Hi all, my 10y.o. Nebelung Charlie was recently diagnosed today. Attached is a picture of him and his new brother Theo, a kitten we adopted about a month ago. Blood test on 12/3 revealed Glucose at 425 (ref. value 75-175) Urine test was negative for protein and ketones, but 3+ (1000mg/dL) for Glucose. Did endocrinology test to confirm and got results today. Total T4 was at 1.6 (ref value 0.8-4.7) Hemolysis Index at 1+ Fructosamine at 649 (ref. value 191-349) ------------ The vet seemed surprised we didn't catch this sooner. My cat has always loved to drink water, so I did not notice any uptake in consumption. He has slowly lost weight over the years, down from a very overweight 25lbs when we first got him (adoption at age 5) and now at a healthy 17.5-18 lbs (he is a large cat). I hope he hasn't been dealing with this for many years... his other lab results were fine, it was just the glucose. Anyway, vet has recommended a switch to all wet cat food (Purina DM), and 2 units twice daily of glargine (lantus). They also want us to get the alpha trak glucometer. ------------ I've started to do my research on this forum and useful website and this is what plan I have developed, and have presented to my vet. Wondering what you all think. 1. For diet, go with FF classic or alternate, rather than Purina DM, (thanks for this chart btw and web tool) as it is less expensive but just as effective. I will spend 50% less for something that may be only 99% as effective, that's just my viewpoint at least, as I don't think I can afford all of these "premium options" - though i still want the best for my cat (within reason). 2. For glucose checking, go with the Contour Next EZ (Meter, Lancets, Solution, Strips) for humans, since it is much less expensive than the alpha trak one, and the strips are much less expensive as well. Again, but just as effective. Anyone use this meter for their cats? 3. For Insulin, go with Marks Marine. I hope my vet will be ok with this. Also I found another Canadian supplier called PricePro Pharmacy - anyone ever used them? Anyways these seem to be a lot more reasonable. And I want to take your all's advice and go w/ the pens rather than vials. I found a syringe (CarePoint Vet U-100) at ADW that was recommended on here, will that work with the pens? 4. Do you think jumping straight to 2x2 doses a day is too extreme? Should I try to see if maybe going with just diet only first is more reasonable, or perhaps only 2x1 dosing? Or is 2x2 needed since my cat is larger... or is it because his readings are so high? I can share some other #s of his labs if you are interested ------------ Also, just wanted to say thanks to all of you who contribute to this website. Learning that my cat has diabetes has been overwhelming for sure, but I am not as stressed as I was initially because of all the valuable information that is on this website. I know that most of the answers are here if I just look hard enough!