10/16 Oberon PMPS 276/1.6, +3 355, +5.5 449

Interesting... looks like he's heading into another dip just a couple of days after his last one. That'd be cool. Even the little dip into the yellows he's had so far today will help with the ketones.

Thinking ahead a little. This evening is the 10th cycle of this Lantus dose, so he's scheduled to get a Lantus increase tomorrow morning, to 7.5 U. So he wouldn't get R then. And tomorrow evening I'll be out of the house (school play), which means (a) I have to shift his shot about 45 min early and (b) I won't be around to monitor for a few hours. Moving the shot is no big deal- I'll shift by 15 min tonight and tomorrow morning. Monitoring might be more of a big deal depending on what his numbers have been like. I'll almost certainly have to skip R to be safe.

Here's my current thinking: bump the Lantus up tonight instead of tomorrow morning; skip R tonight (might have to anyways if this dip persists). Then I'm clear to give R tomorrow morning (assuming he's over 300 and not diving) and then I'll skip it in the evening when I'm out. I think I'd prefer that to skipping two R doses in a row. Of course this all depends on his numbers, as well.

Alternatively, if he's really dipping again, maybe I should hold the Lantus dose steady for a few more cycles to see what's happening? This would be 3 dips each about 3 days apart, a new pattern for him.
 
You hold doses with blue nadirs for 6-10 cycles, so you are clear to increase Lantus tonight. Actually could have done it earlier. A couple caveats to the plan. He might be breaking his bounce, which could mean an active cycle tonight on top of an increase. No problem is you are prepared to intervene early and ready for a late nighter.
 
Sounds good; I'll go for it. He doesn't usually seem to react to an increase in the first cycle but I'm ready for it if he does.
 
After a brief dip into the blues, he's right back up into the lemon tree at PMPS. But that was enough to bring his ketones down to 1.6, so that's good. No R this cycle, but Lantus increased to 7.5 U.
 
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