I have read, and read, and read some more and now I think I have TOO MUCH info in my head. Basically what I need at this point is to make sure that I'm thinking about all of this straight...
Background info: I've been fighting with burnout for a little while now. I have a pump and a CGM and quite frankly I'm sick of the beeping and buzzing and attachment, and just being bionic in general. Well sick of D in general but nothing I can do about that. I'd like to be free for little while, i.e. take a vacation from ALL THE THINGS!
Main problems: My basal rates go all over the place and I have a relatively high insulin sensitivity. Therefore I need to plan accordingly for the long acting and then be able to give 1/2 unit doses of fast acting. Also, I've forgotten whether or not I took my dose MANY times before the pump came along so I really need the Novopen Echo so that I can check and be sure that I'm not doubling my dose accidentally.
Secondary problems: Although I was on Lantus before the pump I'm a bit nervous about going back on it after all the research I've done. I see that Lantus is NOT supposed to peak, but be a relatively steady release. Before the pump I shot Lantus twice a day but ultimately had trouble staying on target and often ended up low overnight. Also, Lantus does not work with the Echo pen so I can't track whether or not I took the dose.
Levemir would be the other option for me and I can take the disposable pen apart and apparently it will fit into the Echo pen and work just fine. However, Levemir usually has a peak somewhere around 6-8 hours depending on the person and is meant to be taken twice a day anyway.
Levemir planning: So here's my basal rates-
12am - 7am: .4 units/hr
7am - 2pm: .5 units/hr
2pm - 5pm: .175 units/hr
5pm - 9pm: .4 units/hr
9pm - 12am: .25 units/hr
My thoughts are that if I take one dose around lunch, maybe 11am, that should cover my raised basal in the afternoon after the lull and then if I take a second dose around bedtime, say 9 or 10pm, it should cover me overnight, but I feel like that will leave a gap in the mornings.
Has anyone tried 3 doses of Levemir? Maybe a very small one in the morning in addition would get me through. I'm just afraid that the timeframe will set me up for a bad low in the afternoon where my basal drops to almost nothing.
I just don't want to try and relieve my burnout just to make things worse and push myself over the edge.
I have an Endo appt next week and although she's great and doesn't override my objections like some do, I almost feel like she defers to my judgement too much. I've only been to see this one once before (I moved to a new city last year), but I want to be as prepared as possible in case I have to make a judgement call regarding my prescriptions.