Tresiba again

Hello everyone.Although supposedly Tresiba is flat, it happens to us all that we see a maximum peak.According to your experience, what is that peak?When do you see that, outside of fast insulin, is there a peak of insulin who makes you get more?
I am not clear in me, sometimes it seems that it is at 12 noon and other times almost at 24.

I had not set me until you said it, but if I had been noticing that at twelve hours, with no exercise that glycemia lowered a lot, more than in the rest of the day

@meginer, I do not see him a peak, but he is very sensitive to the dose., To the hydrates, a.
In my daughter's case it seems to act more after 12 hours.He puts it in the morning and goes down at night ..,, down dose tends to climb in the afternoon ..
Looking at the leaflet's graph, it has no peak, but it is complicated ..
I could put it at night, but the morning is more practical.

regina said:
@meginer, I do not see it a peak, but it is very sensitive to the dose., to the hydrates, a.
In my daughter's case it seems to act more after 12 hours.He puts it in the morning and goes down at night ..,, down dose tends to climb in the afternoon ..
Looking at the leaflet's graph, it has no peak, but it is complicated ..
I could put it at night, but the morning is more practical.

I do not know, it is that I do see that it acts more at certain times, if you have more than 5 hours without fast, it is to assume that the one that acts is the slow one and I do see that there are more hours that I said for taking advantage of that greaterAction to compensate for that early morning up from 3 to 6 for the alba effect or whatever, which still happens to me.Thanks Regina.

meginer said:

regina said:
@meginer, I do not see it peak, but it is very sensitive to the dose., To the hydrates, a.
In my daughter's case it seems to act more after 12 hours.He puts it in the morning and goes down at night ..,, down dose tends to climb in the afternoon ..
Looking at the leaflet's graph, it has no peak, but it is complicated ..
I could put it at night, but the morning is more practical.

I do not know, it is that I do see that it acts more at certain times, if you have more than 5 hours without fast, it is to assume that the one that acts is the slow one and I do see that there are more hours that I said for taking advantage of that greaterAction to compensate for that early morning up from 3 to 6 for the alba effect or whatever, which still happens to me.Thanks Regina

What time do you put it on?
Because my daughter goes up alone in the afternoon, 5 hours after eating, and until then it is very good.I don't understand either.
Eat few hydrates, it's not food.
It is as if there were an insulin bump at 8 or 9 hours of putting it on.
It may until then be overlapping with the previous dose and then no longer ..., I don't know what to think.

It could get fast and take advantage to snack something ... see.

regina said:
At what time do you put it on?
Because my daughter goes up alone in the afternoon, 5 hours after eating, and until then it is very good.I don't understand either.
Eat few hydrates, it's not food.
It is as if there were an insulin bump at 8 or 9 hours of putting it on.

Well, I have varied in the hours.I always put it at night about 11. Then I also tried in the morning to see if when I had more than 12 h, it made me more effect to counteract the dawn effect, I also started in twice.None of this makes me control the early morning up.The last thing is that I have tried yesterday to put it around 12 in the morning that I have a break at work.Thus, as it seems that at 14-16 h makes me more.Effect, to see if I control that climb from 3 to 6 in the morning.Because the rest of the day I am very stable and within rank but in those hours it rises from 80 to 260 or more beastly.
They told me the bomb but I am not convinced.

My daughter is not convinced either...
The fact is that in its entire life it has never gone from 6.5 the glucosilada.
The last one was 5.8, still with Lantus, but avoiding hypos with hydrates between hours.
In February it is another glyc.And he will think what he does.It is a shame that ravine to the silly, because the rest of the day is very good with 13 units of threeiba and much less fast than before.
@meginer do you always have the climb at the same time, even if you change the slow time?

regina said:
my daughter is not convinced...
The fact is that in its entire life it has never gone from 6.5 the glucosilada.
The last one was 5.8, still with Lantus, but avoiding hypos with hydrates between hours.
In February it is another glyc.And he will think what he does.It is a shame that ravine to the silly, because the rest of the day is very good with 13 units of threeiba and much less fast than before.
@meginer do you always have the climb at the same time, even if you change the slow time?

I have tried several schedules and yes, but I do not want to assure it because sometimes I have not waited the three days that have to wait to see the effect of the change and I have changed before.

@meginer, try to see if with another schedule, but according to the leaflet's graph is flat., because this insulin can last up to 36 hours or more.
Did you solve the breakfast?
That yes it was solved to my daughter with this insulin, because Lantus was somewhat short.

I am luxurious to my threeiba, with Levemir or Lantus at 10pm that is when I leave work I reached 240-300 and now I almost always reached 90-110 that if I have a physical effort job I throw me 4 hours a stopMoving boxes

@ROGERIX, so the exercise is doing very well.

regina said:
@meginer, try to see if with another schedule, but according to the leaflet graph is flat., What I have doubts is that there can be overlapping with the dose of the day of the dayPrevious and glycemia triggers when that overlap ends, because this insulin can last up to 36 hours or more. But it doesn't fit that it is a punctual climb and then act well again.
Did you solve the breakfast?
That yes it was solved to my daughter with this insulin, because Lantus was somewhat short.

