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Message: <blockquote data-quote="Starspangledalien" data-source="post: 155610" data-attributes="member: 29565">Have you always been on Levimir? It seems like a lot of units. I am on Lantus and I can't seem to get down below 22 units long acting. With your after meal blood sugar readings - are you testing straight after you eat or two hours after? If you test two hours after and the blood sugar is the same as it was prior to eating then it is a good indication you are taking the right amount.  I have slowly started to find out that certain foods ie pasta make my sugars go sky high but the insulin works faster so now I take my insulin (Novarapid) directly after pasta meal so that it starts to work in time, I also take a lot more insulin for pasta and potatoes than I would say rice or chips.  Do you also do portion / carb control ie. 10 grams equals so many units of insulin? If you do, has this regime changed in recent years? Are you exercising more / less than usual?The only other thing I can think of is that you are a bit stressed or not sleeping as this can affect blood sugars? If not and all the above can be ruled out then you need to maybe make a food diary and seeing what your sugar levels are before and after each meal. BTW what are your readings beforehand? They should be between 4 - 7 mmol. Mine I like to be around 5 or 6 mmol but any higher than that just before I eat a main meal and they go too high even after 2 hours because they were too high to begin with. Checking your blood sugar levels just before a meal and making sure they are at the correct level should be mandatory although I admit I don't always do it but nowadays feel ok. Doing carb counts and adjusting insulin according to portion size also. In hindsight of course this seems very easy but it is a big game of balance (and after 17 years I am still struggling believe me).Hang on in there.Rach</blockquote>

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