Levemir.

Trulicity.
Trulicity is a once-a-week dose, so potentially better for Lou's constant "just not gonna take my meds today" posting.
Levemir is just insulin (detemir), one of the long-acting "peakless" insulins like Lantus (glargine) and Tresiba (degludec). They're used to give a basal level of additional insulin, one that doesn't change throughout the day. In an insulin-dependent diabetic, they would use a rapid-acting insulin as well to make adjustments for a high sugar or for carbohydrate intake. In someone like Lou, it's just shoring up the production levels of his struggling pancreas, which is still what's making corrections in insulin levels throughout the day.
Trulicity increases insulin secretion in the pancreas (patient must still have the ability to make insulin), reduces glucagon secretion (hormone that raises blood sugar) and slows gastric emptying, so the patient feels full longer. It isn't one of the off-label weight loss drugs, though.
Not entirely sure why the changeover, but it could be because Lou's diet is so variable that basal insulin isn't the right choice; trying to adjust basal for his spaghetti binges risks him dropping low when he sleeps. Not sure how much of his medication noncompliance is feigned, nor how much his physician is aware of it. I recall Lou made a big deal about having to change his flash glucometer before a doctor's appointment, so they likely suspect he's not managing well at home.
Still don't know why Princess Lou isn't begging for a set of decorative (and protective!) sensor covers. A diabetic
woman knows it's not just a chronic illness, but a reason to shop for accessories.
![iap_640x640.5942946257_nlc95mez[1].jpg iap_640x640.5942946257_nlc95mez[1].jpg](//uploads.kiwifarms.st/data/attachments/5962/5962135-839ef47f77783635eeb264b20d7a292c.jpg?hash=g570f3d4Nj)