6/14 Taz, PMPS-274, +2-203, +3.5-178, +6-191

[SaraMV]

If Taz is bouncing (?), do I increase his insulin tomorrow morning or do I wait until he isn't bouncing? (New to TR) I would think he'll clear a bounce today, unless his numbers are just climbing for whatever reason?

https://www.felinediabetes.com/FDMB/threads/6-13-taz-amps-221-4-182-8-217.264553/#post-2962846

 

[Hendrick Cuddleclaw]

Despite following TR for 6 months I am not quite sure. @tiffmaxee might be able to help here

 

[Wendy&Neko]

Bouncing doesn't stop you from increasing, it's fine to increase during a bounce. If possible, it's best not to increase on the exact same cycle they break the bounce, as the increase plus bounce breaking can cause extra downward momentum.

 

[Wendy&Neko]

This post has a lot of good information about TR: Protocols: Myths Debunked specifically post #17 addresses the question of bouncing.

 

[SaraMV]

This post has a lot of good information about TR: Protocols: Myths Debunked specifically post #17 addresses the question of bouncing.

Very good information! Thank you!

So is it safe to increase him tomorrow or should I wait the 5-7 days this article mentions since he saw a nadir under 90 on Saturday (hoping he breaks a possible bounce today) ?

 

[Wendy&Neko]

Typically we hold doses showing green for 10 cycles. If he breaks that bounce he'll tell you if he can do better than 90.

 

[tiffmaxee]

I’m confused. I thought you switched to TR so your reduction number is 68 rather than 90.

 

[SaraMV]

I’m confused. I thought you switched to TR so your reduction number is 68 rather than 90.

Yes, I'm doing TR. Instructions for TR say to hold a dose if nadir is under 100.

 

[SaraMV]

Typically we hold doses showing green for 10 cycles. If he breaks that bounce he'll tell you if he can do better than 90.

So that would mean that I increase him again on Thursday?

 

[tiffmaxee]

You can increase after 10 cycles since green so yes increase on Thursday unless you see a green nadir again that’s lower than 90. You also dint want to increase on a bounce clearing cycle so if you see all blue and going into lower blue you might want to hold a little longer. If not sure ask again tomorrow night or Thursday morning.

 

[SaraMV]

You can increase after 10 cycles since green so yes increase on Thursday unless you see a green nadir again that’s lower than 90. You also dint want to increase on a bounce clearing cycle so if you see all blue and going into lower blue you might want to hold a little longer. If not sure ask again tomorrow night or Thursday morning.

Thank you. That makes sense. He's staying pretty high so far, but with giving MC at preshot and + 1, I know that will most likely make his nadirs stay higher.

 

[tiffmaxee]

If he starts over 200 I would feed lc at preshot and get a +1. If dropping add a teaspoon of mc. Then see what happens at +2 and decide if mc or lc is needed.