Thank you very much for your help.
TerriH
My consultants could not help with levels to be honest... there actions are from text books and manufacturing recommendations.
The pump for me, worked fantastic for 5 years and then my skin started to block cannulas when first put in. So I had no alternative but to go back to mdi, which didnt work well for me as I was put on pump when they werent freely given to T1 s.
After researching my needs then it was me that found this alternative. Staff not like split insulatard, not like tresiba as well... but I wasnt happy. So looking at how various insulins work and graphing them on greaseproof paper and laying them over my good n bad times for levels I figure this was best way for me.
Last appt with consultant and he said that I was just to carry on playing around with the various insulins myself.
I have been lucky that I have had a funded CGM and tjis has allowed and still allows me to have a much better idea about changing doses etc...
For me insulatard is pretty much out of my body by midnight, which is when it needs to be gone... but without something in a small dose running in background then from midnight I would climb and 3.30 onwards was just dire. Tresiba by itself was not an option as it was so flat in delivery. So insulatard given at 3.30 keeps level... and is working at its peak for 4-8 hours when I need it. Having a further 1/3rd of total dose at 7/8am allows for my activitys to change from mornings to afternoons. I always need less in afternoons.so splitting it made sense to me.. and to put majority of dose of insulatard when I needed it. Still need 1 or 1.5 bolus to get up but that is then also out of my body by afternoons when I dont need it.
We are all individual and consultants/staff cannot fine tune our needs in a 15 minute appt... no hope....
Working/ weekends etc are less of a problem now too.