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Type 1 Diabetes
Tresiba, Dawn Phenomenon, Split Dosing
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<blockquote data-quote="donnellysdogs" data-source="post: 1800301" data-attributes="member: 17713"><p>By splitting tresiba, it makes no real difference to it being aninsulin that cannot manage DP or waking... so to me, there was nothing else to try but to find an insulin that could be given when I needed the peaks and be out of my body when I needed next to nothing. By switching to insulatard at 3.30 (stupu hour and I do not like doing this, but needs must).... the insulin would be working as and when I needed it but it was too much if I took it all at that time. My consuktant and educator did not want me to split timing of insulatard but they had tried for 2 years and regimes that were standard and awful for me so I ignored them. I split it to 7 or 8am as a 1/3rd because I needed more earlier... by having 2nd dose in morning it too is working when I need it but its actions are less later when I need less.</p><p></p><p>I need some small background dose overnight but not a lot. Taking in to account that the insulatard was pretty much my always dose... around 17 units.. then I thought, try 2 units but that acted too severely so I have been cutting it down and down by 1/2 units gradually. Then I was down to 1/2 unit. Well for me 1/2 unit by itself does nothing... so I went 3 days clear of tresiba to see if I deginitely need tresiba, and yes, I do. If I dont I wake up high and levels that much higher during day too. So now I'm trying tresiba 1 unit every other day as if it is a flat insukin and stays in my body for 42 hours it should every other day be the dose that is better. Or at least thats my way of thinking...</p><p></p><p>Tresiba is a flat line insulin. I foubd DP and waking horrendoys with it, increasing dose caused lows other times of day. And still didnt manage the DP.</p><p></p><p>I dont know anybody else doing this regime but my consultant has now told me that only I can tweak as he has no other alternatives of any other regimes and as I am happy to do so and determined... then he okay with that. I'm still in the top 5% of hba1cs from patients at the hospital despite finding my own way with everything.</p><p></p><p>I too had tried the levemirs, lantus etc and their actions and peaks didnt suit my body over night...</p></blockquote><p></p>
[QUOTE="donnellysdogs, post: 1800301, member: 17713"] By splitting tresiba, it makes no real difference to it being aninsulin that cannot manage DP or waking... so to me, there was nothing else to try but to find an insulin that could be given when I needed the peaks and be out of my body when I needed next to nothing. By switching to insulatard at 3.30 (stupu hour and I do not like doing this, but needs must).... the insulin would be working as and when I needed it but it was too much if I took it all at that time. My consuktant and educator did not want me to split timing of insulatard but they had tried for 2 years and regimes that were standard and awful for me so I ignored them. I split it to 7 or 8am as a 1/3rd because I needed more earlier... by having 2nd dose in morning it too is working when I need it but its actions are less later when I need less. I need some small background dose overnight but not a lot. Taking in to account that the insulatard was pretty much my always dose... around 17 units.. then I thought, try 2 units but that acted too severely so I have been cutting it down and down by 1/2 units gradually. Then I was down to 1/2 unit. Well for me 1/2 unit by itself does nothing... so I went 3 days clear of tresiba to see if I deginitely need tresiba, and yes, I do. If I dont I wake up high and levels that much higher during day too. So now I'm trying tresiba 1 unit every other day as if it is a flat insukin and stays in my body for 42 hours it should every other day be the dose that is better. Or at least thats my way of thinking... Tresiba is a flat line insulin. I foubd DP and waking horrendoys with it, increasing dose caused lows other times of day. And still didnt manage the DP. I dont know anybody else doing this regime but my consultant has now told me that only I can tweak as he has no other alternatives of any other regimes and as I am happy to do so and determined... then he okay with that. I'm still in the top 5% of hba1cs from patients at the hospital despite finding my own way with everything. I too had tried the levemirs, lantus etc and their actions and peaks didnt suit my body over night... [/QUOTE]
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