Re: 8/26 Tigger AMPS 388 +6=388
Welcome to the high dose club, and believe me when I say, now that you know, it gets better.
You are dealing with a functional pancreas, and Tigger's dose will be dictated by the growth hormone output.
Acro trumps IAA, so stay above 100 for Tigger's BG because if he goes too low, you may not be able to bring him up with food, in fact, HC food could result in his dropping even lower. I have had a couple scary times early on with Oliver where he ate 3 cans of HC and his BG continued to drop lower. Avoid green BG numbers.
There are many people with acro / IAA / high dose cats who can offer you support, advice, and assistance.
This board has another site primarily for acro cats - catacromegaly.com - please join but if you have any issues with registering, please contact Rebecca to help you. There is a fair amount of info on this site to help you.
There is a spreadsheet on which acro cats have entered their info - please look for acrotracker.
There is also a support group on facebook for acro and high dose owners if you want an additional source for info specifically related to acromegaly and treating those issues. feline acromegaly is the group name.
If you do not have any R insulin, you should get some as you will need the R to fight against the IAA on top of the acro. I can say that I suspect I was able to break through Oliver's IAA as one day he needed 7uR along with 21u Levemir, then the next day, he needed no R at all. To this day, we seldom need to use any R except when he has the odd high spike in BG.
There are several people who can help you; please ask any questions you may have.
To know the road ahead, ask the man coming back.