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No more pumping for now.



Although this won't be the case with everyone, but when I briefly changed over to levemir insulin several years ago my DSN said it was normal for lantus users to see their basal dose increase by a third when changing from lantus to levemir, just thought I'd mention this DD.
 

This is why I am a bit stuck..

1) basal on pump was 16.3 when working, 17.3 when not working.
2) split 10 lantus last night and 10 lantus this morn as this 20 units was what nurse said I would need in one shot. Yesterday was **** levels having 15 in one shot and physically working.
3) even worse today splitting to 10 and 10.
4) going to levemir I really think I need to do 15 tonight and 15 tomorrow.
5) even doubling correction to 4 units by end of 5 hours has only brought me down to 8.5!!

My basals are hugely out. I thought my TDD was 50% less than on MDI, but I thought perhaps I was kidding myself!!

Think if levemir is that much more- then even after splitting 15 and 15 I am going to be high.
 
Confused by expert meter though!!
Acting time 4 hours.
Gave correction of 4 units at 11.47. Just tested at 17.27 and it saying 0.47 units still active!!!????
That's not right!!
Definitely going to have to speak to Accuchek....

Unless there is something I'm not thinking straight on??
 
And just a thought - as well

My autopen24 not used for 5 years... I see it had a recall on them.... Probably not working probably!!

Got new pens today... 1/2 unit ones as well.. One red one blue. So will give levemir using new pen tonight!!
 
When I changed from Lantus to Humulin I by basal dose increased from 14 to 18 units
 

Levemir used to be weaker than Lantus but it is the same strength now. Im on 2u more with levemir than i was on pump. Think levemir will help you. I find lantus never has worked for me
 
My basal was 18 units on injections, now 13 on a pump. It is about 1/3 drop. So you would need about 24 units if the proportion were the same with you
I wouldn't increase from 20 to 30 in one go. Basal can be powerful and even 2 units can make a massive difference
 
Well I have delayed levemir until 9pm and again at 9am tomorrow.

I allowed 4 units of novorapid to cover me for my tea..and the 3 hour delay with the levemir. (Salmon n salad and to get me until 9pm...) However.. Levels have still gone up from 8.7 to 10.3!! I should have been hypo by now to be honest. Only had salmon n salad!! -didn't bother with eating anything else!! 4 units of bolus with that would have put me hypo without a doubt!!
So at 9pm I'm going to do a levemir for 15 units and tomorrow morning will do 10 as I'm working...and will see what happens....

Does anybody else change their levemir dosage for their days off from work? Is it possible to do this?

Onward and upward. Giving me a full realisation check on how new diagnosed persons struggle nowadays with some times scant help from hospitals.
Has truly given me the sense again of what new persons must feel nowadays! After 5 years on pump which I had so exact except for the problems I think I had totally forgotten how it felt on MDI.

Have got 4mm needles.. So going to try my stomach tonight.
 

When moving from MDI to a pump they say you usually see a reduction in basal insulin by around 10-20%, so I'd expect its the same the other way round when reverting back MDI where the basal needs would increase by roughly the same amount, you need to do some basal checks and monitor and adjust from there, its a pain but worth it in the long run.
 
@donnellysdogs, the other thing to take into account is the longevity of insulin in your system. Based on my experience, and bear in mind I am a 14 stone 6 guy, 14u of Levemir lasted about 11hrs and the 8u I do overnight lasts about 10.5. Your post prandial increase sounds like lantus running out before you moved onto Levemir this evening.

I guess the tricky bit will be whether you want to take slightly more to manage the tail off (which will increase the downward pressure on your overall bg levels) or go lower for a flatter use profile, but with the tick up at the end of the period.

FWIW, I found I use less Levemir than I did lantus. Roughly 22u daily of Levemir against 30 of lantus, and my bg levels are much calmer with the Levemir.
 
Yes.. Thats why I have the extra shot of novorapid today to cover any delay from 6pm to 9pm. 4 units should have well n truly covered it.

Got my levels down to 7.9 tonight by bolusing a further 3 units of NR... That should have knocked me way down
Was 20.51 levels still at 10.6 so took 3 units..was on 1 unit drops by 3.1mml.
At 23.32 I am still at 10.0!!!!

Nothing ate but sardine salad!!!
Ridiculous but another day starts in 28 mins time. Won't despair!!
 
Ratios won't work until you sort your basal, but you know that
Hope tomorrow is better
 
robert72 said:
Ratios won't work until you sort your basal, but you know that
Hope tomorrow is better
Click to expand...

I know.. Lol!! Thankfully I don't actually eat until 6pm each day so its really easy for me to know my basals are wrong-lol.

Frustrated cos after last nights tea of sardines n salad etc I actually fot levels down to the 4's....tonight with way over correcting I went high!!
 
Finally down to 7.6 with supposedly 0.6 insulin still active....

It is now a new day so keep fingers crossed for me that it will be better than past 2.5 days.
 
Another thing to think about may be IOB calculations. I find that the tail of a bolus really has limited effect on bg for me, so while there is a theoretical length of time for Bolus to work, I stop seeing effects of it much earlier.

The other thing is that your body may be readjusting to injections rather than sets and having a minor inflammatory effect.
 
Is it possible that your basal is coming unstuck after 6pm, the time when you usually eat?
 
candi-girl said:
Levemir used to be weaker than Lantus but it is the same strength now.
Click to expand...
I really hope this is not true. Can you imagine the effects if the manufacturer just changed the strength of an insulin? Basically disrupting the control of millions of users of that insulin and precipitating maybe hundreds of thousands of hypos? They would probably lose their FDA licence, and quite rightly.

If a manufacturer was going to change the strength of an insulin I am sure they would issue it under a new name. Levemir Plus or something like that. And on medical safety grounds they would need a strong marketing and communications campaign to distinguish the new stronger insulin from the older weaker version.
 
Agreed. I'm sure if Levemir was weaker they couldn't call it U100. Having said that, I did need about 30% more Levemir than Lantus during the 3 months that I tried it, so not sure how they go about defining strengths. When I was first diagnosed there were different strengths of insulin - U20, U40, U80 until everything was standardised to U100, which saved a lot of calculations for us
 
New day....woke up to 5.5!!!!

At the moment honest... I haven't got a clue!!

My acting times and off set were spot on with my pump..
Apart from a huge spike in mornings they basically levelled off for 18 hours..

Bolus I know novorapid was basically 4 hr 15mins. My offset time for it to work to start bringing my levels down was 90mins!!

Its going to be differnt today.

Working: so: this what I've done:
15 unuts L last night
10 units L this morn
2 units NR.
So started ok.
First full day of Levemir and working so can I watch today and test and time to see when it goes bad today??

I wonder whether probs were from old lantus pen???
 
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