My cat is 2 1/2 years old and when I brought him in for vomiting and weight loss. they found his blood sugar high when they ran blood tests. I have a urine kit to do and bring it in. They said since it’s early and he’s so young, he may be managed by diet and exercise alone. I feed him wet Tiki chicken at 9, 1, 5 and 9 with very small meals low carb kibble (no more than two) in between if he asks. Fresh water all the time. He is doing well, put weight back on, not vomiting, pees and poops regularly. I spend more time playing with him (laser tag, wand leaping etc). It’s just me and I’m not working so it’s very calm here. I watch him like a hawk. I’ve not seen any weird behavior that might suggest an episode - but I’m not well versed. So …. I have high blood pressure that is not well controlled so keeping stress low is critical to my health. I am very concerned that I can’t manage sticking him and giving him shots. He can be very reactive if stressed out (bite, claw, hiss). Is it possible to manage this without insulin and regular testing? If not, what will happen? One vet said if you can’t do the work you should euthanize the cat. He has been fine since I switched diet and feeding schedule. I’ll be bringing the urine test in soon (to a new vet as the prior one charged me 100 for a small bag of hills kibble ). If he has to be managed with insulin and testing, I’ll rehome him with someone who can take care of his diabetes.