5/1/21 Little +10 256 after another reduction

Lisa and little

Lisa and little

Member Since 2018
Me again!!
Frustrated doesn’t begin to cover it. Following the protocol so after the 35 last night I reduced again. Seems like every time I get a reading in the 30s it’s when it’s a really late nadir that carries over into the next cycle.
When I see that is the cause should I still reduce based on a single reading in the 30s or stay on the dose a bit longer and monitor closely?
Her Nadirs are late on Lev and sometimes after +12 It’s on those days she seems to end up in the 30s - a combo from previous dose carry over and onset of next dose.
Right now I’m going back and forth between 3.5F and 3.75 and still can’t get it “good”
Still thinking maybe I should go back and give Lantus another try. Although i didn’t work it quite right the first go around it had an earlier onset and earlier nadir for the most part. But who knows what will happen if I switch back and actually do it correctly.
Is it detrimental to any progress to keep switching insulin’s? While I’d like more sleep with an earlier nadir that Lantus may bring, I don’t want to set her back months again by switching.
When I switched from Lantus to Lev- I started the dosing way too low. I wouldn’t do that this time. I’d probably start her off pretty close to the existing Lev dose and watch her like a hawk for a while.
Would appreciate any and all thoughts/ advice or anyone that would care to hit me in the head with a frying pan so I don’t have to do it myself!!! :banghead:
 
With a long term diabetic following TR you always reduce if you get a reading under 40. Otherwise it’s 3X in the 40’s.
 
I just feel like I keep going back and forth repeating the same meh cycles at best. Guessing in a few cycles I’ll go back up to 3.75 with less than stellar results and then get whammy in the 30s and have to go back down. Frustrating and makes me sad.
Can’t seem to get her 2 a place where it’s mostly greens and blues. :oops:
 
When you see a green early in the cycle rather than waiting for another test I would feed a little lc and test in an hour. If going down more them try a little higher carbs to prevent the drop. Into the 40’s or below. To prevent going too low you need to feed the curve and try and prevent the drop so you can pull together longer stretches in the 60-95 range. This happened on 4/27. It looks like the +3 is a good indicator of whether the cycle will be active.
 
Yes thank you I’ve been trying Of course yesterday and the day you referenced I was not able to. Worried that when I have to go back to “regular work” I’ll be a nervous wreck if o don’t have a better handle on this
 
How long before you need to go back to regular work? Do you have an auto feeder and will Little eat from one?
 
I’m not sure on timing. She’d pretty much eat from Godzilla’s hand. Lol. And yes I set the auto feeder now for +4 or 5 in both cycles. Even though I’m usually home.
 
I think Elise has got it. Your current subject lines says you feed at PS and +5. Is that still correct? I think that +5 might be too late to feed. Her Lev onset seems closer to +3, so you'd need to feed +2.5 to +3 so she has fresh carbs on board to slow the drops.
 
Okay.. but then do I not feed again till next shot or feed at +4 or 5 In addition ? She was gaining weight so now that I’ve switched her food to more carbs and fat than protein, ( she literally started to refuse the Tiki cat ) I’m afraid feeding more frequent will turn her into a chubster.

And +3 is 164. I feel like she was still dropping from AM shot so that’s what I am seeing - not that the PM shot kicked in. Could be wrong. . Couldn’t get a+1 or 2 tonight unfortunately
 
Lisa and little said:
Okay.. but then do I not feed again till next shot or feed at +4 or 5 In addition ?
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You would be OK feeding at +4 to +5, but maybe remove the extra food from the preshot meal and just move it around. So same number of calories per cycle, just moved around to different times.

More protein is better for losing weight than more carbs or fat.

I've seen other times on her chart where it's clear the +3 is the onset, like 2/13 AM.
 
In addition to what others have said, another observation, if you don't mind. You're doing too much of dose adjustments too quickly, and fattening where you might have given the dose a little longer. After the drop into 30s, I'd have given a chance to settle into 3.5u for a couple of cycles.
 
Wendy&Neko said:
More protein is better for losing weight than more carbs
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I know but she literally just wouldn’t eat the tiki cat any more and I think it had something to do with chicken itself. Hard to find a really high protein without chicken. I’m actually due to weigh her this week and see what the change has brought.
On another note - last nights cycle.!! Why can’t they all be like that??!!! I look like a liar now. Although AGAIN- I didn’t sleep much so I could test. I’m starting to look and feel haggard. That’s been the hardest part lately. I have the beastie boys “No sleep till Brooklyn” running through my head. o_O
Thanks to all for the help and input. :bighug:
 
Christie & Maverick said:
In addition to what others have said, another observation, if you don't mind. You're doing too much of dose adjustments too quickly, and fattening where you might have given the dose a little longer. After the drop into 30s, I'd have given a chance to settle into 3.5u for a couple of cycles.
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Following TR I think the adjustments were correct.
 
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