Hello everybody, My name is Cody I have a 13 year old Female Domestic Medium Hair cat: Boots! She is a tuxedo cat and the coloring is white chin, belly, white paws and white legs as if she was wearing socks and everywhere else. She was diagnosed in May with Diabetic Keto Acidosis she was hospitalized for a few days then went home with me and we've been doing the treatment. Starting with 1 Unit of Lantus Glargine every 12 hours (6 am and 6pm) and a prescription diet, I give her a mix of the Wet Food Purina Pro Plan DM and Science Diet DM. I hadn't been doing home testing just spot checks at the vet every 7 to 10 days after a dose adjustment about 6 hours from her first dose. She'd been high each time starting at 309, then 556, 526, 317, increasing the dose each round where at the 317 reading on 6/13 we increased the dose up to 3.5 (was 1, then 1.5, then 2, 3, 3.5). We haven't done any glucose curves... Boots is very picky she doesn't like to eat at the vet and the vet hadn't pushed home testing on me, I know about it but was a mix being afraid and of thinking my picky cat would hate it and be very difficult and that the Vet knows whats best. Well on 6/15 that night I noticed she wasn't super eager for the nightly food time, usually she is by my side an hour or two sometimes more ready for food poking at me. That day she wasn't so I thought it was odd but didnt think to much of it as when the alarm went off, she knows the song means food time and came running. She ate the meal and I gave the full dose. An hour or so later I noticed she was walking around sniffing EVERYTHING and wasn't responsive, like she didn't know I was there, or where she was. I brought her in to the emergency Vet, didn't think sugar was needed as she was otherwise alert, but in the car she became more and more unresponsive, I cut my finger up as I drove in the car down the highway trying to give her gravy from a can of food (didnt have syrup with me) when I got her to the hospital she was in the 50's so they kept her over night to bring her up. We lowered the dose down to 3 units and the ER vet recommended a glucose curve. Brought her in to my normal vet on 6/19 for a curve but that morning before food and insulin her first reading was in the 50's so insulin was out of the question and they kept her there, syringe fed her and made sure her sugar came up. The night before she had some diarrhea so when I picked her up that afternoon they gave me 7 packets of fortiflora to give her 1 with food each night and we dropped the dose down to 2 units, and they ordered a glucometer for me which would take some time to come in. Things seemed to go fine until on 6/25 last Thursday, that evening before food she showed the same signs, not at all interested until right when the alarm went off, she ate well, her full meal but I was worried, didnt give insulin and called the ER Vet brought her in and yup she was in the 50's. So they kept her for a few hours to make sure she would come back up, I picked her up after like 3 hours and took her home. Her new dose now lowered to 1 unit. Recommended a glucose curve. Her diarhea or loose/runny stool has continued sometimes its much more solid, like soft serve sometimes that and a bit watery, the ER vet didn't seem to think it was a huge problem but keep an eye out for it and let them know. I called my normal VET on friday morning and spoke to them, the vet tech didn't seem too concerned and said the glucometer was still shipping, shipping has been slow so they don't know when it will come in but let me know. They are closed for the weekend. Friday I called the ER Vet and they said they had a glucometer they could sell me so I picked it up on saturday (wanting to give her a little break from so much Vet) and at 12:57PM when they showed me how to use it she was at 130 MG. I tested again at 4:45PM and she was at 110 6/28 12:39 AM 246 MG 6/28 5:22 AM 337 MG 6/28 12:24 PM 148 MG Her behavior had been normal aside from the soft serve runny poops, her appetite has dropped a lot she doesn't eat nearly as fast as she did before. Usually she'd have scarfed up everything in 10 minutes now she takes 30 or more of me reminding her to keep eating, but super eager for meal times. Clearly I have been clueless and not asking or demanding the right things... But today even though she seemed good and no problems super ready for food, I thought I better test her: 6/28 5:26PM 59 MG So I call the ER Vet and they say yeah thats a problem, give her food, wait 30 minutes after she has finished and call us back with the results. So she ate pretty well tonight, not as fast as what her normal had been but better, 30 minutes after finishing food tested her and she was only at 7:00 PM 169 MG Which they said was still to low so don't give any insulin. They said the safe range is 200 - 300 where she should be at before food. Tomorrow morning if she is at that range before feeding time, its safe to give her the food, wait 30 minutes and do the insulin. So yeah I am insanely stressed, I feel even more so like I am failing her and have messed this all up and my normal Vet has just let it all happen. So I have a lot of questions and fears as I prepare to talk to my vet tomorrow or think of just switching to the ER Vet permanently (they are a 24 hour animal hospital and Vet) First I'm not sure if this is the right place for all this so I'm sorry and will happy let it be moved or can repost it. But... Have I been doing it all wrong? Is this normally this hard? Is my vet awful? Tomorrow morning the plan is test her before food time, if she is in the 200-300 range, feed her (which I will anyways of course) but if she is in that range its safe to give the insulin after 30 minutes) previously I was told by my normal vet that can give insulin as she eats as long as she has ate half. The ER Vet says you gotta give food and then wait 30 minutes. The normal vet just said if she doesn't eat at all you give a half dose and then if next meal still doesnt eat, no insulin an call them. But if she eats at lest half can give the full meal. Is that all correct? Did I get it wrong from the ER vet do I need to test before food, test after food and then Insulin? What should be my plan going forward? I'm just super stressed with all this. And I'm sure this is all a mess. But thank you.