Tresiba is very good but is not perfectly flat. I take it every once in the evening, every 24 hours, but can tell it’s “running out of gas” the next evening and have to boost my evening bolus a bit to make up for it.
For me there is a nice peak in activity 8-10 hours after the shot which FOR ME is perfect for stamping out dawn phenomenon. Since I switched to Tresiba (from Lantus 2x a day) I have never had any problem at all with dawn phenomenon and I love it.
My doc has suggested that I could split Tresiba to make it flatter but right now I’m happy with using its peak to my advantage.
Basal is 7 out of 20 units FIASP via pump. The only way I can keep control morning BG is to program extra “basal” before I wake up. So basal vs bolus is a little fuzzy. Still adjusting for work from home.
Bernstein mentions that Tresiba split has good results tackling dawn phenomenon, likely to due slight peak and/or longer length of action. That’s been my experience.
But everyone’s different. If you put a cgm on most non-diabetics/diabetics and were able to live track sleeping/waking/morning counter regulatory hormones, there would be a lot of variation.
20-21 units daily basal with Omnipod with Fiasp. When using Tresiba on MDI I was waffling in the range of 19-21 units daily. I am 170 lbs, 5’10 and active.
I am working on that too. My highest basal rate is between 5am-11am. I do not wake up the same time everyday so it is tricky and I have feet on the floor bg issues
10 basal with a pump with an average of 24 total units.
Although number have been creeping up this past month as my Coronavirus anxiety has been climbing each and everyday I go to work.
Back in the days when I was on MDI, I would take 10 units Lantus or Levemir (depending on which was on my insurance formulary that year) divided into 2 doses, 5 units in the am and 5 units in the pm. Now that I’m on a pump, my total daily basal is usually 10.5 units.
My current total basal rate is 5.05 On a pump. TDD is 18-25.
Basal has been decreasing lately. Getting more exercise due to a lot of walks and bike rides. Covid gives me more opportunity than work to get outside, and the escapes from confinement are more precious. T1D for over 50 years
Short answer 19 total, of which 6 is basal. 1-2 units of basal is really bolus to get ahead of post breakfast spike. Insulin is FIASP in Medtronics pump used with G6 CGM.
From 6 to 19 units of Tresiba. I split it with 3-4 units in the morning and the rest is in the evening.
I often skip morning dose when there is a physically active day ahead so that basal level drop faster to avoid unnecessary lows, this is where 6 units come alone in the evening, but the body still need at least 9 units I guess, since this is what I would inject once a day to day routine is set for a while.
In general it depends on my physical activity and how many and what kind of carbs I ate during the day. I inject the adjusted amount in the evening at 6 pm based on that information, it gives me a nice flat line at night and about half of that but no more than 5 units in the morning to keep me level during the day.
I was on Levemir once a day (in the evening) before and the numbers often crippled up by the morning. It doesn’t happen any more since on Tresiba and my A1C went down a few decimal points after the switch, which was an interesting observation.
I’m on MDI. Lantus doses for first couple of years as type 1 were 6-8 units. Then the next five years dose increased to ten units daily. Suddenly three weeks ago when I broke a hip, my basal needs increased to 15 units daily. It will be interesting to see if basal needs are reduced again as I heal. I always need far more fast-acting, however, between three and four times as much as basal. I typically eat moderate carb (120-150 g/day) and have weighed between 101 and 135 pounds over my diabetic life.
