I take 1 dose of Tresiba 30 units per day and it's brung my blood sugars down from 300 to 500 plus to 112 to 190. I also take Mounjaro 7.5 milligrams per week. They're trying to get my A1C down. It was 12.4. I'm also taking metforman twice daily.
Great video. I’m returning back to Tresiba following a 2 year stint on Lantus. I did better on Tresiba but insurance didn’t cover it now it does. Looking forward to only 1 injection and less fluctuations in blood sugars. Appreciate your review very much. Thank You.
I started Tresiba recently and I am very satisfied with it. Since I still produce some insulin, it gives me a good enough baseline to stay within range without bolus while on a very low carb diet. At least for now, LOL! But I found out that even though it does work on once a day, it is much better twice a day anyway. That way it even keeps my dawn phenomenon spike in check!
Thank you, awesome video. I recently started on insulin and still trying to find the right balance. Readings started at 18.9 and moving down to 9.8 in the past week, hopefully all will be balanced in the next week or so.
This helps me so much. I am using Nph and Regular insulin. I tried to switch to a 24 hour insulin years ago. I got frustrated and went back to nph, because the 24 hour did not last 24 hours. Now, I know I'm not alone.
Oh my goodness, I just got switched from NPH to Tresiba and my sugars are really really high in the morning. I’m thinking of switching back to NPH at least I woke up within range.
@@SunKissHilda it takes a couple weeks to get it adjusted is what one MD said. I was like, "you don't understand. I don't have a couple weeks ." At least I know what the Nph will do and how to adjust regular. Good luck ! "
Thank you for this video. It was very inspiring. I was motivated to take a pump holiday which I did. So far I am loving Tresiba! My glucose levels have been fairly flat throughout the day and night. There is definitely something to be said for MDI!
I used levimer one day and I swelled where I couldn’t move my fingers and my rings wouldn’t budge to even twist. Tresiba is good for me! I’m down to 50 units but getting it lowered. My last A1c was 6.8
Did you notice any difference in your weight while you’ were on treasiba versus levimer? I always noticed that when I switch back to Levemir, I lose a few pounds without making any other changes. My endo said there was one study done by Novo Nordisk that showed Levemir was the least likely to cause any weight gain. Do you notice any difference at all?
i agree , ive gone on to Tresiba and my weight has increased . Even when im fit and active and eating very well my weight and belly fat is still increasing . I need to contact the specialists asap and change back to Levemir
i’m doing research on long-acting insulins since levemir (which i’ve been taking for years) is being discontinued. i’ve taken lantus before, but my insurance doesn’t cover it. i’ve been reading that tresiba causes weight gain, did you experience this?
I didn’t experience weight gain, but ultimately switched back to Levemir (th-cam.com/video/zrpkP3Ktm2E/w-d-xo.htmlsi=5KAcMNj5cw0dEY0U). I still have a few boxes left but will be trying Basaglar next
Excellent video! I am experiencing high bs numbers at night and currently on Tresiba. The highs are due to a higher carb intake and fat content in my diet at dinner. Would be interested to see if Levemir would be more successful at managing my sugars when the fat absorption delays the carbs in the middltof the night. Perhaps you could do a video on what you eat and insight on how food choices impact levemir or tresiba basal dosage?
Thanks. I actually often increase my night time Levemir dose if I've had a more carb rich day so I think you're thinking is spot on. I'll put that video idea on my list. Wouldn't mind eating a few extra larger carb/fat meals for research purposes ;-)
As I found out from Dr. Bernstein, Levemir does NOT last for 24 hours. It only lasts for 8. The peak is 4 hours. I started 3 shots a day of Levemir with the lesser dose during sleep. My blood sugar control has improved more than I expected. My a1C went from 6.2 to 5.6 over 4 months. I never could make Tresiba work for me. Taking one extra Levemir shot is no big deal for that kind of improved control.
I love how you’ve been able to find what works for you! Few I know, if any, can really get away with taking Levemir only once daily. So interesting that you’d see a peak already after 4 hours, you must metabolize it incredibly fast
@Al Coholic I read one of his books and listened to a few videos. I made adjustments that were beneficial to me (every situation is different). No, I do not follow his diet 100%; however, I reduced my carbohydrates to a level that I could manage using a target of no more than 7 units of Humalog per meal. If I need more than 7 units, I will split into 2 shots. I exercise daily (cardio and resistance training).
Great video! My dosing with Levemir is similar. About 70% morning and 30% night (11U/5U). I find that if I proportion more at night and less in the morning, I can go low at night and blood glucose creeps up during the day without bolus corrections. I may look into trying Tresiba to see if I can get away with going back to 1 basal injection per day.
