09/06 Cheekyface AMPS 468

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Good luck with the dose increase, Lesley!

I can see you have a lot on your plate, sorry about that! I know it can be challenging to get spot checks, but please try to get at least one in each cycle....as Sienne said, in the door, out the door, getting up to go to the bathroom overnight...any tests are helpful. The PS numbers just don't tell you much about how the insulin is working, they can be high if the dose is too little, just right, or too much. Likewise, doing a curve once a week isn't the best way to assess dose either. Not all cycles are the same....if you happen to do a curve when she is bouncing, you would think the dose is too low and increase when it's not needed. I'm not saying that's what happened this time, just explaining why the spot checks in each cycle give you the most complete picture. Curves are good, they give you data about onset, nadir and duration, and can help with dosing decisions, I just don't like to use a curve as the only basis for a dose adjustment.

I hope that helps you understand why we keep bugging you about spot checks.
 
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