4/27 AM was a bounce cycle, her +2 was higher than her AMPS. On 4/29, there was a good drop by +2 and the +4 confirmed it it was a bounce breaking cycle. The question is, how to know in advance, so as to avoid giving R in those cycles? Back in early April, she was going about six cycles between dives to green, so it was easier to predict. Some indicators of bounce breakers to come are flat cycles the cycle before, or cycles where they drift down slowly to blue like PM 4/27. Hard to say if PM 28 was flat. I think I would be careful in general about using R at a dose where she's already gone below 50, unless you know for sure that she's on her way up by shot time.
Since you are wary of ketones, I think I'd try to slow down any fast drops with carbs and see if you can prevent those drops to the 30's.
