Re: Milo 1/1 AMPS 137 +3 69 PMPS 179 +3 83 +4 57
Angela,
First off, I agree with everything that Sienne just told you. I'd like to add a couple of things.
She mentioned that if you're ever uncomfortable with giving insulin when you see a low number at shot time, to post here and someone would walk you thru it. I wanted to you to know that any number of people here would also pull an "all-nighter" and stay up with you for as long as it takes until you feel comfortable with Milo's numbers. It's an "unwritten rule" but if someone advises you to give a shot, and either you see low numbers or you just need somebody's help, they will make sure that you aren't left alone. You're never alone here until you say "It's okay, I'm good".
Sienne also explained that while you might see a cycle where a cat starts at 400 and drops to 40, you don't see that happen when your preshots are low. Yes, you might see a 40, but there's a big difference between 400 to 40, and a 120 to 40. I mentioned earlier that as things improve, and a cat starts to heal, the curves flatten out? Well, that doesn't mean the nadirs keep going lower and lower. It's the preshot numbers that come down closer to the nadirs. That's what you're seeing happen.
One of the hardest things that I think people struggle with about insulin is that we tend to think of it as a "drug", like a pain killer for instance. Like "if I take one darvocet, it'll do this much, but taking two will do twice as much". But insulin isn't like that. It's a hormone, not a "drug". So we can't think of it along the lines of "if this, then that". A dose of .5u isn't going to do twice what a dose of .25u will do to the BG numbers. Heck, a dose of .5u, as you can see, doesn't do the same thing two cycles in a row for the most part. That's why we look at a few days at a time when we try to figure things out, not just one cycle or one day. We're looking for patterns in the data that reveal themselves in 3, 5, 7 days.
Above all, we consider "safety" when we offer advice. And we all read what each other advises. That way, if I say something that isn't quite right, a half dozen other people can jump in and say "whoa, that's not right". Because the bottom line is Milo's well being.
Carl