I actually ended up switching back to Levemir again (Why I Switched (BACK) to Levemir from Tresiba (Long-acting insulin) th-cam.com/video/zrpkP3Ktm2E/w-d-xo.html). The short answer to why is that I needed the flexibility of a “shorter acting” long-acting
@@DiabetesStrong, thanks for your reply. I just watched the video and realise it makes sense to use the shorter acting long-acting insulin the way you described it. The benefits of flexibility in dosing with the Levemir would outweigh the downside of 1 extra shot. Glad to hear you recovered from your condition last year!
I hope you don’t mind explaining why you split your dose of tresiba. Based upon his duration of action, it would seem that one wouldn’t need to do that. I currently take tresiba Once a day but I’m wondering about the advantages of splitting the dose.
Based on the pharmacology it shouldn’t make sense to split it. For me, it just seemed to give more stable blood sugars. Could be that I metabolize it faster than average...
@@DiabetesStrong thanks! I guess we do whatever works. Like you, I went off the insulin pump and so far with this long acting insulin, I’m actually seeing better control.
Hi @Diabetes Strong, I'm going to change from levimir to Tresiba (I'm type 1) but online I find some things about gaining weight with Tresiba. How is your experience with this or maybe others here?
I've only seen one person online mention that she gained weight. If you gain weight and glycemic control it's simply a reflection of your body finally being able to take in all the energy you consume. As long as you don't eat/drink more than you need you shouldn't gain fat.
@@DiabetesStrong thank you for your personal response and advice! I'm a little bit anxious for that. I eat healthy / kickboks 4 times a week but because of lockdown we do less so we burn less energy.
@@Lana-S I understand why you're a little anxious about it. Maybe think about it like this; if you don't like how you feel using Tresiba you can always switch back... I hope you find what's right for you
I’m on the OmniPod 5 system but found your channel since I’m considering going back to MDI. I’ve got a $4k deductible and the next quarter will cost me $1,700,00 just for the pods. 😕 I’ve got a ton of vials of insulin and will probably just keep them until I use them and just use single use syringes.
@@DiabetesStrong will do! Thanks! I like the Bolus Calculator and the IOB features the pumps have, for sure. Thanks for the suggestion. I’ll check them out.
Excellent video! I am on Levemir and will start tresiba very soon. Great to know all of these things! I will start with a slightly lower dose than levemir until I see how my readings go. Thanks!
I don't understand why do you have a morning dose more than a night in the night there is the phenomenon of dawn. i have it all wrong maybe i'm doing something wrong at night I inject 15 units and on day 10
You need to do what works for you. I've experimented with it over the years, and since Levemir (same for Lantus) does have a bit of a peak, and cortisol is lowest around 3 AM, taking a higher dose at night would consistently leave me with low blood sugars around 2/3 AM.
Awesome videos! I’ve been lowering my Tresiba dose since I switched back from an insulin pump a couple months ago. I take it at night but have been experiencing lows in the middle of the night and in the mornings, which is frustrating since it’s not supposed to have a peak. Another thing I tried (just for a day though) was splitting my dose and it seemed to help, but my doctor recommended against doing that. Now I want to try taking it during the daytime to see if that helps me but I think it helps to keep the same schedule for noticing whether the morning lows are still prevalent (to keep something stable). Based on your experience, would you recommend sticking with the same timing until I no longer experience morning lows, or would you recommend changing my shot to the morning as I continue to lower my dose (try both at the same time)?
Yes, you’re only supposed to use a needle once and then dispose of it. Needles shouldn’t go in the trash though but in a sharps container. Check on my video on what they look like and how to make your own
Type 1 diabetes is an autoimmune disease and there’s no cure. That being said there are a lot of different types of diabetes and just telling people it’s their own fault indicates you might not understand diabetes as well as you might think. You can find some great resources about diabetes on the Diabetes Strong website if you want to gain a better understanding
I was taking Levemir insulin.. 30 units per day and I always took it at night before bed.. I took it that way for 3 or four years when they change the type of pen dispenser and the new design proved to be defective ..so the doctor changed me to another pan and it is called basaglar. He said to take the same amount the same way. I need to know what is the difference between them and am I taking the basaglar correctly? Can you explain this to me? I should also mention I am disabled and my Mobility is extremely limited so I am not a physically active person and I really don't know hardly anything about the different kinds of insulin and how they work.. I just follow the doctor's orders after having been diagnosed with an A1C number of 12. I was very sick and in the hospital when they discovered this. I do try to watch my diet but I tell you lately it's been very difficult to stay away from the carbohydrates. I am having pretty good luck using sugar substitutes but the carbohydrates are tough. Can you help me? Oh I am 63 years old and was diagnosed like at the age of 60
Basaglar is a long-acting insulin. Its generic name is Insulin glargine and it works like Lantus, which is also glargine. It's very similar to Levemir (Insulin detemir) but you might see that it impacts your blood sugars slightly differently. Do as your doctor recommends, and if you notice that your blood sugars run high or low too frequently, reach out to your doctor and discuss how to alter your dose. You can read more about the different insulin types here: diabetesstrong.com/insulin-types/
How much basal insulin an individual needs depends on a lot of factors including, body size, and activity level. As I mention in the video my endo started me on the same amount of Levemir but I ended up needing less
I had to stop levemir because it was causing me join aun, dizziness and diarrhea. I stopped on my own and talk to my doctor and he switched to Tresiba, currently on Humalog and Trulicity as well. But I’m here reading good reviews on Tresiba. Thank you so much for this useful information.
