Dillinger
Well-Known Member
- Messages
- 1,207
- Type of diabetes
- Type 1
- Treatment type
- Insulin
- Dislikes
- Celery.
@Dillinger I tend to take my basal at 10pm and at the moment I am on 20u, It has been recommended by my nurse to take 10u at night and another 10u in the morning. I do not know what your experience with this is? Personally I am less keen to move to this as I already inject so many times a day that any way that I can keep this down saves some of the swellings in my legs which I sometimes get due to hitting veins..
I definitely find that I am more sensitive to insulin the morning and sometimes through until lunch, in the evenings is where I experience my most dramatic spikes. Is there any reason for this or is it just something which happens?
Splitting basal is a good way to go; but many find that Lantus is harder to split than Levemir. Get your nurse to change you to Levemir. I use the 4mm needles and think they make things more predictable. Lantus has a reputation for being tricky.
Your Lantus could well be running out in late afternoon/early evening (they all like to claim it but Lantus and Levemir are certainly not 24 hour insulins) so perhaps you are over compensating for that with your bolus in the evening?
Another tweak you could do is not inject more than 7 units of any insulin at once; so change sites midway through an injection. The reason being is that that will help you get consistent absorption rates. I know you are worried about lots of injections but I think you'll get used to it and the control is the key thing not the number of jabs.
But as has been said; fix your basal then your bolus then drop your carbs.
It's really not complex; you will be able to pick it up by just doing some reading. It is a scandal that all insulin using diabetics do not have this drummed into them as soon as they go on insulin. It's like giving people cars and telling them that there are no driving lessons available for the next 3 years.
Best
Dillinger