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Tresiba or Toujeo?
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<blockquote data-quote="DaftThoughts" data-source="post: 1437688" data-attributes="member: 317436"><p>I do. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> Been on it since July 2016 and once I found my right dose, I am experiencing extremely stable background levels. I also experience dawn phenomenon but the Toujeo works so well for me at night that I am at an alright value in the morning to get a good headstart on it with Novorapid. I can fast for 6+ hours during the day and remain extremely stable around the same value before I slowly start dipping. Without active rapid acting insulin on board, exercise only barely dents my levels too. All in all I have no reason to consider switching, it works how I need it to.</p><p></p><p></p><p>I disagree, Toujeo lasts 36 hours, whereas Lantus only maxes out somewhere between 18 to 26. The way Toujeo crystalizes in the fat cells is different from Lantus leading to a different rate of insulin release in the body. It's why most on Lantus need to be on split dosages, but on Toujeo that is absolutely not necessary. Most people who go on to use Toujeo also experience less night time hypos and better overall control due to the release rate. It's not for everyone, but no one insulin is the miracle medicine for all diabetics, so it's bound not to work for some folks. The general consensus among Toujeo users is that is it an actual improvement over Lantus for them. My DSN has switched many struggling patients over from Lantus to Toujeo and noticed a dramatic approval in their values when they changed little else, it's the only reason she put me on it right away rather than starting with Lantus.</p><p></p><p></p><p>I hear the same about Toujeo. We have to be careful when it comes to anecdotal evidence because we are more likely to find biased sources to confirm our own experiences than we are to truly find objective evidence for these claims. I have only heard good things about Toujeo and it works perfectly for me, the only complaint I find from basically anyone who complains is "Lantus' patent expired so Toujeo must be a money making repackaging scam". I don't consider that a valid concern to judge the effectiveness of a drug on, especially when so many people who struggle on Lantus stop having issues once they switch. If it was really just Lantus repackaged they would still have the same issues, wouldn't they?</p><p></p><p>I'd also like to be careful about claiming one insulin type superior over another, by the way. Just because many people experience improvement with Toujeo and Tresiba doesn't mean Lantus and Levemir don't suit anyone or are less capable of working out perfectly. Like I said, there is no one miracle insulin for all. Let's focus on what works for individuals and offer advice based on their needs rather than hailing one type of insulin as 'the best'.</p></blockquote><p></p>
[QUOTE="DaftThoughts, post: 1437688, member: 317436"] I do. :) Been on it since July 2016 and once I found my right dose, I am experiencing extremely stable background levels. I also experience dawn phenomenon but the Toujeo works so well for me at night that I am at an alright value in the morning to get a good headstart on it with Novorapid. I can fast for 6+ hours during the day and remain extremely stable around the same value before I slowly start dipping. Without active rapid acting insulin on board, exercise only barely dents my levels too. All in all I have no reason to consider switching, it works how I need it to. I disagree, Toujeo lasts 36 hours, whereas Lantus only maxes out somewhere between 18 to 26. The way Toujeo crystalizes in the fat cells is different from Lantus leading to a different rate of insulin release in the body. It's why most on Lantus need to be on split dosages, but on Toujeo that is absolutely not necessary. Most people who go on to use Toujeo also experience less night time hypos and better overall control due to the release rate. It's not for everyone, but no one insulin is the miracle medicine for all diabetics, so it's bound not to work for some folks. The general consensus among Toujeo users is that is it an actual improvement over Lantus for them. My DSN has switched many struggling patients over from Lantus to Toujeo and noticed a dramatic approval in their values when they changed little else, it's the only reason she put me on it right away rather than starting with Lantus. I hear the same about Toujeo. We have to be careful when it comes to anecdotal evidence because we are more likely to find biased sources to confirm our own experiences than we are to truly find objective evidence for these claims. I have only heard good things about Toujeo and it works perfectly for me, the only complaint I find from basically anyone who complains is "Lantus' patent expired so Toujeo must be a money making repackaging scam". I don't consider that a valid concern to judge the effectiveness of a drug on, especially when so many people who struggle on Lantus stop having issues once they switch. If it was really just Lantus repackaged they would still have the same issues, wouldn't they? I'd also like to be careful about claiming one insulin type superior over another, by the way. Just because many people experience improvement with Toujeo and Tresiba doesn't mean Lantus and Levemir don't suit anyone or are less capable of working out perfectly. Like I said, there is no one miracle insulin for all. Let's focus on what works for individuals and offer advice based on their needs rather than hailing one type of insulin as 'the best'. [/QUOTE]
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