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!
Clinically Approved Standard by Dial A Vet Veterinary Team
Disclaimer: The customer and expert messages presented herein may have been altered with artificial intelligence or modified to enhance readability and safeguard the privacy of individuals. This content is for informational purposes only and is not a substitute for professional veterinary advice, diagnosis, or treatment. If your pet is experiencing a medical emergency, contact your local veterinarian or emergency animal hospital immediately. Talk to a vet now.

