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Message: <blockquote data-quote="annamillhouse" data-source="post: 184653" data-attributes="member: 27171">There's quote a few posts about the comparative benefits of Levimir and Lantus, the effects of dose splitting and timings etc, but I can't quite find an answer to my specific problem - wondered if anyone could offer any advise?!I'm T1, have been for 27 years.  I take Levimir and Humalog, and split the Levimir in half taking it at 10.00 and 22.00.  My issue is not so much with highs when I wake up (if they do occur they're easily explained by looking at what I ate the night before!) but later in the morning.So I get up with a normal BM, and as the Levimir runs out a bit before I take the next dose it steadily rises from say 5/6 up to 10/11, but after taking both insulins (Humalog to try to bring down the BM, and Levimir as normal), it'll still be between 14 - 17 by 11.30.  Even if I don't eat anything - if I do it's worse.  Tried giving up caffeine as I heard it can cause spikes, was inconclusive...So I can end up taking about 7-10 units of Humalog despite having no breakfast!  I wondered if there was a delay to the Levimir kicking in, but then I don't have the same problem at night?Any thoughts?  Am hoping to get a pump eventually, but in the meantime no coffee or brekkie is no fun!Thanks, Anna</blockquote>

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