I was on Lantus and I'm on tresiba now and I love it so much better and it doesn't burn for 6 years Lantus has been burning me and I would struggle to inject at night mentally break down I didn't even hear about it till this year when I finally complained about it to my new diabetic nurse and endo
Hello I have a question Can I divide the dosage as a tersiba? I take 12 units in the evening and they don't need them for my body, but I have many decreases in the morning, sometimes at dawn, and I changed the date of eating the dose to eight in the morning, and I'm also while I'm sleeping, I have many decreases. Please tell me if I can I split the dosage as a tersiba.
Since the duration of Tresiba can be up to 42 hours splitting it shouldn't make a difference. That being said, I did split it and found it to be helpful
@@DiabetesStrong iam sorry 🌷but you're a savier now after God. About the division I take 12 units, how do I divide them as the beginning of the division?
Thank you. I have a video in the pipeline on injecting techniques. And you can find an article on insulin, including rapid-acting insulin on the website diabetesstrong.com/insulin-types/
@@DiabetesStrong that's great! I was wondering if you can make a video on things affect bolus and basal. When to increase/decrease bolus and basal. For a long time I was on premix insulin now my endo suggested me bolus and basal therapy so trying to gather all the information that can help me.
@@DiabetesStrong that's great! I was wondering if you can make a video on things affect bolus and basal. When to increase/decrease bolus and basal. For a long time I was on premix insulin now my endo suggested me bolus and basal therapy so trying to gather all the information that can help me.
That's a great idea for a video. I can't record that right now, but suggest you dig into the website. Start with the article I mentioned on the different insulin types, and then also look at Carb counting and how exercise impacts blood sugars. I think that would be a great start
@@DiabetesStrong that article made my work easy. Looks like I need to reduce my basal since I was constantly at 66 64 72 78 fasting blood sugars. Since i am using tresiba I have to wait for upto 5 days after changing my dose.
Hi ...I just seen this and would love your advice ...I notice every morning that I wake at about 6 and then they will rise to about 8 or 9 the very minute I tough floor I also take tresiba so does that suggest my basal is incorrect .I stay flat all night could you advise ?
Sounds like dawn phenomenon is hitting you hard. You might go low overnight if you increase your basal. You can try but I’d be nervous about going low. If it was me I’d probably take rapid-acting insulin at 6 when waking to counter the rise
Lantus is very similar to Levemir. You can also get biosimilar versions of Lantus (check out my video on Semglee)which makes it one of the more affordable options. If you use Lantus, have a discussion with your doctor about splitting it (a morning and an evening dose)
The best way to attempt intermittent fasting as a type 1 is by trial and error. You will definitely need a baseline insulin and I would not suggest even attempting it unless you have a cgm.
My daughter currently takes levemir and I'm seeing drops in the evening around 430 pm. We split her dose shes on 3.5 units at 7pm and 2 units at 4am . Her endo and I are trying to figure this out but I dont understand the drop sometimes she doesnt even need insulin for dinner due to her already dropping.any thoughts? You said it peaks at 8 hr ? Just want to get some thoughts from people that are actually diabetics
Have you tried doing only 1 iu at 4 am or maybe pushing that dose out to 7 am? I think we all metabolize insulin a little differently so maybe her peak is a little later or that’s simply when she’s the most insulin sensitive. If it was me, I’d play around with the dose first (also pay attention to any boluses given from noon through 4 pm) and if that’s not it, the timing. Diabetes is such a puzzle
@@DiabetesStrong I was thinking about reducing the morning dose. Her endo says I can do that so we will try that. I tried pushing thr 2 units out to 7 am and she went down at 7pm . So I think a reduction needs to happen
@@ndidinwosu1148 I’ve heard about people having that issue. I’m the other way around, my blood sugars always shoot up when I shower, but they’ll come down quickly shortly after
Very briefly, my doctor recommended Levemir for me and my current insurance doesn't cover Lantus. But since Levemir is being discontinued I now have to find another option
You right,a lot of insurance companies don’t cover Lantus since it does have a biosimilar. In Canada the biosimilar is called Basaglar. I’m contemplating between Tresiba or basaglar !
I like the shorter action of Lantus and Levemir, but I recognize the benefits of the longer-duration long-acting insulin as well. It all comes down to what's best for your body
@@12times57levemir is being discontinued this year. what will you use instead? i’m trying to figure out which insulin i should talk to my doc about to replace it.
