D walked me through Gabby's first set of low numbers, too. It can be harrowing! She taught me a great deal.
Let me do a bit of summarizing so you can have some guidelines to go by in the odd chance that no one is around. Others feel free to chime in. When low numbers occur (i.e., early vs. late in the cycle) and how much momentum there is (i.e., how big is the drop since a drop from 400 to 50 at +2 is a lot of momentum vs. 100 to 50 which isn't bad) are all factors to take in consideration.
- Green numbers in the 50s and 60s or above are a great place for Do Lou to surf. Often a few bites of LC will keep the surf going.
- Below 50, try LC first if numbers are in the higher 40s and see if the numbers come up.
- If it's early in the cycle and there's momentum or if you have experience with higher greens and know LC won't bring numbers up, use MC food to steer the numbers. (Remember, LC + HC = MC)
- If numbers are below 40, MC or HC should be used to bring numbers up.
- Karo is useful if there are symptoms of a hypo. Remember that it acts quickly and is gone just as quickly. Getting food on board at the same time will help to stabilize numbers. (If you looked at Putty's condo today, I don't believe that Miriam fed Karo even with Putty being in the 20s.)
Whether you use MC or HC will depend on how carb sensitive Do Lou is. How you know this is from experience with steering the numbers using food.
I know you are scared about hypo based on your experience with N. Remember, Lantus is a very different insulin than N. You've watched a lot of kitties here have very low numbers and be completely asymptomatic -- even with overdoses. You've also seen how those numbers can be managed with food. A couple of times doing this and you will be a pro.