10Y Diabetic Cat w/ Elevated ALT and Bilirubin Counts

I’m really hoping to get some advice or guidance. So, my 10-year-old kitty has been diabetic for a while now, and we’ve been managing it with insulin. But recently, at our last vet visit, they found her ALT and bilirubin levels are elevated. I’m not gonna lie, I’m pretty worried and not sure what this means for her future. She’s been a trooper with her diabetes, and I’m scared of what this could mean for her. She’s been slightly more lethargic lately and isn’t as enthusiastic about her food, which is unusual because she’s always been a good eater. I’m doing my best to keep her comfortable and medicated, but if anyone has been through something like this with their fur babies, or has any insights about treatments or lifestyle changes, I’d really appreciate your help. I'm just really anxious about all this and just want to make sure I’m doing everything I can for her. Thanks so much in advance.

Answer

Hello there,



It's understandable to be concerned about your kitty's elevated ALT and bilirubin levels. In diabetic cats, these elevated levels can indicate liver stress or damage. This might be due to several underlying issues, such as hepatic lipidosis (fatty liver disease), infections, inflammation, or even bile duct obstructions.



To support your cat at home, ensure she's eating well, as cats with liver issues often experience reduced appetite. Offer small, frequent meals that are rich in protein but low in fat. Hydration is also crucial, so encourage her to drink plenty of water. You might consider using a pet fountain, which often entices more drinking.



Keep a close eye on her for signs of jaundice, like yellowing of the eyes or gums, changes in behavior such as lethargy or hiding, or any signs of discomfort like vomiting or diarrhea. If you notice these signs, it’s important to seek veterinary care promptly.



Since your cat is diabetic, monitoring her blood glucose levels is also crucial, as they can fluctuate with liver issues. Don’t hesitate to reach out to your vet for guidance on adjusting her insulin if needed.



For a more in-depth discussion and personalized advice, consider booking a video consult with us at Dial A Vet. We’re here to help you navigate this and keep your kitty feeling her best!

Next available appointment

Loading…
FREE
Dial A Vet assistant

Vet Assistant Available

Worried? Chat for Free instantly →