That too used to annoy me. My activities vary day to day and tresiba didnt let me have any control on that at all. Heats another thing for me, so not being able to change dose for 3 days of heat then 3 weeks of rain before another 3 days sun really knocked me for a couple years whilst on / off hospitals kept wanting tresiba tried - and tried....
So glad I looked at the action timing for insulatard and could match it to my needs, even then diabetes educator never wanted me to split my dose for 3.30 and 7/8am.
Remember we are the experts with our bodies, consuktants are soecislusts througgh learning from text books... we are all individual....and should be trreated as such
I would agreeI'm sure Tresiba works very well for some people, but I'm not sure a flat once-a-day basal makes sense for a lot of type 1s. The whole benefit of the pump is that basal rates can be adjusted through the day as necessary. Thus, I would think (and my own experience confirms) that a basal like Levemir which can be taken 2-3 times daily in different doses is more useful for meeting real basal needs than Tresiba.
I'm sure Tresiba works very well for some people, but I'm not sure a flat once-a-day basal makes sense for a lot of type 1s. The whole benefit of the pump is that basal rates can be adjusted through the day as necessary. Thus, I would think (and my own experience confirms) that a basal like Levemir which can be taken 2-3 times daily in different doses is more useful for meeting real basal needs than Tresiba.
Not at all @EllsKBells it's good to hear others' experiences! Seeing as I didn't actually have many gripes with Levemir (apart from feet on the floor rise) if I haven't managed to sort anything out by my next appointment I think I might ask to switch back.
It's a shame because it seemed so promising reading all the positive comments!
Changes in Tresiba doses a) take 3 days to take full effect and b) don't just last for the 12 hours overnight bit the full day after that as wellApologies for my lack of knowledge but why wouldn't a similar 2 units of Tresiba work the same....?
Changes in Tresiba doses a) take 3 days to take full effect and b) don't just last for the 12 hours overnight bit the full day after that as well
This was what drove me to start pumping again when I was trying Tresiba. Levemir is definitely more adjustable for these situations. I'd also recommend using Regular (Actrapid) insulin for delayed fat/protein digestion, I've been using it for the past month in situations where I would normally use a square wave bolus on my pump it and works pretty well the same.Last night was the final straw for Tresiba for me. We were talking about how hard it is to adjust to cater for certain events happening - this is a prime example.
I had lasagna last night at 7pm, and I know beforehand that if I have a meal with melted cheese in it makes me rise overnight. On Levemir I would up my nighttime dose by 2u and that would take care of it.
Obviously on Tresiba I can't do that, so even though I took a correction dose before bed (2u) when I was at 8.9... Lo and behold the good old overnight rise!
First thing I did this morning was call my GP and have them amend my prescription. After 5 months of trying to make it work, I'm officially giving up on Tresiba!
Thanks everyone for your help and feedback
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Thanks for the tip! I'll bring it up at my next appointment, sounds like that could be a good solutionThis was what drove me to start pumping again when I was trying Tresiba. Levemir is definitely more adjustable for these situations. I'd also recommend using Regular (Actrapid) insulin for delayed fat/protein digestion, I've been using it for the past month in situations where I would normally use a square wave bolus on my pump it and works pretty well the same.
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