Basal Insulin and split dose - Page 2

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Basal Insulin and split dose - Page 2


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Old 01-31-2019, 17:55   #11
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I take five shots a day. In the morning, I take 53 units of Lantus and 20u of Novolog. At lunch, it's 20u of Novolog. Dinnertime has me shooting up with 52u Lantus and 20u Novolog again.

What I'm concerned with is seeing you folks talking about making decisions to change your insulin on your own. Does no one follow what their doctor says?
I was diagnosed at 4 and I'm 57 now, no complications and I don't remember a time I didn't give shots - This type of diabetes judgement call is pretty normal for me.

Interesting how much Lantus you're giving - right now I'm at a total dosage of 32 units - 18 at night and 14 in the morning and I went low twice yesterday (once in the morning and once in the afternoon) - I suspect I may need to cut back but we will see how things go today.

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Old 01-31-2019, 19:04   #12
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What I'm concerned with is seeing you folks talking about making decisions to change your insulin on your own. Does no one follow what their doctor says?
Type 2 here, so I don't have a dog in the insulin-dosage fight. But many of us are saddled with doctors who haven't learned much new about diabetes since they left med school a couple of decades ago while we here, as the people with diabetes, have dived into newer research and findings and have some ideas about treatment that haven't yet muscled into the mainstream.

Doctors are involved if they seem amenable (results seem to help a lot) but some of us are comfortable taking on management of our own illness even if it bucks "conventional wisdom". So long as it's biologically sound and doesn't hurt anyone else.

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Old 02-01-2019, 05:35   #13
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This article is from 2007, but Dr. Bernstein's opinion then was that there was no 24 hour insulin.

I'm a non-insulin user, but his reasoning sounds logical to me.

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Old 02-05-2019, 13:11   #14
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Also, my endo switched me to Tresiba about 6 months ago. It's a very stable basal insulin, and I've had wonderful results with it. Would your doctor let you try it?
Hey Cassie2922 - Guess What? My doctor switched me to Tresiba from Lantus. I will give it a try tonight for the first time. Thanks for the suggestion!

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Old 02-05-2019, 21:39   #15
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Wow!!! That's great. Did he tell you to use the same dosage as Lantus? I'm eager to hear if it is stronger for you.

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Old 02-06-2019, 03:06   #16
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Wow!!! That's great. Did he tell you to use the same dosage as Lantus? I'm eager to hear if it is stronger for you.
My doctor suggested I try 24 units based on the 28 - 32 I was taking with Lantus. I'm going with 22 units of triseba tonight and I will be testing my BGs probably twice as much as normal until I'm confident I'm taking the right approach - that being under estimating and slowly increasing until I meet the appropriate amount. This will mark the 5th time I've changed insulin over the past 52 years. For me under-estimating (assuming that I am) is usually the best approach.

If I run high on the BG count tomorrow. I'll make the appropriate adjustments but I feel like I'm taking the right approach.

You know considering how long I have lived with type 1 - it really doesn't get easier. This change will likely impact my dosage of humulog and it may also affect my nutritional intake. I have no expectations but have made up my mind that it's worth a try (I was going to say shot but that's too punful LOL)

From what I've been reading it may take 4 - 5 days for my body to get used to a regular shot of Triseba. So I'm keeping an open mind and am treading carefully as I don't want to accidentally subject myself to bad hypo experiences.

Hopefully in a few more days I'll have a better handle on it.

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Old 02-06-2019, 03:13   #17
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Jeepers - I think I miss - spelled Trasiba in my last post - this is how new it is to me - I don't even know how to spell it LOL

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Old 02-07-2019, 15:27   #18
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I think you'll be happy with the Tresiba. New insulins are being invented all the time, and it's good that your doctor keeps up with the latest ones.

It's always a crapshoot when you're a type 1. Always guessing, estimating, sometimes hitting the mark and sometimes not. Ah well.....

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Old 02-07-2019, 18:40   #19
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Quote:
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I think you'll be happy with the Tresiba. New insulins are being invented all the time, and it's good that your doctor keeps up with the latest ones.

It's always a crapshoot when you're a type 1. Always guessing, estimating, sometimes hitting the mark and sometimes not. Ah well.....
That's where I'm at now - it's only day 3 but I have noticed already that the past couple of mornings my BGs are stay at a good normal however there are a few holes in my day where my BGs are running a bit high of normal. That was expected. As adjustments to my humulog (fast acting) insulin is now in order. But we're talking small adjustments. It may be a bit premature but so far so good.

I plan to go a couple of more days at 22 units of Tresiba to make sure that the insulin cycle overlaps as it is a 40 hour insulin or thereabouts and I've only given two night shots so far. Probably by the weekend I'll start adjusting my dose to see if I can stabilize my BGs a little bit more.

Feels like a human experiment - an interesting winter activity Lol ...

One thing I noticed with the Tresiba pens - they seem a lot nicer then the Lantus pens I had been using. I didn;t read the injection instructions before my first shot and I was impressed with how the pen worked compared to Lantus. The second night I read the instructions to make sure I was doing it right and as it turned out I was. The dialing up mechanism and spring action of the pen are a nice touch.


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Old 02-07-2019, 19:08   #20
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Yes, the Tresiba pens are different. They seems to have a delayed action instead of an instant delivery.

I really don't think there's any such thing as a 40 hour insulin, even though they market it as such.

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