Were your two doses very different though?I used to take levemir in 2 doses until i changed to tresiba.I take 16u every morning at 10am,never had a problem with night hypos since.Could you try taking it in the morning instead?
True, but my two doses were very different (18 and 12) because my nighttime insulin need is a lot lower than my daytime. That's why I'm wondering whether Tresiba would even be able to deal with thatI used to take 10u am and 10u pm.I was told the same thing about tresiba not peaking but i was also told it was best to take it in the morning.I suppose different advice is given depending who you speak to.
No, I don't think it's bolus related. I will try a full fasting test tomorrow but today for example it was still dropping slightly overnight and then started rising steadily until 1pm when I hadn't had any food or bolus yet. I decided to correct then, and it flattened temporarily, and then started rising again an hour later so I had food and another correctionLevemir and tresiba work very differently... tresiba is a flat working insulin. So you may just need more bolus if your levemir was peaking around the times that you ate etc...
Just wondering if anyone else struggled to get Tresiba to match their body's needs? I used to be on 2x Levemir (18u in the morning and 12 at night). My consultant assured me the different doses wouldn't be a problem with Tresiba.
I started on 22u taken in the evening, but kept dropping a LOT overnight (around 5/6mmol) so I've been gradually reducing it. I'm now at only 14u and my nights are a lot flatter, but I now keep rising between meals during the day.
I'll try a fasting test tomorrow, but in the meantime I was wondering if anyone else had found the same? My A1C has actually increased since starting Tresiba and I'm getting a lot more hypos, so at this rate I would have been better off staying on Levemir!
I get what you're both trying to say, but the rise is happening even without food/bolus which shouldn't happen when a basal is tweaked properly.
Interestingly I'm the other way around with the feet on the floor @EllsKBells. I used to get it with Levemir but not on Tresiba.
Do you use Fiasp for boluses? The first time I tried MDI with Levemir I was using NovoRapid and it wasn't fast enough to prevent big spikes when I ate during times that my morning or evening dose was fading out. Fiasp seems to work much better, especially at stopping feet on the floor almost instantly in the morning. If Tresiba isn't working for you I'd recommend going back to Levemir with Fiasp, and maybe adding R/Actrapid to cover gaps and protein as well (if you haven't tried all of this already that is).
Also, I wasn't actually having any problems on Levemir (apart from feet on the floor). He didn't really change me over for any reason other than that he was doing the same for most other patients.
You're right! I've got my next appointment in a few weeks so will see what he says.You do not have to accept his reasoning, as we are all individual and should be treated as such.
Also, I wasn't actually having any problems on Levemir (apart from feet on the floor). He didn't really change me over for any reason other than that he was doing the same for most other patients.
I would go back to Levemir in that case and just bolus with Fiasp the second you get out of bed to stop the feet on the floor spike. I was talking to my endo yesterday about Tresiba and asked him if his other patients have had better success than me. He said while he thinks it would be a good fit for me since I split my Levemir into even doses approx. 12 hours apart, he likes that Levemir is more flexible and can be adjusted at will a bit more like a pump, whereas on Tresiba you're stuck with your dose for days and any adjustments won't show until days later.
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