Hi hive mind (nods to AndyS)
I was hoping to get some views on morning fasting levels from some other lantus / levemir users. I’m fairly well controlled at the moment (latest HbA1c is 5.1, but I’m trying to bring that up slightly) but my morning levels are stubbornly higher than the rest of the day. Not mega high, but just higher. I moved over to Levemir a few weeks ago to be able to split doses and help with weight gain. I ended up taking 22u of lantus in the morning, but dropped that to 14u after a suddenly going hypo crazy due probably to a honeymoon.
What I realised looking back was that I kept upping my dose of lantus every week or so to try to get my fasting levels down but I was only really pushing my daytime levels down. This was also confused by the fact that I was eating fairly low-ish carb and thus basal was 70-75% of my insulin load.
When I switched to levemir, I kept to my lantus dose of 14u, and split 50:50, 12 hours apart. I’m still taking 7u in the morning, and this may still be a little high, as I’m low 4s by lunchtime and again low 4s by early teatime, both about 5 hours+ after apidra but before I eat my main meal. I’m eating more carbs and exercising more, albeit not with a regular frequency. However, I’ve been creeping my night time levemir doses up due to what feels like stubborn fasting readings. Having graphed it, it looks like something else is at work as the increase dose doesn’t really seem to be pushing my levels down as much as I’d expect. I expected levemir doses to be higher than lantus, but my am doses aren't really massive. I'm currently on a 28%:72% amm split.
I often read a little high when I go to bed as I don’t eat until late, however I’ve gone to bed at 4.8 and woken at 6.1 one day and gone to bed at 11.0 and woken at 6.8 a different day. On the day I went to bed at 11.0, I tested at 2am as my son woke me up and was 5.6; I woke up at 6.8.
I suppose my two questions are: a) any thoughts on cause? My levels aren’t really that high, so I was hesitant to suggest DP, and b) what should I do basal dose wise? June’s avg fasting was 7.1 on roughly 10-13u, July’s has been 7.2 on 18u. Should I just accept a fasting level of 7ish and take the lower dose? I guess I should do some more testing at 2am but any thoughts?
I was hoping to get some views on morning fasting levels from some other lantus / levemir users. I’m fairly well controlled at the moment (latest HbA1c is 5.1, but I’m trying to bring that up slightly) but my morning levels are stubbornly higher than the rest of the day. Not mega high, but just higher. I moved over to Levemir a few weeks ago to be able to split doses and help with weight gain. I ended up taking 22u of lantus in the morning, but dropped that to 14u after a suddenly going hypo crazy due probably to a honeymoon.
What I realised looking back was that I kept upping my dose of lantus every week or so to try to get my fasting levels down but I was only really pushing my daytime levels down. This was also confused by the fact that I was eating fairly low-ish carb and thus basal was 70-75% of my insulin load.
When I switched to levemir, I kept to my lantus dose of 14u, and split 50:50, 12 hours apart. I’m still taking 7u in the morning, and this may still be a little high, as I’m low 4s by lunchtime and again low 4s by early teatime, both about 5 hours+ after apidra but before I eat my main meal. I’m eating more carbs and exercising more, albeit not with a regular frequency. However, I’ve been creeping my night time levemir doses up due to what feels like stubborn fasting readings. Having graphed it, it looks like something else is at work as the increase dose doesn’t really seem to be pushing my levels down as much as I’d expect. I expected levemir doses to be higher than lantus, but my am doses aren't really massive. I'm currently on a 28%:72% amm split.
I often read a little high when I go to bed as I don’t eat until late, however I’ve gone to bed at 4.8 and woken at 6.1 one day and gone to bed at 11.0 and woken at 6.8 a different day. On the day I went to bed at 11.0, I tested at 2am as my son woke me up and was 5.6; I woke up at 6.8.
I suppose my two questions are: a) any thoughts on cause? My levels aren’t really that high, so I was hesitant to suggest DP, and b) what should I do basal dose wise? June’s avg fasting was 7.1 on roughly 10-13u, July’s has been 7.2 on 18u. Should I just accept a fasting level of 7ish and take the lower dose? I guess I should do some more testing at 2am but any thoughts?