Re: 5/10 Gus PMPS 227; +3=320
Bev, it's not so much that you will treat drastically different, but you do need to know if Gus has a functional pancreas or not.
A functional pancreas will mean that if Gus goes low, feeding him HC may not work to bring up his numbers, and it may even cause them to drop even lower! It is for that reason that acros should avoid green numbers - acro means that BG blue range is their green range, and yellow is like blues. Acro positive is a permanent condition in the majority of cases.
If positive for IAA, you need to be more aggressive and push for green because IAA can be temporary, and if you are successful, you can beat IAA and Gus could go OTJ.
There is a difference: acro causes the diabetes in most cases.
There are some acros that are low dose - Shadoe has been down as low as 2.75u and up to 17u BID. The dose fluctuates, unlike regular DM, so testing is very important because needs can rev up or down quickly. The GH output dictates dose.
When you reach a dose like Gus is getting, and you have been feeding wet low carb food, and health issues including dental have been ruled out, you are likely looking at insulin resistance, so until you have him tested, it is safer to go on the assumption that Gus would test positive.
There are also precautions needed for acros - soft tissue growth is an issue in the throat so any tubing at vet should be kitten sized. There are plenty of other issues that affect acros and not regular DM kitties, so the testing is a good thing to get done.
I don't know what other kind of info you wanted, but just ask and you can get some answers.