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<blockquote data-quote="ConradJ" data-source="post: 582592" data-attributes="member: 66676"><p>Hey, no worries!</p><p></p><p>Have you night-time tested at all? If not, I strongly suggest doing so. As you take your Levemir at 10pm, I would test at 00.00, 02.00, 04.00 and then at 06.00. This will give you some indication as to what the levemir is doing to you at night.</p><p></p><p>The good news is that the insulin is working. The question is, just how well? It could be sending you low (according to your body's revised settings as to what low actually is**) or it may be that it's just not enough. Without the 2-hourly tests, none of us will know and you and your DSN will be just guessing what to do next.</p><p></p><p>I'd also run a basal test for two evenings to see what's happening to your evening levels with just the levemir: your daytime levemir could be running out too soon or it could be too much, or your I:C ratio is out for your evening meal, which is then sending you high, or low with a subsequent rebound.</p><p></p><p>**Your body will reset it's boundaries for hypoglycaemia if you've been running consistently high for a period of time. If your average has been 12, then your hypo warnings could be around 9mmol/l - therefore, if your night-time levemir drops you down to (say) 6mmol/l in the middle of the night, your body may react thinking it's going hypo and then chuck out glycogen and force a rebound.</p><p></p><p>One clue to this is: when you wake up in the morning, do you feel like you have had no sleep and a bad hangover in the morning?</p></blockquote><p></p>
[QUOTE="ConradJ, post: 582592, member: 66676"] Hey, no worries! Have you night-time tested at all? If not, I strongly suggest doing so. As you take your Levemir at 10pm, I would test at 00.00, 02.00, 04.00 and then at 06.00. This will give you some indication as to what the levemir is doing to you at night. The good news is that the insulin is working. The question is, just how well? It could be sending you low (according to your body's revised settings as to what low actually is**) or it may be that it's just not enough. Without the 2-hourly tests, none of us will know and you and your DSN will be just guessing what to do next. I'd also run a basal test for two evenings to see what's happening to your evening levels with just the levemir: your daytime levemir could be running out too soon or it could be too much, or your I:C ratio is out for your evening meal, which is then sending you high, or low with a subsequent rebound. **Your body will reset it's boundaries for hypoglycaemia if you've been running consistently high for a period of time. If your average has been 12, then your hypo warnings could be around 9mmol/l - therefore, if your night-time levemir drops you down to (say) 6mmol/l in the middle of the night, your body may react thinking it's going hypo and then chuck out glycogen and force a rebound. One clue to this is: when you wake up in the morning, do you feel like you have had no sleep and a bad hangover in the morning? [/QUOTE]
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