Re: 2/8 Blackie AMPS-137,+3-304,+6-331
There some stickies in the high dose forum about acromegaly and IAA that might be of interest to you, if you haven't seen them already.
I wonder if Blackie is a candidate for R (a type of insulin) for use in conjunction with Lantus? I'm certainly no expert in that, but have seen it recommended for cats with very high BGs (e.g., Buddy of Jan & Buddy). It seems that Lantus isn't as effective with very high BGs, so the R helps to bring the BG down so that Lantus can take hold.
I don't know if it would be applicable for Blackie given his tendency to drop in the 100s and then rebound as opposed to never dropping. But maybe you could ask for help with that.