Dosing thoughts AGAIN!

[Lisa and little]

Hi all. What a day. Last night her numbers were bizarre. She was 326 @+9 pmps last night yet this morning I woke to a 175 @AMPS That’s is almost a 50%drop in 3 hrs really late in the cycle. Today’s numbers steadily declined until +7 and now the expected bounce. I steered her with food most of the day today, even some HC as she was at 64 @+5 and I had to leave! 3 months home on my butt and this is the day she chose to Do this!!!!. I was able to shoot home for a minute @6.5 but didn’t know if I would be able so to be safe have a bit of HC which didn’t seem to have too much of an effect. I’m guessing she’s gonna bounce for at least a day or 2. My question is after tomorrow if I’m following TR and she’s high, she would be due for a dose increase on Friday. I’m inclined to hold this dose a bit longer to give her time for the bounce to clear, she tends to take a while to clear bounces. Do you guys agree? Also, TR protocol says if nadir is under 100 hold dose longer., so should I be holding doses longer when I get even JUST 1 nadir under 100? In a 5 day cycle ? Thanks as always for all your advice and patience with me

 

[Sienne and Gabby (GA)]

It's easy to miss this point in the TR guidelines but it say "nadirs" -- it'a a plural, not singular. In other words, you want to see most of the nadirs under 100. It helps to remember you're looking at trends rather than one or two instances.

 

[Lisa and little]

Thank you Sienne. The only trend she has is to bounce. Lol. It does take her a few days to clear a bounce usually. Do you think I should hold her dose if she goes green again today and bounces to give her time to clear? I’m worried I may be missing something. She’s gone green /blue on every dose since we started Levemir and I’m not sure I’ve given her enough time to get off the trampoline before upping her dose again.