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<blockquote data-quote="Dillinger" data-source="post: 636999" data-attributes="member: 13582"><p>I'd raise an eyebrow to all the maximum effectiveness times for insulin; I take Levemir and operate on the basis that the effects after 12 hours are minimal. I've never even considered that it might last 18 hours.</p><p></p><p>So, splitting it is almost essential but does produce good results - I'm happy with it. I take morning dose at about 7:00 and the evening at about 11:00 which means the overlap hits the dawn phenomenon and the gap hits when I'm most sensitive to insulin (early evening).</p><p></p><p>I think the 1.6mmol/ 10% dose rule is a very good starting point and I would apply that to the split dose - so if needed for overnight basal reduce/increase the evening dose by 10% </p><p></p><p>I also swapped from Novorapid which is a good fast aggressive carb eater, but not as suitable to a low-carb diet. I changed to Humalog which has a similar but, I find, a more gentle action. Seems to work for me.</p><p></p><p>This is a helpful guide to insulin action; you'll see that Novorapid is the most aggressive short acting</p><p></p><p><a href="http://www.diabetes.org.uk/Documents/Magazines/Insulinwallchart.pdf" target="_blank">http://www.diabetes.org.uk/Documents/Magazines/Insulinwallchart.pdf</a></p><p></p><p>I know some super organised low carb Type 1's use Humulin S for protein based meals but I can't be bothered with that level of fine tuning...</p><p></p><p>Regards</p><p></p><p>Dillinger</p></blockquote><p></p>
[QUOTE="Dillinger, post: 636999, member: 13582"] I'd raise an eyebrow to all the maximum effectiveness times for insulin; I take Levemir and operate on the basis that the effects after 12 hours are minimal. I've never even considered that it might last 18 hours. So, splitting it is almost essential but does produce good results - I'm happy with it. I take morning dose at about 7:00 and the evening at about 11:00 which means the overlap hits the dawn phenomenon and the gap hits when I'm most sensitive to insulin (early evening). I think the 1.6mmol/ 10% dose rule is a very good starting point and I would apply that to the split dose - so if needed for overnight basal reduce/increase the evening dose by 10% I also swapped from Novorapid which is a good fast aggressive carb eater, but not as suitable to a low-carb diet. I changed to Humalog which has a similar but, I find, a more gentle action. Seems to work for me. This is a helpful guide to insulin action; you'll see that Novorapid is the most aggressive short acting [url]http://www.diabetes.org.uk/Documents/Magazines/Insulinwallchart.pdf[/url] I know some super organised low carb Type 1's use Humulin S for protein based meals but I can't be bothered with that level of fine tuning... Regards Dillinger [/QUOTE]
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