Hi All - I’m a 37 yo woman, recently diagnosed (six months ago) as Type 1, suspected LADA. I’ve been using Levemir as my long acting insulin since my diagnosis, and decided it was time to give Tresiba a try. Hoping to document my personal experience with the transition here in case it will be helpful for others.
My BG at diagnosis was 325 and my A1C was 14%, I’m now down to a 6.0% A1C and try to stay between 70-160 mg/dl. I use a Dexcom G6 and MDI with Humalog as my short acting insulin. I flex my Levemir dose between 6-8U once a day at night (usually around 9pm) depending on my menstrual cycle and activity levels. Humalog is usually 1:20 carb ratio in the morning and 1:15 for lunch and dinner, which I suspect is due to the Levemir not lasting the full 24 hours. I typically eat breakfast at 8am, lunch at noon, and dinner between 6-7pm. I generally don’t snack between meals to avoid extra injections.
The past week I’ve been injecting 7U nightly of Levemir. Last night I took my first dose of Tresiba, 6U at 9pm. I ate about 30 g of carbs with dinner, but it was a high fat, high protein meal, so I took 5U of Humalog at 6:50pm, a few minutes before eating. At 9pm my BG was at 115, and was around that level until I fell asleep. I woke up very dehydrated, needing to urinate around 3am to a BG of 140. Based on my symptoms in the middle of the night, I was surprised that my BG was not higher. I took 0.5U of humalog as a correction dose then went back to sleep. This morning I woke up at 115, went for a run fasted at 7am, and then saw my post workout BG creep up to 148. I took 1U of Humalog at 8am as a correction dose. Currently hanging out at 130.
Given my higher sugars today, I’m not very hungry this morning, so planning to skip breakfast.