Ever increasing basal need

Reduce basal gradually to avoid hypos. Then look at your 'carb-NovoRapid' ratio for each meal. The roller-coaster effect is not nice. I hope you can reduce the peaks and troughs.

be careful with tresiba as it take upto 3 days for changes to take effect

what I suspect is more likely is that your doses or novorapid are wrong so you are compensating with tresiba

what you really need todo is basal testing... so one morning before you eat and if your BG is relatively stable... don't eat for 2 to 3 hours.... if you bg is dropping your tresiba is too much.. if it's raising your tresiba is too little

basal testing really is the only way you can confirm if the dose is right

if your basal is right then you need to move onto correcting your bolus... not just the amount but often how long before the meal can have an affect on the overall result

illness.... covid jab.. stress etc can all affect bg control so it may just be a short term thing

but as I say tresiba take at least 3 days to change so do t make more that 1 change every 3 days

Everyone is different but tresiba was very difficult for me. can’t adjust it for exercise or stress. Lots of lows and highs in the day. Similar to you. I have done 20 years of diabetes and 3 months of tresiba and I had all the problems.

Levemir lots more flexibility. Split dose. 12 years really successfully.

lantus was in between the 2 for me but I used to struggle with morning hypos.

Speak to your doctor and good luck.

I had this a few months ago, I’m on Toujeo though. I went from 22 units per day to 32, my insulin requirement felt insane.

I do vary by a few units throughout the month so I just kept going with it…. But it’s now settled down and I’m back to around 25 units.

I have no idea what was causing it, as far as I was concerned no change but who knows: summer/warmer weather? More stressed than I realised?

mrtn.pllr said:

Thanks for the check in
It stopped at 32, I had 3 wonderful days regarding my bg. Now my fasting sugars are starting to rise again. I am not really comfortable giving myself 32 units of basal every day, and now it already seems too little again...

Click to expand...

I’m on Tresiba and Novo Rapid and have been for many years with excellent / tight control Hba1c always between 44-49. Have had exactly the same problem this year. My Tresiba dose has gone from 18 up to 27 which seemed to do the job for a while but having to increase again now and like you don’t feel comfortable with such a high basal dose……nothing in my life has changed….work, food exercise all the same so very odd…..I’ve got two theories it’s either hormone related or the flipping Covid jabs….but can’t do much about either Hope things stabilise for you Xx

T1DM2012 said:

I’m on Tresiba and Novo Rapid and have been for many years with excellent / tight control Hba1c always between 44-49. Have had exactly the same problem this year. My Tresiba dose has gone from 18 up to 27 which seemed to do the job for a while but having to increase again now and like you don’t feel comfortable with such a high basal dose……nothing in my life has changed….work, food exercise all the same so very odd…..I’ve got two theories it’s either hormone related or the flipping Covid jabs….but can’t do much about either

Hope things stabilise for you Xx

Click to expand...

That’s interesting I have had the same issue. Now taking 4 times the amount of Levemir than I was in March

So it sounds as if blood sugars are very unpredictable for the OP thus his increased basal needs aren't due to insulin resistance from weight gain or taking steroids.
Transitory highs could be injecting into lumps/bumps? Physiological insulin resistance caused by stress such as the emotional kind or an ongoing infection.
It is very draining having to problem solve all the time particularly with a high blood sugar and seemingly random lows and I've certainly had this issue pre pump when it felt like my insulin wasn't 'touching the sides'! This can lead to over corrections or dose stacking with the boluses that just made things worse.
I am not sure it is therefore just a Tresiba problem.
Definitely worth checking jab sites, getting a cgm (buy or try from FSL) and seeing if you can do a fasting day (or half days) without correcting the fasting bg or doing anything you don't ordinarily do e.g. exercise/staying up all night etc.
Fat raises the bg least so you could have some butter/cream in your coffee if you like that kind of thing!
It feels unfair to have to work this out solo whilst not eating but your team will need data if and when you speak to them next by which time you will likely have worked things outs for yourself!