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Why does NICE recommend twice daily injections with Insulin Detemir as the primary basal treatment?
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<blockquote data-quote="Daibell" data-source="post: 962351" data-attributes="member: 21149"><p>Tim. I've only just noticed this post. I had seen the chart before but had forgotten some of it's content. Your points are well taken, but I would counter with a different approach. I take Levemir once daily knowing that it doesn't last 24 hours. I have my daily dose when I go to bed around 11pm. My dose is typically 12 units with a 63Kg weight. This means my peak is around breakfast time. As my breakfast carbs are quite low I don't need to inject any Bolus then. After measuring I can drive more safely as I haven't had a Bolus and the Basal is running down. In the evening when my Basal has run out I can compensate by having an appropriate Bolus ratio at dinner. The bottom line is that I save one injection per day. This won't suit everyone but it's worth considering?</p></blockquote><p></p>
[QUOTE="Daibell, post: 962351, member: 21149"] Tim. I've only just noticed this post. I had seen the chart before but had forgotten some of it's content. Your points are well taken, but I would counter with a different approach. I take Levemir once daily knowing that it doesn't last 24 hours. I have my daily dose when I go to bed around 11pm. My dose is typically 12 units with a 63Kg weight. This means my peak is around breakfast time. As my breakfast carbs are quite low I don't need to inject any Bolus then. After measuring I can drive more safely as I haven't had a Bolus and the Basal is running down. In the evening when my Basal has run out I can compensate by having an appropriate Bolus ratio at dinner. The bottom line is that I save one injection per day. This won't suit everyone but it's worth considering? [/QUOTE]
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Why does NICE recommend twice daily injections with Insulin Detemir as the primary basal treatment?
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