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background insulin LEVIMIR 》》》 TRESBIA

Discussion in 'Insulin' started by Damonite, Jul 11, 2020.

  1. Damonite

    Damonite Type 1 · Active Member

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    Hi, I changed to tresbia on Thursday night
    I normally take 27units of levimir which was to much for me it seemed between 3-4AM i would drop so I think 25 would of been better.

    Anyway I was worried about starting tresbia in case I had lows etc I was reassured it can actually reduce hypos etc.

    Anyway I started on 20 units Thursday night
    Friday I woke up and accidently did a correction of novorapid cause thats normally what I have to do set a alarm for 8am inject novorapid then go back to sleep four a couple hours wake up and in good range.

    I forgot one of the reasons they swapped me from levimir to tresbia js because od the natural dawn thing i suffer with so it will stop me waking up high.

    So yeah I did a correction friday morning as it was slightly raised woke up with a litre arrow on the way down so I had some sugar and then waited then I injected for breakfast.

    A couple hours later my bloods dropping i stuff my face as my meter is telling me I have 5 units active and going down so after eating drinking I start to go high and for the remaining of friday I was just correcting all day but then I thought maybe the tresbia 20u is not enough. .

    Around 9pm when things started to calm down my bloods would spike again and I'm thinking 20 units is not enough it cant be but at the same time I was high all day was that due to sugar or tresbia I didny even have that much food to be honest.

    Friday night I inject 22u I find myself dropping at 3.15am BUT I do have active insulij from a correction I did around 1AM.

    I'm really struggling at the moment its driving me mad. I'm starting to think levemir was easier. I bet all i needed to do to stop them drips in the night was to lower the levimir slightly and just carry on setting alarms early morning to do a correction.

    I dunno what do you guys think? Should i stick tresbia out and would i find that I need the same dose of tresbia that I had with levimir?

    Thanks for reading.
  2. ert

    ert Type 1 · Well-Known Member

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    We can't give dosing advice. Make sure you contact your diabetes team.
    From DAFNE, split dose Levemir, which is what I'm on, responds quickly to dose changes. I change my dose morning and nighttime doses based on intermittent fasting and exercise. Tresbia, as it has a longer 42-hour curve, responds more slowly to dose changes, so it was suggested to wait for a couple of days for a dose change to take effect.
    But as I said above, this is only something to discuss with your diabetes team, rather than act on.
  3. Struma

    Struma Type 2 · Well-Known Member

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    I sing the praises of Tresiba!!
    When finding the initial dose, I am led to believe that change of dose should be every third day (barring something dramatic happens.)
    I genuinely do like it, with the caveat that I'm type 2.

    Edit: I went from Lantus 58u to Tresiba 54u + two increases to settling at 58u again.
    #3 Struma, Jul 11, 2020 at 8:47 PM
    Last edited: Jul 11, 2020
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