Reply to Thread

Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2025 »

Message: <blockquote data-quote="tresadern" data-source="post: 294354" data-attributes="member: 41882">I have just seen this post and found the discussion very interesting. I'm type 2 on a Novorapide/Levermir combination but am having quite heated  arguments with my advisers as to how I use this combination. Please see my post 'NovoRapide and Levermir combination' 7 July 2012 in 'Type 2 diabetes' and a mixed selection of responses. I need to read more about bolus and basals but the argument I'm having with my team is because I refuse to take the same amount levermir at every bed time if my sugars at that time are low, and because I increase the dose if my 'closing' sugars are high. This is totally against professional advice that I should take the same levermir dose irrespective. I tried this for a short time and suffered several night hypos. You'll see from the post that experience has led me to a rough rule of thumb that I take 5 units of levermir for every point that my bedtime reading exceeds 5. e.g if bedtime sugars are 10 I take 25 levermir, if bedtime reading is 15, I take 50 levermir. This works fairly well for me and my sugars first thing in the morning are 5 to 10 probably 80% of the time. Since the last argument I have kept very detailed records of my bedtime and morning readings, and the pre-bed dose of Levermir which prove (and I will stress this) that FOR ME, Levermir before bed reduces my sugars overnight. Hence my refusal to take any if my sugars pre bed are low. I'm having a bit of fun with this serious stuff by plotting all my data on a pretty colour Excel chart and will present it to the team when I see them again next month in the hope of impressing them with my ORIGINAL MEDICAL RESEARCH. Interestingly however the chart so far shows that while the waking readings are fine, my pre-bed readings are far too high and that I'm therefore not taking enough Novorapide before dinner. I therefore intend to increase this dose from now on to get this reading down. But this of course will reduce my bedtime readings and in turn, if successful, lessen the need for Levermir! Perhaps at this stage however I'll be told by the team that I really should start the 30 Levermir units per night, every night and inject less Novorapide before dinner!!! They will also of course, quite rightly, tell me to cut down on the carbs and to totally eliminate my beloved Mars bars and my beloved sugar packed Shloer grape juice. And you think you're confused!!Tresadern</blockquote>

Verification

Top Bottom

Search

Search

Reply to Thread