3/11 Apache amps 271 ,254+2,156+6,84+8 ,102+8 .5, 90+9, 72+10,98+10.5,126,pmps173,287+2,383+6

Looks like Apache told you what she wanted her dose to be today! Good job handling the numbers today, with some excellent pit support from Angela.

One thing to keep in mind when you are stalling waiting for numbers to come up, is that Lantus typically doesn't kick in for 2-3 hours after the shot. Meaning that if she is rising, her numbers can keep going up until then. Again, you are new and learning Apache's Lantus patterns, so being careful at first is all good.
 
JL and Chip said:
Good job Ric.

I'm glad you posted a thread for today and I hope you keep doing that. I’ve been peeking in periodically to see how you and Apache are faring (you’re in good hands).

Interesting thing about your race car experience. I used a car analogy years ago when explaining FD to a newbie … basically said that starting out it’s like driving a new unknown car — you want to start out slow and steady until you get a feel for how that car handles, with a goal of keeping these wheels on the road and not crashing. :) Feline diabetes isn’t all that different. Every cat is different (ECID), so it’s good to start with a conservative insulin dose, collect BG data, and figure out how the cat is going to respond. Safety first.

Likewise, one of the hardest things for new Lantus users to grasp is that dosing is based on the lowest point in the cycle, not the highs (so many folks want to react to a high BG by increasing dose). My analogy for that is bungee jumping — doesn’t matter how high you start, you don’t want to go crashing into the rocks below. The lowest BG numbers guide your dosing decisions! You’ve seemed to catch on to that quickly.

There’s a lot more to learn so I’m glad you’re sticking around. I still learn new things from others around here even all these years in. Heading back into lurker mode now. :)
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I like to use racecar analogies because I ve been driving racecars since my teens and still do . Now i train racecar instructors. All racecar drivers have above excellent car control skills, that's why they are behind the wheel in high performance situations but its the drivers VISION that sets us apart. When i enter a turn at 130-140mph.....I'm lookin at the next 2 turns. Not many people will go into a turn that fast without looking,, but we've done it do many times and driver vision tells us it ok to do so and therefore we gotta " believe". I'm sure it's the same with Lantus and shooting low numbers. Once uve been there enough, u will believe. However until that point, a student still requires help with instruction. That's where I , as instructor are an invaluable arm that provides the necessary skills the student lacks when the student is still learning. As instructor, if a student has doubt, I have to make that call for the student. Its my yob mang. Sure there are variables that may be a life or death situation and bad things can still happen but the instructors experience and expertise judgement applied usually wins out . I'm that student now !!! I need the forum to be that instructor!!
 
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When I used vetsulin in this situation I would shoot again. It was obvious with numbers still rising. Lantus I believe is residual because it has a depot so I wouldn't dare shoot again...correct? Too high to be a bounce?
 
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Apache & Ric said:
I wouldn't dare shoot again...correct? Too high to be a bounce?
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Definitely don’t shoot again. Just because the number is high, don’t assume it’s because you missed (herein lie some of the nuances of feline diabetes).

Rule of thumb: Never shoot again, even if you “know” you missed. You just don’t know how much insulin might have actually gotten in and it’s not safe to give more. No matter how sure you are.:)

And yes, it could be a bounce.

Remember, high numbers happen, and for a variety of reasons. We need to fight the urge to “do something now,” hard as that is. Just note the number and sit tight. The best way to “drive the Lantus cat” is to focus on finding the lowest BG numbers and let those numbers dictate your next move (having the documented dosing guidelines are invaluable!)
 
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