That is the newest suggestion from CDE. Levemir in the am and mixing r with it. This is to avoid two shots in am BUT he is coming in sky high at lunch, 391, today, 400 yesterday so apparently the R is not touching his sugar at all. We are so frustrated at this point i don't know what to do. Two shots in am? His current dosing is as follows: 7 levemir and 1 r in am .5 r at dinner Now the other problem is that he has to get minimum of 60 carbs at night to avoid going low. he is 3.5 and weighs roughly 35 lbs. We have to feed his insulin at dinner and can't bring lunch down. We did not have these problems with NPH. Any thoughts or suggestions re: levemir and should we stick with it?