Sorry to hear Cocoa is a diabetic.
On a more positive note sometimes if the glucose gets stabalized they can go off insulin after a year or two, but not all cats can do this.
You'd said on your previous visit the glucose was elevated, did you vet happen to mention what the result was that time? If it wasn't elevated much then the vet probably saw no other red flags to assume that Cocoa was going to become diabetic, only that the weight could cause him to get that way.
Where I work they tend to go with OM when the weight is the greater problem, and DM when the glucose is the bigger problem. Sometimes neither helps and the wheels of diabetes have already been set in motion before that.
Sad to say there are some vets out there that don't go to seminars, and keep up with the latest research on pet health/nutrition. I hope your vet isn't one of them and simply chose the best choice based on lab results and his experience at the last visit. If you really do feel your vet is the former then maybe look into finding another vet you can have more confidence in?
Either way I really hope the insulin gets Cocoa's glucose stabalized and eventually he could be one of those cats that doesn't have to stay on it permenantly.
Keep us updated, and thank you for posting the updates so far.
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