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Levemir - Once or twice a day?
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<blockquote data-quote="mentat" data-source="post: 440866" data-attributes="member: 86670"><p>Hi Esther,</p><p></p><p></p><p>From your description it sounds like your morning readings are the main problem? If so then you should see if you can work out why.</p><p></p><p>The most likely reason is that your sugars the night before have been changing. For instance, if you're high the night before you'll tend to be high in the morning. (Your body can keep digesting dinner while you sleep, so if you go to sleep only a few hours after eating it can be hard to work out what's going on.)</p><p></p><p>However, some people (like me) find that their insulin needs just wander around for no reason whatsoever. I take Lantus instead of Levemir, and over the past three weeks my Lantus needs have dropped from 10 to 3 units per day.</p><p></p><p>A common reason for changing dosage needs is the effects of the "Honeymoon period" where the pancreas continues to produce some level of insulin - you seem to be recently diagnosed so this could be what's going on. But all sorts of other factors like hormones, stress, the weather, sickness, exercise, and your weight can interfere with your body's insulin needs. I've never figured out what makes my insulin needs change, I just do my best to keep up.</p><p></p><p>With regards to splitting your dose - in theory your Levemir should keep your sugar stable if you cut out meals and rapid insulin. You can try skipping a different meal each day and watching how your sugar changes over that period. E.g. if you skip dinner and find your sugar is rising in that period, it's probably because your Levemir is running low and splitting your dose could help.</p><p></p><p>IMO one of the most important things in good control is keeping your sugars stable overnight - go to bed with good readings and wake up with good readings as much as possible. Since you spend 1/3 of your time asleep this is a great way to reduce your HbA1c without doing much work.</p><p></p><p></p><p>Cheers</p></blockquote><p></p>
[QUOTE="mentat, post: 440866, member: 86670"] Hi Esther, From your description it sounds like your morning readings are the main problem? If so then you should see if you can work out why. The most likely reason is that your sugars the night before have been changing. For instance, if you're high the night before you'll tend to be high in the morning. (Your body can keep digesting dinner while you sleep, so if you go to sleep only a few hours after eating it can be hard to work out what's going on.) However, some people (like me) find that their insulin needs just wander around for no reason whatsoever. I take Lantus instead of Levemir, and over the past three weeks my Lantus needs have dropped from 10 to 3 units per day. A common reason for changing dosage needs is the effects of the "Honeymoon period" where the pancreas continues to produce some level of insulin - you seem to be recently diagnosed so this could be what's going on. But all sorts of other factors like hormones, stress, the weather, sickness, exercise, and your weight can interfere with your body's insulin needs. I've never figured out what makes my insulin needs change, I just do my best to keep up. With regards to splitting your dose - in theory your Levemir should keep your sugar stable if you cut out meals and rapid insulin. You can try skipping a different meal each day and watching how your sugar changes over that period. E.g. if you skip dinner and find your sugar is rising in that period, it's probably because your Levemir is running low and splitting your dose could help. IMO one of the most important things in good control is keeping your sugars stable overnight - go to bed with good readings and wake up with good readings as much as possible. Since you spend 1/3 of your time asleep this is a great way to reduce your HbA1c without doing much work. Cheers [/QUOTE]
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