Type 1 Insulin Question

G'Day, All...

Sorry, I've been such a stranger lately - my life has been somewhat of a soap opera lately, to say the least :-(

I was hoping to pick some of you insulin advisor's brains to help me understand something....A few weeks ago I upped my Levemir doses from 12.5 to 13 units. Since then I feel like I'm eating snacks to "feed the insulin" in order to avoid the lows I'm seeming to get if I don't. With this half unit difference, my pre-meal BGLs are often below 4/(72) and even my 2 hour post-meal readings are often below 5/(90). Prior to the change I was often "fix dosing" along with my meal dose and my post-meal BGLs were higher than acceptable.

Is it possibly the springtime-metabolic-change that's occurs for many of us this time of year? Or could that half unit more of background insulin make that much of a difference? I've already upped my dinner I/C ratio to from 1:6 to 1:7 but don't want to play with those till I figure out the Levemir doses.

Any suggestions or ideas on how to address this one? Thanks for any and all replies.

Hi, Jeannie...thanks for warm greeting All is OK - just life doing its usual modulation of feast or famine - LOL.

I know my insulin questions might be hard to answer, but I thought I'd throw it out there anyway. I'm not sure if there are many Type1s here? It's frustrating that I seem to react so drastically to such minimal changes to my schedule (doses, meal times, etc), after 2 years+ of this. Guess that's why they still call me "brittle". Guess they could call me worse - LOL.

Cheers,
- Kris

Hi AMM... I used to be on Lantus for about a year before switching to Levemir. Need about 15% more Levemir and have to split it into 2 shots but it stings a lot less, I don't have to use vial & syringe (hated those 8mm/28 guage needles), way less peaks and valleys, and I don't have to throw out almost half my insulin because it expired (Lantus loses efficacy after 28 days exposed to air).

Was all set to go on the pump over a year ago (met all the criteria, education, etc.), but haven't been able to meet the financial requirements of getting one. $7,400 plus $250.00 a month (even with a financial plan), is just not a commitment I can make at the moment. I'm up to speed and ready to go if/when my situation changes but, until then, I'm content with the "poor man's pump"

Been trying a few things out recently so, I'm anxious to get my latest bloodwork results at my appointments this week. I think I might just do better then I expect (I'm either an optomist or I've got really low expectations - LOL)

Take Care