Levemir

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Lauren8443

Lauren8443

Well-Known Member
Relationship to Diabetes
Type 1
can anyone help me?

Recently changed to Levemir and two basal injections a day instead of the 1 lantus in attempt to control night time hypos.

Last night I injected 10 units at 8pm. I tested throughout the night and my blood sugars were stable around 6-7, all night until 4:30am when they suddenly dropped to 2.3??? Have moved into Levemir to try and stop this.

Tonight I have injected 9 units, do I just keep adjusting and tweaking each night. I used to objected at 10pm before bed but have moved it to 8pm with my evening meal for convenience and the other with my breakfast.... what difference will this make?? Am I better off sticking to 10pm?

How do I know what I have the correct basal rate??

Confused but what to get this all sorted....
 
Most likely there is still some Lantus in your body. Probably best to wait another 24 hours before making changes.
 
I made the same change for the same reason. My night time hypos have ceased.

What you are currently doing is loading more Levemir onto your morning dose. When I changed, my consultant told me to take a dose in the morning, round about breakfast time. And the second dose at bedtime. Try that, and see what happens.
 
So they don't have to be exactly 12 hours apart? My nurses put me on 8pm / 8am or 10pm / 10 am.... do you think 10pm 8am would be better?
 
Works for me, is all I can say. And the consultant, who is one of top guys in the West of Scotland, was insistent on the timing. I haven't tried it any other way, though I had the same thought as you.

I use the Libre, and it reports dead level BGs through the night, most of the time. No spikes, no dips.
 
Brilliant.

Do you have more or less at night? Or are your two doses equal?

I don't seem to need as much at night?!
 
They definitely don't need to be twelve hours apart and they definitely don't need to be the same amount.

FWIW mine were approximately 7.30am and 9.30pm, 14u am and 4u pm. We each need however much we need to control our BG.

The only way to find out is by trial and error and of course test, test, test!
 
Hi. I take only one daily shot of Levemir. Personally I think taking 2 shots daily makes it more difficult to adjust the dosage, adds an extra injection and I increase my evening Bolus ratio to take account of the Levemir fading after 18 hours or so. I've never understood why most people inject Levemir twice daily as you can adjust the bolus to suit once daily Basal?
 
Levemir is not supposed to work for 24hrs, more like 15-18hrs hence 2 injections are probably better.
 
Lauren8443 said:
Brilliant.

Do you have more or less at night? Or are your two doses equal?

I don't seem to need as much at night?!
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No, the morning dose is two thirds of the total dose, the night time one third. There's your not needing so much at night🙂
 
In the event, when I changed from jabs to a pump - whilst my hour by hour rates are by no means equal (as little as 0.23u and as much as 0.58) the whole c.10u TDD basal is fairly evenly split c.5am to 5pm and 5pm to 5am.

In truth, there is no 'long acting' insulin made by anyone that exactly matches anyone in the world's basal requirements. All we can do - is try and find the best match for our own. It isn't simple! I was lucky for ages of course because we couldn't even test our BG - so being so clueless about it, saved me worrying ! LOL 🙂 😱

No - I certainly don't recommend it ....... but when things have not been invented - ignorance usually is bliss!
 
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