Lantus versus tresiba

[caro2000]

I recently moved from Lantus to tresbia and seem to get spikes at night 4hours after eating (readings ok after 2hours of using fiasp) lantus didn't do this, what differences have you found between lantus and tresiba?

 

[BruceT]

Interesting. I have been Type 1 for 63 years, and generally been reasonably well controlled ( but not perfect). Like Caro2000, I was on Lantus, but was put on Tresiba a few years ago, being assured that the effectiveness of Tresiba could be up to 40+ hours, and that it generally effectively limited crashes in BS levels.
Personally, I have found as does Caro2000, that my BS spikes after c 4 hours of the evening meal, and I have therefore worked on the premise that far from it being effective for 40 odd hours, it actually starts to fall off in under 24 hours. I therefore take a few extra units of bolus insulin, which then tends to bring my levels fairly well back in line.
Every individual is unique I guess, though rather annoying that my nurse doesn't accept Tresiba can behave other than as it says 'on the tin'.
Hey ho

 

[EllieM]

Personally, I have found as does Caro2000, that my BS spikes after c 4 hours of the evening meal, and I have therefore worked on the premise that far from it being effective for 40 odd hours, it actually starts to fall off in under 24 hours. I therefore take a few extra units of bolus insulin, which then tends to bring my levels fairly well back in line.

Or it could be that it lasts for 44 hours and you are experienced a high because for 4 hours before your injection time you only have one dose of tresiba in your system instead of two? (Not a tresiba user, but a mathematician). Either way, if you've found a method that works for you, it's a good thing.

 

[caro2000]

Interesting. I have been Type 1 for 63 years, and generally been reasonably well controlled ( but not perfect). Like Caro2000, I was on Lantus, but was put on Tresiba a few years ago, being assured that the effectiveness of Tresiba could be up to 40+ hours, and that it generally effectively limited crashes in BS levels.
Personally, I have found as does Caro2000, that my BS spikes after c 4 hours of the evening meal, and I have therefore worked on the premise that far from it being effective for 40 odd hours, it actually starts to fall off in under 24 hours. I therefore take a few extra units of bolus insulin, which then tends to bring my levels fairly well back in line.
Every individual is unique I guess, though rather annoying that my nurse doesn't accept Tresiba can behave other than as it says 'on the tin'.
Hey ho

I'm going to maybe monitor/ try and get my levels a bit lower after evening meal to see if it avoids the spike

 

[Matt2023]

Hi there,

I brought a pen of Tresiba a few weeks back and took it one morning, I read that to inject the same amount as you would if it was Lantus.

The first few hours after taking it I actually felt I was having a hypo continuously even though my sugars were in between the range of 9 mmol/L and 11 mmol/L, after that the feeling died off and I felt better but it did seem to take a few hours for the Tresiba to actually kick in and work.

The following day I went back to my Lantus and injecting twice a day and will probably continue to do so this week, but I do want to try Tresiba again this coming weekend when my wife is home. The reason being to why I want to be on Tresiba is, I have read you can control your blood glucose much easier and it's the choice of insulin they would give babies, so I do believe it's very safe insulin to take. They do not give Lantus to babies only to children of seven years and above, so I have read.

The Tresiba did seemed to work for the entire 24 hours once it had kicked in, but for the moment I find it a little bit more manageable taking two injections of Lantus per day.

Thanks