Chattering with iCatCare

Managing feline kidney disease: The 2026 Consensus Guidelines

Chattering with iCatCare

Show Notes

In the September open access episode of Chattering With iCatCare, sponsored by Elanco, Yaiza Gómez-Mejías is joined by feline specialists Natalie Finch and Sam Taylor to introduce the new consensus guidelines on feline chronic kidney disease. Reflecting on a decade of progress, the conversation explores how our approach to diagnosis, risk factors, and long-term care has evolved. They discuss why standard SDMA cutoffs can be misleading in older patients, the crucial distinction between two commonly confused renal stone conditions, and how certain renal diets might unexpectedly trigger hypercalcaemia. Natalie and Sam also highlight novel therapeutic options for CKD anaemia, explore the gut microbiome's role in uraemic toxin buildup, and share why moving from reactive care to proactive screening transforms patient outcomes.

For further reading material please visit:

2026 iCatCare consensus guidelines on the diagnosis and management of chronic kidney disease in cats

MyElanco - Elanco Resources for Veterinary Professionals IRIS Kidney Disease Guidelines & Staging System

Host: Yaiza Gómez-Mejías, LdaVet MANZCVS (Medicine of Cats), RCVS CertAP (Feline Medicine), iCatCare Veterinary Community Co-ordinator

Speakers: Natalie Finch, BVSc, PhD, DipECVIM-CA, FRCVS, European Veterinary Specialist in Small Animal Internal Medicine, RCVS Specialist in Feline Medicine

Samantha Taylor, BVetMed(Hons), CertSAM, DipECVIM-CA, FRCVS, Veterinary Specialist Consultant and Veterinary Specialist Lead at iCatCare

More from Chattering with iCatCare

Oct 12, 2026

In the October open access episode of Chattering With iCatCare, Dr Kelly St Denis is joined by Dr Joseph Evans and Dr Ronald Li to explore the clinical approach to feline haemostasis, clotting disorders, and thrombotic risk in general practice. They review the traditional phases of haemostasis, why cats are uniquely predisposed to hypercoagulable states, and how thrombotic conditions commonly present. Joseph and Ronald also discuss the rationale behind dual-pathway antithrombotic strategies, practical tips for troubleshooting automated platelet clumping, and essential sample-handling techniques to prevent artificial test results when sending samples to external laboratories. For further reading material please visit:

Aug 10, 2026

In the August open access episode of Chattering With iCatCare, Yaiza Gómez-Mejías is joined by veterinary nutritionist Marge Chandler to explore the critical concepts of sarcopenia, cachexia, and frailty in older cats. The conversation focuses on shifting our approach to feline geriatrics, moving beyond the simple concept of the "thin old cat" towards proactive clinical management and preserving quality of life. They explore the key clinical distinctions between sarcopenia and cachexia, why measuring frailty is vital for feline well-being, and how concepts like anabolic resistance challenge traditional dietary advice for senior cats. Marge also addresses common hurdles clinicians face when implementing muscle condition scoring and shares practical, high-impact strategies to help slow muscle loss in everyday practice. For further reading material please visit:

Jul 13, 2026

In the July open access episode of Chattering With iCatCare, Yaiza Gómez-Mejías is joined once again by feline specialist Nicki Reed to continue navigating the high-pressure world of feline medical emergencies. This second part shifts focus towards managing other challenging, high-stakes medical crises frequently encountered in general practice. They explore how to optimise positioning for the seizuring patient, why certain clinical markers can predict severe hyperkalemia in blocked cats before catheterisation, and how to spot the elusive signs of antifreeze toxicity. Nicki also breaks down the unique challenges of managing euglycaemic DKA following the rise of SGLT2 inhibitors and shares essential steps for making emergency referral transport as safe as possible. For further reading material please visit:

Jun 8, 2026

In the June open access episode of Chattering With iCatCare, Yaiza Gómez-Mejías is joined by Mariana Lopes and Joanna Morris to explore feline oncology and the practical roadmap for using oral chemotherapy agents in general practice. The conversation focuses on providing realistic treatment options for patients where referral may not be accessible, highlighting how oral protocols can achieve efficacy and maintain quality of life within a primary care setting. They also discuss why cats must not be treated as small dogs regarding drug toxicity and the specific challenges of monitoring feline patients who often hide side effects. For further reading material please visit:

May 11, 2026

In the May open access episode of Chattering With iCatCare, Yaiza Gómez-Mejías is joined by feline specialist Nicki Reed to navigate the high-pressure world of feline medical emergencies. This episode focuses on the critical first seconds of triage and the stabilization of cats in respiratory and circulatory distress. Together, they explore why the "piecemeal" exam is a vital tool for the dyspneic patient and how the latest RECOVER guidelines have updated our approach to feline CPR. Nicki highlights the specific ways cats differ from dogs in shock and explains how point-of-care tools can help you make life-saving decisions before a full workup begins. For further reading material please visit:

See all episodes →