Hi all,
Just curious if anyone has experience of this themselves. ** Just FYI/disclaimer Im not looking to medically advise or be advised, just for info only if this is something effective other have done before **
I've been honeymooning since diagnosis the last 2.5 years. But sometimes when you think you need to increase your long-acting insulin it really can be so close and delicate to judge when in honeymoon, so to save the horrible overnight hypos and big jumps.
Tresiba is an ultra-long acting insulin which works for at least 30-36 hours and has a flat effect. Therefore, for other long acting insulins, this wouldnt work. But it can provide an overall, middle effect of between 9 and 10 units in my experience. Rather than increasing to 10, it being all or nothing and struggling if too much.
I remember going from 3 to 4 units of basal. Yes that is a 133% increase in dosing, but my diabetic nurse said 'go for it' then i had a horrible few days of lows and being dragged down. My first nurse wasnt the best care snd they were short staffed, so I ended up taking on all responsibility myself.
Ive only just started under a new diabetic nurse and she doesnt know yet. But basically, if I increase from say 9 units to 10 and in the middle and still unsure about overnight trend and I feel like im truly inbetween (stuck at exactly 9.5 units basal) ... then ill do this:
9 units one day, 10 units the next.. for a few days, before the big jump to 10 units every day. My levels are thanking me and no horrible big shock in the mornings or at work.
I know my diabetic nurse isnt going to like it, as its not as per textbook or medical advice. But hey if it works, 85%+ in range.. then its good enough right? For the record, the only hypos I usually have are 3.5-4.0 and lucky they are mild to moderate, so manageable living alone etc.
Just curious if anyone has experience of this themselves. ** Just FYI/disclaimer Im not looking to medically advise or be advised, just for info only if this is something effective other have done before **
I've been honeymooning since diagnosis the last 2.5 years. But sometimes when you think you need to increase your long-acting insulin it really can be so close and delicate to judge when in honeymoon, so to save the horrible overnight hypos and big jumps.
Tresiba is an ultra-long acting insulin which works for at least 30-36 hours and has a flat effect. Therefore, for other long acting insulins, this wouldnt work. But it can provide an overall, middle effect of between 9 and 10 units in my experience. Rather than increasing to 10, it being all or nothing and struggling if too much.
I remember going from 3 to 4 units of basal. Yes that is a 133% increase in dosing, but my diabetic nurse said 'go for it' then i had a horrible few days of lows and being dragged down. My first nurse wasnt the best care snd they were short staffed, so I ended up taking on all responsibility myself.
Ive only just started under a new diabetic nurse and she doesnt know yet. But basically, if I increase from say 9 units to 10 and in the middle and still unsure about overnight trend and I feel like im truly inbetween (stuck at exactly 9.5 units basal) ... then ill do this:
9 units one day, 10 units the next.. for a few days, before the big jump to 10 units every day. My levels are thanking me and no horrible big shock in the mornings or at work.
I know my diabetic nurse isnt going to like it, as its not as per textbook or medical advice. But hey if it works, 85%+ in range.. then its good enough right? For the record, the only hypos I usually have are 3.5-4.0 and lucky they are mild to moderate, so manageable living alone etc.
