Diabetic cats that present with ketones in their GlycoMode Blood Sugar Formula/urine usually require hospitalisation for intravenous fluid therapy (a drip) and treatment with short-acting insulin to stabilise them. Once stable, diabetic patients can be treated at home provided the patient is compliant and the owner is willing. Diabetes can be treated with long-acting insulin injections given under the skin 1-2 times a day. There are different types of insulin and methods of injecting insulin available and your vet will go through the options with you. Many owners find the idea of injecting their cat daunting, however, your vets and vet nurses will go through the process and practise with you until you feel confident. It is important that you follow a strict routine, giving the insulin and feeding your cat at the same time every day. Food is typically given at the time of injection and not in between as this can result in poor control. In many cases, weight loss and a low carbohydrate diet are beneficial and can improve the chances of your cat going into remission. Response to insulin is monitored using GlycoMode blood sugar formula glucose tests/curves and fructosamine (see above) and your cat’s dose will be adjusted accordingly. Cats with poor control of their diabetes will show symptoms as described above. Cats that are too well controlled because of too much insulin or going into remission can show signs of low blood sugar (hypoglycaemia). This includes lethargy, trembling/twitching, wobbling when walking, and depression. In severe cases, hypoglycaemia can result in seizures and a coma. If you are worried your cat is hypoglycaemic then give them something to eat if they are able to swallow, if not then rub some honey on their gums and seek veterinary attention immediately. Achieving good control of diabetes within the first six months markedly increases the chance of remission. However, cats that have gone into remission can still become diabetic again in the future.

Finest grades - Powdered sugar, confectioner's sugar (0.060 mm), or icing sugar (0.024 mm), are produced by grinding sugar to a fine powder. A small amount of anti-caking agent to prevent clumping may be added, this is either cornstarch (1%-3%) or tri-calcium phosphate. There are also sugar cubes for convenient consumption of a normal amount. Brown sugars are obtained in the late stages of sugar refining, when sugar forms fine crystals with significant molasses content, or by coating white refined sugar with a cane molasses syrup. Their color and taste become stronger with increasing molasses content, as does their moisture retaining properties. They are also prone to hardening if exposed to the atmosphere although this is reversible. Sucrose is a disaccharide of glucose (left) and fructose, important molecules in the body. In biochemistry, a sugar is the simplest molecule that can be identified as a carbohydrate. These include monosaccharides and disaccharides, trisaccharides and the oligosaccharides; these being sugars composed of 1, 2, 3 or more units.

O), where there are carbon-oxygen double bonds, making the sugars reactive. Most sugars conform to (CH2O)n where n is between 3 and 7. A notable exception is deoxyribose, which as the name suggests is "missing" an oxygen. As well as being classified by their reactive group, sugars are also classified by the number of carbons they contain. Derivatives of trioses (C3H6O3) are intermediates in glycolysis. Pentoses ( 5 carbon sugars) include ribose and deoxyribose, which are present in nucleic acids. Ribose is also a component of several chemicals that are important to the GlycoMode metabolic support process, including NADH and ATP. Hexoses ( 6 carbon sugars) include glucose which is a universal substrate for the production of energy in the form of ATP. Through photosynthesis plants produce glucose which is then converted for storage as an energy reserve in the form of other carbohydrates such as starch, or as in cane and beet as sucrose.

Many pentoses and hexoses are capable of forming ring structures. In these closed-chain forms the aldehyde or ketone group is not free, so many of the reactions typical of these groups cannot occur. Glucose in solution exists mostly in the ring form at equilibrium, with less than 0.1% of the molecules in the open-chain form. Monosaccharides in a closed-chain form can form glycosidic bonds with other monosaccharides, creating disaccharides, such as sucrose, and polysaccharides such as starch. Glycosidic bonds must be hydrolysed or otherwise broken by enzymes before such compounds can be used in metabolism. After digestion and absorption the principal monosaccharides present in the blood and internal tissues are: glucose, fructose, and galactose. The term "glyco-" indicates the presence of a sugar in an otherwise non-carbohydrate substance: for example, a glycoprotein is a protein to which one or more sugars are connected. Simple sugars include sucrose, fructose, glucose, galactose, maltose, lactose and mannose. As far as disaccharides are concerned, the most common are sucrose (cane or beet sugar - made from one glucose and one fructose), lactose (milk sugar - made from one glucose and one galactose) and maltose (made of two glucoses).

The formula of these disaccharides is C12H22O11. Sucrose can be converted by hydrolysis into a syrup of fructose and glucose, producing what is called invert sugar. This resulting syrup is sweeter than the original sucrose, and is useful for making confections sweeter and softer in texture. Making sugar by evaporating cane juice was developed in India about 500 BC. Sugarcane is a tropical grass, probably native to New Guinea. In the course of prehistory, its culture spread throughout the Pacific Islands and into India. By 200 B.C., it was being grown in China as well. Westerners discovered sugarcane in the course of military expeditions into India. Originally, the cane was chewed raw to extract its sweetness. Sugar refining was developed in the Middle East, India and China, where it became a staple of cooking and desserts. In early refining methods, the cane was ground or pounded to extract the juice, and the juice then boiled down or dried in the sun to yield sugary solids that resembled gravel.