Hi all,
here is the guideline for numbers:
http://petdiabetes.wikia.com/wiki/Blood_glucose_level
Don't panic that your cats may be in the last two brackets. A lot of cats start out in this range. What you don't want is your cat in this range for a prolonged period of time. It is a big reason why I am not a fan of Caninsulin. We used it because in Germany it is the law.Only when you can prove it isn't working will they consider other insulins. In the UK it is the cascade efect, so unfortunately apart from the odd UK person your unlikely to be able to access Lantus or Levemir (by far the 2 insulins showing the greatest chance of remission.Slightly skewed by the numbers here using them but also backed up by research)Prozinc seems to be getting positive reports and this is available in UK.
As for the 36 hour insulin-no one on this board has mentioned one. Cats need BID (Twice day dosing)because they metabolise insulin twice as fast as dogs (who usually only have 1 shot a day I beleieve).
Blood glucose conversions (check whether your glucometer takes whole blood or just plasma.Should be whole blood)
http://felinediabetes.com/bg-convert.htm
Ideal bg is under 140 (7.8)for as much of the day as possible. Cats 'normal' bg is anything from the 40's(>2.2) to ~low 100's(>5) depending on the cat! (non-diabetic this is).So if you get your cat off insulin and it can hold these kind of numbers it is a diet controlled diabetic. Never free of diabetes and will need to have low carb for the rest of it's life.
There is no way of knowing if your cat is a type 1 or 2 diabetic. Cats can take anything up to 2 years to get off insulin (the longer time, the less likely). Optimum time is within 6 months.
As for people changing the dose themselves-depends on your relationship with your vet, your knowledge and listening to advice from this board. After a hypo on first shot, I went with this board(fortunate Sweetgrass was around all the time then and when we moved to Levemir had Jojo a vet tech).There are a lot of knowledeable people on this board but I would urge you to inform your selves and not to take just one person's advice.
If you have a vet who knows what they are talking about it's good to work with them, but again just because they have VCM after their name and wear a white coat does not necessarily mean they know more about managing diabetes than a number of people here. Yes a bold statement, but you read enough and spend enough time here you'll see what I mean.
Using both is the best and certainly in respect of other ailments you need a vet you can work with.
Ultimately your cat is your cat-family, best friend, baby-you can see him/her, we can't and you have to be comfortable with what you are doing.
Never underestimate insulin, it is powerful stuff.
Good luck :mrgreen: