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Sorry....another splitting levemir question

drahawkins_1973

drahawkins_1973

Well-Known Member
Messages
452
Type of diabetes
Type 1
Treatment type
Insulin
I know this question has been asked a lot but I'd welcome some advice on splitting my levemir dose.
Up until recently it used to last 24 hours but now I find it starts to wear off about after about 20 hours. So late afternoon my sugars start to rise after holding steady all day. ( I take it at 6pm currently)
My problem is I'm only on 3 units so not quite sure how to split that. 4 units are too much and tends to make drop. But I also tend to get DP and very insensitive to insulin in the morning so I don't want to take 2 units pm and 1 unit in the morning as I'm worried having reduced levemir in the morning (as my 1 unit in the morning will have worn off) will make this worse.
Apologies for the long post but any advice welcome.
Thanks
Andrea



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I don't split mine, I take it at midday, but take my BG in the morning and take a little NovaRapid to tide me to midday.
 
I would do just that for the reasons you've stated, take 2 units in the evening and 1 unit in the morning and see how you get on.
 
Hi I use a bit more NovoRapid as the 24hr Levemir point moves nearer to balance the lack of Levemir? I take my Levelmier once a day at 11pm. I don't use Novorapid at breakfast unless I'm pigging-out but my evening rapid is enough to take care of fading Levemir. Bit of a bodge but it works and avoids splitting the Levemir.
 
Could you get a NovoPen Echo and Levemir cartridges so that you can take 1.5 units twice daily?
 
Thanks for your suggestions. Think I need to experiment a bit and see how I get on. Have a meeting next week with DSN so will ask about using half units for basal.
Cheers!


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Thanks for your suggestions. Think I need to experiment a bit and see how I get on. Have a meeting next week with DSN so will ask about using half units for basal.
Cheers!


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drahawkins_1973 said:
While I think of it has anyone swapped to different basal insulin that has helped?


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Not swapped as such, I started on lantus then changed over to levemir but couldn't get away with it, no matter what I did (split-dosing and such) I just couldn't get my levels down despite taking nearly twice as much insulin as I was on lantus, so changed back to lantus and have been fine since.

The Trisiba insulin that Rob mentions does sound ideal, I like the fact that it's a 40 hour profile so if you forget a dose it shouldn't cause to much trouble bg wise, something I might consider myself when I next see my diabetes team.
 
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