Well, she is not holding the needle, you are. So you get to decide. And I can't argue very hard that she couldn't be right - I do not understand his numbers. You can experiment with that lower dose for a couple cycles, or you can experiment with the higher dose for a couple cycles. I am leaning toward a few tries at the lower dose, but I could certainly be wrong!
But either way, you are testing and can stay on top of things. And if you could get a ketone test, you could really feel in control. He only goes once a day -that is a little weird......Especially if he drinks alot. Have you tried putting the water into his wet and keeping him hydrated that way? Wonder if you would ask on Health about once a day urination if anyone would have seen a similiar pattern?