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Tresiba vs Lantus

kaup

Well-Known Member
Messages
70
Type of diabetes
Type 1
Treatment type
Insulin
Hey,

I switched from taking Lantus twice a day (15 units on the morning) + 15 units on the evening to taking 40 units of Tresiba 20 on morning + 20 in the evening). Taking once a day Tresiba 30 units did not work for me. I got high blood sugars on the evening.

My haemoglobin A1c level is 7,5.

Bur my sugars are constantly around 8 throughout the day. Usually 8 in the morning. If 8 in the morning im fasting until lunch.

I try to get them down to around 6. I'm on a ketonic diet and I mostly eat eggs to breakfast, lunch + dinner chicken and unsweetened greek yoghurt and snacks in between to treat lows are apples. Salad is tomato, cucumbers and green leaf salad. Ketonic diet seems to not raise sugar levels. But with this diet i run into lows as well pretty often between the meal times.

I'm still kind of new to this diet as well. And im experimenting on whatever to take insulin to the meals when eating this diet or not. I decided to give it a try to see if i can get my sugars down.

Does anyone have any inputs on the dosage of Lantus in this case? or any other tips to get the blood sugar levels below 8?
 
Hi @taub, From past experience with insulin in general and not as professional advice or opinion: given that Tresiba may last about 36 hours in its blood sugar lowering effect, and that some find an injection in the evening works better for them, I wonder if you have spent enough time on the once daily injection ( ? 5 days plus for things to even out after starting, another week for the first dosage adjustment )etc?
Again given the long action of Tresiba there is a theoretical risk of the actions of the Tresiba given say 12 hours ago creating an additive effect to that taken now and so on. Something called (usually in other situations) Insulin On Board) with the attendant risk of hypos of a prolonged nature.
Caution and safety first.
 
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