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.
Patients treated with LEVEMIR once-daily should administer the dose with the evening meal or at bedtime. Patients who require twice-daily dosing can administer the evening dose with the evening meal, at bedtime, or 12 hours after the morning dose.The dose of LEVEMIR must be individualized based on clinical response.n patients with type 1 diabetes, LEVEMIR must be used in a regimen with rapid-acting or short-acting insulin. As with all insulins, injection sites should be rotated within the same region (abdomen, thigh, or deltoid) from one injection to the next to reduce the risk of lipodystrophy [see ADVERSE REACTIONS ].