My basal needs vary from 0.4 units per hour up to 1.1 units per hour. I have a pronounced and prolonged dawn phenomena bump from 1 a.m till 11 a.m. It drops to 0.5 units per hour in the afternoon and down to 0.4 units per hour from 10 p.m. to midnight.
I reviewed my Dexcom history with Tresiba today and I was surprised by how much I forgot. First of all, I used Tresiba for a full three months, February 13 to May 13 of this year. I actually had better control than I remembered prior to taking a 7-day Alaska cruise from April 30-May 7. My loss of control coincided with that cruise. When I returned home following the floating eating and drinking fest, I gave up on Tresiba a week later.
I do remember my blood sugar drifting higher at night and then lower in the late afternoon. My once per day dosing had to balance those two opposing periods. I did make a lot of bolus corrections using Afrezza and my Apidra pen and I also made many carb corrections, particularly in the late afternoon.
Sometimes it helps to dispassionately review the facts. My Dexcom Clarity 14-day standard day graphs while on Tresiba, prior to my cruise, were very good. I’m thinking that my corrections compensated for my daily lopsided basal needs.
Now I’m thinking I should give it another go. I have plenty of Tresiba to use.