I think it would be ok to shoot a fat 0.9 or a skinny 1 if you want.
With cats that are getting a good response we often get this little fine-tuning dilemma where a drop less insulin has them running a little higher than ideal, a drop more gets into sometimes earlier drop or whatnot. It's kind of a dilemma and a trade-off - do you delay regulation potentially by taking a more conservative approach, or do you really push for the good numbers with a hair more risk of seeing lower numbers.
I have seen both approaches used, and I have seen both approaches work, and I have seen both approaches cause trouble :mrgreen: . The more aggressive approach does sometimes land people with scarier green #s, and sometimes pulling out at least medium carb to keep things safe. The more conservative approach sometimes lands people in a setback, with their cat getting further away from good numbers and then needing more insulin to get back there.
So I think what is important is that you (anyone) are aware of the risks, and know what to do to in the event of something unexpected. Everyone should be testing regularly for ketones, and everyone should have a hypo toolkit on hand, easy to access, and with a clear knowledge of what to do should they have to pull out the toolkit (some people write the # of carbs on the can labels for the mid & high carb standbys, which I think is an excellent idea!).
And then you do what you are most comfortable with, what makes the most sense to you, and what you can handle. If you are comfortable with the possibility of somewhat lower numbers, needing to monitor closely, etc., then I think it is ok to go with the higher doses. If you can't stomach that, or aren't around to monitor, then I think the slightly lower doses are better.
In Lucky's case, you haven't seen any numbers as low as 50, so from a hypo safety perspective, I don't think even 1u is too much insulin (though if you shoot that, I do think you need to monitor early/mid cycle to be sure). You did get some PSs below 150 though, so if that leads to missed shots, it kind of defeats the benefit of the good numbers, if then he sits higher the next cycle with no shot.
So the choices I see are:
- Try a fat 0.9 / skinny 1 and see if that gets the numbers right where you want them.
- Try TID or even shooting at +10s or whatnot like Kelly suggested (if you do shoot early, always be sure you are shooting on a rising number).
- Go back to 1u and monitor closely every cycle. One thing you can do too if he seems to drop early is feed some in the early part of the cycle to try to slow the drop, and see if that helps you keep the numbers right where you want them.
If it were me, I would try a fat 0.9, as to me that seems easiest. I would still monitor a lot for nadirs and early drops. I'm not particularly worried he will hypo, but I would still want to keep a close eye on things as he has had some pretty greens so far, and you want to keep them pretty but not too low.
