Info

you are best to ask your Dr or nurse re the medications
exerzis whatever kind will help a lot though even if it just a walk for half hour
try your nest to improve your food choices it will be amazing the slight differences make

tresbia is designed to work as a long lasting insulin which lasts over 24 hours single injection basal.

gives some info on it.

the purpose of basal is generally to try keep the glucose levels stable at a fasting state. it might be that fast acting may also be required such as novarapid/fiasp. possibly even a mix such as humalin will be worth discussing that with your DSN/endo.


different counties use various measurement methods. Triglycerides in uk unit of measurement usually mmol/l

below is taken from mydiabetesmyway (uk) had 63.2 mmol/l when diagnosed which steadily improved.

Triglycerides are usually part of a lipid profile used to identify the risk of developing heart disease. Triglycerides increase significantly when blood sugar is poorly controlled and will also increase after a fatty meal, so must be interpreted in context. They are a useful part of an overall 'lipid profile'.
Triglyceride levels should be less than 1.7 mmol/l after fasting from night before.

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What is the unit of measurement that was used? mg/dL?

The following link maybe useful.


With regards to the query if using 2 insulins is risky regardless of type of diabetes some people need basal)bolus regime. Different insulin to carb ratios can be used.

I note you've said about wholewheat pasta although a complex carbs body will take longer time digest those. All carbs are converted to glucose. Some people can handle various forms better than others some have to avoid certain types altogether. Other people can produce enough insulin to cover upto a certain unique amount which is entirely unique to that person.

There are no one solution that fits all.

Purpose of basal insulin is to try keep blood glucose levels as flat as possible in a fasting state. Purpose of bolus to deal with meals as faster acting.

Forum rules only allow us to speak from personal experience.. experience has shown me that when glucose levels start to be controlled lipid profile results can also improve. If there is inflammation of pancreas it will not be working as well as it otherwise could be.

Other thing forgot to mention earlier pizza is generally very high in carbs. Potatoes also fairly high in carbs. Maybe look into a more keto style of pizza base if pizza is something you really enjoy. the same pizza dough if made into a 6 inch pizza same thickness as 12 inch, the 6inch would have significantly less carbs. portion control likely a good idea.

regards breakfast cereals, usally at least in the UK in general have suggested portion sizes.

a couple of examples

wheatabix per 100g contains 69g of carbs. the suggested portion size is 2 bisctuits (37.5g) which would be 26g carbs per portion. all carbs convert to glucose. so if you ate 2 wheatbix it would be hugely different than if ate 4 or indeed 3 or 1.

rice crispies per 100g 86g carbs. suggested portion size 30g (which isnt a lot and hard to judge without weighing) would contain 26g carbs.. a smaller bowl would result in less carbs than a larger bowl.

have no idea which country your from, net carbs is something to watch out for. uk removes fibre already, whereas usa doesnt so carbs-fibre if usa.

here is a link for some ideas for lower carb breakfast alternatives:

another fairly useful recourse: https://www.bbcgoodfood.com/recipes/collection/ketogenic-diet-recipes for other meals.

have a good browse through the success stories section of this forum. https://www.diabetes.co.uk/forum/category/success-stories-and-testimonials.43/

I'd be looking into possibly reducing your carb intake somewhat in slow and steady stages. its a marathon not a sprint. slow and steady wins the race

it could well prove very useful to ask for a referal to a diabetic dietician if at all possible.

best wishes.

nuovo1 said:

Do you find that in the first three days your blood sugar rises quite a bit and then drops? And after three days, should I increase the dose by two? Is it normal for it to work like this? How long does it take to take effect?

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Do note that with Tresiba, it is definitely one of the longer lasting insulins and it can take a couple of days after a change in dosage to take effect, so if you are changing the dosage of it, you'll need to be patient to see any results (I used to be on Tresiba before I got my pump, so have seen this)

nuovo1 said:

triglyceride level at 1000 is a bit scary. One thing I've noticed is that if I take insulin in the morning, I feel rumblings in my stomach in the evening. Is this normal? And if you measure my blood sugar, I see that after this feeling, it goes down.

