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Levemir - change to once a day?
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<blockquote data-quote="zicksi101" data-source="post: 1246532" data-attributes="member: 97084"><p>Thanks for the comments. In any case I'll need to be careful with this and do lots of testing.</p><p></p><p>The issue I've been having is late afternoon drop which also shows up on the late afternoon basal test, yesterday BG dropped from 6.5 three hours after the lunch time bolus to 4.4. </p><p></p><p>I've tested the evening basal too and I know that it isn't enough insulin to cover the fasting state after 22 hours. So it's a bit of a catch 22.</p><p></p><p>I am willing to accept a spike 1-2 hours after food, but would prefer not to simply accept a high that stays that way for 4-5 hours, as I have done so in the past and it has lead to poor hba1c. So to be clear what I'm considering is using bolus to form part of the basal rate to avoid a spike later, which as I understand it is how an insulin pump delivers the basal rate, and I just wanted to see if anyone else is doing the same on MDI and what their experience is. </p><p></p><p>I would be very surprised if no one else does this deliberately, but there doesn't seem to be anything in the books about it.</p></blockquote><p></p>
[QUOTE="zicksi101, post: 1246532, member: 97084"] Thanks for the comments. In any case I'll need to be careful with this and do lots of testing. The issue I've been having is late afternoon drop which also shows up on the late afternoon basal test, yesterday BG dropped from 6.5 three hours after the lunch time bolus to 4.4. I've tested the evening basal too and I know that it isn't enough insulin to cover the fasting state after 22 hours. So it's a bit of a catch 22. I am willing to accept a spike 1-2 hours after food, but would prefer not to simply accept a high that stays that way for 4-5 hours, as I have done so in the past and it has lead to poor hba1c. So to be clear what I'm considering is using bolus to form part of the basal rate to avoid a spike later, which as I understand it is how an insulin pump delivers the basal rate, and I just wanted to see if anyone else is doing the same on MDI and what their experience is. I would be very surprised if no one else does this deliberately, but there doesn't seem to be anything in the books about it. [/QUOTE]
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