# Scattered and looking for something new.... Been Pumping for 12 Years and have Really known Nothing But

**URL:** <https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871>\
**Category:** Type 1 & LADA\
**Created:** [August 29, 2018, 11:50pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871 "2018-08-29T23:50:06Z")\
**Posts on this page:** 20\
**Page:** 5

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**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\
**Post date:** [September 3, 2018, 4:33pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/81 "2018-09-03T16:33:22Z")

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Yeah, the evening rise might be because the Levi is wearing off, or because it is after dinner or something you ate. So you need to analyze that the best you can.

If you wake up within 12 hours of your previous evening’s dose, you should be fine.

If the 2x Levi is wearing off too soon, I would suggest trying the 3x Levi.

The problem with Tresiba will be when you exercise. There is no easy way to reduce or schedule basal with Tresiba.

Like with Levi, you could reduce your mid-afternoon amount, and work that into the running plan. With Tresiba, you will have to run with that basal every day, there is not much flexibility with it.

It is easy for you to swap over to Tresiba, but just keep in mind that when you get back to running, it might not be ideal for you. 😟

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**Author:** ![Scotteric](https://avatars.discourse-cdn.com/v4/letter/s/59ef9b/32.png) [@Scotteric](https://forum.fudiabetes.org/u/Scotteric)\
**Post date:** [September 3, 2018, 4:33pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/82 "2018-09-03T16:33:36Z")

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Another option is to just take a couple units give or take of Novolin R with dinner. I usually find this is necessary for delayed protein/fat digestion with most of what I like to eat for dinner, and it has the added benefit of covering Levemir gaps.

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**Author:** ![Nickyghaleb](https://avatars.discourse-cdn.com/v4/letter/n/5f8ce5/32.png) [@Nickyghaleb](https://forum.fudiabetes.org/u/Nickyghaleb)\
**Post date:** [September 3, 2018, 5:06pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/83 "2018-09-03T17:06:02Z")

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> [@Eric](#):
>
> It is easy for you to swap over to Tresiba, but just keep in mind that when you get back to running, it might not be ideal for you. 😟

Then 3X Levemir it is! 😃

What time and how much? If you’d be so kind…

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**Author:** ![Nickyghaleb](https://avatars.discourse-cdn.com/v4/letter/n/5f8ce5/32.png) [@Nickyghaleb](https://forum.fudiabetes.org/u/Nickyghaleb)\
**Post date:** [September 3, 2018, 5:11pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/84 "2018-09-03T17:11:04Z")

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> [@Scotteric](#):
>
> Another option is to just take a couple units give or take of Novolin R with dinner

I’ve seen this in other posts… this is just another name for novolog, right? Same insulin…?

> [@Scotteric](#):
>
> and it has the added benefit of covering Levemir gaps.

This was my idea yesterday… to just ramp up my boluses in the meantime. I’d have no problems doing that as long as I understand what I’m achieving by it. Insulin used to be just insulin to me… I’m just starting to learn that insulin is its own universe…

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**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\
**Post date:** [September 3, 2018, 5:23pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/85 "2018-09-03T17:23:49Z")

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> [@Nickyghaleb](#):
>
> What time and how much? If you’d be so kind…

What are your numbers now? 12 and 9? Do you think they are close to correct?

You want more basal early evening than you do at other times, right? Is that your problem time?

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**Author:** ![MM2](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/mm2/32/3032_2.png) [@MM2](https://forum.fudiabetes.org/u/MM2)\
**Post date:** [September 3, 2018, 5:24pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/86 "2018-09-03T17:24:13Z")

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> [@Nickyghaleb](#):
>
> I’ve seen this in other posts… this is just another name for novolog, right? Same insulin…?

No, Novolog is faster, newer insulin.

Novolin R is old fashioned Regular, with longer duration, slower to peak.

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**Author:** ![Nickyghaleb](https://avatars.discourse-cdn.com/v4/letter/n/5f8ce5/32.png) [@Nickyghaleb](https://forum.fudiabetes.org/u/Nickyghaleb)\
**Post date:** [September 3, 2018, 5:33pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/87 "2018-09-03T17:33:58Z")

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Early evenings seems to be when I’m running a little high… a lot high for the last 2. Didn’t you originally say 11 and 9 were conservative? Would that still be true for 12?? Because I’m definitely having to work throughout the day to stay down. Not complaining… but wondering if bumping it up a little would be okay since I’m not really hugging lows?

Currently at 12 and 9 and pushing up in the evenings and even a little in the morning…

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<div class="post-metadata">

**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\
**Post date:** [September 3, 2018, 5:37pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/88 "2018-09-03T17:37:55Z")

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> [@Nickyghaleb](#):
>
> Didn’t you originally say 11 and 9 were conservative? Would that still be true for 12?? Because I’m definitely having to work throughout the day to stay down. Not complaining… but wondering if bumping it up a little would be okay since I’m not really hugging lows?

If you are not running low, the simplest thing to try would be a higher dose. A higher dose extends the duration a bit, so that might be the easy fix. And it is easy to try. Do you want to go with that first?

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<div class="post-metadata">

**Author:** ![Nickyghaleb](https://avatars.discourse-cdn.com/v4/letter/n/5f8ce5/32.png) [@Nickyghaleb](https://forum.fudiabetes.org/u/Nickyghaleb)\
**Post date:** [September 3, 2018, 5:38pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/89 "2018-09-03T17:38:06Z")

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> [@MM2](#):
>
> Novolin R is old fashioned Regular, with longer duration, slower to peak.

