis. Increase by only ½ or 1 unit if the cat clearly needs more insulin. May 16, 2012. Epidemiology of Diabetes Mellitus among 193,435 Cats Attending Primary-Care Veterinary Practices in England. Martin GJ, Rand JS. In addition to insulin, nutrition plays a key role in the treatment of cats with diabetes. Apr 10, 2023 · It is used to treat newly diagnosed diabetes in cats that are otherwise healthy and have never been treated with insulin before. If your cat will not eat, you will need to give sugar. In cats, Caninsulin dosing is calculated on a per animal basis (initial dosing for cats is based on blood glucose results). E. By itself, metformin does not usually cause low blood glucose. Like the human body, the cells in a cat’s body need sugar in the form of glucose for energy. 5 U/kg (dog) or >6 U (cat) and all blood glucoses are >300. >2. 1. Microwave the sock for 20-30 seconds. But I wonder if she is already associating eating with unpleasant injections. 1 units per pound of body weight. Today the U. ” Important things to remember. You do not want to run the risk of dropping your cat’s glucose level too low. Cats with diabetes have a relative or absolute insufficiency of the hormone insulin, which is required for proper nutrient metabolism. Cold insulin is more uncomfortable for your cat. This results in elevated levels of the sugar glucose in the blood, which is the main source of energy for the body. se cb mj zv mq az fe ga ru ye