Have you looked in your area to see if there is a vet nearby that does acupuncture? Previous vet was only person that did it. I've asked people for their recommendations looking for another vet.
Has he actually been diagnosed with arthritis?-No If so, Adequan could help. I'm hesitant to try new meds. I keep finding things he has a horrible reaction to. Vet gave him gaba and he had a reaction. It didn't make him calm or mellow, it made him agitated.
Even though his numbers are coming down some without insulin, they aren't coming down a lot and are still higher than a cat in remission should have. Agree
Of course infection and/or pain can definitely be playing a part. Stress, too - yours and his - can elevate numbers. I think his pancreas is having a flair. He has opioid sensitivity reaction, so I don't know what to do for his pancreas right now. Giving Bupe will increase his pain sensitivity all over his body.
Deep breaths. I'm trying. I made a decision today, and yesterday I was circling the drain (I think I went down the drain hole a few times as well)
This is going to be okay. Please keep telling me that.
We got your back. Please keep doing that. I need it. I don't like it when he looks miserable. This is different than last time. Last time, if his numbers were high, it didn't seem to bother him. Most days, his behavior had no relation (usually) to what his numbers were. He could be 200-300 and he looked like a happy camper. Right now, it's not that way.