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<blockquote data-quote="iHs" data-source="post: 446264" data-attributes="member: 8799"><p>Hi Again</p><p></p><p>From looking at yr first msg in this thread Ive just realised that you are using Levemir just once per day????? Levemir's action is not really designed to last 24hrs so that is what your problem is.... You've not got enough basal and instead you are needing to use loads of bolus to control yr bg levels. What time of the day do you inject the Levemir? Most people usually inject it roughly 12hrs apart although I got by fairly well injecting it about 10pm and then again at 7.30am. So you could have a go at doing the same and try a 50/50 split to start off with and then do as SamJB has suggested, don't eat any carb for about 4 - 5 hrs and then test yr bg levels every 2hrs and just see what effect the basal alone has on controlling yr bg and then if need be you can increase it slightly by 1u at a time. Ideally, you need to be about 6-7mmol every 2hrs and then that will also help to avoid any hypos.</p><p></p><p>For bolus/basal insulin pen users although basal testing can be done, its not the same as basal testing in a pump. Basal testing pump style allows for the basal insulin to be altered every 1-2hrs (according to time slots available on pump that is) whereas basal like Levemir and Lantus, its hard to get the same bg level all day long and some go as far as injecting it at odd times according to how their body changes direction in its need for insulin. </p><p></p><p>A good book for you to read about bolus/basal regimes is Think Like A Pancreas which explains about using the modern analogue insulins like a 'poor mans pump'</p></blockquote><p></p>
[QUOTE="iHs, post: 446264, member: 8799"] Hi Again From looking at yr first msg in this thread Ive just realised that you are using Levemir just once per day????? Levemir's action is not really designed to last 24hrs so that is what your problem is.... You've not got enough basal and instead you are needing to use loads of bolus to control yr bg levels. What time of the day do you inject the Levemir? Most people usually inject it roughly 12hrs apart although I got by fairly well injecting it about 10pm and then again at 7.30am. So you could have a go at doing the same and try a 50/50 split to start off with and then do as SamJB has suggested, don't eat any carb for about 4 - 5 hrs and then test yr bg levels every 2hrs and just see what effect the basal alone has on controlling yr bg and then if need be you can increase it slightly by 1u at a time. Ideally, you need to be about 6-7mmol every 2hrs and then that will also help to avoid any hypos. For bolus/basal insulin pen users although basal testing can be done, its not the same as basal testing in a pump. Basal testing pump style allows for the basal insulin to be altered every 1-2hrs (according to time slots available on pump that is) whereas basal like Levemir and Lantus, its hard to get the same bg level all day long and some go as far as injecting it at odd times according to how their body changes direction in its need for insulin. A good book for you to read about bolus/basal regimes is Think Like A Pancreas which explains about using the modern analogue insulins like a 'poor mans pump' [/QUOTE]
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