Do you have a water fountain for Sidney? I don't know if that would help with her sugars but I know when I've had unhealthy cats it helped. I don't have one out now with my healthy (until now) kitty because I don't like having it on my laminate floor. But it did help.

I understand the guilt. I had a kitty with a rare allergic condition I can't remember well enough to explain but it was quite serious. He was on one med that is given after organ transplants to depress the immune system because his was so overactive. I had to give him a lot of meds and he hated it. I felt like his life was torment because he had to be held down every day and get nasty tasting meds squirted into his mouth. I asked to reduce the meds to try to get off them and he did great for a while and then suddenly got sick and died. And now his sister (age 5; Charlie was 3 when he died) is wheezy and I'm terrified. We go to the vet Thursday; they don't have anything earlier. I hate that but we have a vet shortage around here and so the delay is inevitable. I have the AC on now to see if it helps her. But I'm terrified that I should have tried to get into the vet sooner and that she'll die and it will be all my fault.

I know I wrote in another message that I understand about different diet needs in a small apartment and pressure from other people. You have to remember that you know Sidney's situation and they don't. What does your vet say about the numbers and the exposure to kibble?

Maybe she just is going to run on the high side. I know that's not ideal but I know some people struggle to not run high and some just don't manage it, even if they do what they should do.

Regardless you are giving her excellent care and I'm sure she loves you for it.