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2026 AAHA Diabetes Management Guidelines for Cats
Journal of the American Animal Hospital Association
|April 21, 2026
Summary
New feline diabetes mellitus (DM) guidelines offer updated strategies for managing this common endocrine disorder in cats. Successful management, including achieving diabetic remission, is possible with current expert recommendations.
Area of Science:
- Veterinary Medicine
- Endocrinology
- Companion Animal Health
Background:
- Feline diabetes mellitus (DM) is a prevalent endocrine disorder with potential for serious complications.
- Effective management of DM in cats is achievable, with diabetic remission being a possibility.
- Existing guidelines require updates to incorporate new findings and expert opinions.
Purpose of the Study:
- To present the 2026 AAHA Diabetes Management Guidelines for Cats.
- To provide updated, clinically relevant information for feline DM diagnosis and management.
- To incorporate new research and expert consensus into feline diabetes care.
Main Methods:
- Review and synthesis of existing literature and expert opinion.
- Development of evidence-based recommendations for feline DM.
- Inclusion of updated information on pathophysiology, diagnosis, and treatment.
Main Results:
- The guidelines cover pathophysiology, diagnosis, and treatment of feline DM.
- Specific recommendations are provided for SGLT2 inhibitors, insulin therapy, and monitoring.
- Diet, physical activity, at-home monitoring, diabetic ketoacidosis, and client education are addressed.
Conclusions:
- The 2026 guidelines offer comprehensive, updated strategies for feline diabetes management.
- These guidelines aim to improve clinical outcomes and patient quality of life for diabetic cats.
- Early identification of at-risk cats and differentiation from transient hyperglycemia are emphasized.
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