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How to split Levemir dose
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<blockquote data-quote="Spiker" data-source="post: 522241" data-attributes="member: 102150"><p>Judy I think your are correct, your Levemir is running out towards dinner time, some 20 hrs after injection. Levemir really doesn't last 24 hours. I don't know why anyone is advised to take it only once a day unless they are still producing their own insulin in sufficient quantity to make up the deficit. Even Lantus doesn't last 24 hours except at very high doses. The duration of action of all insulins is dose dependent - the more you inject, the longer it takes to finish working. </p><p></p><p>Your plan to split to twice a day at 10pm and 10am is a good one. Contacting your DSN about it is also a good plan. </p><p></p><p>Some people find it helps to stagger the times of the two injection so they are not 12 hours apart, in order to counter the "dawn phenomenon". This worked for me for example. I took basal insulin last thing at night and first thing in the morning, so at 8 and 16 hour intervals rather than 12 and 12. The overlap gave me higher basal insulin overnight which sorted out the dawn rises. </p><p></p><p>But the first problem is those evening highs. One problem at a time. Worry about any dawn phenomenon later - you might not have any. 2 x 12 hr injections is a good pattern for Levemir.</p></blockquote><p></p>
[QUOTE="Spiker, post: 522241, member: 102150"] Judy I think your are correct, your Levemir is running out towards dinner time, some 20 hrs after injection. Levemir really doesn't last 24 hours. I don't know why anyone is advised to take it only once a day unless they are still producing their own insulin in sufficient quantity to make up the deficit. Even Lantus doesn't last 24 hours except at very high doses. The duration of action of all insulins is dose dependent - the more you inject, the longer it takes to finish working. Your plan to split to twice a day at 10pm and 10am is a good one. Contacting your DSN about it is also a good plan. Some people find it helps to stagger the times of the two injection so they are not 12 hours apart, in order to counter the "dawn phenomenon". This worked for me for example. I took basal insulin last thing at night and first thing in the morning, so at 8 and 16 hour intervals rather than 12 and 12. The overlap gave me higher basal insulin overnight which sorted out the dawn rises. But the first problem is those evening highs. One problem at a time. Worry about any dawn phenomenon later - you might not have any. 2 x 12 hr injections is a good pattern for Levemir. [/QUOTE]
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