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Your Levemir is your basal, so you take your dose no matter what. The only caveat is if you are eating less generally your basal needs can go down, so you might need to adjust your dose accordingly. NovoRapid is only taken for corrections and food, so if you aren't eating you wouldn't take it...

It isn't really stacking if you are taking insulin for more carbs that you are eating, since you need additional insulin to cover additional carbs. This is what pump users are taught to do from day one. I suppose the danger can be that when you eat a meal and then have a snack or eat more...

You should approach MDI exactly how a pump user would approach diabetes. There's really no difference between a pump and MDI, other than the ability to control basal rates on a pump (which can somewhat be mimicked by taking Levemir every 12 hours or so and adjusting the dose as needed) or the...

Do you have a CGM or Libre? The first step is to understand when your BG is rising, what is causing it to rise and how long it is staying high for. Then it will be easier to do something about it.

Yes, I find physical activity will raise BG rather than lower it in the morning. I used to run and would take a unit or two before starting.

Absolutely agree with @Juicyj. Stress can cause massive rises in BG. I have to do a lot of public speaking for my job and the minute I stand up and start speaking I can see an up arrow on my CGM. It can take hours to go down sometimes and insulin has very little effect once the rise has started...

I don't find this to be true. I find the rise happens no matter what and must be countered with insulin. If I wake up and don't eat right away I have to take 1 to 2 units depending on what my BG is. If I eat right away I still have to take those 1 to 2 units + insulin for breakfast, and if I...

Mornings are a whole other issue. The dawn phenomenon can start at 3-4am and accelerate as you get out of bed and start moving around. The higher you wake up, the faster your blood sugar can start rising even further sometimes. Coffee can accelerate this too, even without sugar, as the caffeine...

Everyone is different. Personally I hate Tresiba because there is no way to adjust it on a daily basis for differing basal needs, and I find that at the dose I took it at when I tried it, it did not even last close to 24 hours. If I increased the dose I was severely hypo all night, so I don't...

What did you eat? If you ate something with high fat and/or protein content in the hours before correcting, it could be that the meal is digesting for hours and the correction is just keeping you level rather than bringing you down. Also, "correction ratios" are just best guesses that work most...

Have you tried another insulin? Sometimes the immune system can stop a certain insulin from working properly, but another one might work fine. Sometimes even Regular insulin (sold under brand names Actrapid, Novolin Toronto or R, Humulin R or S, etc.) works better for people having immune...

That's likely exactly what's happening. You can compensate by taking more NovoRapid 2-3 hours after eating (or whenever you find helps), using Regular insulin which has a later onset, peak and lasts longer compared to NovoRapid, or by raising your basal insulin to help compensate for...

Disagree, the protein in eggs, fish, meat, etc. will absolutely raise blood sugar (the body converts it to glucose through gluconeogenesis) and requires insulin. However, the process is slower and thus Regular insulin works better than NovoRapid for most people if eating low/no-carb. If there is...

There could be a million reasons, but it could be that you are mistiming the insulin. Many meals, even meals you wouldn't think will digest slowly, often do. You could try taking less NovoRapid and/or take it right before eating instead of pre-bolusing, and then take more 2-3 hours later. You...

NovoRapid and Humalog have similar profiles, and while both are faster than Regular insulin, neither is anything close to instant. You could try Fiasp, it is the fastest insulin currently available and is essentially NovoRapid with a couple added ingredients to speed up the absorption.

Actrapid is the European brand name for Novo Nordisk R (Regular human) insulin. It is equivalent to Humulin R, so it is the same as what Bernstein recommends. It works great for low carbs meals and would recommend it over NovoRapid, which should still work too fast and not last long enough if...

You might have to take more injections than that honestly if you want good results. The idea is to take insulin whenever you need it, so yes, everytime you eat basically anything you have to inject, as well as when you need to correct highs. There are days when I might inject 10 times, but it's...

It just depends on your doctor. I was prescribed Levemir when I was diagnosed. You would be surprised how much they don't know about basal insulins. Lantus was the first basal insulin analogue, but that doesn't mean it's the best.

It's not that the other insulins can't, but more that with Lantus you are generally taking much larger doses than with rapid-acting insulin and they aren't being taken for food, so if you inject into blood there is nothing to prolong the absorption and it will act just like you had injected...

There isn't a formula unfortunately, it's different for everyone. One known difference though is that Lantus generally lasts longer than Levemir at smaller doses, so you might find yourself giving a more even split instead of a lot in the morning and only a little at night. Personally I find it...