That is the issue, Regina, that the breakfast I have not finished solving it, because if at 3 in the morning I start to climb, I wake up high, the only thing that I wake up at 3 by., Whatever and I see that I am 170 and climbing, I correct myself with fast, but attentive! I have to put twice as usual, tonight I have put 4 units and I still got up at 7 to 150,What makes me think that I have a beast alba that also starts very soon, or that I need much more basal at night than the day, or I do not know.
And yes, it only happens to me at that time, I correct myself, then in the morning about 7 and 15 Breakfast under HC and at the time and throughout the day and part of the night, I do not pass from 130.
The truth is that I don't know why, it is a mystery.When I started with Toujeo, it happened to me, I changed three precisely for that and at the beginning very well and very flat all night but now it is happening to me as with Toujeo for a few months, I have tried a little of everything and I no longer know whatthink.
I will surely look for a hole and comment with the endocrine although I will surely propose the bomb, which does not convince me.

If you go up slowly and it is not fixed either ... you need those hours more.It can be hormonal .., the cortisol that goes up at that time.These flat insulins do not fix it.
The next step will be the bomb for everyone ..
My daughter is fine now, she was slowly and is fine at night, the afternoon went up, but I think it's because she looks very fair and a juice or something goes up a lot.With Lantus, he controlled the downward trend with more hydrates. But now with a juice he shoots.
What happens if you go up slowly and increase the hydrates for the day?
It is true that specific increases would solve them very well with bomb, it is a matter of trying ..

I don't know if you tried Lantus, putting it at night to my daughter, they went down early morning ...

regina said:
If you go up slowly and it is not fixed either ... you need those more hours.It can be hormonal .., the cortisol that goes up at that time.These flat insulins do not fix it.
The next step will be the bomb for everyone ..
My daughter is fine now, she was slowly and is fine at night, the afternoon went up, but I think it's because she looks very fair and a juice or something goes up a lot.With Lantus, he controlled the downward trend with more hydrates. But now with a juice he shoots.
What happens if you go up slowly and increase the hydrates for the day?
It is true that specific increases would solve them very well with bomb, it is a matter of trying ..

I don't know if you tried Lantus, putting it at night to my daughter, they went down early morning ...

I do not have to increase the hydrates for the day, regina, I do not climb, I am around 100-110,120.
The problem is the night climb.I have always put on myself 12, I even arrived at 9, now I go for 15, I started yesterday, and I am putting it at 11 in the morning.I will see because I do not have the three days that supposedly to wait to make new changes.
This is not a master's degree, it is a doctoral thesis, hehehe.
I left her for what your daughter gave me very fat hypos at night sleeping, before the sensors existed, with what did not realize and I was 20 and I had more than a fat scare.
The point is that I was more than 5 years with her and without problem but suddenly it started to happen to me.That is why we change Toujeo and then to threeiba.

The Lantus changed it in the morning and was fixed, but after a little dose to reach 24 hours.He was with her 15 years, but eating between hours to avoid hypos.
Now it is hard for him not to eat .. but appreciates the stability.
Let's see if you get dose you fix it, I told you to increase hydrates or lower fast so you can increase slowly without going down the day.
Maybe I get slowly., because my daughter with two more units is very lowered at night.

@meginer, the same is not a three -year problem and you have to change to Toujeo or another for seasons.As if your body gets used to and returns to its routines.

I have been with a 3:00 am rise for two weeks until I get up.The same as you.Hormones?Today 240mg/dl and yesterday 180mg/dl and that I did not have dinner, we were going that there was nothing circulating that could rise the glucose.I don't get up below 140mg/dl for weeks.And it is not the basal because for the day I am flat, so I think there is something else, that it is not known or does not investigate.
Of course, they offer us the pump as a solution to program insulin discharges at night.

ruthbia said:
@meginer, the same is not a problem of threeiba and you have to change Toujeo or another for seasons.As if your body gets used to and returns to its routines.

I have been with a 3:00 am rise for two weeks until I get up.The same as you.Hormones?Today 240mg/dl and yesterday 180mg/dl and that I did not have dinner, we were going that there was nothing circulating that could rise the glucose.I don't get up below 140mg/dl for weeks.And it is not the basal because for the day I am flat, so I think there is something else, that it is not known or does not investigate.
Of course, they offer us the pump as a solution to program insulin discharges at night.

Well, it seems that we are twins, that happens exactly.Today it has been the first night that has not uploaded me, but because I went to bed 70. As I have the low alarm in 60, I took a risk thinking of a posterior rise, I have lifted to 115, that is, well and I have seen qI've been fine all night.
The only thing I did different yesterday was that I went on to put on the threeiba at 11 in the morning instead of at 6 in the afternoon and that at dinner, I put twice as fast insulin (without eating just HC, I take a saladWith peppers, onion and avocado and a bit of Greek yogurt), that is, if I normally put 3, I put 6.
I eg physically in the afternoon and I have always been ranking at night although within the range.But it is seen that TB has changed.
So I will see today and the next few days if this is maintained or not, doing the same.
The hormones does not convince me because it would be like this all day and it is only at night.
I think that threeiba has a peak of action or will depend on the person, because now putting it at 11 in the morning, if I see P q at 3 or 4 I have it higher than before (in.orno to 140), he agreesWith CDO he put it at 11 at night and at 3 in the morning he began to climb.

Tresiba does not work for the three -day rule, but to stabilize at least one week and especially when you come from another insulin, changes of time or significant changes in diet or units

@meginer, because of the best you have it.Putting it in the morning avoids the climb of the night.
My daughter tends to go down a lot at night and you compensate for the climb.
Putting faster at dinner also helps.
@Ruthbia, have you tried threeiba?Do you see differences between Toujeo and Tresiba?
Maybe my daughter tries with Toujeo, to see if she doesn't tend to go down at night