Result.

Its not new here either, I've kept all my BG booklets so far and intend to for some years. I started my Levemir last night, I was 15.6mmol/l before bed as i hypo'd 2hrs after dinner (no correction after a hypo). This morning at 5am i decided to take a reading to see how my Levemir kept me staedy to my suprise i was 15.8mmol/l only 0.2mmol/l change which i'm very impressed with. I take my next dose at 10am. My dossage was 23 for Lanctas so I have gone for a 12u split across 12hrs.
I hope i will be stable now without the rise in the afternoon.
I agree with JWo :- Try not to change too many things around to quickly otherwise you wont be able to see the effects.

What was your reading before bed, Was there any extra activites before bed You should lower your BI again tonight coz of the hypo!

vic demain said:
JWo - The big problem for me was having a week off work and then returning to perhaps the busiest period of my year. When off the BG's skyrocket so put BI up, at work I have been constanly hypo, so have to bring it down. What I need to do is find one scale for work and another for weekends and time off.

Vic,

I know you stand by Lantus at the moment, however Levemir would suit you much better if you find you need to up BI doses and then down again. The change of dose in Levemire happens immediately......

Also with a pump, here I go again...;), is that you can set what is called temporary basal rates, which allows you to cut or add a percentage of your BI dose, for times when your more or less active, so keeping the same BI dose, just adjusting for non regular events....

In all honesty, what insulin you choose to be on, like with the pump, it is entirely up to you. It is your body after all and we won't know the impact like you will. I'm certainly not expecting you to just go on to Levemir just because I said so; it has just had a very positive effect on my control, worthy of a mention in my own opinion especially considering how similar our troubles have been. It is very possible to achieve control with Lantus but how long it takes will depend on how it is approached (Heck, wouldn't it be funny if you ended up split dosing Lantus like I did before!).

Sometimes healthcare professionals are not always aware to make the suggestions I suppose but I cannot honestly speak on behalf of your healthcare team. You could ask them what they think of the idea of Levemir if you want their input into your decision. Sadly, money limits do seem to have quite a lot of say in what you're offered - I mean, heck, I was asked to change my blood testing machine, pen needles, finger pricking needles, etc, which I started a discussion about here: http://www.dafneonline.co.uk/forums/1/topics/1815

Hope you're doing okay vic. After you've had your next 48 hours with no changes, if you post your results up, I'll get L to look at the patterns too because he loves a challenge. He often reads my BG diary in a completely different way to me because he's a keen mathematician. ;)

Best wishes.

JWo - Thank you for your considerable input into this thread and to helping me sort out my thoughts and future direction. That I have now done and whilst it doesn't include a pump, I may well ask my doctor about Levemir, next time I see him.
I have been aiming for greens across the board, which is unachievable, now I know I need to eredicate all blues as they are the real danger. Will have to cope with reds.
My BI is working well at 18 units, so will leave that and try to adjust the other with QA.
There has been some Misunderstanding, although I Know What I Like, so I will Follow You will you Follow Me?
Los Endos.

Ive been on levemir for 36hrs and ive already seen a massive drop in my BG levels. I'm not high before bed and I'm waking up within the DAFNE tragets. I'm very impressed. I would consider "Vic" to change, I instantly feel i'm in control.

For me the benefit of Levemir is not its blood sugar reduction power, as its still a long acting insulin analogue just like Lantus and done the same job for me as Lantus done, its the flexibility of being able to cut your BI requirements in 2, am and pm while being able to make adjustments and see the effects straight away....[although you should always confirm dose change with 2-3 days results.... ].......allows you to concentrate on the overnight requirement and quickly establish the right dose as there are no carbs or QA working, leaving just your daytime dose to work out....

Vic, I think your plan to get rid of the lows is a good one.........I have had days of all greens, but they are few and far between, I try to aim for readings less than 10 all day, so less than 10 for mid meal spikes, again, this is hard to achieve most of the time.......you will get above target readings all the time, its just the way it is, if you can accept that, life will be much easier....

Today's results! The next plan of action is to put my evening BI down to 15 now I've got solid evidence.

vic demain said:
JWo - Thank you for your considerable input into this thread and to helping me sort out my thoughts and future direction. That I have now done and whilst it doesn't include a pump, I may well ask my doctor about Levemir, next time I see him.

I have been aiming for greens across the board, which is unachievable, now I know I need to eredicate all blues as they are the real danger. Will have to cope with reds.

My BI is working well at 18 units, so will leave that and try to adjust the other with QA.

There has been some Misunderstanding, although I Know What I Like, so I will Follow You will you Follow Me?
Los Endos.

vic, I've noticed on page 8 of this thread that you've posted your diary dates for 20th and 21st September and they're near enough the same ratios and what not... I will get L to look at those entries when he gets back home later this evening or tomorrow and see if he can work anything out from the numbers. If not, if you've attempted a pattern search couple of days recently, feel free to post those too.

Hope its all going okay on that note. I'm quite happy with today's results and can't wait to see what happens when I put my BI down! I find it remarkable that the difference gap between my BI doses is shrinking!