Our vet suspected acromegaly from the moment Hamilton was diagnosed. However, I thought, ignorantly, we dodged that bullet because we were able to regulate him on 2 units of Lantus. Just before Christmas we lost regulation and he continued to climb. We are up to 5.5u of Lantus and he’s showing some better numbers, but I’m starting to come out of denial about the acromegaly. Our vet didn’t seem to support getting the actual diagnosis because our treatment plan would be the same due to Hamilton’s age, heart issues, and kidney disease. He was quite confident about acromegaly as he’s seen it before. Unfortunately, Hamilton has started to cower and hiss at his injections, so I’m going to ask about switching to Levemir (as someone here just told me about it). I’m overwhelmed, exhausted, and feeling a bit pessimistic about our options. I’d be happy to hear thoughts about possible avenues for our sweet boy.