Levemir split dose?

[theedom83]

I have never been told about split dosing, but I think I may need it. I take my insulin around 10pm, just wandered what other people take evening and night if you split dose. At the moment I'm taking 24 units in the evening,

 

[Kelsie]

I split my dose as due to the amount of intense exercise and training I was doing, I was hypo-ing in the night so I split my dose of 5 units levimir at 10am and 5 units at 10pm and since then my levels have been so much better the reason it is advisable to split it is because the background (levimir) insulin only has a life span really of 12 hours so it is encouraged to split it. I would definitely recommend trying it


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[billybadger]

I used to take one dose every 24 hours (at night before bed) but my consultant changed me to split doses at bedtime and breakfast time just before I did the DAFNE course in January. Some other members of the course that used Levemir were moved to split doses during the week of the course.

I currently have 10 units at bedtime and 3 at breakfast. This seems to keep me stable over the 24 hour period.

 

[phil55494]

I thought levemir had a time of about 20 hours.
I was taking it twice - early morning & early evening and it was roughly split in two fir each dose.
Do you feel the levemir is wearing out before you take your dose and then takes a while to kick in again afterwards?

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[Spiker]

Levemir is not a 24 hour insulin, it's that simple. At 20 hours it's just supplying a faint dribble. Now you can work around that if the "dry period" is during the day when you are taking bolus insulin, or if you are honeymooning or T2 and producing your own insulin. But if you need injected insulin for 24 hr basal cover, you need to inject twice if you are using Levemir.

2 injections is actually a bonus over one injection because you can control the timing of the two injections to create a "shape" that matches your personal basal needs.

All insulin action durations are dose-dependent. So the smaller your dose of Levemir, the more important it is that you split it if you need 24 hr cover.

I split my Lantus dose, even though it is longer acting than Levemir, because it provided better 24 hr coverage and I could match my dawn rise by injecting at bedtime and getting up time (16/8 hr interval rather than 12/12).

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