Discussions that mention levemir

Diabetes board

Hello everyone,

I am new to these boards and have a problem that I need help with. My sugar levels are running VERY high (At my last Dr. visit, levels were nearly 400) My Dr. introduced me to Levemir and wants me to take 20U in the mornings in conjunction with my normal Humlin N dose of 30U AM using 2 different injections. I also take 20U of the Humlin N in the PM for a total of 3 shots per day. This seems like an excessive amount of insulin to me. And for some reason I just can’t bring myself to take the Levemir with the Humlin N in the mornings…So, I have yet to take the Levemir. I just can’t bring myself to take the injection.

My question; Does anyone here take both of these insulins together? (Using 2 different injections, of course as the two can not be mixed) If so, how has it worked for you?
Levemir cannot be mixed with other insulins. What I don't understand is why your doctor has you on two intermediate acting insulins. A much preferred way is to take Levemir twice a day and use a rapid acting insulin when you eat. This results in 5+ shots a day, but results in great glucose control as well.
Humulin N? Your blood sugars are running in the 400's and all you've been on is Humulin N????? Sounds like you may need to switch doctors, as this one is still in the dark ages.

It's very difficult to get good control using just a basal insulin. Most of us on insulin now use some combination of a long-acting basal, such as Lantus, along with a rapid-acting bolus insulin, such as humalog. You do need to learn how to count carbs, however, as the amount of rapid-acting insulin depends on the number of carbs you'll be eating at that particular time. And, this means you usually have to take at least 4 shots a day. BUT...you can achieve excellent control that way.

Humulin N is also notorious for it's unpredictability...it's onset of effectiveness is anywhere from 1-2 hours, and it peaks at anywhere from 4-6 hours. It was a lousy basal insulin, but for a while that's all we had. It's been a long while, however, since Lantus came out. And, whether you use Lantus or Levemir as a basal, either one would be better than humulin N.

If your insurance would cover it, you may also want to look into an insulin pump. With a pump you only need to use one type of insulin (rapid-acting), and the pump delivers a steady drip as a basal, while you program it to bolus as much as you need to cover meals. It, too, requires that you learn to count carbs, but you only have to change the insertion site once every 3 days or so.

If you're not seeing an endocrinologist, I recommend that you do so. Whatever you decide, Syrenna, you need to get those numbers down as soon as possible, no matter how much insulin you have to take. But I suspect that if you were on a better regimen, it wouldn't take as much to get you to better numbers.

I take Humalog on a sliding scale when I eat. The dosage depends on the carbohydrate count. I take 1 shot of 12 units of Levemir at night. I found N to be too unpredictable so I was glad to switch to Lantus when it came out. For me, Levemir works better than the Lantus. Except for the usual blood glucose glitches, my control is pretty good so I think you can achieve better control with a fast acting (Humalog) insulin at mealtimes. Also, get a second opinion. There is always something new / different with diabetes treatment so your doctor should be informed. The fact that he has not suggested / given you Humalog tells me he is not that well informed.

Hang in there!