Ive really lost touch with the forum and so much has changed on it. Just to catch you up, Topaz was diagnosed diabetic ten years ago. She is a 15.3 year old semi feral cat who does go outside and from former posts of years ago- if you can still access them, know that testing her has been difficult. She is now on Humulin N getting two units twice a day using a 3/10 ml cc 31 gauge syringe. Her diabetes is somewhat under control and at the end of her dosage goes no higher than 240. She eats Fancy Feast classics and a little hard food Wysong duretic after EVO went off the market. I noticed she was drinking and peeing a lot and only noticed this now as due to the horrible cold weather NYC is having, she is inside a bit more. I took her to the vet who did blood work and her diabetes is under control although he said I could increase a half unit for each dosage. She has also just been started on Tumil-K a teaspoon a day broken into two feedings. However, her blood work did show that she is beginning to have kidney disease. Now the question. What can I expect? What more can I do? I've searched "kidney disease" on this site but it has not been helpful in giving more general info unless I am not looking in the correct spots.