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Type 1 Diabetes
Consultation Appointment
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<blockquote data-quote="Tracie1212" data-source="post: 1934860" data-attributes="member: 423859"><p>Thanks both. </p><p></p><p>Unfortunately pump did not work out for me so back to MDIs. Before the pump I was on 21 Lantus coming off pump ended up in hospital for a week with Ketones over 2.0. Offered choice of Toujeo or Tresiba opted for Toujeo as advised part of Lantus family. Didn't get on with Toujeo so switched to Tresiba which I find to be a kinder insulin however the lows are getting me down.</p><p></p><p>DSN told me to use same dose when transitioning from Toujeo to Tresiba. I did express concern that Tresiba seemed to be longer lasting but Nurse was adamant I should use 23 units. Which I did, first few days were great then honeymoon period was over and the dose started to build up. I was running to catch up and reduced to 19.</p><p></p><p>I did try basal testing but everyday results different and didn't make sense. I think I will have to revisit. I was carb counting changing ratios for different meals. That keeps changing too.</p><p></p><p>Yes I feel there is too much IOB I have reduced Tresiba from 23 to 19. Feel like I'm stuck in a loop. Feel good on 20 in the day but then at night time it goes terribly wrong. I do feel there is an overlap but how this can be addressed I have no idea. </p><p></p><p>DSNs are fully up to speed not had any solutions from them. I try and remain proactive because I feel its only me that can find the answer. Hard going though.</p></blockquote><p></p>
[QUOTE="Tracie1212, post: 1934860, member: 423859"] Thanks both. Unfortunately pump did not work out for me so back to MDIs. Before the pump I was on 21 Lantus coming off pump ended up in hospital for a week with Ketones over 2.0. Offered choice of Toujeo or Tresiba opted for Toujeo as advised part of Lantus family. Didn't get on with Toujeo so switched to Tresiba which I find to be a kinder insulin however the lows are getting me down. DSN told me to use same dose when transitioning from Toujeo to Tresiba. I did express concern that Tresiba seemed to be longer lasting but Nurse was adamant I should use 23 units. Which I did, first few days were great then honeymoon period was over and the dose started to build up. I was running to catch up and reduced to 19. I did try basal testing but everyday results different and didn't make sense. I think I will have to revisit. I was carb counting changing ratios for different meals. That keeps changing too. Yes I feel there is too much IOB I have reduced Tresiba from 23 to 19. Feel like I'm stuck in a loop. Feel good on 20 in the day but then at night time it goes terribly wrong. I do feel there is an overlap but how this can be addressed I have no idea. DSNs are fully up to speed not had any solutions from them. I try and remain proactive because I feel its only me that can find the answer. Hard going though. [/QUOTE]
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