I'm just wondering if anyone does this, has had success with it and has any tips for how to do it properly. I pumped for 11 years and decided to take a break due to numerous site issues. I was splitting Levemir which worked pretty well for me, but having been spoiled by pumping, I was getting annoyed how inflexible it is with dosage timing and noticeable spikes if I eat around the time my daytime dose was levelling off and nighttime dose hadn't kicked in yet. I've tried Tresiba 2x before but wasn't successful with it. I could not find a dose that would give me consistent coverage for 24 hours. I tried splitting it for the last few days and I seem to finally be getting 24-hr consistent coverage. I know Dr. Bernstein recommends this even though it seems unnecessary. Any help appreciated, thank you!
On my pump I found that I needed 3 times my normal basal from 4am increasing to 9am then it gradually dropped down to midday. Then mine went up again around tea time, dropped again and up again at 10pm to midnight.
Itresiba always was going to be a problem for me but 2 different hospitals wanted me to try it.... and try it and try it....
The trouble with tresiba is that even splitting it, if you need more at a set time tresiba extra will jyst work consistently for longer than 24 hours.
I had a photo of my last basals rates on insight pump so I got some tracing paper.. drew the graph out... traved it and moved the graph along 3 hours to allow for tge novorapid peak times. That then gave me the pattern of profile that I needed from any Insulin.
I had some pretty daft suggestions given to me at times from various people... even when I have sent the photo of the graphs to hospital they forgot to take in to the account that novorapid took time to work.....
So, then I worked out times with Insulatard... 1unit of it still knocked me downward from midnight no matter what time I took it. So I changed to adding in 1 unit of tresiba instead over christmas and this is better.
Its pain having so many shots starting at 4am but the peaks and drop offs by splitting insulatard and bolus's works out so much better than suggestions I have been given by others...
Its unusual and totally different to how hospital suggested from text book learning but it is my body and its me that had to find my own way in the end.