Hello all! I wanted to say that I have appreciated your information over the years since we got this cat almost three years ago. He was diagnosed at 7 months of age. No vet has ever seen this and no one seems to understand how to treat it. This does not work like Type 2. He is very underweight in spite of eating so much more than all the other cats. He soils outside the box. I took him to a new vet only because I needed new insulin. The vet actually told me to feed him all he would want because he's underweight. I was shaking my head. They did a curve on him and his fasting a.m. blood sugar was about 378. By 4 pm it was 40. The vet actually told me he was comfortable with a blood sugar well over 300. Can you believe that? I know that tight control is the way to go. I simply don't know what to do. I cannot keep weight on this cat. The vet I had before just said give him two units twice a day. He won't eat the DM formulas which I think is garbage anyway, and while he did great on the classic Fancy Feast he isn't doing well anymore. This is not a healthy cat. I think I am going to make his food via Dr. Pierson's advice. Does anyone know if she even does consults anymore? I would appreciate any advice you have. Thank you.