Silverado remains on low carb wet food (Fancy Feast and Sophisticat from PetSmart). There is no access to high carb food or treats. The low carb food is available at all times. He does not go outside. He had a recent dental and check-up.... no infections, no dental issues. He has never tested positive for Ketones. He does display physical symptoms of acromegaly, but I'm not convinced enough yet to go for the test. Acro symptoms are pot belly, big feet, large lower jaw, broad face, enlarged heart, snoring, insatiable appetite, and as yet uncontrolled diabetes at 5 units BID. If I can get the diabetes under control, I will consider the other symptoms to be coincidence. On 05/08, his numbers got well into the green. There was no lifestyle change to account for the drop on 05/08, but it got really scary for me when he hit 50, so I gave him a couple of tablespoons of high carb canned friskies with gravy. The next day, I decided to temporarily lower his dose and then gradually work his dose back up if his BG tests warranted it. Does anyone see anything in the spreadsheet to indicate that I'm doing anything wrong? There seems to be no end to the frustration for me. I'm just glad that Silverado seems oblivious to his health issue.... he's a happy and loving little guy.