Yes, that’s what she was about to do. That’s why Sam and I kinda went ballistic for a few minutes–in order to stop her from accidentally overdosing.
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yes, I have a U200 Tresiba pen. I’ve always used a syringe to draw up from my pens (or vials of course)…as I always use .5 units with novolog and used .5 units with levemir, too. So, I was planning on drawing up with a syringe from the Tresiba pen…I had NO idea there were different syringes…
ah…well, NO wasn’t being creative at all and have no intentions of making this more complicated. that’s a ridiculous statement to make and rather offensive. I’ve needed to drawn up from pens as I use .5 units…and thus Rxd 1/2 unit syringes BY MY ENDO for this sole purpose.
Not trying to offend you-- I do hope you enjoy the tresiba, it has really made things easy for me…
I take small doses too, particularly with basal, and find it so forgiving that I am thinking the u200 would work for me, but of course the u100 is available too for exactly the reasons you want it
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Katie, I’m happy you persisted in engaging here about this. I now understand what was happening. I’m a little slow sometimes. I’m glad that Sam and Rose set you straight!
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so, having lows…50’s this am…WTH. I’ll need to go down to 6 units I guess. I’m not coming up past 80…even eating jelly beans. I also about 1/2 hour ago became extremely dizzy, started profusely sweating and thought I was going to pass out. Could this be from tresiba? I went for a walk, too. all this factors in I know and I’m also still on pain medication recovering still from my surgery…maybe I wait. IDK, i really felt like I was going to pass out…! Is this a side effect of Tresiba?
How long have you been taking it? I would recommend watching closely and not adjusting doses more frequently than every third day (same as your endo recommended)
But watch closely and treat as needed
Hope it gets better. You’re dialing up 8u on the pen 1x daily right?
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Call the endo right away?
Yours seems to be very responsive and responsible.
You are juggling a lot of factors here.
keep us posted.
yes, i only took it last night. it’s a guessing game, really b/c we don’t
really know what my basal needs are…I could never tell with levemir. i
think i’m going to start with 6 units tonight… how do I know or tell if
it’s the correct dose…again, I’ve been told so many things. 1) if you
wake up to a good fasting number say 80 - 120 or 2) if you stay flat overnight
regardless of what number you went to be at. so, either I’m dropping and
wake to a good number or I could just stay at 200 and wake to 200 and
considered that a good basal? which doesn’t make sense. IDK??
thanks!
I think you are over thinking this again?
Your best advice will come from the endo
I would only say that since you have been
- active physically (lowering factor)
- one Tresiba injection of 8 units (basal factor)
- even while eating jelly beans (raising factor)
AND you are still relatively lower than you are used to:
Then this is something to discuss with endo about changing basal.
But as Sam and I said, talk to endo before changing your dose. Ask him about the dizziness. Ask if it is related to the lows you are experiencing. Ask what to do tonight.
AND:
Flat at night is optimal, but sometimes progress comes in stages. It’s probably better to have one focus at first.
Ask endo if focusing on your fasting number in range is where you start, as a marker for dosing.
Tresiba is good, but I don’t know that you can expect both flat at night and great FBG on the first day!!!
Good luck! Call the endo!
thanks but not sure what you mean by ‘overthinking’ I have type 1 diabetes…yeah, I think and rethink and then have to rethink again…no one else will do it if I don’t…I’m not talking about the first day…I’m talking about how does one qualify a good basal, what does that mean…has nothing to do first day. it’s more of a challenge when one is very insulin sensitive, too. I’m a very petite small woman who is very athletic and typically very active…I go low very quickly and with out much insulin. I also work very hard and maintain a low 6% A1C. just sayin…it’s difficult for all of us.
In a perfect world a proper set basal would keep you flat with no rising or falling overnight and throughout the day outside of meals. In that perfect world, lowering from 200-80 would require a bolus correction
If it were me, I would continue the same dose a couple more days just like your endo recommended— the thing with tresiba is you can never really know if you’re taking the right amount unless you give it 3 days— but if you’re not comfortable with that then try 6 and give that a full 3 days to settle out before even considering any other changes would be my advice-- but I’m not a doctor
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Katie,
I’m a lot like you: T1, tiny, very sensitive to insulin and on Tresiba
I’m new to it all too.
NONE of that matters right now!
What I mean by overthinking, is, you are considering so many things and are getting turned around.
It’s hard sometimes to see the forest for the trees, when you’ve got to look at every CGM reading or finger prick (each is like a tree).
PLEASE, re-read Sam’s comment above
He says it best.
You can do this!
BUT
Call Your Endo
He will WANT to know your first day readings!!!
Ask him your questions !
They are good questions.
If I were in your shoes, I would make that call NOW.
Let us know how it goes.
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LADA_lady: thanks, I’m five years in to this, not new…however it changes all the time. for someone honeymooning making suggestions to me and telling me “I’m overthinking this” is ridiculous and not helpful. For you to also tell me to call my endo isn’t instructive or helpful either. I’m obviously on here to get suggestions from seasoned Type 1’s who have tried Tresiba. If when I want to contact my endo, I will. I do not need to contact my endo to tritate insulin for pete’s sake. I’m a full grown woman with a very stable, good A1C. Thus, you should consider holding back on your comments then…as nothing you stated was helpful.
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How’s it going? I re read your messages and hadn’t before registered that you’re taking pain meds post surgery. Honestly I don’t know how that might affect your transition or basal needs…
Hi Sam, thanks for checking back. 
I need more…I’m waking up high now…I’m going to stay at 8u today- tonight (a full three days) and then see how tomorrow goes, increasing to 10u tomorrow night. Yeah, lots a variables right now…but I’m going to stay with this…all still good with you? What’s your typical I:CR, ISF…if you care to share? THANKS.
When using novolog I bolus about 1:5 in the morning and 1:10 in the evening. With afrezza I don’t carb count as there’s no need to. I figure one unit of novolog drops me about 40… Again with afrezza I don’t even think about numbers I just inhale a 4 if I’m over 150 and everything works itself out perfectly…
I had been taking 10u lantus for some time when I switched to tresiba— I ended up taking a little more tresiba than lantus— tresiba settled out at 12u but has been up and down a little since… Currently take 10u daily
You have almost my exact same numbers Sam. So you still use novolog? I thought Afrezza would take the place of novolog completely? I hope to get some on Thur to try.
I switch around… Novolog is still better for some things and I use it when I have a real firm grasp on the carb count or a long history of knowing how to dose for a certain thing.
If I’m actually living a little, eating different foods, traveling, busy, not planning out meals well in advance, etc, I use afrezza and Iove it