Thank you for that suggestion. It's not a subject I had given a lot of thought, but now I can't wait to dive into it and see if there's any research on it
I can tell you about pen needles. I have a NovoLog pen that measures Half units and I was using generic needles. My eyesight was going bad and my blood sugars were going up and I couldn’t understand it. I was doing the prime of two units to make sure the needles worked but apparently I couldn’t see it and used it anyway. Little did I know I was getting dry shots! My eyesight was so bad by the time I realized it and I called The manufacturer. They said never to use generic needles with novalog pens and that it would cause the warranty to invalidate upon using it with the pens! I had no idea and I have told several pharmacies not to use generic needles and only to use novafine Needles with novalog. I can’t believe how many pharmacies didn’t know that. I had to have surgery on my eyes and now I’m back to where I can see again. Thank God literally that I found out in time.
@@ElectedOfficial1 would you be ok with me mentioning this in a video? Maybe as a screenshot of your comment (I can block out your name if you prefer?), I'm working on a video on needles and it would be a great real-life addition
Thanks for sharing your experience! You mentioned you use Tresiba twice a day on days that you are less active or eat more carbs; does this mean you no longer take a fast acting/mealtime insulin? Do you find twice a day tresiba works better for those days as opposed to adding a bolus insulin?
I'll always have to take rapid-acting insulin for meals and corrections as I have no insulin production. The twice-daily Tresiba choice is to make sure that I don't shoot up overnight. I'd rather take it twice than have to wake up and do a correction. Hope that makes sense
@@DiabetesStrong ah, got it. That is so sneaky for sugars to go up at night during lower activity days. Again thanks for sharing your experience with us!
@Al Coholicit really depends on the day, what I eat and if I exercise. Most days I take 7-9 doses and average around 40 IU per day. But you can't compare the total dose from person to person unless you're the exact same size and do the same things
Thank you very much. The Doctor just didn’t explain slow enough to me and the nurse went so fast I missed all the steps to do how to take it. I was just lost.
![เปิดบ้าน พี่ตูน Bodyslam หลังใหม่คนแรก ที่ภูเก็ต l [Nickynachat]](http://i.ytimg.com/vi/flFwcmyDQSk/mqdefault.jpg)
I take 1 dose of Tresiba 30 units per day and it's brung my blood sugars down from 300 to 500 plus to 112 to 190. I also take Mounjaro 7.5 milligrams per week. They're trying to get my A1C down. It was 12.4. I'm also taking metforman twice daily.
Tresiba is an awful. Regular insuline made me feel better than analogue.
😑
Great video. I’m returning back to Tresiba following a 2 year stint on Lantus. I did better on Tresiba but insurance didn’t cover it now it does. Looking forward to only 1 injection and less fluctuations in blood sugars. Appreciate your review very much. Thank You.
Your experience with these insulin is exactly same as mine. I really like Tresiba, my Hba1c is now better 6.5.
That's awesome, congrats on your great result!
I started Tresiba recently and I am very satisfied with it. Since I still produce some insulin, it gives me a good enough baseline to stay within range without bolus while on a very low carb diet. At least for now, LOL! But I found out that even though it does work on once a day, it is much better twice a day anyway. That way it even keeps my dawn phenomenon spike in check!
Thank you, awesome video. I recently started on insulin and still trying to find the right balance. Readings started at 18.9 and moving down to 9.8 in the past week, hopefully all will be balanced in the next week or so.
Sounds like you're on the right path. Best
This helps me so much. I am using Nph and Regular insulin. I tried to switch to a 24 hour insulin years ago. I got frustrated and went back to nph, because the 24 hour did not last 24 hours. Now, I know I'm not alone.
Glad it was helpful. You're definitely not alone in this
Oh my goodness, I just got switched from NPH to Tresiba and my sugars are really really high in the morning. I’m thinking of switching back to NPH at least I woke up within range.
@@SunKissHilda it takes a couple weeks to get it adjusted is what one MD said. I was like, "you don't understand. I don't have a couple weeks ." At least I know what the Nph will do and how to adjust regular. Good luck !
"
Thank you for this video. It was very inspiring. I was motivated to take a pump holiday which I did. So far I am loving Tresiba! My glucose levels have been fairly flat throughout the day and night. There is definitely something to be said for MDI!
Yay! Glad you're sucessful
I used levimer one day and I swelled where I couldn’t move my fingers and my rings wouldn’t budge to even twist. Tresiba is good for me! I’m down to 50 units but getting it lowered. My last A1c was 6.8
Did you notice any difference in your weight while you’ were on treasiba versus levimer? I always noticed that when I switch back to Levemir, I lose a few pounds without making any other changes. My endo said there was one study done by Novo Nordisk that showed Levemir was the least likely to cause any weight gain. Do you notice any difference at all?
I didn't notice any difference but you're not the first one to mention this so there might be something to it
i agree , ive gone on to Tresiba and my weight has increased . Even when im fit and active and eating very well my weight and belly fat is still increasing . I need to contact the specialists asap and change back to Levemir
don't u take rapid acting insulin before meals? if yes then which one?
