Post by compound26 on Jan 8, 2016 10:00:41 GMT -5
Lantus and Toujeo in trouble?
www.tudiabetes.org/forum/t/tresiba-basal-insulin/50202/14?u=charles5
"Had a chance to talk to doc in more detail about this and he is absolutely ecstatic about tresiba--- he said he's not even prescribing lantus and levemir anymore unless the patient has been using it for a long time and insist on sticking with them. He insists tresiba is vastly superior.
I questioned him about the dosing as I was concerned I might be effectively stacking doses if they actually last two days and I am taking the same dose as I took of lantus every day-- he explained that's not really how it works because you're still just taking the same dose of U100 insulin every day and how long it lasts really won't change the dosing-- he did caution me to not adjust doses more often than every 3-4 days as that will confuse the whole issue with a basal that lasts so long....
He was actually really excited about it and now I am too."
"So, as you might have seen in my other discussion, i was prescribed Tresiba yesterday, and started it last night. i had been on levemir for a month before that, and my doctor told me i might have better results with it:
1. it is way more stable than levemir, which, at low doses of 10-15 units, like i need it, doesnt even work 12 hrs sometimes.
2. it works up to 48hrs or longer, so i dont have to take my basal shot at the exact time every day, he told me i'd be able to vary up to 2 hrs.
He also told me that i might need somewhat less insulin than with levemir (24 units daily, i started with 22 units of tresiba yesterday).
@sam19 you might wanna be cautious on correcting your dose too soon, as it takes also up to 48 hrs or more for tresiba to enter your body, so dont wait the first 24 hrs and then already change dosage.
the only problem with it seems that it is very dull, so when you change your doses afterwards, it takes a few days to see the full effect.
but my doctor was also very positive about the insulin, working in europe he has already seen patients using it for at least 2 years, and says he puts patients only on that basal insulin if possible."
"Sam - very nice. Please keep us in the loop. As mentioned before, I'm still (LOL) thinking of ditching my Omnipod and going with long acting basal to use in conjunction with Afrezza."
www.tudiabetes.org/forum/t/tresiba-basal-insulin/50202/14?u=charles5
"Had a chance to talk to doc in more detail about this and he is absolutely ecstatic about tresiba--- he said he's not even prescribing lantus and levemir anymore unless the patient has been using it for a long time and insist on sticking with them. He insists tresiba is vastly superior.
I questioned him about the dosing as I was concerned I might be effectively stacking doses if they actually last two days and I am taking the same dose as I took of lantus every day-- he explained that's not really how it works because you're still just taking the same dose of U100 insulin every day and how long it lasts really won't change the dosing-- he did caution me to not adjust doses more often than every 3-4 days as that will confuse the whole issue with a basal that lasts so long....
He was actually really excited about it and now I am too."
"So, as you might have seen in my other discussion, i was prescribed Tresiba yesterday, and started it last night. i had been on levemir for a month before that, and my doctor told me i might have better results with it:
1. it is way more stable than levemir, which, at low doses of 10-15 units, like i need it, doesnt even work 12 hrs sometimes.
2. it works up to 48hrs or longer, so i dont have to take my basal shot at the exact time every day, he told me i'd be able to vary up to 2 hrs.
He also told me that i might need somewhat less insulin than with levemir (24 units daily, i started with 22 units of tresiba yesterday).
@sam19 you might wanna be cautious on correcting your dose too soon, as it takes also up to 48 hrs or more for tresiba to enter your body, so dont wait the first 24 hrs and then already change dosage.
the only problem with it seems that it is very dull, so when you change your doses afterwards, it takes a few days to see the full effect.
but my doctor was also very positive about the insulin, working in europe he has already seen patients using it for at least 2 years, and says he puts patients only on that basal insulin if possible."
"Sam - very nice. Please keep us in the loop. As mentioned before, I'm still (LOL) thinking of ditching my Omnipod and going with long acting basal to use in conjunction with Afrezza."
