Glucosuria in Cats
Normally, the kidneys are able to reclaim all of the filtered glucose from the urine into the bloodstream. Glucosuria (or glycosuria) is characterized by the presence of glucose into the urine. It is nearly always due to kidney disorders, such as diabetes mellitus.
Symptoms and Types
Glucosuria is categorized as hyperglycemic (260–310 mg/dL ) or normoglycemic, and subcategorized as transient or persistent. Symptoms will depend on the underlying disease, but some possible signs include:
- Diluted urine
- Increased thirst and drinking (polydipsia and polyuria, respectively)
- Renal failure
- Urinary tract disease
- Possible systemic disease (in hyperglycemic glucosuria)
- Stress-related hyperglycemia
- Adverse drug reaction (e.g., epinephrine, morphine, and phenothiazines)
- Systemic disease
- Diabetes mellitus
- Overactive adrenal gland (hyperadrenocorticism)
- Sudden inflammation of the pancreas (acute pancreatitis)
- Lesions in the central nervous system (brain, spine, etc.)
- Adrenal gland tumor (pheochromocytoma)
- Progesterone-associated hyperglycemia
- Excessive growth hormone (acromegaly)
- Bacterial infection in the blood (sepsis)
- Glucagonoma (tumor in the pancreas which secretes glucagon, a hormone which increases blood sugar)
- Chronic liver failure
- Etiologic agents such as heavy metal poisons, drugs, and chemicals
- Congenital normoglycemic glucosuria
- Primary renal glucosuria
- Congenital diseases associated with kidney dysfunction
- Acquired normoglycemic Glucosuria
You will need to give a thorough history of your cat’s health to your veterinarian, including the onset and nature of the symptoms. He or she will then perform a complete physical examination as well as a complete blood count, biochemistry profile, electrolyte panel, and urinalysis to detect any underlying systemic diseases causing the glucosuria -- though often there is too little glucose present in the cat's urine to be detected. Hexokinase- or glucose dehydrogenase-based techniques are recommended for quantification of urinary glucose.
The type of treatment will depend on the underlying cause of glucosuria. If a urinary tract infection is present, for example, antibiotics will be employed and adjusted according to the culture. Meanwhile, solutions or medications that may have caused the glucose to appear in the urine should be discontinued immediately.
A medical condition involving excessive thirst
A medical condition; the contamination of a living thing by a harmful type of bacteria
An in-depth examination of the properties of urine; used to determine the presence or absence of illness
urinary tract infection
Also referred to as a UTI; a medical condition of the urinary tract and system in which the cells are damaged by microorganisms.
A medical condition in which the pancreas becomes inflamed
Something that is related to the whole body and not just one particular part or organ
Elevated levels of glucose in the blood
A type of hormone, also called adrenaline
The gland that produces the hormone adrenaline and others; helps to regulate the metabolism, electrolytes, and even sexual function; also helps to regulate the way the body responds to injury, trauma, etc. The adrenal gland is found near the kidney. Also referred to as the suprarenal gland.
A hormone that increases the amount of glucose in the blood; secreted by the pancreas
Glucose in the urine of an animal
Term used to imply that a situation or condition is more severe than usual; also used to refer to a disease having run a short course or come on suddenly.
The hormones that stimulate growth of the body
A gland that aids in both digestive and insulin functions