Evening highs after dinner?

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ChrisR

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Type 1
Hi all,
I have a recurring problem which occurs frequently where my evening BG - say, 10pm or so is stupidly high even though my dinner was 4 or 5 hours previously. Tonight for example, I was 6.5 before eating (a miracle in itself!), had a meal which contained around 40g of carbs (diced new potatoes, pepper, onion, courgette, pancetta).....took 5 units of insulin which is normally fine....and find myself at 17.5 at 10pm???
I know its not needing to increase my novorapid as Id hypo if I increaded it to 8 or 10

Is it my levemir running out perhaps?
Thanks
 
What time did you inject for your evening meal?
 
Your nonorapid will have run out by then, so you are correct not to change that. Must be your basal. Do you split your Levemir?
 
stephknits said:
Your nonorapid will have run out by then, so you are correct not to change that. Must be your basal. Do you split your Levemir?
Click to expand...
I never used to - but months and months ago for some reason (think it might have been a trial and error thing) changed to doing my levemir in the morning - around 28u. Then I started also doing another 'half amount' around 7 to 9. However, some days I don't do the second one and it doesn't seem to affect me. Im inclined to think it will be to do with Levemir and perhaps I need to increase my main dose amount (or continue with 2 and increase the smaller evening one)
 
Hi Chris
Sounds like your basal to me, perhaps the split is wrong? What are your waking figures like? Is the basal you take in the morning keeping you relatively stable until that point? Sorry it's like 20 questions but I wonder if it's your morning injection running out that's the problem and you need a bit more there to cover you for longer (you mentioned normally being higher before dinner) or if it's the evening jab that needs an increase 🙂
 
Levemir, unlike Lantus, dies not last the full 24 hours, but is supposed to last 18. It is usually therefore recommended that it is split. Perhaps you could try having a carb free dinner. If you Levemir is working as it should, then at bedtime you should gave similar reading (within 1.5 mmols either way) as your pre- lunch reading. This way you could see whether it is running out for you.
 
Thanks guys. I always struggle to work out my levemir, what figures what and what it does. You'd think after - yikes - 30ish years I would have known by now. I have only vague ideas on how to calculate the units. I mean, short-acting is relatively 'simple', but knowing how much to increase my Levemir by, how many units, or whether to spit and then how many on the split is a struggle...
 
Ah Chris - nobody can tell you exactly how - cos every man Jack (or woman Jill LOL) of us, is DIFFERENT !

Do the basal testing that bilbie posted the link for and see what's what before you fiddle blindly with it at all again. If she hadn't suggested doing it - I would have done - except with a different link to much the same instructions! It's a PITA - I'm prevaricating about doing it myself right now - and I actually wrote 'my' link! http://www.diabetes-support.org.uk/info/?page_id=120 - you'll find some general info about both Lantus and Levemir on that page, and links to graphs for each of them showing how they peak and ebb - which with Levemir depends on how much of it you take per kg of your body weight - complicated - yes, quite - but at least when you see it in black and white you'll understand more about why it does, what it does. And knowledge is King !
 
As others have said it definitely sounds like Levemir needs sorting. A fasting test will tell you what is happening and once the basal insulin is sorted you have more chance of sorting the bolus ratios and corrections.
 
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