• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Insulin change causing high's BS readings

clarey123

clarey123

Member
Messages
12
Type of diabetes
Type 1
Treatment type
Insulin
Hi, New to the forum. I have been a type 1 diabetic for the last 15 years. I was on novomix30 until the beginning of July and have been changed to levemir and novorapid since the change blood sugars have been all over the place and I am waking up between 12-16mmol in the mornings. I was well controlled on my novomix30 but had several serve hypo's this is the reason for my insulin change.
Would anyone suggest having more levemir at night or is it this causing the highs?
Any advice would be greatly appreciated.
 
Welcome @clarey123 :)

Sometimes a swap to a different regime can take a while to get your dosages right.

Do you take one injection of Levemir a day or two? When do you take it?
 
Yeah I am carb counting which is all new to me was recommended to use a 1:8 ratio
 
clarey123 said:
Yeah I am carb counting which is all new to me was recommended to use a 1:8 ratio
Click to expand...

If you weren't carb counting on mixed insulin that might have contributed to your hypos possibly.

Have you done some night time blood tests to see when your blood sugar starts to rise?

What's your blood sugar like before bed?
 
Before bed blood sugars are around 4.9-6.2mmol. Have done a few 3am tests which were all around 9.8mmol, which I why I think I should possibly be taking more levemir to keep it down
 
Always check with your DSN if you're in any doubt, and make any changes in very small increments.

Your bedtime sugars seem fine.

If you do put your evening Levemir up, test during the night and give it a few days before adjusting again if you need to.

Good luck :)
 
Hi @clarey123 as your nighttime levels are rising, and with your bolus having been depleted it leads to correcting your basal rates - as @azure has said check with your DSN as you are on a new regime they will want to keep a close eye on you.
 
clarey123 said:
Before bed blood sugars are around 4.9-6.2mmol. Have done a few 3am tests which were all around 9.8mmol, which I why I think I should possibly be taking more levemir to keep it down
Click to expand...

If the basal dose (levemir in your case) is set at the right dose your fasting bg levels shouldn't fluctuate by more than 1.6mmol/l, I'll include a link to basal testing which explains how to do the test in different time frames, but agree with @azure that you should check with your DSN if ever in doubt about anything:

http://www.salforddiabetescare.co.uk/index2.php?nav_id=1007

Good luck.
 
Back
Top