I wanted to post my experience just so I can possibly help out others, or just be of information. (This might be a little long, bare with me)
I was previously on Lantus but was taking 16 u every night at midnight. I’m a night owl and work from home, so I tend to stay up really late, and get up later in the mornings. Per others suggestions I decided to lower my dose when starting Tresiba.
I started out at 14u of Tresiba at midnight, about 3 weeks ago. I started it right after my previous menstrual cycle so I knew my hormones wouldn’t be in affect of my BG’s. Before I started Tresiba I was fighting with high numbers, 200-300 on a daily basis at least once a day, for a couple months. I kept catching small virus’s/colds, whatever, or would be affected by my hormones/stress. I was all over the place. Well, the 14u of Tresiba over a week didn’t seem to make a difference, so I increased it to 15u and tried that for about a week. A little better, but I was still having major spikes after meals. If I would increase my meal insulin it wouldn’t do much and I didn’t want to crash either (I take Novolog).
So here is where I am: I’ve been taking 16 u now for 4 days. The 4th day I had basically perfect numbers; a couple higher ones but that was me being afraid of taking too much insulin with food. I am back to the point of starting my period tomorrow or Friday, and that has always guaranteed me low blood sugars. I have always also fought highs the week before I start, so I was planning on that being a factor too.
And here is how today has gone: Woke up on my 5th day of 16 u. and BAM. Nothing but lower numbers, and fast dropping numbers. I woke up 72 at 7:30 am. Went back to sleep after treating it. Woke up at 72 again at 11:00 am. Treated. Throughout the day I kept going lower, even with no insulin on board. I skipped meal insulin for lunch (23g of carbs) bc I was only 115 2 hours post previous meal, and didn’t want to stack when I was already feeling weird. I ended up being 86 before dinner. I only took 3 u. of Novolog with dinner: potato soup and bread, and 2 hours post I was 163. WHAT?! I’m never under 180 after a meal like that only having 3 units to cover. Usually for a meal I would take 6u or more. In total I only took 14u. of fast acting insulin today when my normal is closer to 30u.
Earlier I went ahead and ate some extra carbs because I was going to be organizing around the house which always makes me drop. I ended up 224, and an hour after that 109.
I feel like 16u is too much for me. I know the numbers I’ve typed out for the most part seem really good, but I had to consume so much sugar today in between meals to keep me from dropping too low, ending up in normal numbers. I’ve never taken so little Novolog and have had lower numbers, ever.
I took 15 u. tonight but I’m honestly nervous. With monthly hormones about to hit me, I’m scared I’m going to be fighting a train of lows constantly the next few days since I know Tresiba takes a while to adjust between dosage changes. I’m wanting to love it, and while I have noticed more stability than Lantus, it just hasn’t been as smooth as I would have hoped for after reading such great things.
If you are on Tresiba and switched from another long acting, how long did it take you to get your dose perfect? I am on the U-100 pen so I can adjust 1 unit at a time. I know it takes messing around and so many factors play into our numbers, but boy am I tired! I am glad that my highs are coming down and hopefully now that I’m well I won’t have to deal with anymore of those constantly, but I also don’t want lows nonstop either.
So to end my ramble: I’m still adjusting. I’ve read a few people say it took them a while, but I’m curious what others experiences have been on Tresiba! As a lady it makes it more difficult to fine tune things sometimes, but I’m hoping I can get a grip and things will smooth out soon!