Sorry to be so dramatic. My Katya (17.5 yrs) was diagnosed with diabetes last Thursday the 19th. She is showing beginning kidney disease as well. I've had her since she was 11 hours old and she has always preferred dry food. About 8-12 months ago I noticed twitching in her front legs and weakness in her rear. I mentioned it to her vet and she thought is was neurological. At that time (teeth cleaning) her glucose was 200 and the vet thought it was elevated because of fear. In the meantime when she started drinking more water and throwing up I thought it was CKD, I had a cat with that and he did the same thing. About a week ago I just had a feeling something was off so I went to another vet and had a blood draw, urinalysis that lead to a fructosomine (sp) test and ultra sound (high calcium). Glucose was 400. Diagnosis, diabetes. They gave me the spiel, but never mentioned me testing her glucose. Found you guys and went and bought a Reli On Prime tester etc.....Doctor wanted me to feed her wet two times a day. Then start her on Lantus. So I would feed her at 11am and 11pm only she does not eat on command. I took her back on Saturday because she was not doing well. She lost almost 1/2 a pound. She has always had dry stools and mild constipation. They gave her an enema, a cerenia shot (vomiting foam the night before) and I asked them to give her fluids. I also requested a bag for sub q's at home. I've done that before with my CKD cat. When she got home she did eat a little. Today I left out a no grain kibble since I need her to eat anything. I have not started the insulin yet since she's not eating well nor twice a day. I bought sardines in oil cause I thought the protein with no carbs would be good and the oil might help her eliminate. I think the twitching and back leg weakness is neuropathy which means the diabetes has been there a while. I'm afraid she'll go into that ketoacidosis (she was negative for it on Saturday) from lack of food. I don't know what is the most important thing to establish first.