Hello. Took a quick look at your SS before I have to leave today. We could probably start with something pretty general and small. I would have like to have seen lower nadirs but we can add a little more insulin to the scale. Overall, it does appear that you need to increase. Can you start doing that? Maybe a starting increase of 0.25u. As you collect more data i.e. your scale will need to be adjusted. First I have a few questions.
Is Pudden on PZI or Prozinc?
I am possibly seeing you stall when you get numbers like 223, 295 & 296 on 11/21, 11/23 & 11/14, respectively? Is this because you tested prior to your 12 hour schedule or you didn't want to shoot in the 200's? Let's not stall and go ahead and shoot when the number is above 200 and keep to a 12 hour schedule. At first, we do not want to have you start shooting under 200. This is the time when you want to stall, with no food and test again in 20-30 minutes. Then hopefully, you have a number at 200 or more, and you can feed and shoot.
On a positive note, it does look like Pudden is responding nicely to the insulin i.e. he is dropping very nicely to mid-cycle. Since we don't have any low pre-shot numbers to calculate, I am going to give you a starting dose. We don't know how he is going to respond but we need to see what he will do. So let's start with a small amount just to see how much he will drop. At the same time, when he is higher, I do believe he needs more insulin.
Are you able to test whenever you try out a new dose with a new number? With Prozinc, it is important to know the pre-shot AND nadir (mid-cycle) number. That is the only way we know if that dose is working.
