Hi my name is Jessica. My cat Lily (just turned nine in August) was recently diagnosed with acromegaly after her blood work was sent to Michigan and her IGF-1 came back <500 (I don't have the exact number in front of me at the moment). As of yesterday she is on 5 units of Lantus twice a day (up from 4 units twice a day) and her urine glucose as been teetering between 1000 and 2000 on the on at home test strips. Ketones have been between negative and trace. The high glucose is really concerning, but our vet is careful to raise it slowly, so that's why it still hasn't gotten under control. Let me add that upon being diagnosed diabetic (Lily hasn't even been on insulin a month yet), we chose to pursue the IGF-1 test almost immediately because some of Lily's external features appeared larger and the vet had mentioned acro in passing. It was also alarming that Lily was initially diagnosed as an "early diabetic," but her numbers jumped from the 300 range to 2000 range in such a short period of time. As far as diet, Lily has been on Hill's m/d, but we are thinking of switching to Wellness Core Grain Free Indoor formula, since the protein and fat analyses seem comparable to Hill's m/d. Thanks to this forum I found out that the Veterinary Speciality Center in Yonkers, NY is performing SRT and is only a little over an hour drive from our home. We also researched another place in Clifton, NJ and while we could not get too much information over the phone, the also treat feline acromegaly. Our vet also let us know that another vet in NJ, Red Bank Animal Hospital, just got a brand new machine to perform precise radiation--we left a message for one of their doctors yesterday, but haven't heard back yet. I saw at least one person on this forum input their experience at Yonkers into a spreadsheet where some other folks who went to CSU provided their information for us, but I would love to be able to find some more people who have experience with the treatment at Yonkers. We got in contact with Dr. Berg, one of the co-founders at Yonkers and he was very helpful. Our next step is to pursue an preliminary echocardiogram and a sonogram of the abdomen at our regular vet, before heading to Yonkers for CT/MRI testing. This forum has been a saving grace and a source of hope for my family and Lily. I requested to join the Facebook group a few days ago too--I don't think I've been approved yet, but I'm looking forward to talking to and sharing knowledge and experience with other owners of acrocats.