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<blockquote data-quote="xAoifex" data-source="post: 957720" data-attributes="member: 45422"><p>I was diagnosed as T1 11 years ago and originally on the traditional lantus and novorapid concoction however due my my job (nurse working shifts) I found the Lantus too inflexible as I couldn't alter it effectively for my shift patterns, any change take a few days to take effect. Due to this and dawn phenomenon I changed to BD levemir, It meant I could flip my bolus doses around for my night shifts and the change was fairly immediate. It also mean I could take a higher dose at night to try and combat the dawn phenomenon. I did this for several years until my team eventually persuaded me to try a pump. I now have multiple basal rates throughout the day with the ability to use temporary basal rates if my activity levels change. I also have a different basal pattern set for my night shifts. This has meant my HbA1c has dropped from around 8.5% to 7% (coming down slowly at each test!) It also means that I can have more control over my glucose and am slowly getting out of the habit of running higher at work from the fear of going hypo at a very inappropriate time! I am at a higher risk of DKA as there is no long acting insulin on board so if my supply is interrupted, for example cannula or site issues or pump malfunction (rare!) then I have no insulin in my system as it's only short acting insulin used in pumps. To identify any issues I have to commit to testing several times a day (average 6-10 depending on activity level, driving etc)</p><p>I hope this is useful!</p></blockquote><p></p>
[QUOTE="xAoifex, post: 957720, member: 45422"] I was diagnosed as T1 11 years ago and originally on the traditional lantus and novorapid concoction however due my my job (nurse working shifts) I found the Lantus too inflexible as I couldn't alter it effectively for my shift patterns, any change take a few days to take effect. Due to this and dawn phenomenon I changed to BD levemir, It meant I could flip my bolus doses around for my night shifts and the change was fairly immediate. It also mean I could take a higher dose at night to try and combat the dawn phenomenon. I did this for several years until my team eventually persuaded me to try a pump. I now have multiple basal rates throughout the day with the ability to use temporary basal rates if my activity levels change. I also have a different basal pattern set for my night shifts. This has meant my HbA1c has dropped from around 8.5% to 7% (coming down slowly at each test!) It also means that I can have more control over my glucose and am slowly getting out of the habit of running higher at work from the fear of going hypo at a very inappropriate time! I am at a higher risk of DKA as there is no long acting insulin on board so if my supply is interrupted, for example cannula or site issues or pump malfunction (rare!) then I have no insulin in my system as it's only short acting insulin used in pumps. To identify any issues I have to commit to testing several times a day (average 6-10 depending on activity level, driving etc) I hope this is useful! [/QUOTE]
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