Wanting to change basal insulin.

The costs for Lantus will certainly decrease in the near future. Their patent expired last year (I believe) which means other companies can create a generic (some already are). They have it tied up in courts at the moment, but that's essentially why Sanofi created Toujeo.

While I have seen some people claim to have improved management on Toujeo, there's certainly not enough information out there to even tempt me to change from my Levemir.

As far as Tresiba, I can't speak to it much and have done very little research on it. Its biggest claim is that it has an absorption profile that can last up to 42 hrs.

Personally, I use Levemir because it allows for more customization. It only lasts about 16 hrs for me which means I have to take two shots of it each day. However, that provides the benefit of adjusting each dose to keep my levels tigher.

In contrast, I'd probably use Tresiba if I had a habit of forgetting to take insulin. It's long-lasting profile seems like it would be particularly effective at avoiding DKA because you forgot to take your basal on any given day.

 

I've been on Tresiba for almost two years and it works well for me. GP grumbled about the cost, but I wasn't getting on with Lantus (unpredictable) and I had an allergy to Levemir.

 

If you lookup the action profile you will see Tresiba is amazingly flat. The action variability during the day I recall seeing quoted c. 20% as opposed to 80% for Levemir

 

https://www.medicines.org.uk/emc/images/spc~27359~7~IMAGE010.GIF

 

I can vouch for it's flatness

 

How did you react to Levemir @robert72 ?

 

I developed large red lumps at each injection site that lasted for several days

 

I have come off Levimer and gone onto Tuojeo on monday so only been on it for 3 days but looks good so far. Its more concentrated as well as it is 300 strengh so there is not so much liquid going into the body. It is supposed to last up to 36 hours so only haveing the one basal dose.(+mealtime bolus ) Less hypos so far

 

smag3, how did the change to tuojeo work for you?
My consultant suggested I use it instead of Lantus, because my workdays cannot be pre planned and some days are so physical that I have low sugars over many hours. He says Tuojeo is a flatter insulin and it doesn't matter if diabetics forget a dose?!?

 

Hello @Dearbhla you might be waiting a while for an answer from smag3 because according to the info they have not been around for 28 weeks.

If your after a quicker answer you could try posting in a more open part of the forum or try the Type1 R Us thread