staffsmatt
Well-Known Member
- Messages
- 320
- Type of diabetes
- Type 1
- Treatment type
- Insulin
What I've not seen is any feedback from really active people using Tresiba. That's the reason I used Levemir - my need to reduce basal overnight following gym or cycling sessions.
Are there any particularly active people using Tresiba who can speak up?
Sorry if I suggested starting too low - hope it works out soon.I started Tresiba on Saturday.. Still playing with it but not sure it is right for me. Initially my morning readings have been h*ll on waking...
This morning slightly better.
Was having tresiba at 9am but today I have changed it to 6pm.
Got better results today but that was from a stupid accident!! Yesterday afternoon accidentally used 5 units of it instead of my bolus!! Stupid I know. First time I've done that... But readings still high this morning on waking but smoothed out better this afternoon and evening.
Giving a 9am dose for me wasn't panning out good. Fortunately through accident dose yesterday I've decided to increase the tresiba and it allowed me to change to an evening dose to try.
Sat-Monday readings were awful.
I switched my Homalog for my Lantus and injected 46 units. I had to eat loads of wine gums. Not sure what told me to check but something said it to me and it was right.At first I was worried that 16u of Lantus before bed would cause a hypo during the night, but it seems to work well and my morning BG is fine. One thing I did learn not to keep Aprida and Lantus next to my bunk, especially when you get them mixed up. 16u of Aprida certainly brings on a Hypo. Arrrgh
Edited to use correct units.
Ah yes, I owe them an update. They sent me some Afrezza and I've not been able to test it due to having Bronchitis. Must give it a go and Easter Weekend seems like the ideal time.The chap in Oz doing the Afrezza and Coke demos reported back on Tresiba. The relevant comment he made was having to deal with impact of the different activity levels between weekdays and weekends, ie Tresiba dose changes take 3 or so days to show through so really had to run at same level all week.
Hi @kzlorenz, thanks for the graph. I think the op is already aware of the duration of the insulin!
I seem to have the same challenge where I yoyo between hypo and hyper eating the same food at the same time even weighing the food out. I have changed health authorities so I will see what can be done.Hello again,
I wish to elaborate on my previous post regarding Tresiba, please.
I do believe that Tresiba is a beautiful stable background insulin, at least, in relation to the other ones that I have tried (Lantus, which is horrible and painful and Levemir, which is the one I am currently using.)
I would definitely recommend Tresiba as a background insulin under the following condition: Your diabetes has to be “consistent” and predictable.
During the DAFNE course, I saw other diabetics whose diabetes and insulin needs where so stable and predictable, one day after the other, that it was becoming annoying. Literally, nothing (and I mean NOTHING) changed! Their basal needs were exactly the same, their ratios exactly their same, protein/fat intake did not alter their ratios, exercise affected their diabetes as described by the DAFNE rules.
If your diabetes is like this, then Tresiba is an excellent choice!
However, if your diabetes is like mine, then Tresiba might not be a good idea.
Exercise and delayed onset hypoglycemia, stress, menstrual cycle/ovulation, a rain in Tibet and my diabetes develops a completely different profile.
No one day is similar to the next.
Same basal, same food, same ratios, same timing of injections, same activity during the day and I hypo.
Next day, same basal, same food, same ratios, same timing of injections and activity and I hyper…
During the last 4-5 months my background insulin needs were of 22 units overall.
1 month ago, my diabetes decided that my basal needs would change to 16 units overall.
I have thought many times “thank God I am on Levemir, I can do a basal test and adjust easily… If I was on Tresiba, I would have to run after my hypoglycemias for 2-3 days before my reduced basal dosage worked."
That would have been unpleasant…
Therefore, I do believe that Tresiba is a wonderful insulin depending on the behavior that your diabetes demonstrates.
In my case, Levemir is not as stable but, its flexibility is something that I value as useful.
Regards
Josephine
Hello again,
I wish to elaborate on my previous post regarding Tresiba, please.
I do believe that Tresiba is a beautiful stable background insulin, at least, in relation to the other ones that I have tried (Lantus, which is horrible and painful and Levemir, which is the one I am currently using.)
I would definitely recommend Tresiba as a background insulin under the following condition: Your diabetes has to be “consistent” and predictable.
During the DAFNE course, I saw other diabetics whose diabetes and insulin needs where so stable and predictable, one day after the other, that it was becoming annoying. Literally, nothing (and I mean NOTHING) changed! Their basal needs were exactly the same, their ratios exactly their same, protein/fat intake did not alter their ratios, exercise affected their diabetes as described by the DAFNE rules.
If your diabetes is like this, then Tresiba is an excellent choice!
However, if your diabetes is like mine, then Tresiba might not be a good idea.
Exercise and delayed onset hypoglycemia, stress, menstrual cycle/ovulation, a rain in Tibet and my diabetes develops a completely different profile.
No one day is similar to the next.
Same basal, same food, same ratios, same timing of injections, same activity during the day and I hypo.
Next day, same basal, same food, same ratios, same timing of injections and activity and I hyper…
During the last 4-5 months my background insulin needs were of 22 units overall.
1 month ago, my diabetes decided that my basal needs would change to 16 units overall.
I have thought many times “thank God I am on Levemir, I can do a basal test and adjust easily… If I was on Tresiba, I would have to run after my hypoglycemias for 2-3 days before my reduced basal dosage worked."
That would have been unpleasant…
Therefore, I do believe that Tresiba is a wonderful insulin depending on the behavior that your diabetes demonstrates.
In my case, Levemir is not as stable but, its flexibility is something that I value as useful.
Regards
Josephine
I'm afraid a trial that contains 7 participants is statistically useless by pretty much any measure. If you read it, It also maintained the participants at bg levels that I would not be comfortable resting at. Even in the 24 hours post exercise, they maintained the participants at what most of us would consider to be abnormally high levels:I am worried too about the limited reaction level of an ultra-long insulin to physical activity induced insulin sensitization (i.e. the muscles and other tissue Glucose transponders expression in response to insulin) but it seems that from this (small) trial (http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0136489 ) that it can be well controlled.
Mean glucose levels during 24 h post-exercise were found to be 9.94 ± 2.00 mmol.l-1 (A), 8.77 ± 2.78 mmol.l-1 (B), and 8.55 ± 1.94 mmol.l-1 (C) in HIIE. Mean values for CON were 8.21 ± 1.39 mmol.l-1(A), 9.82 ± 1.67 mmol.l-1 (B), and 9.38 ± 3.27 mmol.l-1 (C). No significant differences were found in mean values between HIIE and CON (p = 0.833).
The revealed data allow the calculation of required BG baseline concentrations in T1DM patients for different mean exercise intensities, durations, and methods to avoid hypoglycemia and to minimize additional carbohydrate ingestion during exercise.