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for your country they tend to use mg/dL 1000 would indeed be considered high. to help perhaps put into context my measured 63.2 mmol/L i would of had 5597.6 mg/dL upon diagnosis on diabetes. your 1000mg/dL is equivilent to 11.29 mol/L something that you should ask when tested again, "should you be being getting the said lipid profile test on a fasted state." for the uk it is fairly common to be tested on fasting state (around 8+ hours no food with only water) 1.7mmol/l which would be 150mg/dL is considered upper end of the 'normal range'

I really would strongly recremend asking for referal for dietician specalising in the field of diabetes. usually for uk at least they have various education programs for people with diabetes. prob worth asking about being placed on a structured education program should one exist (a quick google search turns up with turin/romeo being the 2 most popular no experience with either) have experience with dafne (a uk course designed for type1) there are also courses for type2 in the uk as well very vaguely recall parts of that. course is different usually if on insulin than without. carbs will make a difference, dont cut out too much at one go small steady changes to see on the effects whilst having medical input is likely the best way forward.

find enclosed a link to research. https://www.cuh.nhs.uk/patient-information/dietary-advice-for-management-of-high-triglycerides/ usually with better glucose management (for those with diabetes) the levels of triglycerides will usually get much much better.

My mum had several bouts of pancreatitis she was type2 with high tg's found at that time.

regarding feeling hungry - you liver tries to be helpful raising levels of sugars to what it thinks is 'normal' when you've had a raised levels above normal for a while it tries to keep the levels at what it considers to be normal. it can take time for body to adjust to actual 'normal levels'.

nuovo1 said:

Good morning, I'd like to ask a question. Shouldn't my blood sugar go down with Tresiba 24 units? Instead, it stays around 240 in the morning. Has this happened to you? I've been taking the drug for 20 days.

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tesiba is long acting insulin, thats supposed to keep blood sugars stable whilst fasting. If levels stay around the same its doing its job. if it were rising whilst fasting it would be worth speaking to your dsn/endo on having the dosage upped at the same token if it were going down whilst fasting speaking about possible reduction. any changes can take a few days. bolus fast acting would bring down (with food).

here is the relevant info on tresiba alongside a graph to show how it works pretty much 60-90 mins then releases at a constant rate over a very long period of time.


added below link.

Might be worth letting endo issues as there is other meds which could perhaps work better. Some with type2 do a basal/bolus treatment regime

nuovo1 said:

give me an explanation what it is basale/bolus?

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multiple daily injections, faster acting alongside long acting insulin. relevant urls.

https://www.diabetes.co.uk/insulin/basal-bolus.html said:

Basal-bolus regimen in type 2 diabetes
People with type 2 diabetes may be put onto a basal-bolus regimen if they experience significantly high blood glucose levels after meals and need to have a flexible insulin regimen to fit in with their lifestyle.

People with type 2 diabetes may take a combination of short acting and intermediate insulin, or may be put onto rapid acting and long acting insulin.

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theres some advantages which can be helpful one of those is perhaps able to get cgm via prescription depending on various factors. it should also in theory allow greater control its more common however to be used for type1. as type2 insulin resistance can play a large factor.

disadvantages would meal several injections per day rather than the singular one which you are currently doing. It would also require more frequent testing to check sugars ie more fingerpricks over the course of the day should you not fall within the criteria of cgm. it could also increase chances of hypos (if monitored more frequently offsets this somewhat).


another option which could be worth discussing is premixed. see page:
https://www.diabetes.co.uk/insulin/twice-daily-insulin-regimen.html this would work with the fast acting

https://www.diabetes.co.uk/insulin/twice-daily-insulin-regimen.html said:

Twice daily insulin regimen in type 2 diabetes
A twice daily insulin regimen may be recommended for people with type 2 diabetes who experience significantly high blood glucose levels after eating.

People with type 2 diabetes on twice daily insulin regimes may also take tablets in addition to insulin.

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Pre-mixed insulin will state the ratio of the mix of short and intermediate acting insulin.

For example, Insuman Comb 25 is a pre-mixed insulin which is 25% short acting insulin and 75% intermediate acting insulin

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if dsn/endo thought it would be adventagous. requires to be discussed with specalist just some other options which could be available. The likes of using CGM's recording activity/exercise levels alongside noting down carbs in the foods meals eating etc specialist would be able to use that to determine which is the right treatment plan for you (which would likely be fine-tuned over time...)

hope you find above helpful.