I use Humalog and occasionally Afrezza before meals and for corrections
i’m doing research on long-acting insulins since levemir (which i’ve been taking for years) is being discontinued. i’ve taken lantus before, but my insurance doesn’t cover it. i’ve been reading that tresiba causes weight gain, did you experience this?
I didn’t experience weight gain, but ultimately switched back to Levemir (th-cam.com/video/zrpkP3Ktm2E/w-d-xo.htmlsi=5KAcMNj5cw0dEY0U). I still have a few boxes left but will be trying Basaglar next
Excellent video! I am experiencing high bs numbers at night and currently on Tresiba. The highs are due to a higher carb intake and fat content in my diet at dinner. Would be interested to see if Levemir would be more successful at managing my sugars when the fat absorption delays the carbs in the middltof the night. Perhaps you could do a video on what you eat and insight on how food choices impact levemir or tresiba basal dosage?
Thanks. I actually often increase my night time Levemir dose if I've had a more carb rich day so I think you're thinking is spot on. I'll put that video idea on my list. Wouldn't mind eating a few extra larger carb/fat meals for research purposes ;-)
I've cut out dinner completely, if I must then a small snack like some low fat yogurt ( not sweet ) .
As I found out from Dr. Bernstein, Levemir does NOT last for 24 hours. It only lasts for 8. The peak is 4 hours. I started 3 shots a day of Levemir with the lesser dose during sleep. My blood sugar control has improved more than I expected. My a1C went from 6.2 to 5.6 over 4 months. I never could make Tresiba work for me. Taking one extra Levemir shot is no big deal for that kind of improved control.
I love how you’ve been able to find what works for you! Few I know, if any, can really get away with taking Levemir only once daily. So interesting that you’d see a peak already after 4 hours, you must metabolize it incredibly fast
I use lantas
Lantas 24 morning. Lantas 28 at night everyday.
@Al Coholic I read one of his books and listened to a few videos. I made adjustments that were beneficial to me (every situation is different). No, I do not follow his diet 100%; however, I reduced my carbohydrates to a level that I could manage using a target of no more than 7 units of Humalog per meal. If I need more than 7 units, I will split into 2 shots. I exercise daily (cardio and resistance training).
@Peach Girl I take 8 units at 6 am and at 2:30 pm. The 10 pm shot varies between 4-6 units depending upon dinner meal and daytime activity.
Tresiba makes me gain weight bad, inflammation, bloated in the face 🤮🤮
🫤
I just started tresiba..its really good I feel more energetic not like before..and I'm not feeling hungry quickly..
Wonderful!
Has anyone heard whether these long-acting insulins can make people insulin-resistant over time? Just wondering.
That's not an issue I'm aware of. Usually insulin resistance is closer related to life style
Information was VERY HELPFUL. Thank you mucho!
Great, and you’re welcome
Well. @Diabetes Strong.
Thank You for your experience sharing on your Basal dose.
Would you kindly share your Bolus doses. (I’m T1D)
That highly depends on my eating pattens so I can't give you a set amount. Some days less than 10 some days more than 40...
@@DiabetesStrong . Thanks a lot.
You are 100% practical.
Im on Toujeo 10u/ day once and LOVE LOVE LOVE it in comparison to lantus dose nightmare because we had me on slide scale of everything
THANK GOD FOR YOU 💙
Thank you!
Wow your so informative thanks for your information it gives me a lot to make better informed decisions for me! Thanks so much!
Thank you, I’m so glad to hear that
Great video! My dosing with Levemir is similar. About 70% morning and 30% night (11U/5U). I find that if I proportion more at night and less in the morning, I can go low at night and blood glucose creeps up during the day without bolus corrections. I may look into trying Tresiba to see if I can get away with going back to 1 basal injection per day.
I actually ended up switching back to Levemir again (Why I Switched (BACK) to Levemir from Tresiba (Long-acting insulin)
th-cam.com/video/zrpkP3Ktm2E/w-d-xo.html). The short answer to why is that I needed the flexibility of a “shorter acting” long-acting
@@DiabetesStrong, thanks for your reply. I just watched the video and realise it makes sense to use the shorter acting long-acting insulin the way you described it. The benefits of flexibility in dosing with the Levemir would outweigh the downside of 1 extra shot. Glad to hear you recovered from your condition last year!
@@mikeh7704 thank you, appreciate that. It just ended up making more sense, and now I'm not sure I want to give it up :-)
Thanks for all the details, same issue here
Thanks!
I will be going from Basaglar to Tresiba and your video is so helpful thank you so much.
I hope you don’t mind explaining why you split your dose of tresiba. Based upon his duration of action, it would seem that one wouldn’t need to do that. I currently take tresiba Once a day but I’m wondering about the advantages of splitting the dose.
