Hey guys, I haven’t posted here in a really long time, so bear with me... my FDMB spreadsheet is very out of date, so I’ll try to describe where Lola has been. This is going to be pretty long, so thanks in advance for reading through it... I’m pretty worried because Lola has ketones in the urine, but I’ll get to that. Two weeks ago, Lola got her routine bloodwork, and her glucose was a little higher than usual at 13.4 mmol/L (241 mg/dL). That was at about +7 hours from her AM shot of 1.5 units ProZinc. Normal pre-shot values for her are between 10.0 and 12.0 mmol/L (180 to 215 mg/dL), and last time I did a curve on her (admittedly too long ago - about 8 months) she had a nadir of 7.7 mmol/L (140 mg/dL). I do realize human meters tend to slightly underreport blood glucose in cats, so that may account for some of the variance between my tests and the vet’s bloodwork. Her fructosamine was 425, which the vet said indicated fair regulation, so she advised to keep things as is. We didn’t have urinalysis to go off of at the time because the sample leaked during shipment to the lab, so I took her in to get a new sample last Friday. I just got the call from the vet about the results of that today, and she said there was some glucose in the urine, which she didn’t find overly concerning. However, she tested positive for ketones (it was 2+), so we are obviously very concerned. I remember reading that infections can influence ketones. She was actually at the vet on Friday mainly to deal with a skin infection she quickly developed on her chin (about 5 mm and deep) that had a bad odour and was secreting borderline-purulent fluid. It’s nearly completely cleared up now; I’ve been applying Isaderm (fusidic acid + betamethasone) twice daily and she’s got a collar to stop her from scratching it. Could this have contributed to the ketone value? Also, if I want to re-test her ketones, do I have to take her back to the vet for a urine test, or could I use a digital blood ketone meter? I can’t use Ketostix at home because it’s impossible to get fresh urine from Lola. I’m doing a blood glucose curve today, and she’s gone from AMPS = 11.4 (205) to +1 = 11.5 (205) and then +3 = 8.4 mmol/L (150 mg/dL). As a side note, I’m a little worried that my injection technique could use work and that there’s some kind of insulin absorption problem. I always use the same area (the scruff/loose skin above her right shoulder blade), although I try to vary the exact spot above that shoulder blade that I inject each time. Could there be scar tissue affecting this from repeated use of that area? Would it make sense to do another blood glucose curve tomorrow using a different site to see if it makes a difference? Any help/advice is appreciated - thanks in advance!