Ok, as some of you know, i finally switched to Levemir a week or so ago, from NPH. Long story short, my nurse has me on a split dose, 7AM and 9PM, and she started me off at 20% less then my NPH dose.
This worked pretty fine for the first few days, actually, but now I seem to be running lower then normal, and having to snack in the afternoons, and some nights before bed. Ideally, i'd like to be able to survive on no snacks, as a plesant side-effect of all the monkeying around i've done since last Nov. is the loss of 10-12 pounds, mostly do to cutting out snacks.
Anyway, I am finding that I can be fine before a meal, in range 4.0-7.0. I then eat and use the same carb ratio I was using on NPH (and it worked) of 1:10. On NPH, I was usually hitting my post meal mark of 10.0, and that's perfect. Now, I can be only 5 or 6 after a meal. So, that means either my carb ratio is wrong and needs to be tweaked, or my basal dose is too high and it's sort of blanketing my sugar and not allowing it to come up.
Being the smart (haha, ya right) guy I am, I wanted to start a basal test, as the basal dose needs to be correct before you can test for carb ratio. I got some nice instructions through a Winnipeg informant, who recieved the info originally from a Southern lad...
so thanks guys!!!
ok, the long winded intro is out of the way (long winded and Gangrel go together)
Last night, I took my Levemir at 9:20ish pm, and took 16 units. I last ate at 6pm, and took my Humalog. Following the overnight basal test (mostly) here's what i have:
21:52: 10.3
00:05: 8.4
03:51: 5.5
06:04: 5.8
I slept a tad past my 3am alarm
but it's close enough.
Assuming the last of my Humalog was still working between 9pm and 10ish, that might account for the drop from 10.3 to 8.4.
But, the 3 point drop between midnight and 3am concerns me, though I don't understand why it then levels out?
So, looking at this I am going to try either 15 or 14 units tonight, a reduction of 1 or 2. Does this make sense to you? Or are you seeing something I'm missing (which is very possible)
If I do an afternoon test, I'll post it in this thread too.
