PILES AND PILE-DRIVING EQUIPMENT. ENCE 420 Â©Assakkaf. Slide No. 4. PILES. If the load is transmitted to the soil. through skin friction between the. surface of the pile and the soil, the. pile is called a friction pile. If the load is transmitted to the soil. through the lower tip, the pile is. called an end-bearing pile. CHAPTER 19.
Levemir (insulin detemir) is a man-made form of insulin, a hormone that is produced in the body. Insulin works by lowering levels of glucose (sugar) in the blood. Insulin detemir is a long-acting insulin that starts to work several hours after injection and keeps working evenly for 24 hours. Levemir is used to improve blood sugar control in adults and children with diabetes mellitus. Levemir is used to treat type 2 diabetes in adults.
This is sometimes called the âDawn Phenomenonâ. If you take NPH at bedtime and the dose is too low, then by 6:00 a.m. the insulin will be past its peak effect and you may experience a rise in blood glucose. Your doctor may tell you to increase the bedtime dose. If you take LevemirÂ® at bedtime, but you take it late (for example, at 11:00 p.m.) then it will just be entering its peak effect period eight hours later, at 7:00 a.m. As a result, you may wake up with high blood glucose.