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Ask Family Physician Your Own Question
Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2592
Experience:  Emergency Medicine and Family Practice for over 26 years
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Glucose high 190. should I take levermir in the morning and

Customer Question

glucose high 190 . should I take levermir in the morning and at night.
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: doctor put me on levermir . instruction try 30 units at night then try 20 in morning and 20 at night . does not work
JA: Anything else in your medical history you think the doctor should know?
Customer: he has known me for 35 years
Submitted: 11 months ago.
Category: Medical
Expert:  Dr.Saleem replied 11 months ago.

Hello and welcome to JA. Dr Saleem here. Will be answering you shortly

Customer: replied 11 months ago.
glucose this morning 190 meter One Touch another meter was 156 always high glucose reading in the morning.
Expert:  Dr.Saleem replied 11 months ago.

Well you can increase the night time dose to help control your fasting blood glucose levels. It has to be administered at the same time daily . You need to monitor the blood glucose levels following each meal and add regular insulin / short acting for fluctuations with each meal.

This is called basal bolus regimen. You can discuss this with your doctor.

Morning high levels mean you can increase the night dose of levermir

Customer: replied 11 months ago.
should I take 20 units at night and 20 units in the morning?
Expert:  Dr.Saleem replied 11 months ago.

What dose do you take ?

Customer: replied 11 months ago.
30 units at night
Expert:  Dr.Saleem replied 11 months ago.

I would recommend adjusting your night dose and taking it at same time. You can add increments of 4 units till your blood levels are normal.

So you can take 34 units at night for few days and see how it goes.

Expert:  Dr.Saleem replied 11 months ago.

Do you take metformin too ?