Time difference Europe- America and insulin

[Deppy Yo]

Hi all,

I will be flying soon from Greece to America. I will be staying for approx 17 days. Any advise on how to deal with the Tresiba due to the time difference the first and the last day? I usually inject before I sleep.

Thanks in advance for any advise.

 

[Antje77]

Hi all,

I will be flying soon from Greece to America. I will be staying for approx 17 days. Any advise on how to deal with the Tresiba due to the time difference the first and the last day? I usually inject before I sleep.

Thanks in advance for any advise.

Tresiba is quite forgiving when taken at different times.
I take mine before bed, which means anywhere between 11PM and 5AM, so a 7 hour window.

If I traveled to America, I think I would try to remember to take it a bit earlier for a couple of days, like at dinner, but would switch to bedtime after a day or two.

 

[In Response]

I think you have a choice
- continue to take your basal every 24 hours. This will be 7 hours earlier than usual in the US time zone. I have done this for short trips but needed to set an alarm to remind myself.
- slowly move the time an hour or two each day - take it 22 or 26 hours apart until you are taking it in US time. This is the approach I have taken for longer trips. You then have to move your basal time slowly back again when you get home.

 

[Antje77]

- slowly move the time an hour or two each day - take it 22 or 26 hours apart until you are taking it in US time. This is the approach I have taken for longer trips. You then have to move your basal time slowly back again when you get home.

I agree if the basal is Lantus or Levemir.
My experience with Tresiba, confirmed by the information in the leaflet, is that on Tresiba there is a lot more room for varying the timing of your basal injections.

 

[jape]

Originally, I took Tresiba before bedtime, but about 6 months ago I switched to before breakfast. Nothing happened. My Tresiba dosage is 40 units per day.

 

[Deppy Yo]

That was helpful Thank you all guys.

 

[Trevor vP]

That was helpful Thank you all guys.

I travel a lot and I am MDI Bolus/Basal
I find this very helpful (Figure 1&2 easy to understand )

https://link.springer.com/article/10.1186/2251-6581-12-59