Hello everyone! I've been on FDMB a couple times before, once with Jason (GA) and with Rain back in 2016. I'm back again with Rain and looking for some guidance on what to do with her. Quick rundown on Rain: 15 year old female gray DSH (her pic is my avatar). She's a steroid-induced diabetic. 1st bout was in 2016 following a steroid shot for asthma. She was treated with ProZinc and went OTJ after 1 month, plus diet change to LC wet food and pancreatitis treatment. She was OTJ until 1/14/23 when she was hospitalized for DKA (she had been started on Budesonide, a steroid, for suspected IBD August 2022; I was checking BG and fructosamine initially but I got complacent and didn't continue checking). She had a very difficult 7-10 days (in addition to the DKA hospitalization, she required a blood transfusion for severe anemia and then had a severe asthma flare up also requiring hospitalization). However, she's been doing really well and stable since mid-February. We initially started her on Lantus 1 unit BID, but that was dropped to 1/2 unit BID in mid-February. I have primarily used a FreeStyle Libre 2 sensor for the first month and a half due to the severe anemia and also because Rain's ears are fairly sensitive due to allergies. Rain was having some dental symptoms and had her first dental last week (5/3/23), in which she had 9 extractions and an inflammatory mass removed. She struggled some after and did have to have extended pain medication. I had a new FreeStyle Libre put on the day after the dental since I know dental disease can impact her glucose. She does still need 2 more teeth removed (I opted to only do one side of her mouth at a time). Here's where I need some guidance. Rain's flirting with going OTJ as far as I can tell, and I've had to skip insulin a number of times since the dental (a few times due to her not eating, but mostly due to her numbers). I had been giving her 1/2 unit so long as her pre-shot number was above 100. I've reduced the dose the last 2 times I gave it to about 1/4 unit, as best I could eyeball it. Should I do a OTJ trial? Try to reduce the dose further? I'm mostly using the raw data of the FreeStyle Libre (which is what's in the spreadsheet) instead of the scans since those seem to be more inaccurate the lower her numbers are. I also picked up a ReliOn Premier Classic to confirm numbers as needed. Rain is running higher than the last time she went OTJ but she is on an oral steroid still (Budesonide) so that doesn't seem surprising. In the raw data she's mostly between 50-120, with occasional 130s (typically 4-5 hours after she gets her Budesonide dose in the AM). Hopefully most of that made sense. Thanks to anyone who has any recommendations/insights.