Toujeo

Peachy01

Newbie
Messages
1
Hi. I've recently changed from Landis to toujeo topreveny night time hypos. Ive found it really difficult to keep a good trip on my levels. Last night they were 14 before bed. I checked at 1:30am and they had dropped to five. Am I giving myself to much? Currently 7 units? Do I need to split dose? Do I need to eat before bed and still inject humalog of they are high. I'm so stuck. Please help!
 

Kittycat_7_

Well-Known Member
Messages
492
Type of diabetes
Type 2
Treatment type
Insulin
Hi,
You can only try by doing different things, I'd call my dsn and tell them they can advise.
Your toujeo doesn't sound like a lot at 7 units, however you might have had a hypo as it would continue to drop from five.
Monitor your blood sugar levels more if you can, pre meals and 2 hours post.
The toujeo is a long acting insulin.
Tagging @daisy1 for her pack.
Take care
 

kitedoc

Well-Known Member
Messages
4,783
Type of diabetes
Type 1
Treatment type
Pump
Dislikes
black jelly beans
Hi @Peachy01, not as professional advice or opinion:
You are aware than Toujeo is a concentrated form of Lantus? It is supposed to last longer than Lantus so split doses are not usual. Also see products.sanofi.ca.en/Toujeo-RMP-HCP.pdf about converting doses of Lantus to Tuojeo.
I think it is also important to read http://www.diabettech.com/diabetes/lantus-lethal-or-lifesaver-doc-gbdoc/ so you are aware of some of the dangers of Lantus and Tuojeo and how possibly Levemir might be worth looking at with your prescriber as an alternative..
 

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
@Peachy01
Hello and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it interesting and helpful.

BASIC INFORMATION FOR NEW MEMBERS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 235,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:
  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:
  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.
Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.

  • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why

  • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
 
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JMK1954

Well-Known Member
Messages
520
Type of diabetes
Type 1
Treatment type
Insulin
I found Toujeo to be much more powerful than Lantus, not less. I was told it remains active over more than 24 hrs, so that it is remains working for a full 24 hrs, plus at least the following morning. I found this to be absolutely true. Eating when you inject it should lessen the overnight drop for the moment. I found Levimir less powerful, but still needed to eat at night. Lantus is the one with the most level activity profile. How long ago did you switch to Toujeo ? I was on it for six weeks before I persuaded the DSN/consultant to change it. My BS levels went crazy when I took it.
 
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