Bear was diagnosed may 6, 2020. We hit 15.5 days with no insulin. I still keep records to track what he can or can not have. We have been adding in small portions "2TBSP" (he's stillmstill on wet) when he asks to eat and it hasn't caused his sugars to rise. We pretty much have him on a feeding schedule. He's back to his normal annoying self. Love it.