4/20/26 Question on Foods - Has anyone tried this with success

[Claire and Kaz]

Kaz has both diabetes and now kidney issues. I have been researching looking for a plan and I wondered if anyone had tried the following with any amount of success.

Thinking DM for breakfast and then NF for the three snacks during the day then NF for dinner and DM for three snacks overnight???
Anyone has tried this approach please let me know.


Using a combination of Purina Pro Plan Veterinary Diets NF (for kidney support) and Purina Pro Plan Veterinary Diets DM (for diabetes management) is a common veterinary-approved strategy to address the conflicting nutritional needs of cats with both kidney disease and diabetes, but it requires strict monitoring.


Is This Combination Good for Both?
Yes, it can be effective because it addresses the most critical needs of each disease:

• NF (Kidney): Provides restricted phosphorus and reduced protein to reduce workload on the kidneys.
• DM (Diabetes): Provides high protein and low carbohydrates to stabilize blood sugar.
• The Balancing Act: Cats with both conditions need phosphorus restriction (from the NF diet) but also need high-quality protein to maintain muscle mass (often supplied by the DM diet), making a blended approach beneficial to prevent malnutrition while protecting kidneys.
  

Phosphorus Levels

• Purina Pro Plan NF (Kidney Function Advanced Care) Wet: Contains approximately 0.39% phosphorus on a dry matter basis (which is restricted to support kidney function).
• Purina Pro Plan DM (Dietetic Management): While formulated primarily for diabetes, it is often formulated to also support urinary health, but it generally has higher phosphorus levels than the specialized NF formula.

 

[Tim & Pookey]

Hi Claire! Does Kaz have high phosphorus?

Have you seen Andrew Hall’s food chart? He has % calories from carbs as well as phos content for a lot of foods. Weruva has some good options.

Sorry I’m not more help with those specific foods you mentioned.

 

[Claire and Kaz]

Hi Claire! Does Kaz have high phosphorus?

Have you seen Andrew Hall’s food chart? He has % calories from carbs as well as phos content for a lot of foods. Weruva has some good options.

Sorry I’m not more help with those specific foods you mentioned.

Thanks

Yes I have this chart and Kaz has been on Weruva for nearly three years along with Tiki.

 

[Wendy&Neko]

What stage kidney disease has Kaz been diagnosed with? Do you have recent lab results? You don't need reduced proteins in the early stages. Rather, you want good quality protein. Have you been to this website: Tanya's Comprehensive Guide to Feline Chronic Kidney Disease – Everything You Need to Know to Help Your Cat

I managed diabetes, kidney disease, heart disease and small cell lymphoma in Neko. I looked for low phosphorus, low carb food. A lot of it was raw food.

 

[Claire and Kaz]

What stage kidney disease has Kaz been diagnosed with? Do you have recent lab results? You don't need reduced proteins in the early stages. Rather, you want good quality protein. Have you been to this website: Tanya's Comprehensive Guide to Feline Chronic Kidney Disease – Everything You Need to Know to Help Your Cat

I managed diabetes, kidney disease, heart disease and small cell lymphoma in Neko. I looked for low phosphorus, low carb food. A lot of it was raw food.

I was told last October that he had kidney issues and was given a supplement which pretty much does nothing. I was actually the one that diagnosed Kaz before the vet confirmed it. I am trying to get him in to confirm but I believe its moderate bordering on severe. He has a really bad breath which I told the vet about in October. The breath itself says that the stage would be 3-4 which is chronic and he is now drinking a lot water.

Trying to get him to the vet to get him looked at for reaccessment.

 

[Wendy&Neko]

There are other things that can cause bad breath, such as bad teeth/gums. Blood work results (and urinalysis) can help you stage kidney disease.