Got a Novopen Echo yesterday. Local CVS ordered for me and it was covered 100%. Looks and feels very nice. Comes with a nice case as well. Just waiting on my Novolog Cartridges.
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Good luck with your Echo pen, @mikep. The last dose memory and 1/2 unit dosing are both great features.
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thanks Terry. I got it specifically for those two reasons. I was surprised after I ditched my pump how often I thought to myself “what time did I take my insulin?” The Echo has a nice “premium” feel to it as well.
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I set the dive timer on my wristwatch to zero when I bolus… I’d be lost without it. It’s just the circular rotating ring on the bezel numbered from zero to sixty… Simple yet elegant
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David, where can I find your reasons for being slow to allow it in US?? I’m interested in Tresiba, but I’m scared of newly approved drugs, since you never know what years later will become of them.
For those who’ve switched from pumping to Tresiba, did your TDD decrease??
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Hi Terry,
Do you fast regularly? If so, how did you find that without a pump?? Due to two bouts of DKA 5 weeks apart, one from a failed omnipod site, I’m very interested in going back on MDI… Levemir didn’t work for me…it was like I was injecting water. Lantus worked, but I had lows.
I can only forsee two issues with returning to MDI. I love fasting (eating lunch and dinner, skipping breakfast) and I like the ability to turn off my pump for exercise. I know I can eat glucose tabs for exercise, and probably figure out the right basal for fasting, but I have quite a difference in my morning/day basal profile and my evening/night basal rates, which I’m not sure how I’d account for on MDI.
They’re not my reasons, they are the FDA’s. I was merely commenting that they dragged their feet for a long time, compared to its availability in Europe. As for the reasons . . . it depends on who you ask. The FDA will tell you the reasons have to do with testing. My own belief is that the motivation was chiefly political. You pay your money and you take your choice. 
Sorry for the misunderstanding, David. I want to inform myself as best possible before trying out a new drug 
I’ve been on Tresiba for about 4 weeks now and have fasted several times during that period. My usual fast period runs from after dinner one day to dinner the next day, about 24 hours, as I only eat breakfast and dinner on non-fast days. I find the fast on MDI about the same as when I was pumping. I will, of course, treat a low with glucose tabs when I “fast.” Both the pump basal and the Tresiba give me a pretty flat and stable BG during fasting.
My pump basal profile had a prominent dawn phenomena bump from about 3-11 a.m. I still don’t have the Tresiba dose optimized but I have hopes to get it close enough for good resullts.
As far as I can recall, all of the feedback I have heard from actual users has been positive.
Hey Rose - my TDD went up a few units. I’ve fasted a few times on Tresiba and it’s been excellent.
As it relates to your pod failures that’s the beautiful thing about Tresiba once you get it dialed in … Take your dose and you are covered.
If you want to go back on MDI I highly recommend Tresiba. Just make sure you give it a good three to five days to stabilize.
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I don’t know about the bolus amount, since i have actually no idea how much i bolus per day, but my I:C ratio has stayed about the same. As for my basal rate, it has decreased dramatically, having been around 22 units on the pump, 24 on levemir and now 16 units on tresiba (all amounts over 24hrs).
I still don’t know why, since others seem not to have such a huge difference, but it doesnt bother me at all!
I usually only fast over night and my fasting lines are almost always perfectly straight, just a beauty to look at!!!
Good luck with your choice, whatever it may be.
Angela
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Feedback from actual users is very valuable (IMHO). Thanks for the reply.
That’s great, Terry4! I have very prominent DP, but it happens when I rise in the morning (whenever I rise, like the instant I do, be that at 5am or 8am). I think I could sort that out with a bolus, but I’ll have to see. I have to check if Tresiba is even available in Canada, and if my Endo. will “let” me try it.
I’ve heard about a decrease in basal dosage from other women too, Angela. I sure would like to see that myself!!
I haven’t got my overnight blood glucose line with Tresiba where I like it yet. I started at 14 units (my total daily pump basal dose) and ramped up to 22 units. I started to have some overnight lows so I backed off to 18 units and the last two nights have been up to the 220 range. I just increased my Tresiba dose today to 20 units.
The last time I was ramping up my Tresiba dose, I was dealing with an inaccurate CGM, so that complicated things. Traveling for 5 days last week also put a crimp in my insulin dosing. I’ve seen Tresiba paint some pretty impressive lines so I remain hopeful that I can adjust to a closer consistent dose.
Sit on your hands Terry:) pick a dose and stick with it for a week:) you’ll thank me later
Decades of pumping have given you an itchy trigger finger:)
I’ve done that, Sam. I’ve been on my 18 unit dose for at least a week. I get your intent, however, and don’t disagree.
Terry4, was your basal on the pump more or less than triseba? (if you’re okay with sharing)