Mark1e, I noticed at the bottom of your post that it said you were "Type 1 since 1977. On Lantus, Novorapid and Actrapid." I'm on Lantus and Novorapid too but can you tell me about Actrapid? Isn't it similar to Novorapid?

[QUOTE=DibeticAthlete;3451742]Mark1e, .... can you tell me about Actrapid? Isn't it similar to Novorapid?
I started using Actrapid because I was having difficulty keeping morning blood sugars down. I am very insulin resistant in the mornings. So I reduced carbs with breakfast drastically and started using a longer acting insulin. Actrapid is the old "Regular" insulin. Regular insulin needs to be injected 45 minutes before eating, it peaks at about 3-5 hours, it is mostly finished by 8 hours, but there is some residual action up to 12 hours. I use it before breakfast, which is very low carb. The longer action of this insulin also helps deal with the Dawn Phenomenon, which for me lasts until about 11am. I use Novorapid before the other meals and for corrections.

It is an unusual regimen, but it works well for me. At one stage I was splitting my basal between Lantus in the morning and NPH at night and using Novorapidv before all meals. NPH also has a pronounced peak that counteracts the DP. I might go back to this as it gave me better waking blood sugars. Many low-carbers use Regular instead of rapid acting insulin before all meals. I don't do this because I eat more carb later in the day, and I find using Novorapid a lot more convenient (you don't have to inject so long before eating). ;)

I was having the opposite problem to you, I was waking up with extreme lows...so to deal with it I moved my Lantus injections from the evenings to the mornings. No two people are alike and I always find it interesting how diabetics adjust thing to suit their needs. Do you have any suggestions for lows other than granola bars? I like the fact that they boost my sugar and have carb so I don't drop again in a half hour but I must admit that I'm getting really sick of them. I don't like glucose tablets (eating chalk isn't my thing).