? Increase dose or hold?

Debra and Jill (the cat)

Debra and Jill (the cat)

Member Since 2015
Hello! Wondering what everyone's thoughts are on Jill's dose now (.25).
Her curve yesterday:
5/12: AMPS 268 | +2 143 | +4 116 | +6 132 | +8 190 | +10 215 | PMPS 190 | +3 162

Here is yesterday's post/discussion with her curve >

During the day, her nadir seems to be around +4 /+6 -- Spreadsheet >

I haven't been getting +4 or +6 at night since it's really the middle of the night, but if I need to in order to get a better idea of what's going on, I can. She seems highest at the AMPS, which is why I wonder if she needs an increase.

Thanks for your feedback!
 
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She’s quite flat. With the yellow amps it’s possible she’s having lower nadirs at night as many cats drop lower at night. However if she was going really low I think the amps would be higher. It could just be she’s not getting maximum duration yet. I think you have room to increase. I would set an alarm for +6 the first time you see a lower than normal before bed test.
 
Honestly, I didn't look into TR too closely because I have a lot of cats with a lot of issues, so I thought it might be too much for me to handle. I don't feed her any dry food. I'll look into that more today but if you have any thoughts/advice, I am all ears!
 
Jill is doing so well. WithTR you have the best chance at remission as you can increase every 6 cycles and get into normal numbers faster.
 
So with TR it's just deciding to increase or decrease insulin faster than SLGS? Would I be spot-checking more often every day? I want remission!!!! It's summer and I wanna have day trips :)
 
With TR reductions are earned under 50. With SLGS reductions are earned under 90. With TR you can increase faster. IF a reduction is earned and it doesn’t hold you can go back up but with SLGS you need to wait a week. You will need to test more but the rewards are great if you can get into remission. There will most likely be a lack of sleep some nights. No promises of course. Read over the methods post.
 
I just want to make sure I do this right -- if I increase to .5 units tomorrow and want to do TR, am I testing at pre-shot, +3, +6, and +9 (day AND night?) for the first 3 days? or am i starting from scratch and need to do 5-7 days?

And then I see if I need an increase or decrease?
 
If you switch to TR you don’t need all those tests unless she is lower than usual. I’d get a +2 to start. If it’s lower that the preshot then get a +3. If around the same or higher, wait until +4. The +2 is often but not always like a crystal ball into how the cycle will be. At night same thing. Let the +2 be your guide. I first a lot higher than the PMPS you won’t need to test more unless you are up and want to get a before bed test.

You aren’t starting over. The 7 days is only needed after your first dose to get the first depot full. Now you increase every 10 cycles if most nadirs are blue or green. .
Does this make sense?
 
Summer and Susie said:
Wouldn't she need to test more at night with TR?
Click to expand...
Elise addressed nighttime testing when she responded to Debra asking if she needs to test every three hours, day and night with TR:
tiffmaxee said:
If you switch to TR you don’t need all those tests unless she is lower than usual. I’d get a +2 to start. If it’s lower that the preshot then get a +3. If around the same or higher, wait until +4. The +2 is often but not always like a crystal ball into how the cycle will be. At night same thing. Let the +2 be your guide. I first a lot higher than the PMPS you won’t need to test more unless you are up and want to get a before bed test.
Click to expand...
 
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