Okay, I know you and like you so I am going to just be blunt! :lol:
Why are you wanting to drop the insulin dose? Why is that a concern? Your numbers do not indicate an reduction in insulin is needed. If anything they appear, to me, that you need more! One of the biggest mistakes that I made when I started this dance, was trying to keep Kitty at as little of dose of insulin as possible. Because, everyone else was dosing 3 units or less, I thought that if Kitty needed more than that......it must be a sin???!!! So, I ask once more...why are you concerned with reducing the dose? You reduce doses when the nadirs are too low-- that is not happening!
Maybe I am wrong, but I see nothing in Grayson's numbers that support that he needs less. The curves are flat, not inverse and when they do curve-- the curve is very shallow. It reminds me of Kitty's early curves...flat and pink!
I do admit that his numbers looked better on 2.2--but, on that dose the curve indicates that he needs more...and you have stepped him up slowly. Maybe I am wrong, but I just don't think he needs less!
Also, Grayson had ketones on the lower doses...now he has few to none. If for no other reason, that would be enough to make me NOT want to lower the dose. Remember, one of the key factors in the develpment of ketones is too little or insufficent insulin--and in my opinion (which means nothing!) it is the first and main component in ketone development.
Now to the other questions!
Once you are comfortable that the ketones are gone, I would start reducing the fluids and test for ketones vigilantly. If you see the ketones come back--start back giving the fluids more frequently. I think it is a test and see thing-- slowly reduce and see what happens. I did give them to Kitty every other day at one time, reduced to twice a week, then once a week, and then stopped.
Are you still concerned with lowering the dose?!!! :lol:
Good Luck! You are doing Great!
