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<blockquote data-quote="JontyW" data-source="post: 399043" data-attributes="member: 40312"><p>Hi Cass,</p><p></p><p>Regarding the BG being high when you wake up, did you do a fasting test over night to see what happens during the night? </p><p></p><p>If the Levemir is set correctly then the change from pre-bedtime to waking should be no more than + or - 1.7mmol/L. So what is your usual pre-bedtime BG which then ends with 9's on waking? I can only see one reading mentioned below.</p><p></p><p></p><p></p><p>So the BG INCREASED by +3.2 which is well outside the target of +1.7mmol/l. If you were at the right level it would have been no higher than 6.5 +1.7 = 8.2 max. When doing changes in Levemir, you must NOT make a change until you have done three fasting tests that are reproducable, since changing after just one reading can mean you are chasing your tail. It is well know that insulin absorption can change on a daily basis so that is why 3 readings are the minimum before making an adjustment, and Levemir takes a few days to stabilise anyway.</p><p></p><p>So what are your current Levemir dose am and pm, also your typical Novo for each meal? have you made any recent changes?</p><p></p><p>Just trying to help you in your challenge ...</p><p></p><p>Jonty</p></blockquote><p></p>
[QUOTE="JontyW, post: 399043, member: 40312"] Hi Cass, Regarding the BG being high when you wake up, did you do a fasting test over night to see what happens during the night? If the Levemir is set correctly then the change from pre-bedtime to waking should be no more than + or - 1.7mmol/L. So what is your usual pre-bedtime BG which then ends with 9's on waking? I can only see one reading mentioned below. So the BG INCREASED by +3.2 which is well outside the target of +1.7mmol/l. If you were at the right level it would have been no higher than 6.5 +1.7 = 8.2 max. When doing changes in Levemir, you must NOT make a change until you have done three fasting tests that are reproducable, since changing after just one reading can mean you are chasing your tail. It is well know that insulin absorption can change on a daily basis so that is why 3 readings are the minimum before making an adjustment, and Levemir takes a few days to stabilise anyway. So what are your current Levemir dose am and pm, also your typical Novo for each meal? have you made any recent changes? Just trying to help you in your challenge ... Jonty [/QUOTE]
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