Splitting levimir dose

[LWA]

Although i am used to carb counting (Type 1 22yrs) i am finding it more difficult to control levels during the day. I note on the Forum that some users find their night time insulin does not carry through 24 hrs and split doses between night and morning. I think this may be my problem and am about to 'experiment' with this process.

For my experiment i'm thinking of (day 1) doing the usual 30 units levimir followed by 5 units the next morning......then 25 units that night and 5 units in mornings thereafter for say a week. The following week i will split 20 (night) and 10 (morning) until finally i will try a 15/15 split

Can anyone speak from experiance and advise if this has worked for them and also if this gradual process is the best way to split?

Any help much appreciated

 

[iHs]

Hi

That's the way to do it. Just keep testing and then start to alter your bolus insulin from lunchtime onwards as your bg levels will slowly start to change. Try to get your fasting bg to be about 6 when you get up in the morning.

 

[Angeldust]

I did this a few weeks ago as I was waking up hypo and hyper by night. I split it 50/50 10am and 10pm. Result!

 

[jopar]

It's not quite the way to do it.. Far to many changes..

If you do as you suggested then you will end up in a pickle and not know what did or didn't work etc...

Have you done any fasting tests, this should be your first port of call, as you will be able to see at what part of the day you are struggling with.. It will also give you a better idea how best to split your insulin to start with..

When splitting your insulin, day one you should reduce the injection at night by what you intend to inject in the morning... So if you usually take 30u at night, and intend to split 25/5 then take the 25u in the night...

After the first split you need to monitor for a couple of days to get a true idea to how this actually effects your control.. Then review the data and work in one area alone, only make a adjustment to one of the injection following what your data you've collected in the past couple of days for best choice..

Then wait and monitor for a couple of days before reviewing and repeat as it may be that you require an uneven split, also if you can't quite pin it down you might need to start looking at the timing of the injections as this can sometimes make a difference..

When I was on MDI my split was 10u at 11pm and 6u at 11.30am gave me best control that I could achieve under MDI..

 

[LWA]

I do not bolus test though i appreciate this may be the 'correct' way . i feel i may be able to experiment with levimir rather than using the fasting technique to improve.

I say this as 30 units (Levimir) at night works for me (i.e, before bed i'm normally at 6mmol and then morning the same....anything different makes me high or low by morning)

Since injecting 10 units (levimir) in the morning i find control easier during the day due to the background this provides, however i am mindful i now take 40 unit of levimir in a 24hr period compared with 30!?

My control has been very good over the years, however it appears that the levimir did not carry me through the day and i would correct levels with Novorapid when levels rose.

Equally splitting levimir between day and night seems the obvious thing to do and the results so far have been encouraging.

I posted this a couple of weeks ago so i appreciate the recent replies, however any more advice is equally welcome please.....i appreciate we are all different but i would particulary like to know if the equal (or unequal) Levimir split works for them???