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Levemir question

Bluemarine Josephine

Well-Known Member
Messages
259
Location
Northampton
Type of diabetes
Type 1
Treatment type
Insulin
I recently switched from Tresiba to Levemir.
I inject my might-time dose at 22:00 but tonight my alarm didnt go off so I injected at 23:30. (One and a half hour delay)
Can you guide me what do i do next please?
Thank you.
 
nothing, Tresiba has a long acting profile

you will be fine
 
I am not on Tresiba anymore.
I changed to Levemir 2 days ago.
It is the night-time Levemir dose which i injected with a delay.
 
I awlways just injected with the basal if i firgot, you will still be ok
 
Maybe try 45 minutes late in the morning and then back to normal time at night.
 
Ive been on Levemir for years and usually a 1-2 hour delay doesn't effect me if I am doing 1 dose daily. But I did find that my levemir didnt last the full 24 hours (it was about 20-21 hours) so I switch to two smaller doses 12 hours apart. Splitting the dose gave me more flexibility because I needed a more basil insulin during the day and I can not have as much at night to avoid night time hypos, also, I end up getting coverage for the full 12 hours, rather than running short with the 24 hours doses and having to correct part way through the day.... Just wanted to let you know that there are options
 
I am on 2 levemir injections as well.
A morning one at 07:00 and a bed-time one at 22:00.

It is the bedtime one that i injected with one and a half hour delay.
Will that make a significant difference and what should i expect next please?
 
I don't worry. I never inject mine at exact times twice daily. Both injections can vary by up to 2 hours.

Perhaps just fo a couple more checks in the morning..
 
You should be fine with that. Monitor glucose at 1 and 2 hours after though.
 
tim2000s said:
You should be fine with that. Monitor glucose at 1 and 2 hours after though.
Click to expand...
Thank you Tim.
As you know i am currently on the DAFNE and they asked me to change my background insulin 2 days ago.
My new background insulin is now Levemir and I have no experience with it...
So i was rather worried
 
Can I ask what their rationale was to take you off Tresiba? I was under the impression that was working very well for you?
 
Their idea behind this was that my sensitivity factor to insulin changed during the day so, 18 units served me well during the day but were too many for the night and were causing hypoglycemia so, they swtched me to 2 injections of Levemir
 
You could also add in an extra snack in the AM if needed for the window where your night dose might be overlapping with your AM dose
 
Bluemarine Josephine said:
Their idea behind this was that my sensitivity factor to insulin changed during the day so, 18 units served me well during the day but were too many for the night and were causing hypoglycemia so, they swtched me to 2 injections of Levemir
Click to expand...
Makes sense.
 
Hi Bluemarine, I'm surprised that DAFNE has said your evening injection is as late as 10.00pm. Usually the Levemir is split 12 hours apart, so your late evening injection is overlapping with your morning injection. If this is working well for you then all is good. I personally take Levemir at 7.30 am and 19.30pm, this gives me the knowledge that Levemir is working slowly throughout the night as I do a blood test before bed to ensure it's within range, and in the morning, which tells me that my blood sugar is still within range. I have on occasion been late with the evening injection and this has had no effect either way. As I said if your regime is working well for you then carry on with what you are doing. There is no need to worry that your evening injection is late as long as you test before bedtime you'll be okay.
 
@Bluemarine Josephine I to split dose levemir and normally roughly the times you do (07:30 & 22:30) but there are days where this changes - i could do 07:30, 23:30 & 07:00 and have no noticable side affects, however you sensitivity might not be similar to mine.

I do find my breakfast ratio is lower than other mealtimes as a consequence, And I do occasionally have a dip late morning but easily covered by a light snack. I am considering either changing my levemir timing or reducing my breakfast ratio to avoid the dip, but I'm waiting to get a Libre to make it that much easier first.
 

I don't split my Levemir, I never have, so not everyone does.
 
I split my levemir into 2 doses - midday and just before bed
I've always found this work well

however I have a question which may or may not be related to the levemir

Today I had my lunch at around 12.30

My glucose level was 7.3 before so I was quite happy

I've been stuck at work and I haven't eaten - so it's been around 5 hours since I last ate. I've had plenty of water in between but I just checked and my glucose was 2.9.

I've always thought that the levemir (in this case the one I took last night) would stop these lows from happening and would help keep my glucose levels stable?

What would be the reason for it going low? Is there something to it or am I just missing something really obvious?
 
Robinredbreast said:
I don't split my Levemir, I never have, so not everyone does.
Click to expand...
Agree with you Robinredbreast that splitting Levemir is a personal thing. I was just responding to Bluemarine's comment that DAFNE said to take Levemir longer than 12 hours apart. We are all different and respond differently to meds. Bluemarine was concerned that taking her Levemir 1 and half hours later than usual would have a detrimental affect. I don't think I have mislead Bluemarine, but if I have then hopefully a moderator will give feedback.
 
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