# Tresiba, Long-term pumpers, R/H users, Pump →  Tresiba T1Ds... Help! **URL:** https://forum.fudiabetes.org/t/tresiba-long-term-pumpers-r-h-users-pump-tresiba-t1ds-help/7797 **Category:** Type 1 & LADA **Tags:** type-1 **Created:** [June 29, 2019, 5:32pm UTC](https://forum.fudiabetes.org/t/tresiba-long-term-pumpers-r-h-users-pump-tresiba-t1ds-help/7797 "2019-06-29T17:32:25Z") **Posts on this page:** 1 **Showing post:** 2
### Author: ![MM2](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/mm2/32/3032_2.png) [@MM2](https://forum.fudiabetes.org/u/MM2) #### Post date: [June 29, 2019, 6:39pm UTC](https://forum.fudiabetes.org/t/tresiba-long-term-pumpers-r-h-users-pump-tresiba-t1ds-help/7797/2 "2019-06-29T18:39:52Z")
> [@T1DNurse](#): > > A. Dr. Bernstein recommends using R for low-carb meals. R seems a bit outdated to me since I have been using H for ~15 years. Any good experiences with R vs H? R has been around a long time, but what matters is how it matches your needs. It is horrible for higher carb meals, but great for those that do low carb/ higher fat-protein. > [@T1DNurse](#): > > A. Any issues with scar tissue? I find that some sites just keep me high all day and I can’t get my BG down. I usually will change out sets… sometimes even 3 or 4 in one day! I have been pumping for over 25 years. No problems with scar tissue. Have you tried different sets? Some think the needle sets (rather than cannula) work better, and may not scar. I use Quick sets, rotating sites between stomach and back/hips. I went from using NPH/Reg injections, to Reg in pump (now novolog), so no experience with the long acting insulins. I would consider Tresiba if I stopped pumping, but have heard some report burning after injection. I used Lantus, Levemir only during pump outage. > [@T1DNurse](#): > > My basal is set to 0.7 unit/hour, 16.8 units/day. I tried Tresiba a few weeks ago at 12 units per day Why did you take lower dose of Tresiba than your basal? You could try higher dose. > [@T1DNurse](#): > > So I ordered Medtronic 670g on a whim due to Animas being shut down and me being a United Healthcare insurance (mmhmm). Anyways, I just got the order right now, and I’m thinking of sending it back… Thoughts? That’s a personal decision. But I know my next pump will not be medtronics, even though that’s all I’ve had. I think someone has posted here about how to get omnipod covered by UHC. > [@United HealthCare OmniPod Coverage Info (4/2018)](https://forum.fudiabetes.org/t/united-healthcare-omnipod-coverage-info-4-2018/3806): > > I recognize that everyone’s mileage on UHC may vary depending on their employer or plan, but I wanted to jot down what I’ve learned recently in case it helps someone else. Based on a discussion with the UHC representative and an Insulet representative (two separate calls) the OmniPod pods are, as of April 1, 2018 (for at least some UHC members), covered through the Durbale Medical Equipment (DME) coverage with United HealthCare. Getting to the point where I figured this out was a rather involv… --- _[View the full topic](https://forum.fudiabetes.org/t/tresiba-long-term-pumpers-r-h-users-pump-tresiba-t1ds-help/7797)._