Plenty of support exists for you. The MUFFIN email list is a jewel, and the Feline Diabetes Message Board (FDMB) will connect you with a whole community of people who have diabetic cats and will give you almost immediate feedback. The only thing we have all agreed on entirely is this: trust your own good sense. IF YOU THINK SOMETHING IS NOT RIGHT, TRUST YOUR SELF. A cat's wellness is broadcast by a constellation of behaviors, and the only one who knows him well enough to get the message early is you, who lives with him and cares enough to observe closely and thoughtfully.
Using this protocol, you can expect to start seeing some very “normal” numbers within a few days or weeks of starting. As long as you are feeding your cat ONLY low-carbohydrate foods, you do not need to be fearful of clinical hypoglycemia. In fact, those blood glucose numbers in the 60-120 range are the objective of the protocol. Even if the blood glucose drops to 30-50, do not feed sugar syrup or dry food. A small, high protein wet food meal is all you need for a cat at these numbers and that is more for the owner than the cat. As time passes, smaller doses will achieve the same results that larger ones once did, and you will even start skipping doses as you test and find the blood glucose is still in the normal range many hours or even days after the last dose of insulin. When this happens, you will know your cat’s own pancreas is beginning to function on its own. For more information on this method, see .
A final note. Some veterinarians use a test called a fructosamine test to determine the level of diabetes control in a particular patient on insulin. This test was valuable before the days when owners started hometesting their own cats. The frucosamine test measures a rough “average” of the amount of glucose in the cat’s circulation over the 3 weeks or so preceding the test. If the fructosamine test gives a high value, meaning the cat is not well regulated, a blood glucose curve is then done to determine how to adjust the cat’s insulin. Because pet owners who home test are already doing their own curves at home, yielding more precise information for making these insulin on a day to day basis, the fructosamine test gives no useful additional information in such cases.