Rob & Harley said:
With PZ what you see is what you get. If he gives you a nice blue PS then you need to reduce his dose accordingly.
If you shoot your regular dose into a lower PS he will dump sugar and give you higher numbers and then you end up shooting into overly inflated numbers which will start a vicious cycle of it's own. Especially if you can't test through it.
That just was not my experience with Bix (PZI Vet for full disclosure!). I know some people say that, and shoot the numbers and all that, but it just wasn't my experience. ECID. It is absolutely *not* a given though that with a full dose on a lower PS they will dump sugar - they might, but only if they go low, which from what I have seen they typically don't do. Typically when we see people reduce, the numbers go high b/c it is not enough insulin.
It is not true that it (full dose on lower PS) is solely L advice. This is the advice I was given for Bix on PZI, and it got him regulated. PZI has no formal protocol, and shooting sliding scale is only ONE route among several. Generally when I recommend someone reduce the dose on a lower PS it is not with the intention of sliding scale, it is with the intention of getting data-ready to shoot lower PSs, with the idea of moving up to the full dose *if the data supports that move*. The difference with the Ls is that we don't go below 150 for the PS.
Everyone has to judge for themselves I guess.
Angela, at least you know now that he can get a perfect cycle, woohoo!!!!! Do you know if anything was different? Was his eating pattern the same? Any chance the dose was a hair over the line or something like that, so a tiny bit more insulin? Sometimes 1 drop seems to make all the difference, but obviously I am grasping at straws to have a nice tidy explanation!