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NOT A QUESTION FOR ME BUT IS REGARDING LEVEMIR

  • Thread starter Thread starter Deleted member 83869
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Deleted member 83869

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Hello

So my friend is T1 too and on injections she is on 30U of levemir basically she injects it at night but doesn't eat breakfast but still injects 4U of rapid in the morning to avoid going high....now this would mean her background isn't right? correct?
 
I have my background set perfectly but I get a rapid rise when I wake up. I have to take 3u of novo rapid for it or I will go into the teens within an hour. At all other times my background is perfect. It's just this liver dump when I get out of bed
 
robert72 said:
I have my background set perfectly but I get a rapid rise when I wake up. I have to take 3u of novo rapid for it or I will go into the teens within an hour. At all other times my background is perfect. It's just this liver dump when I get out of bed
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Well her control isn't perfect anyway...I dont think so just got to get to the bottom of it lol! I used to be on levemir but cant remember now!
 
I can't see a way to deal with it using basal on mdi. You'd need a pump if it's such a fast spike
 
robert72 said:
I can't see a way to deal with it using basal on mdi. You'd need a pump if it's such a fast spike
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Yeah that's what I suspected her hba1c is a 12 I think so something needs to be done lol just trying to help her
 
robert72 said:
Yep - sounds like there are some issues to sort out. Does she split her Levemir?
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Nope used to but didn't work, as was still going high...I told her that I used to be on a 32 and 34 and then she was told she shouldn't be taking that much which is complete and utter nonsense!
 
NicolaAnne1994 said:
Nope used to but didn't work, as was still going high...I told her that I used to be on a 32 and 34 and then she was told she shouldn't be taking that much which is complete and utter nonsense!
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Maybe she could switch to Lantus or even Tresiba (which is awesome)
 
NicolaAnne1994 said:
Yeah that's what I suspected her hba1c is a 12 I think so something needs to be done lol just trying to help her
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The best thing to do is to try and get her on board with improvements. Too many have proven that when we are young, complications later on just don't seem real (doesn't just apply to diabetes). My DSN when I was a teenager was fairly terrifying, but her ramming future illness down my throat just didn't seem to work.
In my opinion, it's much more important to focus on the fact that your friend CAN improve her control, and in doing so will feel so much better for it.
Going back to your original question, google dawn phenomenon. Our blood sugars tend to rise for a couple of hours after waking. However, it could be a mixture of dawn phenomenon, and incorrect dosage. It could be that a change of both diet and insulin is required to get good control.
 
I know about dawn phenomenom I had forgotten about that but she wakes up fine but then rises after
 
NicolaAnne1994 said:
I know about dawn phenomenom I had forgotten about that but she wakes up fine but then rises after
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It's the same with me. My blood sugars are usually around 5 when I wake up. However, they seem desperate to go up unless I give myself a couple of units of insulin as soon as I have tested.
 
Well there is a "get up" phenomenon as well as a "dawn" phenomenon. I'm not sure I see the problem really. Her overnight Levemir is working, since her waking BG is good. She then has a "get up" rise and she corrects using fast acting insulin. Sounds like she is on top of it. Does she think there is a problem? I'm not sure it's anyone's place to tell her she has a problem...
 
With an HBA1C of 12? There's definitely a problem somewhere.
 
Charles Robin said:
With an HBA1C of 12? There's definitely a problem somewhere.
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Ah I missed the HBA1c of 12. It wasn't in the original post. Still, what's being reported overnight does not explain an elevated HBA1c. The Levemir dose appears to be normal.

I'm uncomfortable with talking about someone who is not on the forum herself asking for advice. Can we not get the actual person on here describing the problem herself, providing the data herself? There are a lot of potential errors and uncertainties here.
 

You could be right Spiker. I eat on waking which keeps my bg stable, however on days where I have to fast (for Hba1c and Lipid breakdown) my bg can be fine for an hour after waking then they slowly rise, by the time I get back from the gp surgery they can be up to 10mmol.
 
My levels used to rise on mdi as soon as my eyes opened and put my feet to the floor. Didn't matter what time I got up.
 
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