I tried that one time to move my basal up and it did make for a higher fasting, but I know one time isn’t proof.
Yes, I’ll work on the dinner bolus first, Gerri. I do have a better I:C ratio at night, (1:20 compared to 1:7 and 1:8 for the earlier meals), but it sounds like I:C ratio and rate of digestion are two different things. I do tend to be a blob at night - watching tv on the couch and reading in bed - you would think I did enough during the day I needed to rest from! Ok, going to make my list of things to try. I feel the need to knock on wood. Whenever I get close to a fine-tuning type change things go totally bananas and I’m back to reacting without thought. Maybe if I can avoid drastic steps when that happens, I’ll get to the fine-tuning stage! …Or maybe it’s all a delusion of logic and control…lol
I would always recommend two shots of Levemir per day. So your current pattern looks good to me. Like Trudy I would recommend a half unit pen like the NovoPen junior. With small numbers like 7 it seems likely that 7 1/2 makes a difference for you.
What I find a bit strange it that you experience higher numbers at bedtime but you are not questioning your bolus dosage but your basal. It is very likely that dinner is around 3 hours away from bedtime so the insulin from the bolus is still fading out. For most of us the bolus has a long and very small tail - it loses potency quickly but takes long to fade out totally. Depending on the food you may see the outcome of the dinner at bedtime - due to the slower digestion Gerri wrote about. Thus I would increase the bolus dosage just a little bit by adjusting the ratio. With your good insulin sensitivity a small bolus increase could lead to a better coverage of the dinner - like covering 3 instead of only 2 1/2 hours with the bolus tail I mentioned. This might not sound much but could result in 120 at bedtime instead of 140. If a starting number of 120 at bedtime still leads to higher numbers in the morning a 1/2 unit increase of Levemir should do the trick.
Thanks, Holger. I will try changing the amount and the timing of my dinner bolus and see how that works. (The simpler things first!). I don’t get higher numbers in the morning as a consequence of highs at bedtime. Unlike what many people seem to experience, there is not a connection between the two at all for me. My morning numbers are rarely high.
