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Blood glucose levels before bed

I think the real difficulty with basal level is that it's not an exact science. I believe most people's basal subsidises their bolus or vice versa to some extent. I've used Insuman basal which subsidised bolus considerably - it was fine as long as you pulled back on your bolus ratio for the meals where the basal was at peak; I've used Levemir which kept running out so I had to subsidise it with my bolus, increasing the dose to cover the fact the basal wasn't meeting my needs; now Tresiba which doesn't seem to subsidise or need subsidising so my bolus has gone to a different ratio again - however, it doesn't hold me completely stable - it has a very flat action, but I don't think my needs are really very flat!

In the end, basal does have an impact on the amount of bolus you need and vice versa - they are inseperably entwined. You just find the best balance for you. It's not perfect, but it's the best we've got to work with.

Smidge
Well said
 
Could you take half of your lantus in the evening and the other half in the morning?ive started doing this and it's evened my sugars out a lot
 
This is a delayed action post on the Somogyi effect; and it is straight from the horses mouth for us low-carbers.

Here is Dr Bernstein explaining that the Somogyi effect does not exist.


Best

Dillinger
 
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