I decided today to sign up for an account in order to get some advice from all of you.
Due to some issues with pump therapy (scar tissue, failing sites, lack of available sites), I’ve decided to try out Tresiba but obviously have a bunch of questions. My current therapy consists of basal through the pump and bolus through MDI (Novolog).
Current Basal rates (totaling 17u):
12:00 AM - 4:00 AM = 0.600u
4:00 AM - 6:30 AM = 1.00u
6:30 AM - 12:00 AM = 0.675u
I probably eat roughly 150 to 170 grams of carbs a day, mostly from fruits and starchy veggies. I’m exciting but also a little nervous about making the switch. I’m most exited about the freedom and not having to deal with the infusion sets (been on the pump for around 10 years), but I’m nervous about the dreaded Dawn Phenomenon. I plan to inject the Tresiba around 9 PM each night.
Below are some of my initial questions.
- How should I transition to Tresiba? Cold turkey or reduce my basal every day for the next few days? (e.g. 50%, 30%, 0%)
- Where do you all inject the Tresiba?
- How well does the basal cover your DP? As you can see by my current basal rates, I have around a 50% increase for a few hours in the early morning.