They say that the epitome of stupidity is to do the same thing over and over again and expect a different outcome. So if they have changed my insulin several times and increased the dose and my sugar only keeps rising, why is it that they keep rising the insulin amount and expects me insulin level to go down? Is it just me but if doing the same thing for 4 months has yet to work, maybe they should try something and look for some other cause?

Hmm, that make perfect sense to me. What we have here is a indisputable case of trying the same thing over and over and somehow expecting a different outcome. Clearly if it has not worked in 4 months it is highly unlikely if you keep trying another 4 months. But then again what does Dr. Happy Paws know. I am not a real pup doctor, I only play one on Word Press from time to time.