The vet just received the IGF-1 test result and this is NOT supportive of acro.
The vet commented that “so his insulin resistance is of other caus(es)，I would say the best way to get to the bottom of his case would be see IM and radiology specialist but total cost of a full investigation is likely to be very high.if you choose not to see specialist or cost is prohibitive, then following your dose adjustment protocol is probably the best you can do, but as I have commented before, using doses of insulin this high without CGMS monitoring is high risk.
I would say the ketones is the main criterion……
When I asked him what made Max had ketone? He said probably total lack of endogenous insulin, no beta cells left in the pancreas.
That’s mean Max reply on insulin so he need much more than what we guess.
Anyway the vet is flying back home for two weeks, I won’t take Max to visit any vet. What I concerned is please read the spread sheet his BG level is high since yesterday.
https://www.diabetes.org.uk/guide-to-diabetes/managing-your-diabetes/ketones-and-diabetes
This is for human but I found it’s the same as cats ,”If you treat your diabetes with insulin, your body should be using the insulin you give it to change blood sugar into energy. But if you don’t have enough insulin, you’ll start to use fat for energy. And when you use fat for energy your liver starts to produce ketones. You can have low levels of ketones in your blood without it being a problem.“
Again, Im concerned about the glucose and ketone level both. Can someone explain to me that how can we get the balance to avoiding things getting worse?
