Tweety 2/20 AMPS HI +1 HI +2 379 +5 334 PMPS 320 +1 278 +3 256

Bandit's Mom said:
This could be the high before she clears the bounce. If she isn't lower by the end of the cycle, you want to take her up to 1.5U.
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Thank you. I'm a little confused though. I was told to hold this dose for 5 more cycles which would bring us to Friday... basing since Tweety isn't staying in one range. She's been a low as 99 on this dose during the 1st cycle, but here we are over 400. I thought it seemed like a long time to hold a dose, but until a week ago I didn't even know really what TR and SLGS were and am still reading and learning. So, I guess I'm a touch muddy. I'll try to find the link and paste it here. We started the 1.25u on the morning of Friday the 16th.

** just re-read and get it. Since she got to 99 even though it was extremely brief, it's best to hold the dose for 5 more cycles. But I'm wondering if we could go to 1.5 sober since that 99 was very brief and not held long at all. I reviewed her Libre reports. The night/early morning after the evening shot of the dose increase 2/16 she did get a low as 95-102 around midnight. **
 
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Teya and Tweety said:
Thank you. I'm a little confused though. I was told to hold this dose for 5 more cycles which would bring us to Friday... basing since Tweety isn't staying in one range. She's been a low as 99 on this dose during the 1st cycle, but here we are over 400. I thought it seemed like a long time to hold a dose, but until a week ago I didn't even know really what TR and SLGS were and am still reading and learning. So, I guess I'm a touch muddy. I'll try to find the link and paste it here. We started the 1.25u on the morning of Friday the 16th.

** just re-read and get it. Since she got to 99 even though it was extremely brief, it's best to hold the dose for 5 more cycles. But I'm wondering if we could go to 1.5 sober since that 99 was very brief and not held long at all. I reviewed her Libre reports. The night/early morning after the evening shot of the dose increase 2/16 she did get a low as 95-102 around midnight. **
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You aren't muddy at all. Wendy had asked you to hold the dose for 10 cycles/5 days since you saw a green nadir. Tonight would be cycle 10, so you can increase tomorrow morning rather than tonight. She's had 6 cycles to clear any bounce from that green nadir on 2/16 so if she is planning to clear the bounce it will be today.
 
Bandit's Mom said:
You aren't muddy at all. Wendy had asked you to hold the dose for 10 cycles/5 days since you saw a green nadir. Tonight would be cycle 10, so you can increase tomorrow morning rather than tonight. She's had 6 cycles to clear any bounce from that green nadir on 2/16 so if she is planning to clear the bounce it will be today.
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Ok I was interpreting what Wendy said as 5 more days from when I posted, which was Sunday - meaning until Friday. Wendy popped in to clarify... it was 5 cycles not 5 days. Therefore yes, tomorrow will be the increase to 1.5. Thank you for bearing with me. I was confusing days vs cycles. Oy... just when I think I am getting it. Thx again for bearing with me Bhooma. I appreciate it.
 
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tiffmaxee said:
I agree with Bhooma as the bg was barely green and she’s seen green before.
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It makes sense to me, but I am also trying to follow things "to the letter" and the advice of another member who is really helpful/knows a ton. Maybe I will reach out to her to clarify. That would make the most sense! :) Sheesh. Should have thought of that one before. THANK YOU so much for your input and help. I really appreciate it so much.
 
That’s correct. You will find there are gray areas with decreases and increases and different interpretations. Since new to lantus following to the letter makes sense. She’s been on this dose 1 cycles so unless signs of bounce clearing at pmps I’d consider an increase in the morning. . I also would have checked the 99 with an ear prick if it was possible. You likely were asleep though.
 
tiffmaxee said:
That’s correct. You will find there are gray areas with decreases and increases and different interpretations. Since new to lantus following to the letter makes sense. She’s been on this dose 1 cycles so unless signs of bounce clearing at pmps I’d consider an increase in the morning. . I also would have checked the 99 with an ear prick if it was possible. You likely were asleep though.
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Thank you - and yes unless she is showing weird/scary numbers I am usually fast asleep by 10. Last time she was on 1.25 though... on day 5 she dropped to 60 BG and I ruined it by panicking, overloading carbs and we had to drop to 1u. So I am a little hesitant to up to 1.5 if I am being honest. I am not saying I will not do it... but when you look at recent history it seems 1.25 can bring her to 60 and that was just on 2/9. So it is confusing to say the least. I will keep at it though, thank you again.
 
You hold the dose a total of 10 cycles, from when you started shooting that dose. On Sunday, I suggested holding 5 additional cycles, cause you'd only been on the dose for 5 cycles at that point. Tonight makes 10, so you are good to increase tomorrow.

To summarize TR guidelines - yellow nadirs, hold 6 cycles; blue nadirs, hold 6-10 cycles; green nadirs hold 10 cycles. There is some variation on the blue nadirs and that's where it's good to ask people what they think. I tended to hold longer if the blue cycles were lower, shorter if just high blues. Now there are some exceptions to the guidelines, because the number of cycles you hold have to be continuous. So a fur shot, partial shot, missed shot etc. interrupt the continuous cycle count. And if kitty is tightly regulated you wouldn't increase unless the regulation fell off.
 
Wendy&Neko said:
You hold the dose a total of 10 cycles, from when you started shooting that dose. On Sunday, I suggested holding 5 additional cycles, cause you'd only been on the dose for 5 cycles at that point. Tonight makes 10, so you are good to increase tomorrow.

To summarize TR guidelines - yellow nadirs, hold 6 cycles; blue nadirs, hold 6-10 cycles; green nadirs hold 10 cycles. There is some variation on the blue nadirs and that's where it's good to ask people what they think. I tended to hold longer if the blue cycles were lower, shorter if just high blues. Now there are some exceptions to the guidelines, because the number of cycles you hold have to be continuous. So a fur shot, partial shot, missed shot etc. interrupt the continuous cycle count. And if kitty is tightly regulated you wouldn't increase unless the regulation fell off.
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Ohhh for Pete's sake... CYCLES not days. I was getting things confused/backwards. This is why it is so good to clarify. I thought it felt awfully long for TR to hold 5 more DAYS. Sheesh... I will be more careful with the language. Thank you once again for bearing with me. I really feel like I start to "get it" and then I miss something like this. I will keep at it! Thank you again. She is barely hitting high 200s so looks like1.5 tomorrow morning. Wish I was going to be home for the next 5 days! I think she will do well. I am going to visualize it going perfectly. :bighug::bighug::bighug: Thank you again!!!!!!
 
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