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