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Question:

If my cat is fasting before surgery, should I skip is insulin dose?

I'm feeling really anxious right now, and I could really use some advice. My sweet cat, Whiskers, has surgery scheduled for tomorrow, and the vet told me that he needs to fast the night before. That part I understand, but Whiskers is diabetic, and I'm not sure what to do about his insulin dose. He usually gets his shot in the morning with breakfast, but since he can’t eat, I’m freaked out about giving him his usual dose and possibly causing a hypoglycemic episode. I’m scared of getting it wrong and putting him in danger. Has anyone else been through something similar with a diabetic cat? What did you do? Any advice or reassurance would be a lifesaver right now.

Answer:

Thanks for your question! Managing insulin for your cat before surgery is an important step, and it’s great that you’re being proactive about it. Generally, if your cat is fasting, it’s usually advised to adjust or skip their insulin dose to prevent hypoglycemia (low blood sugar). Insulin lowers blood sugar, and without food intake, your cat’s blood sugar might drop too low, leading to lethargy, weakness, or even seizures.



However, the exact action to take can depend on several factors, including your cat’s usual blood sugar levels and overall health. Here’s a safe approach: Monitor your cat’s blood sugar levels closely before the surgery, if possible. You can do this using a home blood glucose monitor, if you have one.



If you notice signs like shakiness, increased hunger, unusual tiredness, or strange behavior, these could indicate low blood sugar, and you might need to administer a small amount of a sugar-containing substance (like honey) and contact your vet immediately.



Since each situation can be unique, I’d recommend booking a video consult with one of our vets at Dial A Vet. We can help tailor guidance based on your pet's specific needs.

Answered by

Louise - Senior Veterinary Nurse, Dial A Vet

June 26, 2025

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The "Ask a Vet" forum on Dial A Vet offers general information and helpful tips on pet health, but it's not a substitute for professional veterinary care. The advice here doesn't create a veterinarian-client-patient relationship, and our vets can't diagnose or treat your pet remotely. For emergencies or specific medical concerns, always contact your local veterinarian immediately. Your pet's health is unique, and decisions should only be made after consulting with a qualified professional. By using this forum, you acknowledge these limitations and agree to seek in-person veterinary advice for all your pet's health needs. View our content guidelines.
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