My daughter Katherine is 13. She’s been on Levemir for at least 6 years. We have always loved it, as Lantus never worked quite right for her. When she was younger, the endo and her staff told us that as she progessed through her teen years, her insulin needs would increase greatly (they were correct). She has kept up with her changing insulin needs very well.
Now we see something very puzzling. Since she was first dx’d, every time we had to adjust her 12-hour insulins, we saw the nighttime numbers change first. Always, within a few days, we would also have to adjust the daytime 12-hour insulin. Lately, she has been cutting back on both daytime and nightime Levemir as necessary. She’s been wonderfully in range, but her am and pm Levemir doses are drastically different: 17 units @ night, and 27 in the morning. She and I have looked at everything, and still no explanantion. The only thing is that she has been sedentary for 6 weeks now, as she awaits hip surgery and deals with a stomach issue that we will hopeully have resolved in a few days. If she’s sednetary, and not moving around a lot, shouldn’t she need MORE insulin, not less? She was sleeping a few minutes ago, and I went into her room to give her Levemir. Despite the scant (for her) Levemir dose of 17 units last night, I saw six empty juice boxes on her nightstand! That is, 6 X 17g = 102g! She had only 17 units of Levemir last night!, and STILL needed 102g to stay in range! Her CGMS said 121 this morning, and her finger stick poke said the same.
Has anyone ever had such drastically different dosing needs?