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Changing From Levemir

J

JackLowe123

Member
Messages
5
Type of diabetes
Type 1
Treatment type
Insulin
I currently take 20 units of levimir morning and night so have a total of 40 units basal each day. I've just been called to say it is time to make a change from Levimir and have been given the options of TRESIBA VS TROUJEO. Would anybody else have any advise or have made the switch from Levimir already. I have done some research and can see that Tresiba and Troujeo are a once a day type of insulin. I am slightly edging towards Tresiba but if anybody has anymore information to share that would be great before making a decision.
 
Hi @JackLowe123

I can’t help as I’m T2 not on insulin but there’s a thread running that you may find helpful, I’ve linked it below for you so you can take a look

J

Thread 'What’s everyone planning now that Levemir is going?'

I wanted to start a thread for anyone using Levemir and wondering what happens next.
It looks like it’s being phased out completely, so most of us will need to change our basal insulin soon. (Before end 2026)

A few things worth asking each other:

  • Who here has already spoken to their diabetes team about switching?
  • Which replacement were you offered — Tresiba, Toujeo, or something else? If any?
  • If you’ve already changed, how has your control or hypo pattern been? Answers for Forced change from levemir going only.
  • Did your clinic reduce your dose...
  • Like
 
JackLowe123 said:
I currently take 20 units of levimir morning and night so have a total of 40 units basal each day. I've just been called to say it is time to make a change from Levimir and have been given the options of TRESIBA VS TROUJEO. Would anybody else have any advise or have made the switch from Levimir already. I have done some research and can see that Tresiba and Troujeo are a once a day type of insulin. I am slightly edging towards Tresiba but if anybody has anymore information to share that would be great before making a decision.
Click to expand...
Hi @JackLowe123,

I have type 1 diabetes and I was on an uneven split dose of Levemir up until recently. Like you, I was given the choice of either Tresiba or Toujeo once daily. I chose Tresiba and made the switch three weeks ago. I've found that I don't need as much Tresiba as I did Levemir and when my Tresiba dose is correct, my blood glucose level stays nice and steady throughout the night, which has been very reassuring. I used to experience some dawn phenomenon but I haven't noticed this at all with Tresiba. One thing that I have noticed is that because Tresiba is so flat, I do seem to need more NovoRapid during the day. Like I said, I'm only three weeks in though, so I'm still watching, learning and making minor adjustments as I go. So far though, I'm happy with my choice!

Is there any particular reason why you're slightly edging towards Tresiba? I'd love to know which insulin you choose and how you get on!
 
JackLowe123 said:
I currently take 20 units of levimir morning and night so have a total of 40 units basal each day. I've just been called to say it is time to make a change from Levimir and have been given the options of TRESIBA VS TROUJEO. Would anybody else have any advise or have made the switch from Levimir already. I have done some research and can see that Tresiba and Troujeo are a once a day type of insulin. I am slightly edging towards Tresiba but if anybody has anymore information to share that would be great before making a decision.
Click to expand...
I loved Tresiba coming off Lantus, because the nearly 48h DIA was much more stable. Levemir is more 12h DIA, so you may need to make small changes to get the dose right, but Tresiba worked wondes for me.
 
JackLowe123 said:
I currently take 20 units of levimir morning and night so have a total of 40 units basal each day. I've just been called to say it is time to make a change from Levimir and have been given the options of TRESIBA VS TROUJEO. Would anybody else have any advise or have made the switch from Levimir already. I have done some research and can see that Tresiba and Troujeo are a once a day type of insulin. I am slightly edging towards Tresiba but if anybody has anymore information to share that would be great before making a decision.
Click to expand...
Hi
I am a levimir user and am about to change to Tresiba.
I take 10 units at 6am and 14 units at 6pm.
I also take novorapid as and when.
My last hba1c was 5.7 or 39.

I'm going for tresiba as apparently it lasts for 36 hours.
Levimir lasts 12 to 18 hours so 18 times 2 is 36 so using my own maths taking it once per day tresiba should act like levimir providing i get the dose right.
My plan is to start on 14 units and analyse as i go.
Diabetics are such good analysts IMHO.

With over 50years experience and a CGM and fingers to prick it should be a fascinating experience.

Good luck
Tony
 
JackLowe123 said:
I currently take 20 units of levimir morning and night so have a total of 40 units basal each day. I've just been called to say it is time to make a change from Levimir and have been given the options of TRESIBA VS TROUJEO. Would anybody else have any advise or have made the switch from Levimir already. I have done some research and can see that Tresiba and Troujeo are a once a day type of insulin. I am slightly edging towards Tresiba but if anybody has anymore information to share that would be great before making a decision.
Click to expand...
I changed from Levimir about 4 months ago, I was taking 12U levimir every 12 hours (7am and 7pm) the hospital advised me to take two less units than my current dose so 22U of Tresiba every 24 hours (at 7pm) and it's taken me the best part of 3 to 4 months to stop having the hypos, I'm now down to 13U and consistently stay more or less level through the night, it's disappointing though that I seem to have been advised by professionals so incorrectly, of course it does bring the question of 'was the levimir the correct dose?' in the first place
 
Tony337 said:
Hi
I am a levimir user and am about to change to Tresiba.
I take 10 units at 6am and 14 units at 6pm.
I also take novorapid as and when.
My last hba1c was 5.7 or 39.

I'm going for tresiba as apparently it lasts for 36 hours.
Levimir lasts 12 to 18 hours so 18 times 2 is 36 so using my own maths taking it once per day tresiba should act like levimir providing i get the dose right.
My plan is to start on 14 units and analyse as i go.
Diabetics are such good analysts IMHO.

With over 50years experience and a CGM and fingers to prick it should be a fascinating experience.

Good luck
Tony
Click to expand...
From my experience that sounds about right although my health professionals said levimir lasts 24 hours which it obviously doesn't, and Tresiba lasts 60 hours, I went from 24U of levimir and equal split 12 hours apart to an initial dose of Tresiba of 22U (2 less than levimir as instructed by the consultant) only to be having lows almost continually, I've never eaten so much sweet stuff even before having type 1, it's taken months to find out the magic dose but now 13U per 24 hours of Tresiba keeps me on a level.
 
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