5/14 Biscuits amps 380 +4 351 +6 538 R 0.25 R+1.25 598 R +3 High Pmps High +3.5 564

Fingers crossed that Biscuits sees more great results today! I’m cheering for yellow too :D
 
Excellent morning so far!

How about we do a +6 and then give 0.25u R? The reason I want to wait until +6 is because we don’t want to overlap the R and L nadirs. If we give R at L+4, the nadir of the R is between R+2 and R+3 so that overlaps L+6.

Let me know if that’s good for you. We also have flexibility and can give it later but I want to catch him before he heads up, if possible.

You might want to look at Pig’s SS and study it really well especially 2018 and also Sarah’s R scale tab. Lots of great info there and Sarah did a great job working the R and the L insulins together (she started with Lantus and switched to Lev in 2018).

You can see how the R dose can go much higher than we are with Biscuits right now but ECID.
 
I’d let him go until PMPS now. I don’t know if you want to try and shoot more R tonight or not. While he likely needs more than 0.25u, I’m not sure if you want to try that at night or if you want to get some rest tonight and try tomorrow.
 
While he likely needs more than 0.25u, I’m not sure if you want to try that at night or if you want to get some rest tonight and try tomorrow.
I think Marje is right. Time to start thinking about building an R scale. It could be that you stick with 0.25 units if he is below 400. Yesterday it took him down about 90 points which is pretty good. Over 400 you might want to try 0.5 units next time. So far the 0.25 units R when he's been over 400 hasn't taken him down very much, especially if he's been on the rise at the end of the cycle or from a bounce.
 
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