Switched from Levemir to Toujeo and having issues.

[aaronjunited1]

It's been 7 days since moving to Toujeo when i was told it was being discontinued.

I am running very high blood sugar after 7pm and a normal dose of Novorapid doesn't work as it should after 7pm.
I was told to take 15 units of Toujeo (10% less) which i take at 11.30pm
Before this i was splitting my levemir 9 units at 12pm and 8 units at 12 midnight.

I had similar issues with Lantus before i moved off it to levemir.
I found out it wasn't lasting 24 hours. And im near positive this is the same thing happening with Toujeo.

What on earth am i supposed to do. My management has been so much better on levemir now it's been up ended and im back to where i was when i was on lantus.

Anyone got some insight?

 

[Tony337]

Hi @aaronjunited1
I have no insight as i'm waiting in the wings...
I will be changing from levemir but ended up with quite alot of it in stock as when i heard it was being discontinued i over ordered so i could change when i'm ready.

I have chosen tresiba as its supposed to last 36 hours as i feared changing to one big dose instead of 2 smaller ones.

As i'm MDI i tinker alot with my insulin and carbs and find it very easy to alter my carb intake and increase my exercise regime to get level.
I would not recommend this approach as i've been doing this MDI for over 50 years and i do make mistakes.

Its the 1 big jab instead of 2 that i worry about.

I can only wish you luck and hope you get where you used to be and please do post your experiences as it can help others like us.

Tony

 

[Mark Rawlinson]

Toujeo is a very long lasting insulin, up to 36 hours but I think you need to build it up over time. It is also a more concentrated insulin so possibly why you are on a lesser dose
I have been using it for a year (today) and it took me a few weeks to get beniit from it, I aso use Trurapi
as the Bolus
I cannot compare to other insulin types as they are the only one's I have used

 

[aaronjunited1]

Hi @aaronjunited1
I have no insight as i'm waiting in the wings...
I will be changing from levemir but ended up with quite alot of it in stock as when i heard it was being discontinued i over ordered so i could change when i'm ready.

I have chosen tresiba as its supposed to last 36 hours as i feared changing to one big dose instead of 2 smaller ones.

As i'm MDI i tinker alot with my insulin and carbs and find it very easy to alter my carb intake and increase my exercise regime to get level.
I would not recommend this approach as i've been doing this MDI for over 50 years and i do make mistakes.

Its the 1 big jab instead of 2 that i worry about.

I can only wish you luck and hope you get where you used to be and please do post your experiences as it can help others like us.

Tony

Thanks for your response Tony.

They claim it lasts 36 hours. But this isn't the case with me on toujeo or even lantus before that (24hrs)

I get about 20 hours out of one dose. Which means i run high when that isn't in my system anymore.

My DN has asked me to increase dose to 17. But i really dont understand. Does upping the dose increase the length of time it stays in the body? I don't think this is how insulin works. If i up the dose I'm increasing the chance of hypo as i already established the dose i need on a weaker strength insulin. At least this is my understanding based on my own experience.

 

[aaronjunited1]

Toujeo is a very long lasting insulin, up to 36 hours but I think you need to build it up over time. It is also a more concentrated insulin so possibly why you are on a lesser dose
I have been using it for a year (today) and it took me a few weeks to get beniit from it, I aso use Trurapi
as the Bolus
I cannot compare to other insulin types as they are the only one's I have used

Yes reducing dose by 10% was because its a stronger insulin that levemir. So surely upping the dose is going to be too much and cause a hypo.

 

[Mark Rawlinson]

Yes reducing dose by 10% was because its a stronger insulin that levemir. So surely upping the dose is going to be too much and cause a hypo.

Hardto say but i may be a gradual increase, when I first started with it I was on 4 units a day built up over a long time to 46 units so yours may be a gradual increase to get used to the change ?
as beore I do use Trurapi too (5 times a day)