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Type 1 Diabetes
help with basal doses
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<blockquote data-quote="noblehead" data-source="post: 207220" data-attributes="member: 11028"><p>Difficult one to answer Russ as I once changed from lantus to levemir and had a awful time trying to get the balance right, even after split dosing I would be fine one day but the next either sky-high or struggling to keep my levels from dropping into hypo territory, overall I just found the unpredictability of levemir difficult compared to the flat 24 hour coverage that lantus provides.</p><p></p><p>Your slightly raised bg in the morning may well just be DP as your levels are fine in the early hours (2am testing) but increases as the morning moves on, however I would be reluctant to increase the pm dose as you say you are in the low 4's by lunchtime the following day, as I understand it Levemir typically lasts for 18 hours so will still be working by lunch along with your morning dose....hence why I suggest you be careful here.</p><p></p><p>Given what you have achieved since the switch I think you are doing really well, hopefully someone who uses levemir will be along soon to advise you on how best to resolve these problems.</p><p></p><p>Nigel</p></blockquote><p></p>
[QUOTE="noblehead, post: 207220, member: 11028"] Difficult one to answer Russ as I once changed from lantus to levemir and had a awful time trying to get the balance right, even after split dosing I would be fine one day but the next either sky-high or struggling to keep my levels from dropping into hypo territory, overall I just found the unpredictability of levemir difficult compared to the flat 24 hour coverage that lantus provides. Your slightly raised bg in the morning may well just be DP as your levels are fine in the early hours (2am testing) but increases as the morning moves on, however I would be reluctant to increase the pm dose as you say you are in the low 4's by lunchtime the following day, as I understand it Levemir typically lasts for 18 hours so will still be working by lunch along with your morning dose....hence why I suggest you be careful here. Given what you have achieved since the switch I think you are doing really well, hopefully someone who uses levemir will be along soon to advise you on how best to resolve these problems. Nigel [/QUOTE]
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