Based on the pharmacology it shouldn’t make sense to split it. For me, it just seemed to give more stable blood sugars. Could be that I metabolize it faster than average...
@@DiabetesStrong thanks! I guess we do whatever works. Like you, I went off the insulin pump and so far with this long acting insulin, I’m actually seeing better control.
@@eastonguy62yes, totally agree. And so happy to hear that you're doing great on MDI
Hi @Diabetes Strong, I'm going to change from levimir to Tresiba (I'm type 1) but online I find some things about gaining weight with Tresiba. How is your experience with this or maybe others here?
I've only seen one person online mention that she gained weight. If you gain weight and glycemic control it's simply a reflection of your body finally being able to take in all the energy you consume. As long as you don't eat/drink more than you need you shouldn't gain fat.
@@DiabetesStrong thank you for your personal response and advice! I'm a little bit anxious for that. I eat healthy / kickboks 4 times a week but because of lockdown we do less so we burn less energy.
@@Lana-S I understand why you're a little anxious about it. Maybe think about it like this; if you don't like how you feel using Tresiba you can always switch back... I hope you find what's right for you
Interesting 🙂 information I'm a t-1 and use Levermir although looking at switching myself to Tresiba
12 units tresiba / day and it s 42 hours active. You take 24 units in 2 days comparable with 35 units levemir in 2 days
I’m on the OmniPod 5 system but found your channel since I’m considering going back to MDI. I’ve got a $4k deductible and the next quarter will cost me $1,700,00 just for the pods. 😕
I’ve got a ton of vials of insulin and will probably just keep them until I use them and just use single use syringes.
Yikes, I’m sorry. If you do try out MDI, check out my InPen video. It’s a great tool for us on MDI (spoiler, it has a bolus calculator)
@@DiabetesStrong will do! Thanks! I like the Bolus Calculator and the IOB features the pumps have, for sure. Thanks for the suggestion. I’ll check them out.
Excellent video! I am on Levemir and will start tresiba very soon. Great to know all of these things! I will start with a slightly lower dose than levemir until I see how my readings go. Thanks!
Glad it was helpful! I hope it will be an easy transition for you
I don't understand
why do you have a morning dose more than a night
in the night there is the phenomenon of dawn.
i have it all wrong
maybe i'm doing something wrong
at night I inject 15 units
and on day 10
You need to do what works for you. I've experimented with it over the years, and since Levemir (same for Lantus) does have a bit of a peak, and cortisol is lowest around 3 AM, taking a higher dose at night would consistently leave me with low blood sugars around 2/3 AM.
How fast does Tresiba start working..do you recommend taking it first thing in the morning? Is it different from type 2 people?
The onset is about an hour. You should talk to your doctor about when it’s appropriate for you to take it, but I don’t think it matters
I've got joint pain and blurred vision after using Levemir, anyone has same problem?
Please discuss that with your doctor right away. That shouldn’t happen
So why is Levemir dilutable in Australia but not in. The USA ?? Weird ?
I've never heard about diluting it, not in the US or when I lived in Europe. But I guess if your doctor recommends it, it's a go
Awesome videos! I’ve been lowering my Tresiba dose since I switched back from an insulin pump a couple months ago. I take it at night but have been experiencing lows in the middle of the night and in the mornings, which is frustrating since it’s not supposed to have a peak. Another thing I tried (just for a day though) was splitting my dose and it seemed to help, but my doctor recommended against doing that. Now I want to try taking it during the daytime to see if that helps me but I think it helps to keep the same schedule for noticing whether the morning lows are still prevalent (to keep something stable). Based on your experience, would you recommend sticking with the same timing until I no longer experience morning lows, or would you recommend changing my shot to the morning as I continue to lower my dose (try both at the same time)?
I try to reduce my variables when testing out new approaches. So I usually test one or two approach at a time
do we only use the needle once and we throw it away?!
Yes, you’re only supposed to use a needle once and then dispose of it. Needles shouldn’t go in the trash though but in a sharps container. Check on my video on what they look like and how to make your own
Here’s the link th-cam.com/video/MKkd6arTpEo/w-d-xo.html
So, you are trying to regulate the symptom (glucose) instead of treating your cause to your diabetes? Hmm.
