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Message: <blockquote data-quote="Snodger" data-source="post: 368996" data-attributes="member: 27045">Good advice from LaughingHyena.Here are some of my thoughts:HIGH EVENING SUGARS #1Levemir's the background insulin as you know. So it's meant to be working on the sugar that your body chucks out into the blood whether you've eaten or not. And in some people it doesn't last 24 hours. So your evening highs could be because of that - your background insulin's given up and so your background sugars are rising. Poss solutions: change insulin (eg to Lantus which lasts longer) or split your Levemir dose, half in the morning, half 12 hours later. HIGH EVENING SUGARS #2You don't say exactly what rapid acting insulin you are using or when you are eating before bed. But if you're on something like Novorapid (works for about 3-5 hours) and you are eating at 10pm then testing your blood with your evening Levemir at midnight, the novo won't have finished doing its job and you may get an artificially high reading. Poss solutions: test a full 4 hours after your rapid acting insulin to see what happens when it's had time to do its job fully.  DROP IN THE NIGHTSounds very much to me like your levemir is also a little bit high still if it's bringing you down so much. Also, it's meant to be a gentle action with no 'spike' but in some people that's just not the case, it spikes as it starts to work. I had exactly this problem with Lantus, and solved it totally by injecting in the morning rather than last thing at night, so I was awake when it started to spike and could deal with the low if necessary. I also reduced it slightly and now night hypos seem to be entirely a thing of the past. Poss solutions: change the timing of your Levemir to morning and try that first, also consider reducing it slightly (try splitting it first, see previous point)hope that is of some use, sorry if it isn't very clear</blockquote>

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