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Permalink Reply by Holger Schmeken on July 23, 2012 at 7:49am

Your doctor has vetoed against dividing the Levemir insulin? Levemir does act for 24 hours but it will not act evenly. So by not recommending the division your Doctor says that you will have to live with this uneven profile of your basal insulin.

In Germany Levemir is seen as a predictable successor of NPH insulin. Thus the standard is to recommend two shots of Levemir every 12 hours for T1 diabetics. The profile of these two shots will combine to a more even reaction curve over 24 hours. For T2 the recommendation would be one shot per day - but this more a decision pro convenience.

I use two shots of Levemir per day. I will increase the dosage for illnesses with side effects for my glucose levels. If I eat somethig very fatty late at night I will increase the dosage by one unit to catch the converted glucose of this meal. For intense sports I will have to decrease the dosage by one unit. The muscles will refuel later at night and this will help to prevent going low.

Permalink Reply by Ila on July 23, 2012 at 8:16am

Thanks. Having a dog with diabetes, I have learned that I am the best person to decide what his dosage should be according to test results. That has made me think that I am also the best person to decide how much and when I need Levemir.

I know enough about myself, but I'm not sure I really know everything I need to know about Levemir to make effective use of it.