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Originally Posted by Irish_Fiona .... Do you still think I should come of the levemir though? .... |
By all accounts, Levimir is a good basal insulin. But it is not as long-acting as Lantus. And you really need to split the dosage into two shots a day to get full 24 hour coverage.
If you doubt that Levimir is working properly for you, test it. The best way to test your basal insulin action is to skip a meal. I find that lunch or dinner are best for this. The DP can be a complicating factor in the morning.
After skipping a meal, your blood sugar should stay about the same. If it doesn't your basal insulin isn't doing what it is supposed to be doing. If your blood sugar goes down, you are getting too much basal insulin action. If your BG goes up, you aren't getting enough of it.
For the test to be meaningful, your blood sugar needs to be reasonably stable before the skipped meal. Also bear in mind that it can take a while for a new insulin to settle down.
Cheers,
Mark
