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Pregnant on tresiba

Janeyb1979

Janeyb1979

Member
Messages
8
Location
Westfield
Type of diabetes
Type 1
Treatment type
Insulin
Dislikes
Banana's !
Hi I'm 9 weeks pregnant and on Tresiba (degludec) as well as humalog. I was wondering if any of you are also on tresiba and pregnant? I know as it is a relatively new insulin that it has yet to be licensed for pregnant ladies and won't be for at least 2 years like all new insulins. I have discussed this with my diabetic team and they said my control is good on tresiba however they are happy to change it if I don't wish to continue using it I'm confused as to what to do as I know control is key ?
 
I'm not on Tresiba - I use a pump with regular porcine insulin in. But I think you should discuss it with your team. If there's no definite answer, then the final decision is yours. It's really good that your team recognise this and are happy to help you change if you feel better doing so.

You're absolutely right about tight control being important in pregnancy, and it may be that you're happy continuing with the Tresiba because it gives you good control and that is more important than the lack of licence for use in pregnancy ( and just because something hasn't been approved yet doesnt mean it's dangerous, of course). You could talk to your team about what your options would be if you did want to change, and then explore those options to see if they seem preferable to the Tresiba.

I don't think there's any 'right' answer. It's what you personally feel happy with and what suits you.

Congratulations on your pregnancy :)
 
azure said:
I'm not on Tresiba - I use a pump with regular porcine insulin in. But I think you should discuss it with your team. If there's no definite answer, then the final decision is yours. It's really good that your team recognise this and are happy to help you change if you feel better doing so.

You're absolutely right about tight control being important in pregnancy, and it may be that you're happy continuing with the Tresiba because it gives you good control and that is more important than the lack of licence for use in pregnancy ( and just because something hasn't been approved yet doesnt mean it's dangerous, of course). You could talk to your team about what your options would be if you did want to change, and then explore those options to see if they seem preferable to the Tresiba.

I don't think there's any 'right' answer. It's what you personally feel happy with and what suits you.

Congratulations on your pregnancy :)
Click to expand...
Thanks azure for your feed back the decision is really hard it would be really good if someone out there had to make the same decision and would share their experience however I know it's a decision I need to make for myself just a more informed one would make it easier ! Diabetes is never simple lol !
 
No, it never is! Whatever you decide will be the best decision for you :)
 
Hi Janey
I have just joined this forum as was trying to find out information about Tresiba and pregnancy. I am also on tresiba and have just found out I am pregnant. I was wondering wjhat you'd decided regarding staying on it or not. I can't seem to find out any information including a complete lack of case studies. The biochemistry of it would indicate that there is no danger of it crossing the placenta so I don't think using it would cause harm, but still, not sure what to do. What did you decide?
 
Hi Dani
After much debating between the diabetic consultants, nurse specialist team and myself I made the decision not to continue using tresiba for a few reasons really these included the unsurity of the team, the insulin not being licenced ( although I do know that all new insulins won't be and at some point all the insulins that have now been deemed to be safe were at one point not licenced for pregnancy ) but as the insulin was so brand new I didn't want to take the small chance it may be unsafe. Also at the time I was only 9 weeks pregnant and it is known that hypoglycaemia is much more likely At this stage ( and indeed they were right with me ) having such a long acting insulin in my system which had already caused a massive reduction in blood sugars by only a small amount of insulin, I felt this was risky and I was nervous about it especially working long shifts and not always getting the chance to check blood sugars and eat at the proper times, I know lower blood sugars are good for mum and baby but not hypo's ! I wanted something that I could have a bit more control over. I discussed this with the team and it was suggested that I swap to levmir which all had experience with and which has actually worked really well and I've had far more control over no more hypos and my hba1c has been the best it's ever been. I'm now 30 weeks pregnant I've had to increase my levmir and humalog as expected because the further along you get the more insulin you need I'm happy with the decision I made it was just one less thing to worry about personally for me. Control is of course key and if tresiba is right for you and you feel confident in taking it and your team and other health care professionals can help you manage it then stick with it, you have to do what you think is right for you and your baby. Let me know how you get along I wish you all the best with your pregnancy congratulations X p.s if your working make time for breaks and take blood sugars and eat properly I had to learn very quickly how important that was to do !
 
Hi Janey
Thank you so much for your detailed reply. I am very very lucky to have the new dexcom 5 CGMS so knowing what is happening with my sugars isn't so difficult. I've also decided to go back onto Lantus which I was on before. I came off it because it wasn't quite 24 hour coverage and I would either have a hypo at night with an increased dose or wake up with high sugars in the morning with less Lantus. Degludec eradicated this problem. I'm hoping that with the CGMS I will be able to adjust the Lantus more easily.
Good luck with everything!
 
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