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Message: <blockquote data-quote="stefficlewis" data-source="post: 2257360" data-attributes="member: 468119">Hi there, I was having some issues with asthma & diabetes at the start of this year. I was at diabetic clinic mid-Feb and was advised to try and find some patterns with my BG as I was spiking high with breakfast, asked to come back 8 weeks later with potential to be switched to Fiasp. I was also advised to switch my sites to my legs, use smaller needles and ensure a 30 min pre-bolus. I did all of these things but not much changed with my daily profile.After about a week I was suddenly going low every few nights and was reducing my night time Levemir from 13 units to 0 (over the following weeks). I spoke to my nurse 2 weeks and she advised to test my basal as I may need more in the morning as I have none at night. I have been testing when possible and have kept at a steady 9 units of Levemir in the morning.. however I have started having dawn phenomenon at about 4am (assuming my Levemir is running out). I don't think I should increase my Levermir as I am sitting steady through the day and night until 4am? Today I suddenly realised that my steroid inhaler switched to a new one on the same week as I was at diabetic clinic. I am now taking Relvar Ellipta once a day which explains why I no longer need the night time Levemir.. my question is, has anyone else found that switching to this inhaler has caused blood sugar spiking? Do you take it in the morning or night time with any blood sugar effects?I plan to phone my nurse this week to discuss maybe switching to a longer acting insulin? Not sure this would even help. Any suggestions?</blockquote>

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