Oh gosh, Jena, I'm so sorry! I didn't in any way mean to make you feel like you aren't doing a good job. You
are doing a good job - this is just complicated, and there are so many "if this....then that....except when it's this other thing....." that it really takes a lot of minds to figure out some of the more complicated steps of this dance.
If I remember right, you're dealing with hyperthyroid, pancreatitis, diabetes, and arthritis at least - and I might be forgetting something...?
Because of the inflammation in the arthritis and the pancreatitis, your numbers are probably not going to be all pretty blues and greens. Inflammation impacts BG, and it can be unpredictable and variable at times. Which means you may need to lower the dose for a few days here, raise it for a few days there....this isn't going to be a super easy case to manage.
So yes, if you get a lime green, you lower the dose. But it might just be for a few cycles and then you may need to raise it again. Or you might not need to lower after a lime green - but it will take a few times of seeing one, collecting data on what she does in the hour or two after that, and what she does during the cycle or two after that - and then that data helps figure out how to respond the next time.
Okay, so that's the ideal way to manage it. However, please know that we all understand how crazy-making this can all be. The constant stress of trying to manage all of these health issues can sometimes be more than we can handle, and if that's the case, it's okay to say that and we can help you manage it with your current level of testing - our approach is to make sure you have all of the information about how to manage FD in a very hands-on way. But we also respect and understand that it isn't always possible - both from a schedule standpoint and from an anxiety/stress one. We care about the people here as much as we care about the kitties.
Here is what I would suggest at this point - As I mentioned, we aren't sure exactly what's going on right now, so I wouldn't lower the dose tonight. These high numbers could be bouncing
or pancreatitis - and I would lean toward the latter. That lime green was a few days ago, so I wouldn't use that as the decision maker today. Do you have numbers from today that you can share? My gut is that she is rising from being sick, but I'd love to confirm that before tomorrow morning if we can.
If you lower it while she's sick and needs more, it can lead to ketones and as you know from first hand experience, that's to be avoided. So when you get a chance, put your numbers from today into the spreadsheet and then we can try to make a better decision about dosing as you head into the week.
It looks like you opened a second thread asking for input, so after this, I'll post on your new thread instead, and if you have questions from this, maybe post over there so we can just move the discussion onto the new thread. And again, I'm so so sorry if I made you feel bad with the earlier post. You are managing a lot here and we want to support you as you move through this journey!