Type 1 diabetes is an autoimmune disease and there’s no cure. That being said there are a lot of different types of diabetes and just telling people it’s their own fault indicates you might not understand diabetes as well as you might think. You can find some great resources about diabetes on the Diabetes Strong website if you want to gain a better understanding
You didn't talk about side effects you experienced using the insulin
I don’t think I’ve had side effects as such. My considerations have more been related to how the different insulin durations and peaks work for me
I was taking Levemir insulin.. 30 units per day and I always took it at night before bed.. I took it that way for 3 or four years when they change the type of pen dispenser and the new design proved to be defective ..so the doctor changed me to another pan and it is called basaglar. He said to take the same amount the same way. I need to know what is the difference between them and am I taking the basaglar correctly? Can you explain this to me? I should also mention I am disabled and my Mobility is extremely limited so I am not a physically active person and I really don't know hardly anything about the different kinds of insulin and how they work.. I just follow the doctor's orders after having been diagnosed with an A1C number of 12. I was very sick and in the hospital when they discovered this. I do try to watch my diet but I tell you lately it's been very difficult to stay away from the carbohydrates. I am having pretty good luck using sugar substitutes but the carbohydrates are tough. Can you help me? Oh I am 63 years old and was diagnosed like at the age of 60
Basaglar is a long-acting insulin. Its generic name is Insulin glargine and it works like Lantus, which is also glargine. It's very similar to Levemir (Insulin detemir) but you might see that it impacts your blood sugars slightly differently. Do as your doctor recommends, and if you notice that your blood sugars run high or low too frequently, reach out to your doctor and discuss how to alter your dose. You can read more about the different insulin types here: diabetesstrong.com/insulin-types/
@@DiabetesStrong thank you very very much! I appreciate you for this!
Getting ready to make this change, this was helpful thank you. Did you take the same amount of tresiba as Levemir when you switched?
No, I had to change my dose. The titration process was fairly long for me
@@DiabetesStrong thank you for the reply
Thankyou😊
Welcome 😊
Whats the average dose a person takes of Tresibe once a day? I assume a lot less given Tresiba is a lot stronger than Levemir?
How much basal insulin an individual needs depends on a lot of factors including, body size, and activity level. As I mention in the video my endo started me on the same amount of Levemir but I ended up needing less
"That's a great explanation. Thank you!"
You're welcome!
I had to stop levemir because it was causing me join aun, dizziness and diarrhea. I stopped on my own and talk to my doctor and he switched to Tresiba, currently on Humalog and Trulicity as well. But I’m here reading good reviews on Tresiba. Thank you so much for this useful information.
Sorry to hear that, but glad you found a good solution for you
I was on Lantus and I'm on tresiba now and I love it so much better and it doesn't burn for 6 years Lantus has been burning me and I would struggle to inject at night mentally break down I didn't even hear about it till this year when I finally complained about it to my new diabetic nurse and endo
Oh wow! I'm so glad you finally were offered another option ♥️
Hello
I have a question
Can I divide the dosage as a tersiba?
I take 12 units in the evening and they don't need them for my body, but I have many decreases in the morning, sometimes at dawn, and I changed the date of eating the dose to eight in the morning, and I'm also while I'm sleeping, I have many decreases.
Please tell me if I can I split the dosage as a tersiba.
Since the duration of Tresiba can be up to 42 hours splitting it shouldn't make a difference. That being said, I did split it and found it to be helpful
@@DiabetesStrong iam sorry 🌷but you're a savier now after God.
About the division
I take 12 units, how do I divide them as the beginning of the division?
@@T1Diabetes that you’ll have to discuss with your doctor. I think I started with 50/50 and then adjusted
HI! That's very informative video. Do you have any videos on bolus insulin?
Thank you. I have a video in the pipeline on injecting techniques. And you can find an article on insulin, including rapid-acting insulin on the website diabetesstrong.com/insulin-types/
@@DiabetesStrong that's great! I was wondering if you can make a video on things affect bolus and basal. When to increase/decrease bolus and basal. For a long time I was on premix insulin now my endo suggested me bolus and basal therapy so trying to gather all the information that can help me.
@@DiabetesStrong that's great! I was wondering if you can make a video on things affect bolus and basal. When to increase/decrease bolus and basal. For a long time I was on premix insulin now my endo suggested me bolus and basal therapy so trying to gather all the information that can help me.
That's a great idea for a video. I can't record that right now, but suggest you dig into the website. Start with the article I mentioned on the different insulin types, and then also look at Carb counting and how exercise impacts blood sugars. I think that would be a great start
@@DiabetesStrong that article made my work easy. Looks like I need to reduce my basal since I was constantly at 66 64 72 78 fasting blood sugars. Since i am using tresiba I have to wait for upto 5 days after changing my dose.
Hi ...I just seen this and would love your advice ...I notice every morning that I wake at about 6 and then they will rise to about 8 or 9 the very minute I tough floor I also take tresiba so does that suggest my basal is incorrect .I stay flat all night could you advise ?
Sounds like dawn phenomenon is hitting you hard. You might go low overnight if you increase your basal. You can try but I’d be nervous about going low. If it was me I’d probably take rapid-acting insulin at 6 when waking to counter the rise
@@DiabetesStrong thanks so much for reply makes a lie in tough ...a real pain my doctor said the same no winning
Wir können kein Englisch, was soll das
I'm taking Lantus, what do you think?
Lantus is very similar to Levemir. You can also get biosimilar versions of Lantus (check out my video on Semglee)which makes it one of the more affordable options. If you use Lantus, have a discussion with your doctor about splitting it (a morning and an evening dose)
What a excellent 👍 Video
God bless you 🙏🏼
Thank you very much
Please make a video on how a type1 diabetic can do intermittent fasting while on insulin.
