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Message: <blockquote data-quote="mentat" data-source="post: 441342" data-attributes="member: 86670">Hi Esther!I did some more reading, and it seems likely that your Levemir does most of its work at night and doesn't do much during the day, so basically you have hardly any basal insulin during the day and rely on your fast-acting instead (have a look at <a href="http://www.lantus.com/images/hcp/charts/lrg_1.2.2_1.png" target="_blank">this chart</a> - Detemir means Levemir). I do think splitting your dose could help you. Having enough basal during the day means that having your meals a bit early or late will have much less impact on your sugars.If you start doing a twice-daily Levemir, I don't think you'll need to reduce your nightly Levemir much. But you'll probably need to reduce your fast-acting dosages, since you'll have extra Levemir acting during the day. It will take some fine tuning and fasting tests to get it right and it's probably best to wait after your holiday!I know what you mean about hypos; I know everyone experiences them differently but for me it's like I've been injected with a torture chemical by some military interrogators. A feeling I would not wish on anyone. And it messes me up emotionally for the rest of the day.We can actually get energy from carbs, fat, OR protein! However, blood sugars are mainly affected by carbs and protein.All carbs that your body absorbs are converted to glucose. If you don't eat much carbs, the body converts some of the protein you eat to glucose (the remainder of the protein is used for cell-building purposes). Your body can break stored fat down into glucose if it really needs to (this results in ketones!) but the body rarely resorts to this in substantial amounts.While all organs can get their energy from glucose, muscles and some organs can burn fat (actually, fatty acids), but the brain and several other organs can only use glucose. However, when your muscles burn fat instead of glucose, the liver doesn't need to release as much glucose into the blood, and the muscles don't take much of it out! This is part of the reason a low-carb diet simplifies diabetes management and tends to make sugars more predictable.</blockquote>

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