That’s exactly what I’d do. And I agree your endo gave good advice regarding giving it a few days before making any adjustment.
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thanks. how come you increase - decrease using 2 full units…most type 1’s just do one…are you using the 200u/ml?
Thanks, sam. Hey, I just looked at the sample pen they gave me, this says 200 units/ml U-200. Is that a mistake, is that what you take. Shouldn’t this be U-100 as I’m VERY insulin sensitive?
thanks!
Allen, did you use Tresiba U-200 or U-100? thanks!
It doesn’t matter, you just won’t be able to do odd-unit doses with the u200… A units a unit though, you’ll just be injecting half as much liquid and will have to use even numbers. My endo says he’s now prescribing the u200 for everyone unless they’re extraordinarily sensitive.
I use the u100 now but will switch to u200 when I renew my rx
but I am extremely senstive. i use .5 units for basal and bolus sometimes. hum, maybe I should wait until monday to make sure. i would never do an increase of 2 units at once.
sam what does the 100 vs 200 mean. does that mean it’s 2x’s stronger, if that’s the case, wouldn’t i then take only a 4 unit dose not 8 units…i’m confused and getting nervous…ugh!
It is stronger when measured by volume-- so a cc of u200 contains 200 units vs 100. However, they are calibrated so that a unit of insulin always equals a unit of insulin— so with the u200 you would still dial up 8 units, which would be half as much liquid as 8 units of u100 would be…
You would still use 8u of u200.
I think you’ll be fine with u200 and if it doesn’t give you the flexibility you need you could just ask for u100 if you request a long term rx. Tresiba is about as easy as it gets.
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OH, OK. That’s probably great for type 2’s who typically need a lot of insulin and have to fill up an entire syringe or two for dosing. THANKS! 
It’s also a good idea for Type 1’s because the lower the volume of insulin you inject in any particular spot, the better and more rapid the absorption.
I use the U 100 pen, Katie
Maybe that’s why I was instructed to go up and down by 2 units?
That’s why I always say, check with your doctor.
What works for me is no guarantee of what will work for you
And it sounds like your pen is twice the strength of mine
Maybe the only difference between what your doctor gives out, and what mine gives out, are what pens they get as samples from their pharmaceutical reps!!!
thanks. it’s not the strength…I guess, see comments. I think I will check with my endo just in case, before I start this. she wasn’t there when they gave me the sample today, maybe she wants me to have U-100. IDK?
I’ve had bad lows on basal before.they’re nasty…eating an entire vial of glucose tabs and everything else, not coming up and having to call 911…ugh! thanks.
And those who don’t want lipodystrophy
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It doesn’t matter whether you are using U-100 or U-200. Like Sam said, a unit is a unit! One unit of U-100 contains the same amount of Tresiba insulin that one unit of U-200 contains. So I’m not understanding why you believe your endo wants you to have U-100 instead of U-200 (unless you need to use an odd number of units).
OK…thanks. but then the dosing for some doesn’t seem right because LADA_Lady stated she’s using U100 but titrating using 2 units per change…IDK, which then just becomes .5 unit???
I’ll go ahead and try it.
You are overthinking it severely. A unit = a unit. Only the volume changes not the amount of insulin or the number of units.
If your dose is 8 units, you will take 8 units… The only difference is that you won’t be able to adjust to 9 or 7 with u200. You would have to go to 6 or 10.
Try it, you’ll never look back
You’re still missing something here. “2 units” cannot “just become 0.5 units”.
A unit is a unit!
One unit of U-100 Tresiba insulin contains one unit of Tresiba insulin.
One unit of of U-200 Tresiba insulin contains one unit of Tresiba insulin.
If you can explain to me what you don’t understand about this, I may be able to explain it to you.
OK, i get that…I guess what then doesn’t make sense is why can’t I increase or decrease 1 unit if on U-200, as everyone says it has to be titrated by 2 units per each change. I’ll talk to my Endo. thanks. Is that a picture of you or daughter? Just curious?
sorry sam…this doesn’t make sense…I usually use a .5 unit syringe with my pens as I typically use .5 units for both basal and bolus. why can’t I go from 8 units to 9 units if a unit is indeed just a unit?
It’s just because 1 unit of u200 is less volume than the pen can accurately dose… So the u200 pen is graduated in 2 unit increments