Hi
@LChi, Sorry to hear about your troubles. As a diabetic on insulin but not as professional advice or opinion:
Looking up webmd.com Tresiba Flextouch U200 pen side effects_ trouble breathing is listed as a rare but severe side-effect.
The fact that you have had a back injury around the same time does complicate things though in terms of what is causing what.
Also I can imagine the stress/pain of the injury plus the reduction in exercise etc might affect one's blood sugars anyway, whatever insulin you were prescribed.
Have you discussed your concerns about breathing with your doctor and DN? They are best placed to advise you on this and about your insulin doses.
I assume also that there was a good reason for you being prescribed Tresiba?