Insulin Dosages Using Urine Strip Results
Some people prefer to check glucose levels in their cats by testing the urine. When blood glucose levels get too high, the kidneys cannot filter all of this and glucose "spills" into the urine. Guidelines indicate that glucose will spill into the urine when blood glucose levels are above 220 mg/dl. Individual cats will have different levels based on age, kidney damage, and other factors. When the blood glucose is within the normal range, no glucose will show up in the urine.
Although this method of monitoring means you can do it at home without sticking your cat for a blood sample, there are some problems.
Once your pet is well regulated, you may want to consider switching to home blood glucose testing. As always, please consult with your veterinarian.
In the initial stages of therapy the usual recommendation is to test three times per day. After regulation has been achieved, routine tests before the morning meal two to three times weekly will be enough to let you know if your pet is staying regulated.
Suggested times for doing urine glucose tests are
the results of urine strips, the insulin dose can be adjusted. PLEASE
DO NOT MAKE RADICAL CHANGES IN YOUR CAT'S INSULIN DOSE WITHOUT CONSULTING
YOUR VETERINARIAN. Also, once a dose change is made, give your cat 3 to
4 days to adjust to the new dose before considering another change.
I've seen 2 non-invasive, non-technically challenging ways to easily collect a feline urine sample.
1) Place the kitty litter pan (kitty litter and all) into a plastic garbage bag and tie the bag shut. Place the bagged box back to its normal location and wait. Most cats can still feel the litter through the plastic and accept it as the place to do their business. This results in a nice tidy pool of urine on to of the plastic (unless kitty claws through the bag, double-bagging or a few tries might be needed).
2) Replacing the kitty litter with clean aquarium gravel on testing days.
We've recently started using the first method for owners to collect urine from their cats at home to bring in for urinalysis (mainly to recheck infections and crystals), and fractious cats that would sooner perform blood samples on the staff than allow us to obtain a urine sample without sedation. It works quite well for stick and spindown urinalysis where environmental contaminants are not a major concern. We use human urine sticks for animal tests, which include glucose, so human sticks should be sufficient.
Hope I was of help!
Dawn M. Williams, DVM
Comments by Dr. Rebecca Price on Urine Testing
Please be sure to heed the warnings stated above about using this technique. Also, the vast majority of cats CAN be tested by glucometer, a much more accurate and safe message for monitoring your cat and adjusting the dosage, so please strongly consider using a glucometer rather than urine strips.
Regardless of the method you do chose for monitoring your cats diabetes, it is also important to periodically monitor your cat's urine for the presence of KETONES that can signal a serious problem. I would recommend using a combination glucose/ketone monitoring strip(e.g. KetoDiastix), widely avaiable at pharmacies, if you are not doing blood glucose testing. If you do use a glucometer to test blood, you can get urine test strips that test only for ketones.
Since this article has been written, an ecologically sound litter system has becom widely available that makes urine collection very simple. This urine collection method uses the Smart Cat Box and can be purchased on line only. Click here for more information.
Last updated 07/12/2010