Search
Search titles only
By:
Search titles only
By:
Home
Forums
New posts
Search forums
What's new
New posts
New profile posts
Latest activity
Members
Current visitors
New profile posts
Search profile posts
Log in
Register
Search
Search titles only
By:
Search titles only
By:
New posts
Search forums
Menu
Install the app
Install
Reply to Thread
Guest, we'd love to know what you think about the forum! Take the
Diabetes Forum Survey 2024 »
Home
Forums
Diabetes Discussion
Type 1 Diabetes
Need help. BG are ruining my life.
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Message
<blockquote data-quote="Bluemarine Josephine" data-source="post: 1121944" data-attributes="member: 213188"><p>Here are my thoughts:</p><p>Firstly, the average diabetic needs somewhere between 22-24 and 28 units of background insulin during the day.</p><p></p><p>You are taking 64 units overall which is a rather generous amount. Therefore, I would be surprised if, with such a dosage, you are running out of background insulin at some point during these 24 hours. I am not suggesting that it cannot happen…</p><p></p><p>Secondly, although background insulins are flat, they do have a peak after certain hours and the peak depends on the dosage that you are getting. The graph which I attach herewith was kindly sent to me by "Tim2000s" and I find it very useful when you wish to understand how your background insulin works.</p><p></p><p>The bigger the dosage, the bigger the peak. Divide your overall Levemir units (64) with your weight. You will be able to see during which hours your Levemir peaks. For example, my dose units per kilo is 0.2. Therefore my Levemir’s peak is in between 4-8 hour after injection. So, if I inject my morning Levemir at 07:00 am, I am prepared that I will start seeing a peak around 11:00 am to 13:00 pm. (possibly up until 15:00 pm).</p><p></p><p>There are doctors, including mine, who are treating type 2 diabetics who are using background insulin (but are not using Novorapid) on the basis of Levemir's peak. They place the injection times in such a way so as to use the peak in order to match mealtimes. In this way they can have a meal without spikes.</p><p></p><p>I suspect that you can use your Levemir peaks in a similar pattern to avoid spikes. For example, transferring your morning Levemir 2 hours earlier (to 8 am) will not do anything for your dawn phenomenon as your morning Levemir will kick in at 10:00-11:00 am.</p><p></p><p>It is, in fact, your evening Levemir (and matching its peak to your fasting/breakfast hours) that will help you minimize your dawn phenomenon.</p><p></p><p>Accordingly, with your morning Levemir, use this graph to check what time you can expect your Levemir to peak.</p><p>You are more sensitive to insulin during these hours and have greater possibility to hypo.</p><p></p><p>I hope this helps.</p><p>Regards</p><p>Josephine.</p></blockquote><p></p>
[QUOTE="Bluemarine Josephine, post: 1121944, member: 213188"] Here are my thoughts: Firstly, the average diabetic needs somewhere between 22-24 and 28 units of background insulin during the day. You are taking 64 units overall which is a rather generous amount. Therefore, I would be surprised if, with such a dosage, you are running out of background insulin at some point during these 24 hours. I am not suggesting that it cannot happen… Secondly, although background insulins are flat, they do have a peak after certain hours and the peak depends on the dosage that you are getting. The graph which I attach herewith was kindly sent to me by "Tim2000s" and I find it very useful when you wish to understand how your background insulin works. The bigger the dosage, the bigger the peak. Divide your overall Levemir units (64) with your weight. You will be able to see during which hours your Levemir peaks. For example, my dose units per kilo is 0.2. Therefore my Levemir’s peak is in between 4-8 hour after injection. So, if I inject my morning Levemir at 07:00 am, I am prepared that I will start seeing a peak around 11:00 am to 13:00 pm. (possibly up until 15:00 pm). There are doctors, including mine, who are treating type 2 diabetics who are using background insulin (but are not using Novorapid) on the basis of Levemir's peak. They place the injection times in such a way so as to use the peak in order to match mealtimes. In this way they can have a meal without spikes. I suspect that you can use your Levemir peaks in a similar pattern to avoid spikes. For example, transferring your morning Levemir 2 hours earlier (to 8 am) will not do anything for your dawn phenomenon as your morning Levemir will kick in at 10:00-11:00 am. It is, in fact, your evening Levemir (and matching its peak to your fasting/breakfast hours) that will help you minimize your dawn phenomenon. Accordingly, with your morning Levemir, use this graph to check what time you can expect your Levemir to peak. You are more sensitive to insulin during these hours and have greater possibility to hypo. I hope this helps. Regards Josephine. [/QUOTE]
Verification
Post Reply
Home
Forums
Diabetes Discussion
Type 1 Diabetes
Need help. BG are ruining my life.
Top
Bottom
Find support, ask questions and share your experiences. Ad free.
Join the community »
This site uses cookies. By continuing to use this site, you are agreeing to our use of cookies.
Accept
Learn More.…