Okay, that sounds tough… although I can see how it could fill an important role, too. And now I understand @Scotteric’s idea better.

I like all these things. How does one go about asking her endo for prescriptions when she’s already on a pump? I really have the nicest endo in the world, but what kind of conversation could I have with her at this point? I’m going to go back on the pump, but I think THIS is my future… moving in and out of things when the time is right…

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**Author:** ![Nickyghaleb](https://avatars.discourse-cdn.com/v4/letter/n/5f8ce5/32.png) [@Nickyghaleb](https://forum.fudiabetes.org/u/Nickyghaleb)\
**Post date:** [September 3, 2018, 5:40pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/90 "2018-09-03T17:40:14Z")

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> [@Eric](#):
>
> Do you want to go with that first?

Now is this question really for me? Because the last one I thought was for me I answered wrong. 😁

I plan, in the future, to be as opinionated and hard headed about how I’m doing these things as I am with everything else in my life. But for now, I’m following your lead. What would you recommend?

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<div class="post-metadata">

**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\
**Post date:** [September 3, 2018, 5:40pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/91 "2018-09-03T17:40:58Z")

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> [@Nickyghaleb](#):
>
> How does one go about asking her endo for prescriptions when she’s already on a pump?

Novolin R requires no script.

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<div class="post-metadata">

**Author:** ![Nickyghaleb](https://avatars.discourse-cdn.com/v4/letter/n/5f8ce5/32.png) [@Nickyghaleb](https://forum.fudiabetes.org/u/Nickyghaleb)\
**Post date:** [September 3, 2018, 5:41pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/92 "2018-09-03T17:41:33Z")

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I half knew that. So that one’s an easy fix. Walmart?

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<div class="post-metadata">

**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\
**Post date:** [September 3, 2018, 5:42pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/93 "2018-09-03T17:42:36Z")

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> [@Nickyghaleb](#):
>
> What would you recommend?

Bump it up! If you go low, feed the basal.

I did start you off low and conservative, so you have room to grow.  
😉

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<div class="post-metadata">

**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\
**Post date:** [September 3, 2018, 5:42pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/94 "2018-09-03T17:42:57Z")

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> [@Nickyghaleb](#):
>
> Walmart?

Yup. $25

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<div class="post-metadata">

**Author:** ![Nickyghaleb](https://avatars.discourse-cdn.com/v4/letter/n/5f8ce5/32.png) [@Nickyghaleb](https://forum.fudiabetes.org/u/Nickyghaleb)\
**Post date:** [September 3, 2018, 5:43pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/95 "2018-09-03T17:43:35Z")

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I’m gonna need koozies.

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<div class="post-metadata">

**Author:** ![Nickyghaleb](https://avatars.discourse-cdn.com/v4/letter/n/5f8ce5/32.png) [@Nickyghaleb](https://forum.fudiabetes.org/u/Nickyghaleb)\
**Post date:** [September 3, 2018, 5:44pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/96 "2018-09-03T17:44:31Z")

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Bump it up… to 13?? And leave the 9? At what point would you decide that to break it up into three shots is the better route?

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<div class="post-metadata">

**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\
**Post date:** [September 3, 2018, 5:53pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/97 "2018-09-03T17:53:13Z")

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> [@Nickyghaleb](#):
>
> Bump it up… to 13?? And leave the 9? At what point would you decide that to break it up into three shots is the better route?

Is nighttime okay? If so, try 13 and 9.

Let’s see how it works for a few days before rushing off into changing the whole thing.

You can’t rush art.

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<div class="post-metadata">

**Author:** ![Nickyghaleb](https://avatars.discourse-cdn.com/v4/letter/n/5f8ce5/32.png) [@Nickyghaleb](https://forum.fudiabetes.org/u/Nickyghaleb)\
**Post date:** [September 3, 2018, 5:55pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/98 "2018-09-03T17:55:11Z")

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Wait! And a more pressing question… I want to jump in about 30 minutes. I’m a perfectly even 100 right now. I’d like a coffee before I start and will jump for about 35 minutes. It’s not like a run, but I definitely get my heart rate up and work up a sweat. I have no idea what to do with this… do you have something to try?

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<div class="post-metadata">

**Author:** ![Scotteric](https://avatars.discourse-cdn.com/v4/letter/s/59ef9b/32.png) [@Scotteric](https://forum.fudiabetes.org/u/Scotteric)\
**Post date:** [September 3, 2018, 6:00pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/99 "2018-09-03T18:00:04Z")

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NovoRapid is the other name for Novolog. Novolin R (or Toronto insulin as we call it, since insulin was proudly first developed in my hometown) is still an extremely useful insulin you can use in situations when you would use a square or dual wave bolus on your pump, as it takes 30 min to an hour to kick in, peaks at 2-3 hours and lasts 6-8 hours depending on the dose.

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<div class="post-metadata">

**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\
**Post date:** [September 3, 2018, 6:05pm UTC](https://forum.fudiabetes.org/t/scattered-and-looking-for-something-new-been-pumping-for-12-years-and-have-really-known-nothing-but/4871/100 "2018-09-03T18:05:08Z")

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> [@Nickyghaleb](#):
>
> do you have something to try?

Eat 15-20 grams **immediately** before starting.

Not coffee.

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