Thank you. I'm mentally preparing myself for the inevitable fight, especially as his PS numbers are lower the past couple of days. I'm shaking as I type this.....
An occasional yellow does not a well-regulated cat make. Try to steer the consult to focus on:
- all the high BGs.
- the number of hours Rom is in double figures on a very significant number of days.
- Rom's average BG (it's approximately 14mmol/L (!) for period from AMPS on 2925/9/16 to AMPS this morning).
- the wide swings and very low nadirs Rom has had on the 1.50IU Caninsulin dose PLUS the bouncing (both would indicate that a Caninsulin dose increase would not help things and would also be dangerous).
- your serious worries about Rom being at risk of developing neuropathy because of his too-high average BG. (Cite your previous experience here.)
I think you have a sound case to argue for a different insulin, Sue.
If you don't get a fair hearing from your own vet, maybe ask about whether you can seek a second opinion (i.e. you get to choose where to go for the second opinion, not your vet).
