The factors which increase the chances of achieving diabetic remission in cats include:

• Low carbohydrate diet
• Long acting insulin eg glargine
• Older age
• Early institution of tight glycemic control
• Recent steroid administration
• Absence of diabetic neuropathy
• Lower serum cholesterol concentration

The protocol for achieving diabetic remission needs to be matched with the right owner. If you have a newly diagnosed diabetic cat case, consider referral to the internal medicine service of NVS for discussion as to whether the cat and owners are good candidates for a diabetic remission protocol.