Diabetes mellitus in cats causes significant suffering if untreated but is highly manageable with twice-daily insulin injections and dietary management, with remission achievable in many cases.
Feline diabetes causes suffering through the effects of chronic hyperglycaemia — weakness, excessive thirst, urination, and gradual tissue damage — and through the acute effects of hypoglycaemia from insulin overdose. Effective management requires owner commitment to twice-daily injections, dietary discipline, and glucose monitoring. However, the welfare benefit of control is substantial: a well-regulated diabetic cat can live a comfortable, active life for years. The possibility of remission — particularly with a low-carbohydrate diet — means that intensive early management may eventually eliminate insulin dependency, making the initial investment worthwhile.