switching basal from night to morning

[The Balladeer]

hey guys after suffering from hypos at night for a month using lantus a switched to tresiba yet still get thme for the past 2 days even tho i use only 8 units niow i want to try injecting my basal in the morning how to do that should i skip my night injection and my doctor gave me cortisol test can that b the cause of constant hypos

 

[Mike88]

hey guys after suffering from hypos at night for a month using lantus a switched to tresiba yet still get thme for the past 2 days even tho i use only 8 units niow i want to try injecting my basal in the morning how to do that should i skip my night injection and my doctor gave me cortisol test can that b the cause of constant hypos

Could you share some more info? Are you wearing a CGM? Are they hypos waking you up? Are you checking with a finger prick?

Also, what is you full regimen? Basal-bolus plus metformin? What were your bedtime readings on the night of the hypos? Did you have a 'standard' meal that evening? Any exercise? What are you BGs like either side of your meals?

Without knowing the answers to these questions I would, cautiously, suggest you consider cutting back your Tresiba & see how you get on. Running slightly higher is safer than a hypo, especially whilst asleep.

Best of luck

(mod edit to remove specific dosing advice)

 

[The Balladeer]

Could you share some more info? Are you wearing a CGM? Are they hypos waking you up? Are you checking with a finger prick?

Also, what is you full regimen? Basal-bolus plus metformin? What were your bedtime readings on the night of the hypos? Did you have a 'standard' meal that evening? Any exercise? What are you BGs like either side of your meals?

Without knowing the answers to these questions I would, cautiously, suggest you consider cutting back your Tresiba & see how you get on. Running slightly higher is safer than a hypo, especially whilst asleep.

Best of luck

(mod edit to remove specific dosing advice from quoted text)

Hi no cgm it almost killed me last year I don't trust them anymore I use finger prick I use apidra as bolus but I think its insignificant I'm sure it's not my eating cause that weird hypos it started only after I switched to lantus I was on insulatard for the past 20 years I was taking 28u and I get hypo once a week or two so after starting lantus it happend every day even if I take as little as 5 units I'll go hypo after 4 hours i stay sometimes awake keeping eye on it I'm heavy sleeper so even if I go hypo it doesn't wake me up but when I wake it's between 0.41mg/dl and 0.61mg/dl now 3 days in tresiba today didn't get hypo I wake up with a bg reading of 180mg/dl and the whole day is high between 240 / 320 mg dl if tomorrow didn't drop I'll guess I'll increase tresiba dose I'm 70% now sure it was lantus causing hypos

No exercises I'll go to bed between 200/160mg dl yet hypo

 

[SimonP78]

(mod edit to remove dosing advice)

I found I would go low in the night taking my lantus in the evening especially after exercise, so I split the dose equally between morning and evening, which solved that problem and allowed me to skip/reduce the morning dose when exercising (to avoid lows during the day while cycling), but then exposed/other things developed (i.e. I then started running high overnight some time later) - things change.

 

[Zhnyaka]

when I switched my tresiba from evening to morning, I just missed the evening dose, and in the morning I injected the full dose. I expected to have a high bg at night and a lot of hypos during the day, but everything was surprisingly good. Tresiba is great in this regard with its looping. But I won't rule out the possibility that I was just lucky.

 

[Paulaah]

My endo instructed me to move the timing of my Tresiba last year and told me to do it gradually by 2 hours a day until I got to the correct time. On a side issue, he says that even though the makers of Tresiba say it doesn’t matter what time of day it’s taken - it actually does. He told me optimal time is 7pm. It works for me for sure.

 

[The Balladeer]

(Mod edit to remove dosing advice)

I found I would go low in the night taking my lantus in the evening especially after exercise, so I split the dose equally between morning and evening, which solved that problem and allowed me to skip/reduce the morning dose when exercising (to avoid lows during the day while cycling), but then exposed/other things developed (i.e. I then started running high overnight some time later) - things change.

(Mod edit to removing dosing advice)

I found I would go low in the night taking my lantus in the evening especially after exercise, so I split the dose equally between morning and evening, which solved that problem and allowed me to skip/reduce the morning dose when exercising (to avoid lows during the day while cycling), but then exposed/other things developed (i.e. I then started running high overnight some time later) - things change.

No more lantus after 3 days on tresiba things r a 1000 time better, after all lantus went out of my system the last 2 days wr fantastic I take it at night no more hypos last year my bg went over 500 mg/dl yet my freestyle libre says it's in normal range so bad accuracy oh yeah it's abbot a frensh company now lantus by sanofi they just should keep working on perfume MD is not for them (no offense for the nation I'm talking industrial)

(Mod edit to remove forum rule break)

 

[EllieM]

No more lantus after 3 days on tresiba things r a 1000 time better after all lantus went out of my system the last 2 days wr fantastic I take it at night no more hypos last year my bg went over 500 mg/dl yet my freestyle libre says it's in normal range so bad accuracy oh yeah it's abbot a frensh company now lantus by sanofi they just should keep working on perfume MD is not for them (no offense for the nation I'm talking industrial)

With due respect (I'm not a massive lantus fan myself) different insulins suit different people.

And issues with cgms aren't confined to Abbott (dexcom user here), they just aren't always accurate.

But I'm really glad that you have found an insulin that suits you.

 

[The Balladeer]

With due respect (I'm not a massive lantus fan myself) different insulins suit different people

And issues with cgms aren't confined to Abbott (dexcom user here), they just aren't always accurate.

But I'm really glad that you have found an insulin that suits you. (mod edit to reflect change in quoted post)

Sorry I know different insulin suit's different people it just traumatized me the fact that my Dr said to me lantus can never do that and refused to put me on tresiba she said Ur symptoms is some kind of depression and cortisol levels causing the hypos so I did it myself switched to tresiba and that fixed everything

 

[EllieM]

Possibly a bit late now, but just a reminder to all that forum rules (found in all moderator's signatures and in the Greetings and Introduction forum) prohibit medical advice , so specific dosing advice is out. Describing your own personal experience or giving a link to a reputable source keeps within the rules.

 

[SimonP78]

Sorry!

 

[The Balladeer]

Possibly a bit late now, but just a reminder to all that forum rules (found in all moderator's signatures and in the Greetings and Introduction forum) prohibit medical advice , so specific dosing advice is out. Describing your own personal experience or giving a link to a reputable source keeps within the rules.

oh im so sorry im just mentally unwell this month was alot should i delete this thread

 

[lovinglife]

oh im so sorry im just mentally unwell this month was alot should i delete this thread

Sorry you’re not so well at the moment

No need to delete anything more @Qagmire, moderators have already deleted anything that shouldn’t be there, what remains is fine