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There is a half unit pen, it's called the NovoPen Echo. It can be hard to find though as at least in Canada where I live, pharmacies don't carry it. I've been able to get them directly from my endocrinologist.

It sounds like you're a good candidate for a pump. None of these injectible basals can match the adjustments you can make with a pump.

I've tried it in my pump but my biggest gripe with it was its shorter effective duration - I would see large delayed spikes after eating from what I assume is protein/fat that NovoRapid covered better. I'm afraid these will be worse on MDI since there is no way to square wave and at least...

Lantus isn't really completely flat, it is compared to NPH but still has a curve and slight peak which causes lows for many . Tresiba is near-flat and lasts much longer as well. Lantus is supposed to last 24 hours but in reality this is only at very high doses. Tresiba lasts longer at lower...

I think you're thinking of Levemir - which worked reasonably well for me but always felt like a patchwork solution compared to my pump. I've heard Toujeo is just Lantus x300 and that some people get erratic results with it after a few weeks of using it. My basal insulin dose is under 20 units...

Hey, for some reason it just isn't potent enough for the full 24 hours for me. The timing of the injection seems to make a difference too. For example, if I injected before bed I would get great basal coverage until late afternoon the next day and then it would taper off. If I injected in the...

I think you just have to consider whether the current basal insulins on the market will meet your needs and whether there are features of the pump that you can't replicate on MDI that are important to you. I decided to try MDI this year after constant absorption/site issues I was having after 11...

I'm just wondering if anyone does this, has had success with it and has any tips for how to do it properly. I pumped for 11 years and decided to take a break due to numerous site issues. I was splitting Levemir which worked pretty well for me, but having been spoiled by pumping, I was getting...

I hate to say it, but Fiasp has been known to cause more irritation than NovoRapid. Are you able to try Apidra or Humalog?

What insulin are you using? I had this problem when I pumped NovoRapid and switched to Humalog as I read other people had the same problem. It can be caused by a preservative in NovoRapid that Humalog doesn't have apparently. Humalog didn't work as well for me for whatever reason, so I tried...

Many people find this because the truth is Lantus only lasts 24 hours at very high doses. You could try splitting your dose by taking half in the morning and half at night to get more consistent coverage. You could also try switching to Levemir which lasts about 12 hours at small doses, so it is...

I've used both a pump and injections and they both have their pros and cons. I think there was more of a difference before moderns basal insulins like Tresiba, Lantus and Levemir came along. I think they can be enormously useful if you are having a specific problem that injections can't address...

I don't follow a particular diet but there are things I avoid entirely: regular soft drinks, fruit juices, cereal, milk and most fruit. I try to limit my rice and bread intake but I'm not perfect at that. Mostly I try to eat things I am familiar with and know how they will affect my blood sugar...

Changing your diet is more important than exercise at this point. Again, check out what Dr. Bernstein says: http://www.diabetes-book.com. I'm not a follower of this doctor and I don't agree with everything he says, but I think he is right about a lot of things and definitely don't think he is a...

Also, I can tell you from my own experience that when I am stressed I try to eat as few carbs as possible or I will run into problems. I'm a criminal lawyer and when I'm in court for a serious case I might just have eggs for breakfast with no toast and a soup with no noodles or something else...

I can't make any recommendations about dosing since I'm not a doctor. I think the most important thing you can do is change your diet quickly. Have you read anything from Dr. Richard Bernstein or watched his YouTube videos? I'm not a follower of his as I think he can be extreme, but I think he...

Just to add to what I said, eating is more important than exercise as a type 1, unless you are getting so much exercise that you can basically eat whatever you want without going high. Rice and bread are probably 2 of the hardest meals to eat as a diabetic, no matter how well-controlled you are...

Exam stress, or stress of any kind, can cause very high blood sugars that are hard to bring down. Your body does not absorb insulin as well when you are stressed, is resistant to insulin and your liver will release glucose at higher rates all causing your blood sugar to rise and making it...

I think you will get much better basal coverage this way. Lantus is supposed to last 24 hours but the duration depends on the dosage - so at lower doses it may only last 16-20 hours instead of 24.

Have you read about basal testing? You should try that to make sure your basal dose is right. Also for many Lantus doesn't last 24 hours. The dose can be split and taken at morning and night to give better coverage. Levemir is more conducive to this since it lasts around 12 hours in small doses...