Good... The sooner you start the better.Just went and bought Sheba small portions for my cat. It says on the one list that it's very very low in carbs and it's good so I went and bought that my cat was at a 389 level today. he hasn't started on any insulin yet I'm waiting tomorrow to go to the vet to get that started. I was going to put him on pills then I read about it and I decided no on the pills I want to give him a chance to go into remission.