10/29 Oberon PMPS 495 (1.5 U R), +2 451, +4 449

yesterday (brief dip): https://www.felinediabetes.com/FDMB...171-8-196-10-258-pmps-340-2-328-4-253.237638/

Whoa! Double dip! Oberon dropped down to 154 overnight at +8. (I suggested to my husband that the next time he sees a drop like that he should also try to grab a +10.) Back up to 205 at AMPS (so no R this morning). Wonder what he'll do from here.

 

They do like to keep us guessing. I hope Oberon slides down today.

 

Shooting back up very fast... 306 at +2 and 411 at +4. I'm trying something slightly different- midcycle R at +4 instead of waiting until +6 when he'll likely be much higher. Hoping to nip this in the bud. The R nadir should hit at about +8, after the Lantus nadir, though even if they both hit at the same time it's not likely to bring him too low.

 

As always....wishing you the best with the R.

 

Looks like that midcycle R held the bounce back for a bit, but here he goes again. Hoping 1.5 U will help bring him back down.

 

Just a thought on mid cycle R earlier. If you give at L+4, the R will finish it's action around L+8 ish, leaving still 4 hours that the L has to do the heavy lifting. But later in the L cycle it's after nadir, the Lantus effect is waning already so it's harder for it to fight those numbers. If you give the R at +6, then it's only a couple hours that L has to do the heavy lifting. Of course it's a trade-off, cause giving R later mid cycle gives the bounce a little more room to grow before the R starts it's action.

Anyway, an experiment gives you the opportunity to see how the R and L work together and see what works best.

 

Yeah, I was hoping giving the R a little earlier would keep the bounce from getting too big to begin with. It did for a while, but once it wore off, boom. Next time I'll see what happens if I wait until +6 during a big bounce. I suspect the long term solution is going to be to increase the L...

Which brings up another question... this is cycle 6 at 9.0 U of Lantus. One dip so far at this dose, but not as long or low as his other dips. Hold another cycle or two, or go ahead and increase tomorrow?

 

His dips have just been high blues, unless you see greens tonight, I think you are good for the increase.

 

Morning data for reference: +8 154, AMPS 205/0.6, +2 306, +4 411 (1.25 U R), +6 378, +8.5 369

OK... 9.5 U starting tomorrow.