Louis is a neutered male Siamese cat who was diagnosed with diabetes at age 9 in autumn of 2006, and started twice-daily injections of Lantus. Regulation was very difficult at first and took about 5 months, a switch to all low carb wet food, and a very high dose before he suddenly responded and the insulin dose had to be quickly lowered . He went into remission/ became diet controlled, 3 months after the “breakthrough” and 8 months since starting on Lantus. He was off exogenous insulin for a year, until in June 2008 he became extremely ill with pancreatitis and ketoacidosis. He has been back on Lantus since then and the majority of that time tightly regulated in a euglycemic range except for during occasional pancreatitis flare-ups. In 10/2009, after another such pancreatitis episode, he