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Diabetes Discussion
Type 1 Diabetes
Changing From Lantus To Levemir
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<blockquote data-quote="kitedoc" data-source="post: 1869628" data-attributes="member: 468714"><p>Hi [USER=476475]@Ermintrude775[/USER], The instance you give of the high pre-bed BSL and the hypo in early am may fit with the the karate exercise. The adrenaline released in response to the exercise can send BSLs up initially (at least in my case) with a hypo often 6 hours + later as the muscles refill their glucose stores from the blood. People either lower the appropriate insulin(s) to allow for this or eat more carbs sometimes before and certainly nearer the 5 hours mark. It may be that, as others have said, your were taking too much insulin. Of course one can only adjust the lantus once per day or thereabouts. If taking it twice daily there could be an amount of overlap of long-acting insulin which has its own problems.</p><p>So can you really trust the example you take as a true example of the time under discussion.?</p><p>I have not been prescribed Lantus but found Levemir useful because taken twice daily it seems to last the 24 hours (at least for me) with no obvious overlap issue and there is the facility to adjust the dose of long-acting insulin between day and night.</p><p>In my case eventually the bolus-basal regime was not sensitive enough to keep BSLs well enough controled and at the 45 year mark on insulin I graduated to an insulin pump. The past 7 years have been so much better.</p><p>Best Wishes with the changeover. I found that I needed less levemir at night than during the day, but that may be me. Certainly if you are exercising regularly in early evening you have an option, in discussion with your doctor to ease back the levemir dose at night. Night hypos can be horrific !!</p></blockquote><p></p>
[QUOTE="kitedoc, post: 1869628, member: 468714"] Hi [USER=476475]@Ermintrude775[/USER], The instance you give of the high pre-bed BSL and the hypo in early am may fit with the the karate exercise. The adrenaline released in response to the exercise can send BSLs up initially (at least in my case) with a hypo often 6 hours + later as the muscles refill their glucose stores from the blood. People either lower the appropriate insulin(s) to allow for this or eat more carbs sometimes before and certainly nearer the 5 hours mark. It may be that, as others have said, your were taking too much insulin. Of course one can only adjust the lantus once per day or thereabouts. If taking it twice daily there could be an amount of overlap of long-acting insulin which has its own problems. So can you really trust the example you take as a true example of the time under discussion.? I have not been prescribed Lantus but found Levemir useful because taken twice daily it seems to last the 24 hours (at least for me) with no obvious overlap issue and there is the facility to adjust the dose of long-acting insulin between day and night. In my case eventually the bolus-basal regime was not sensitive enough to keep BSLs well enough controled and at the 45 year mark on insulin I graduated to an insulin pump. The past 7 years have been so much better. Best Wishes with the changeover. I found that I needed less levemir at night than during the day, but that may be me. Certainly if you are exercising regularly in early evening you have an option, in discussion with your doctor to ease back the levemir dose at night. Night hypos can be horrific !! [/QUOTE]
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