I have switched to Tresiba, and have been on it 2 months now, with varying different amounts. I think I’m set on 17u at night currently, but I keep running into a problem I have posted about before.
My evening numbers, from about after dinner till a little over the time I take my next Tresiba shot, I’m high. 200-300 numbers, and I’m constantly having to correct. Now, when I first switch to a new dose of Tresiba, it’s not like this. I level out and I don’t have to fight as hard. However, about a week or so after my new dose amount, I’m right back up there.
I take my shot at 11pm. I take medications at 10pm that I need to eat with. This has never been an issue before; when I was on Lantus, I didn’t have highs like this at all, not at the same time every day. I find that if I eat a snack after my Tresiba shot, around 12am-1am (I’m a night owl), my numbers do better and I’ll end up around 100 after that snack, and wake up the same number or less. If I don’t eat, I stay around 160 or sometimes lower, but wake up around 140.
I don’t always feel like eating though, and no matter how I’ve eaten through the day or for dinner; pre-bolused, low carb, high carb, no fat, all fat, no matter how I eat, it seems I can’t get away from these evening highs, that if I don’t eat off later, follow me to the next day.
My question is this: I’m thinking MAYBE if I switch my Tresiba time from night, to morning (my morning/noon time), it might help. If I decide to do this, do I skip taking it at 11pm, and just take it that next morning at 11 am?
I see my doc tomorrow so I’m going to ask. Overall my numbers have been poo, while I’ve been adjusting to Tresiba. The past 2 weeks though since I’ve hit 17u I’ve done so much better. I just can’t seem to figure out this trend of evening highs.
I’m really just posting to see if maybe switching my time might help, or if I might always just have a period in the day of highs. I’m not sure. I have looked into basal testing, but that’s going to take like a week out of a month to do. I also don’t expect much help out of my doc; I see a PCP, no endo, and the nurses know nothing about T1D. So here I am, my go to place; you all seem to know a heck of a lot more than I can find help from the “professionals”