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Diabetes Discussion
Type 1 Diabetes
Tresiba, Dawn Phenomenon, Split Dosing
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<blockquote data-quote="MinaRotter" data-source="post: 1807502" data-attributes="member: 461913"><p>Yeh. I've not used the newer long acting and I guess they never give a perfectly flat basal but it's going to be pot luck to try and get the long acting peak to coincide with your dawn phenomenon at the correct dose. I guess if you're dead against pumping it's worth a try but it's not a logical or neat solution.</p><p></p><p>I find a pump gives a very clear insight into diurnal insulin requirements that can be very closely matched with CSII via a pymp throughout the day. Once correctly set up it gives infinitely more leeway and freedom with all other activities and meals vs injections. Alongside much better control, generally. I appreciate it might not be for everyone but if there is also a strong clinical indication for it (ie with Dawn phenomenon) then it is certainly worth considering. Not many change back to injections after trying a pump.</p></blockquote><p></p>
[QUOTE="MinaRotter, post: 1807502, member: 461913"] Yeh. I've not used the newer long acting and I guess they never give a perfectly flat basal but it's going to be pot luck to try and get the long acting peak to coincide with your dawn phenomenon at the correct dose. I guess if you're dead against pumping it's worth a try but it's not a logical or neat solution. I find a pump gives a very clear insight into diurnal insulin requirements that can be very closely matched with CSII via a pymp throughout the day. Once correctly set up it gives infinitely more leeway and freedom with all other activities and meals vs injections. Alongside much better control, generally. I appreciate it might not be for everyone but if there is also a strong clinical indication for it (ie with Dawn phenomenon) then it is certainly worth considering. Not many change back to injections after trying a pump. [/QUOTE]
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