The decision to go even lower, to 0.25u this morning, was sugested by Elise when she saw her PMGB +9 value. So what value would she have had at PMGB +9 if I gave her yestarday evening 0.5u instead of skipping? Wouldn't have she gone into hypo?
That was a good decision. I think given you shot that it's a good idea to try to stick to it, if you can and it is safe, unless the numbers tell us otherwise. I suggested shooting 0.5u if she was above 100 (blue), as that would have told me she was well into a climb, given the numbers where she was coming from. The 91 she gave you was a difficult one to judge, she stayed flat with food, that cycle, with the 1unit dose (which I think is too much for he at the moment) was still influencing that cycle for sure) I was OK that you decided to skip. There were too many unknowns, and we want to avoid throwing you in the deep end. Had you shot, you and Poppy would have been fine, and I would have stuck with you until she was. Guiding you through the steering if her numbers dropped.
She probably would not have had a hypoglycemic event, we've seen cats given a one of dose of Lantus of 5u instead of 0.5 (when a petsitter has made a mistake for instance) that haven't resulted in the cat having a hypoglycemic event. George for instance can test in the 40's now he is off insulin altogether, that 50 cut off does not mean that they are hypo, it's a cut off point for safety. But you may or may not have had to steer with food. Can't say, just because she nadired at 80 today doesn't mean she would have nadired at 40 on double the dose. If you had shot the 0.5u, you might have had to use some higher carb food, but equally it might not have been necessary.
George when on insulin got as low as 27 (once) had no symptoms whatsover, so he did not have a 'hypo event' he had a low BG level. Hypo would imply symptoms. Was it scary, absolutely, also was my fault, in that I was a newby and gave MC instead of HC when he dipped just below 50 early in the cycle, I let the cycle get away from me, I did not make that mistake again.
his is why I am not still confortable with the TR, because her values are quite low with much risk of hypo, and I don't think she has been monitored enough to know for sure that 0.25u or 0.5u would not get her into hypo when her BG drops below 90. I am not speaking about tests per day, but days since her values dropped constantly, even if I skipped so many evenings and I lowered her dose at the same time. Maybe it's the inconsistency that influences these values and the food changes but I am uncomfortable to take the risk at the moment when I see these values and I have so little space of maneuver.
I agree wiith a lot of your observations.
With the food changes and dose changes we do not know where she is at. Hence going to the 0.25u dose that Elise suggested in the morning, we may yet find that it is not enough or indeed it is too much, only time will tell.
The inconsistency with the dosing is affecting the values/curves, it gives us wonky numbers, another reason we don't know if the 0.25u is not enough or too much, for every Lantus dose there is a depot that is porportional in size to that dose, when we take a dose up the depot gets bigger, it takes upto 6 cycles to stabilise, as we take the dose down it takes upto six cycles for the depot to reduce in size and stabilise, during which time the larger depot may still be influencing the numbers.
With TR we don't all start shooting in the 50's the first time we come across a low BG we work our way to shooting lower until we are comfortable with it. It's perfectly acceptable, in the begining (which is where you are) to think of what the lowest number you might be comfortable shooting would be, let's say that was 90. We can work with that. If you were doing TR lets say she was 60 at +11 and you got a 89 at PS you might feel happy to shoot, she is rising, you are feeding, so BG will go up with that too, it indicates the duration is over, however if you are doing SLGS, you would not shoot below 90, you would have to skip.
Often we focus on the absolute number we are seeing at PS, but we have to look at in context of the curve.
For example I would be more concerned if she gave you a 92 at PS but a +11 was 140, not that I wouldn't shoot, just that I would be thinking that the cycle is likely to be lively if I shoot. More likely to be lively than if she is flat or rising by PS.
You are of course absolutely right you do not have much data, now that she's gone off the dry and she's in lower numbers, and it is something to take into account when deciding whether to shoot or not.
You have shot 1u on a 109 a little while ago (to what looks like a falling PS) so maybe 100 would be your cutoff point? or if you want to go with 90 that is fine too.
I see she has dropped to 70 at +10, that might be the lantus double dip. Let's see what she does next.
Hope I got it right
Still waiting for the Kattovite Sensitive canned food to be delivered, and hope it will make a difference. Might be hard to give her treats and different kinds of brands if she responds well to the single protein food change 
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