That’s a great topic! Thank you for that suggestion
The best way to attempt intermittent fasting as a type 1 is by trial and error. You will definitely need a baseline insulin and I would not suggest even attempting it unless you have a cgm.
Deutschq
My daughter currently takes levemir and I'm seeing drops in the evening around 430 pm. We split her dose shes on 3.5 units at 7pm and 2 units at 4am . Her endo and I are trying to figure this out but I dont understand the drop sometimes she doesnt even need insulin for dinner due to her already dropping.any thoughts? You said it peaks at 8 hr ? Just want to get some thoughts from people that are actually diabetics
Have you tried doing only 1 iu at 4 am or maybe pushing that dose out to 7 am? I think we all metabolize insulin a little differently so maybe her peak is a little later or that’s simply when she’s the most insulin sensitive.
If it was me, I’d play around with the dose first (also pay attention to any boluses given from noon through 4 pm) and if that’s not it, the timing.
Diabetes is such a puzzle
@@DiabetesStrong I was thinking about reducing the morning dose. Her endo says I can do that so we will try that. I tried pushing thr 2 units out to 7 am and she went down at 7pm . So I think a reduction needs to happen
@@ndidinwosu1148 🤞🏽 best of luck
@@DiabetesStrong have you ever experienced lows when you're injecting insulin close to the timing of a shower?
@@ndidinwosu1148 I’ve heard about people having that issue. I’m the other way around, my blood sugars always shoot up when I shower, but they’ll come down quickly shortly after
Hi! Have you ever tried Lantus?
Very briefly, my doctor recommended Levemir for me and my current insurance doesn't cover Lantus. But since Levemir is being discontinued I now have to find another option
You right,a lot of insurance companies don’t cover Lantus since it does have a biosimilar. In Canada the biosimilar is called Basaglar. I’m contemplating between Tresiba or basaglar !
I like the shorter action of Lantus and Levemir, but I recognize the benefits of the longer-duration long-acting insulin as well. It all comes down to what's best for your body
Never using tresiba again 🤧
why
@@astralgg4636 it made me sick so instead I went back to using novorapid and levemir
@@12times57levemir is being discontinued this year. what will you use instead? i’m trying to figure out which insulin i should talk to my doc about to replace it.
Can you do a video on needles. Which needles for pens are the best
Thank you for that suggestion. It's not a subject I had given a lot of thought, but now I can't wait to dive into it and see if there's any research on it
I can tell you about pen needles. I have a NovoLog pen that measures Half units and I was using generic needles. My eyesight was going bad and my blood sugars were going up and I couldn’t understand it. I was doing the prime of two units to make sure the needles worked but apparently I couldn’t see it and used it anyway. Little did I know I was getting dry shots! My eyesight was so bad by the time I realized it and I called The manufacturer. They said never to use generic needles with novalog pens and that it would cause the warranty to invalidate upon using it with the pens! I had no idea and I have told several pharmacies not to use generic needles and only to use novafine Needles with novalog. I can’t believe how many pharmacies didn’t know that. I had to have surgery on my eyes and now I’m back to where I can see again. Thank God literally that I found out in time.
@@ElectedOfficial1 would you be ok with me mentioning this in a video? Maybe as a screenshot of your comment (I can block out your name if you prefer?), I'm working on a video on needles and it would be a great real-life addition
Do you take tresiba everyday or every alternate days.
It’s a daily injection
@@DiabetesStrong Thank you.
@@DiabetesStrong when u take it ? so u can let it handle the dawn phenomena
@@animooni6707 given it’s longer-acting long-acting insulin it shouldn’t matter what time of day you take it
Thanks for sharing your experience!
You mentioned you use Tresiba twice a day on days that you are less active or eat more carbs; does this mean you no longer take a fast acting/mealtime insulin? Do you find twice a day tresiba works better for those days as opposed to adding a bolus insulin?
I'll always have to take rapid-acting insulin for meals and corrections as I have no insulin production. The twice-daily Tresiba choice is to make sure that I don't shoot up overnight. I'd rather take it twice than have to wake up and do a correction. Hope that makes sense
@@DiabetesStrong ah, got it. That is so sneaky for sugars to go up at night during lower activity days. Again thanks for sharing your experience with us!
@@jessicadang67 it's annoying, but it's enough of a trend that I can now be more proactive about it. And you're welcome
@Al Coholicit really depends on the day, what I eat and if I exercise. Most days I take 7-9 doses and average around 40 IU per day. But you can't compare the total dose from person to person unless you're the exact same size and do the same things
@Al Coholic I don't care how many times I have to inject. It works for me
Thank you very much.
The Doctor just didn’t explain slow enough to me and the nurse went so fast I missed all the steps to do how to take it.
I was just lost.
Glad it was helpful