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Switch Levemir from once to twice a day
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<blockquote data-quote="Seacrow" data-source="post: 1724387" data-attributes="member: 420515"><p>Firstly, really well done for the weight loss. This will almost certainly have changed how sensitive you are to your insulin since it is a significant amount of weight lost. So, your novorapid:carb ratio may have changed and judging from your comments the amount of basal (Levemir) you need may have changed as well. Other possible factors include illnesses, infections, stress of any sort and many other things (even the weather!).</p><p></p><p>The insulin: the doctor looks at a standard activity profile of the insulin, and says to himself, this insulin lasts 24hr because the graph says it does. The profile is created by the company who manufactures the insulin, and this is the important part, by averaging the results from many people. What the company tend not to state is how variable these results were.</p><p></p><p>It is entirely possible that Levemir is not lasting the full 24hr for you, it doesn't for many people. I think a lot of people on here would just go straight ahead and split the dose starting right now, but if you are not very confident (and changing insulin dosing always has risks) get backup from a doctor or nurse. If you have a good record of what you eaten, what you have injected and the blood glucose tests take it all in to an appointment and show what you aren't happy with.</p><p></p><p>As a t1 on insulin, if you aren't happy with your gp or surgery nurse adjusting your insulin, you can go to a hospital clinic (or you may do so already). They would definitely work with you to adjust your insulin, possibly even on a day-to-day basis. They can also get you access to courses like dafne, which can help.</p><p></p><p>Actually splitting the Levemir dose can be as simple as taking the 24hr dose, waiting 24hr, taking half the 24hr dose, waiting 12hr, taking half the 24hr dose (your new 12hr dose) and there you are, taking half the old dose every 12 hours. Hope that makes sense.</p><p></p><p>Sarah</p></blockquote><p></p>
[QUOTE="Seacrow, post: 1724387, member: 420515"] Firstly, really well done for the weight loss. This will almost certainly have changed how sensitive you are to your insulin since it is a significant amount of weight lost. So, your novorapid:carb ratio may have changed and judging from your comments the amount of basal (Levemir) you need may have changed as well. Other possible factors include illnesses, infections, stress of any sort and many other things (even the weather!). The insulin: the doctor looks at a standard activity profile of the insulin, and says to himself, this insulin lasts 24hr because the graph says it does. The profile is created by the company who manufactures the insulin, and this is the important part, by averaging the results from many people. What the company tend not to state is how variable these results were. It is entirely possible that Levemir is not lasting the full 24hr for you, it doesn't for many people. I think a lot of people on here would just go straight ahead and split the dose starting right now, but if you are not very confident (and changing insulin dosing always has risks) get backup from a doctor or nurse. If you have a good record of what you eaten, what you have injected and the blood glucose tests take it all in to an appointment and show what you aren't happy with. As a t1 on insulin, if you aren't happy with your gp or surgery nurse adjusting your insulin, you can go to a hospital clinic (or you may do so already). They would definitely work with you to adjust your insulin, possibly even on a day-to-day basis. They can also get you access to courses like dafne, which can help. Actually splitting the Levemir dose can be as simple as taking the 24hr dose, waiting 24hr, taking half the 24hr dose, waiting 12hr, taking half the 24hr dose (your new 12hr dose) and there you are, taking half the old dose every 12 hours. Hope that makes sense. Sarah [/QUOTE]
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