• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Type 1 Tresiba

alphabeta

alphabeta

Well-Known Member
Messages
615
Type of diabetes
Type 1
Treatment type
Insulin
Hello,
Today I will switch over to Tresiba from Lantus but I am scared beyond the limits! Tell me about your experiences, what to expect, how the change went, did bolus doses change? Please I am very scared kinda overreacting but any help would be appreciated! Thank you!
 
What are you hoping tresiba will help with? I hated tresiba and was very glad to be rid of it. It has a very flat profile so it works at a similar level all day without peaking much. That was the opposite of what I needed as I am more insulin resistant in the morning and insulin sensitive in the evening. So with tresiba I was higher in the morning and low in the evenings. If you are a bit late with a dose then you don’t get your bg shooting up though as it lasts so long. The downside of it lasting so long is that any changes in dose take at least a week to take effect, so you can’t take less on a day you’re going to be more active etc as it doesn’t work like that.
 
alphabeta said:
Hello,
Today I will switch over to Tresiba from Lantus but I am scared beyond the limits! Tell me about your experiences, what to expect, how the change went, did bolus doses change? Please I am very scared kinda overreacting but any help would be appreciated! Thank you!
Click to expand...
I did this last night, first basal change in 28 years, dose reduction is advised, 30% less I was told, anyway, I'm still here today, bloods bouncing a bit but no problems.... Edit, other than a steady rise after tea with a normal bolus for a 100g carb meal, but that's not surprising as I'm due my 2nd days injection in an hour or so.

Good luck :)
 
kev-w said:
I did this last night, first basal change in 28 years, dose reduction is advised, 30% less I was told, anyway, I'm still here today, bloods bouncing a bit but no problems.... Edit, other than a steady rise after tea with a normal bolus for a 100g carb meal, but that's not surprising as I'm due my 2nd days injection in an hour or so.

Good luck :)
Click to expand...
Hello, can you please describe if you had any highs or lows? How did your BG vary overnight?
 
edan said:
What are you hoping tresiba will help with? I hated tresiba and was very glad to be rid of it. It has a very flat profile so it works at a similar level all day without peaking much. That was the opposite of what I needed as I am more insulin resistant in the morning and insulin sensitive in the evening. So with tresiba I was higher in the morning and low in the evenings. If you are a bit late with a dose then you don’t get your bg shooting up though as it lasts so long. The downside of it lasting so long is that any changes in dose take at least a week to take effect, so you can’t take less on a day you’re going to be more active etc as it doesn’t work like that.
Click to expand...
I was hoping Tresiba would cover full 24 hours unlike Tresiba
 
image.jpg
alphabeta said:
Hello, can you please describe if you had any highs or lows? How did your BG vary overnight?
Click to expand...
Libre graph from 1pm, so the effects of the first injection last night are wearing off, but I was expecting that and am having a correction dose of 2u to drop it.
 
alphabeta said:
Thank you very much for your time and effort! I assume you didn't drop at all overnight?
Click to expand...
Ah, yes I'm afraid, at 00.50 I was 5.7 rising, 05.40 @ 3, 07.00 @ 3.9, 07.39 @ 2.9, 08.21 @4.7 and up, then bolus food and a slow drop to lunch. :)

And no worries, I was apprehensive last night myself :)
 
kev-w said:
Ah, yes I'm afraid, at 00.50 I was 5.7 rising, 05.40 @ 3, 07.00 @ 3.9, 07.39 @ 2.9, 08.21 @4.7 and up, then bolus food and a slow drop to lunch. :)

And no worries, I was apprehensive last night myself :)
Click to expand...
Your sugar dropped to 2.9??!!
 
alphabeta said:
Hello,
Today I will switch over to Tresiba from Lantus but I am scared beyond the limits! Tell me about your experiences, what to expect, how the change went, did bolus doses change? Please I am very scared kinda overreacting but any help would be appreciated! Thank you!
Click to expand...

I hated it, could never find a dose that covered me for 24 hours. I either took too much and would be dropping all night, or would try to lower the dose to avoid this and then would be spiking into to the teens in the late afternoon. There is no ability to adjust it for days when basal needs are different like someone else posted, since adjustments take days to take effect and linger. Much prefer a split dose of Levemir, but maybe you will have different results. Had you tried splitting Lantus? The other benefit of splitting is you can have different doses for day and night and adjust them as needed. Tresiba is completely inflexible, I only see it benefiting a small minority of type 1s who have very minimal and similar basal needs from day to day.
 
kev-w said:
View attachment 27640
Libre graph from 1pm, so the effects of the first injection last night are wearing off, but I was expecting that and am having a correction dose of 2u to drop it.
Click to expand...

I saw this happen every time I ate dinner when I tried Tresiba, even after taking it for 2 weeks. I would spike to 15+ immediately after eating and it took hours to bring down, as if I had no basal in my system at all. My basal needs are not higher in the afternoon or evening on a pump or Levemir, so it leads me to believe Tresiba doesn't live up to its claims.
 
alphabeta said:
This is scary!!
Click to expand...
I set an alarm for a middle of the night check for safety, can I say you may get more varied replies if you asked the question in the Type 1 section as quite a few people have made this change, some successfully and others not, seems similar in a way to the libre in that how ever good it is it doesn't work for everybody.
 
I love it, gives me lovely straight lines. When switching from Lantus to Tresiba I was nervous, but nothing noteworthy happened. I went from 38 or so Lantus (don't remember exactly) to 32 or so Tresiba to be safe, and back to my old dose in a week.
 
Tresiba never any good for my morning rises.... however, all basal adjustments can effect bolus.... not just tresiba. So it will be only in 5 days when you will be able to see what’s happening and basal testing then is advisable.

With tresiba you must learn to sit on your hands for 3-5 days..
 
alphabeta said:
Hello,
Today I will switch over to Tresiba from Lantus but I am scared beyond the limits! Tell me about your experiences, what to expect, how the change went, did bolus doses change? Please I am very scared kinda overreacting but any help would be appreciated! Thank you!
Click to expand...

It's brilliant less hypos and better control over 24hrs I recommend it I was on levimer before but wouldn't go back
 
alphabeta said:
Hello,
Today I will switch over to Tresiba from Lantus but I am scared beyond the limits! Tell me about your experiences, what to expect, how the change went, did bolus doses change? Please I am very scared kinda overreacting but any help would be appreciated! Thank you!
Click to expand...

I have been taking Tresiba for 8 days now ( changed by diabetes consultant) and I have noticed I need less NovoRapid with meals with no huge swings. but a couple of hypo's which I corrected. At the moment I am not eating normally, no dinners, smaller lighter meals as I am convalescing, so I won't know the true outcome of Tresiba until I am better and back to normal. But so far so good, much better than the Levemir I was taking.

ps I now take Tresiba in the morning.
 
Back
Top