Recent Posts - DAFNE Online

Dec 12, 2021

David J Smith 1 post

Topic: General Discussion / Hard Copy Diaries

I am new to DAFNE having graduated on 10 December. I would like to order some extra paper diaries but cannot find any recent reference to them, let alone how to order them. Can anyone help as the link in the 2009 post does not seem to work.

Dec 1, 2021

Muriel McCul... 3 posts

Topic: Carbohydrate Counting / Dawn Phenomenon

Thanks
I’ll give that a go. I did try increasing my nighttime BI by one but was going low around 5-6 am. I hadn’t decreased my morning dose though, so worth a try.
I’ll let you know how it goes Smile

Dec 1, 2021

Warwick 423 posts

Topic: Carbohydrate Counting / Dawn Phenomenon

Hello Muriel,

Lantus and Levemir are both basal insulins, so the same advice should apply. Their behaviour differs - I find that changes made to Lantus doses can take 2 to 3 days to show a difference in BGLs, whereas changes to doses of Levemir are much more responsive. Also Lantus can continue to work up to 18-24 hours after injection whereas Levemir almost always stops acting 18 hours after injecting which is why it is good to be on a split dose for Levemir.

I think that with Levemir, you would actually be in a better position to try decreasing your morning dose and increasing your evening dose by the same amount and see if that makes any difference. It is more responsive than Lantus, so you will see if this works sooner. Just drop one unit from the morning dose and add one, leave for a few days and see if there is an improvement. If so, then you can consider whether to repeat that.

Feel free to post your diary to this thread. It's always easier to give advice when looking at a few days worth of your readings and doses.

Dec 1, 2021

Muriel McCul... 3 posts

Topic: Carbohydrate Counting / Dawn Phenomenon

I’m experiencing something similar, on split dose of Levimir.
Would the same thing work for me?


Dec 12, 2021 David J Smith 1 post	Topic: General Discussion / Hard Copy Diaries I am new to DAFNE having graduated on 10 December. I would like to order some extra paper diaries but cannot find any recent reference to them, let alone how to order them. Can anyone help as the link in the 2009 post does not seem to work.

Dec 1, 2021 Muriel McCul... 3 posts	Topic: Carbohydrate Counting / Dawn Phenomenon Thanks I’ll give that a go. I did try increasing my nighttime BI by one but was going low around 5-6 am. I hadn’t decreased my morning dose though, so worth a try. I’ll let you know how it goes

Dec 1, 2021 Warwick 423 posts	Topic: Carbohydrate Counting / Dawn Phenomenon Hello Muriel, Lantus and Levemir are both basal insulins, so the same advice should apply. Their behaviour differs - I find that changes made to Lantus doses can take 2 to 3 days to show a difference in BGLs, whereas changes to doses of Levemir are much more responsive. Also Lantus can continue to work up to 18-24 hours after injection whereas Levemir almost always stops acting 18 hours after injecting which is why it is good to be on a split dose for Levemir. I think that with Levemir, you would actually be in a better position to try decreasing your morning dose and increasing your evening dose by the same amount and see if that makes any difference. It is more responsive than Lantus, so you will see if this works sooner. Just drop one unit from the morning dose and add one, leave for a few days and see if there is an improvement. If so, then you can consider whether to repeat that. Feel free to post your diary to this thread. It's always easier to give advice when looking at a few days worth of your readings and doses.

Dec 1, 2021 Muriel McCul... 3 posts	Topic: Carbohydrate Counting / Dawn Phenomenon I’m experiencing something similar, on split dose of Levimir. Would the same thing work for me?