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Old 12-24-2006, 10:29 PM
belyro's Avatar
belyro belyro is offline
Senior Member
I am a: Type 1
 
Join Date: Oct 2006
Location: Manitoba, Canada
Posts: 1,769
Is There a Minimum Safe Basal Amount?

I am on a ridiculously low amount of Levemir. When I started on DF (2 months ago) I was on two shots of 6 units each per day. Now through some wonderful advice from some wonderful people on here, I've cut my Levemir dose in half and am having MUCH better control! (YAY!) Now I take 6 units at night, and that's all. However, I still come down more between meals than I'd like to. Yesterday I was 7.0ish two hours after lunch, and I kept dropping all afternoon until I hit the 3's well below supper time (even with snacks in between). I'm not convinced that my nighttime bloodsugars will be able to handle another decrease in Levemir, but I'm tempted to try.

So.......what I'm wondering is......is there a minimum "safe" basal dose? It seems absurd to go down to 4 or 5 units a day. That's all the basal I'd be on! I'm also on Humalog and take 6 units, 10 units, and 10 units respectively at breakfast, lunch and supper. (I eat about 150-200 carbs a day, but am thinking of cutting back, or at least moving into lower GI foods.)

If you have suggestions for how to keep it from dropping between meals other than taking less Levemir, I'm open to those, but what I really REALLY want to know if it's safe to take such a minimal amount of basal, or if I'm running the risk of having problems with ketones, etc.
Thanks!
__________________
~ Bethany ~

Type 1 since I was 3 (1981) - 27 years now
Pumping as of Sept. 13, 2007 - Paradigm 522 with NovoRapid (Novolog)
(Previously on Levemir and Humalog)
CGMS as of Apr. 2008
Laser treatments (scatter) on both eyes - Jul. 4, 2007-Sept. 12, 2007
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