Help with Levemir!

[steph1]

Can anyone give me some suggestions on finding the correct dosage with Levemir?

I currently switched from Lantus to Levemir.

I have been taking 75% of my dosage at night and 25% in the morning. As a result, I have been waking up every night with hypos. I am treating those hypos with a very small snack (2 glucose candies with 4 grams of carbs per candy), but then have been waking up really high (at levels between 16 - 20.0 in the morning). Then again at lunch time, I have been getting another major hypo. When I try to decrease my nightly amount, I waking up again very high...

Is it best to take the majority of the Levemir in the morning?
How do you go about making the switch?

Any help would be appreciated.

:confused:

[xMenace]

Here's a good reference site. Pay attention to the graph.
Levemir Cartridge 100 U/ml, Levemir Pre-filled Pen 100 U/ml , SPC from the eMC (http://emc.medicines.org.uk/emc/assets/c/html/DisplayDoc.asp?DocumentID=14584)

Your basal profile sounds like mine: down in the night, high in the morning, down in the day, and probably back up in the evening. These single humped insulins are difficult to match to our roller coaster requirements. Off the top I think I'd do more first thing in the morning and take the second dose before dinner. I think some basal testing will be needed too.

[BlueSky]

... Is it best to take the majority of the Levemir in the morning?
How do you go about making the switch? ...
Everyone is different. You just have to try it out for your self. To make the switch, on the day you want to make the change, simply reduce the evening dose to 25% and increase the dose the next morning to 75%. Based on what you have said, you may go high overnight, and your lunchtime hypo will probably get worse .... So it may not be the best thing for you.

The fact that you are having hypos during the night and at lunchtime on your current doses suggests that you are using too much Levimer. Testing the basal rate by skipping a meal and monitoring your blood glucose will help you figure this out. You really should test your basal rate before making any dosage changes.

If reducing your Levimer stops the hypos but causes highs at other times of the day, you probably need to use a pump.

[steph1]

Thanks for your input :)