It's been 4 years since Cass cat's last insulin shot. At almost 18.75, he's still as cuddly as ever. We're doind subQ fluids 3 times per week, but he seems content most of the time. I know the sugar dance is hard, but a happy, healthy cat (even if maintained with insulin) is worth it. Don't give up or despair; Cass was on insulin for almost 3 years. We started dosing 3 times a day. He was a bouncer. I thought he'd never stabalize. But he did. And he's been OTJ longer than he was on. There's lots of good advice & helpful people here. Take advantage of the community & keep on sugar dancing.