Starting Levemir and Splitting Doses

Thanks BSC. I called the Levemir people again and the guy I talked to today isn't going to make me wait 3-5 days to get it. He said he would overnight it to my pharmacy so I will have it tomorrow. I can manage one more sleepless night. If the new stuff works, then I will know it is a distributor/pharmacy problem. If it doesn't, then I guess the problem is with me. He did say they haven't had any other reports of problems. But I also have to wonder how many people are just pulling their hair out trying to figure out what is wrong.

I am glad that the Levemir is working for you. I really like it other than this last problem.

Have you heard any opinion of using Levemir and Byetta? I was using Byetta once before my evening meal (that's when I was the hungrest(SP) ) Now that I take Levemir once each PM I am wondering if I could still take the Byetta. Really don't want to call the Drs office. The nurses act like I should already know these things.

I used Byetta for a year and then also went on Victoza. Neither provided me with any long-term benefit. However I think that for many, both Byetta and Victoza can do a great job of improving your blood sugar response at meals. When Byetta first came out, there was little information on how well a combined Byetta and (basal) insulin regime worked. Since then, a number of studies have found that it works quite well with Lantus. And I believe the FDA has now approved its use with Lantus. However, neither Victoza nor Levemir have been studied to demonstrate that it is safe and effective and the FDA has not approved a Levemir/Byetta or any Victoza/insulin regime.

That is not to say that they are not safe and effective and won't be approved in the near future, only that the studies have not been done. Your doctor however has the knowledge and authority to prescribe this regime to you (Levemir/Byetta) (this is called an off-label use). You can talk to him about the Byetta. Personally, I would not hesitate to use a Levemir/Byetta regime.