Split Tresiba times

Liftupjoe said:

Hello I am type one Diabetic, I was just reading that some PWD split there long acting insulin?? I’ve been type 1 for 39 years and never new this lol, has any body got any advice on time frames to split it, I take 25 units of Tresiba at night time normally. Thank you
Kate x

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Tresiba is the extemely long acting basal. lasting more than 2 days, so I don't think that splitting it would help. Levemir is the one that most people split (12 hours duration?).

I personally split lantus but only because I have had some bad lantus experiences (acts fast if you inject in the wrong place) so taking it twice a day both smooths the profile and minimises the chance of a fast acting overdose.

What are you hoping to achieve by splitting your dose?

@Liftupjoe Lantus tends to be the basal people split, as it struggles to cover 24 hours. Levemir is designed to take twice. Tresiba is 48 hours plus and they do not advise splitting. I take Tresiba and if I make changes to it, generally wait 72 hours to gauge the results. So splitting would have no impact.

there is no need to split tresiba as it has a very long profile and lasts more than 24 hours x

The question is why are you considering splitting the Tresiba. What makes you think this would improve things for you ?

If your control is very bad like mine then I use the Levemir split to vary the evening dose most days