- Messages
- 2,603
- Type of diabetes
- Type 1
- Treatment type
- Insulin
Morning all!
I'm currently on a basal/bolus regime with Levemir and Novorapid. I've typically been taking my Levemir as a split dose at 7pm/am. Since using the Freesyle Libre I've had access to graphs and the like and I've noticed a trend.
I can now see that I typically dip lowest during the hours of 2am - 6am then have a peak on waking between 7am - 10am. Note that I'm still getting these AM peaks even when my lowest reading is >4mmol/L, so I don't think it's a rebound high issue. The am peak (sometimes as high as 10mmol/L then comes down to normal range at around 11am; once my morning dose of Levemir kicks in.
I don't normally eat breakfast, but find that I'm needing about 2u Novorapid on waking to try and keep my BGL steady until the Levemir takes over.
I'm wondering if I were to take my pm dose later (at 10pm for example) would this allow a better overlap between am/pm Levemir injections to compensate for my higher readings between 7am-10am? I'm not so concerned about the morning Novorapid correction dose, but if I could get a flatter basal over this morning period without my Novorapid then I'd be pretty happy! The leaflet in the Levemir box says to take one injection or a split dose 12 hours apart. Although this is the recommendation, I doubt very much that the leaflet is diabetic so I'd rather your views instead
Anyone else finding that they need a fast acting correction in the mornings to keep things steady?
Any advice or recommendations would be greatly appreciated!
Many thanks!
Grant
I'm currently on a basal/bolus regime with Levemir and Novorapid. I've typically been taking my Levemir as a split dose at 7pm/am. Since using the Freesyle Libre I've had access to graphs and the like and I've noticed a trend.
I can now see that I typically dip lowest during the hours of 2am - 6am then have a peak on waking between 7am - 10am. Note that I'm still getting these AM peaks even when my lowest reading is >4mmol/L, so I don't think it's a rebound high issue. The am peak (sometimes as high as 10mmol/L then comes down to normal range at around 11am; once my morning dose of Levemir kicks in.
I don't normally eat breakfast, but find that I'm needing about 2u Novorapid on waking to try and keep my BGL steady until the Levemir takes over.
I'm wondering if I were to take my pm dose later (at 10pm for example) would this allow a better overlap between am/pm Levemir injections to compensate for my higher readings between 7am-10am? I'm not so concerned about the morning Novorapid correction dose, but if I could get a flatter basal over this morning period without my Novorapid then I'd be pretty happy! The leaflet in the Levemir box says to take one injection or a split dose 12 hours apart. Although this is the recommendation, I doubt very much that the leaflet is diabetic so I'd rather your views instead
Anyone else finding that they need a fast acting correction in the mornings to keep things steady?
Any advice or recommendations would be greatly appreciated!
Many thanks!
Grant