TRESIBA INSULIN CHANGE TO TOUJEO

Hello, I am type 2 diabetic, which until now used 28 units of Tresiba and Fiasp on demand, changing endocrine, for reasons of the mutual, and recommended that it will change to Toujeo that would improve the control, my joy in a well, I arrived 15Days with Toujeo and it is a housing carousel and especially hyper, mostly between 200 and 300, I do not sleep at night with the anxiety of an hiccup, I have passed from the initial units to currently 36 units, and still I can not normalize theSituation, I don't see this situation end.How long does it usually pass in the transit between both insulins?What is the relationship between the Toujeo and Tresiba units?With what criteria should the transit make?, I would appreciate your advice because I am very lost and I think I am making wrong decisions, I have no appointment with the endocrine for a month. & NBSP;

Hello!My daughter also changed from three to Tujus and came better.font style = "vertical-align: inherit;"> you are insulin are very flatAnd they do not support meals without putting fast, and work better with low meals in hydrates, (less pasta and rice and more vegetables, vegetables and proteins). she was 14 of Tresiba, and now puts 20 toujeo, and about 5 or 6 of Fiasp on meals.

It cost him less to adjust the toujeo, with the Tresiba he went down a lot at night and climbed the day.

It is better to put it in the morning.. but you have to stay with the one that best goes to you and with which you think you dominate better./font>

to see if you can fix it.What happened to you with threeiba? & Nbsp;>

regina said:
@regina said:

Hello!My daughter also changed from three to Tujus and came better. & Nbsp;Align: Inherit; "Low in hydrates, (less pasta and rice and more vegetables, vegetables and proteins)."Vertical-align: Inherit;"> she put 14 of Tresiba, and now puts 20 toujeo, and about 5 or 6 of Fiasp on meals.P> If you were controlled with threeiba, he returns to her, each one who is doing.inherit; "> to see if you can fix it.What happened to you with threeiba? & Nbsp;

I didn't cover me well 24 hours

It is happening to me absolutely the same @helepepepe

I got 38 of Tresiba before ... I go for 48unds of Toujeo (I have been with the change for more than a month) and a dancing of madness figures ...

I have had to upload it quite also because my rattle for carbohydrates has changed terribly.

I get much more insulin in general ... which makes me overwhelm a lot, and I have no control.My gyrose has risen ... 🥺

@Silviagrz, after a month, you would have to see how to adjust it.

If you see that you are worse than before, go back to the Tresiba

The @regina problem is that until January I have no appointment with the endocrine and have removed it from the electronic recipe.

I will talk to them, because I can't be that way ... 😭

I took a month of Levemir to Toujeo.

Menso is to use more units, but because it changes the concentration of one another.That is why you don't have to feel bad.

Toujeo is flat, if you have dinner, it does not absorb you to the excess of hydrates and fats.

SilviaGRZ said:
@Silviagrz said:

The @regina problem is that until January I have no appointment with the endocrine and have removed it from the electronic recipe.

I will talk to them, because I can't be that way ... 😭

You can also tell the GP, you can add it again in the electronic recipe.

Good, normally the change from toujeo to threeiba is done when Toujeo gives nocturnal hypos.

Not covering 24h you have to look at it well, that Tresiba does not cover you 24h is very rare because it usually has more duration than toujeo .. In fact, changes of units in Toujeo are reflected at 2 days and with threeiba at 3.

Look well your diet, the time when you put on the basal .. all that influences ... and that they do not give you coba because what is true is that threeiba if requires a visa because it is more expensive than toujeo and we also know how toMove the economic issue ...

Forgive, because I have changed so many times in an insula in 2 years that I don't know what I see!I saw this entry into the forum and wrote for calming a little so much frustration and anxiety.

I thought "I'm not the only one."

I was putting two injections (tomorrow and night) of Insulatard a month ago (because it did not arrive).They have now put Toujeo because I had hypos ... and wanted the doctor trying to flatten everything.But I think Toujeo is not for me ... at the moment that as hydrates (and I do not say many) I have brought it.

I had to climb the toujeo a lot ... the rapid the same.All day correcting me ... on top of when I will do 24h and it is my turn to prick, on that time it starts to climb without any reason ... does not someone cover Toujeo 24h?In all places Leo that covers even more.I already feel a weird bug, added to the fact that I am in those days of "why" I punish myself and it's like water ...

Hi @silviagrz

First of all, don't apologize for anything, please!All contributions are good !!

On the toujeo, the same happened to me when I changed from Lantus to Toujeo, the Lantus did not cover 24 hours, but he had controlled the curves, with the change it was a bit disaster, having to climb the units.

Now I've been with the bomb for a while, and I do much better.

Greetings,

Good morning @silviagrz

If with the previous insulin guideline, you were more controlled and felt better, I would return, with the help of the header, so to include it in the electronic recipe, to my old guideline.There would be time to give the appropriate explanations to the endocrine.

All the best.

SilviaGRZ said:
@Silviagrz said:

Forgive, because I have changed so many times in an insula in 2 years that I don't know what I see!I saw this entry into the forum and wrote for calming a little so much frustration and anxiety.

I thought "I'm not the only one."

I was putting two injections (tomorrow and night) of Insulatard a month ago (because it did not arrive).They have now put Toujeo because I had hypos ... and wanted the doctor trying to flatten everything.But I think Toujeo is not for me ... at the moment that as hydrates (and I do not say many) I have brought it.

I had to climb the toujeo a lot ... the rapid the same.All day correcting me ... on top of when I will do 24h and it is my turn to prick, on that time it starts to climb without any reason ... does not someone cover Toujeo 24h?In all places Leo that covers even more.I already feel a weird bug, added to the fact that I am in those days of "why" I punish myself and it's like water ...

It is not unusual what happens to you, what happens that you have to find the treatment that does well.

You have to know that the basal insulin A to synergy with the rapid this means that at the time you go with excess units in the basal, the rapfast will have water effect.

It must also be clarified that all this is in ideal conditions, that is ... that there is no cold in between ... menstruation ... stress etc .. because all that alters glycemic values.

The test that I usually do is to spend anything that has glycemic impact .. for example MAÑANERA strip like a handful of almonds and see how it goes, then another day strip of the afternoon .. Lunch vegetables and chicken p.e and losame and then at night, vegetables and an omelet ...

Thus I take from the equation that there are hydrates, fats .. excess protein .. and analyze.

Then, you also have to keep in mind that the basal such as Toujeo or Tresiba are "flat" in quotes ... they have "action peaks" for example threeiba has one at 6 am to put it and a smaller one at 12 noon, this wants thissay that if for example you are in 140 ... you go down to 110 without doing anything ... That is why there are many times talk about putting the basal, in the morning, half a day or at night .... because according to the personI put better those peaks at certain hours

I give you an example, I put threeiba at 00: 00h, and it turns out that between 4-6am I always tend to the hicc.however I have a lot of dawn effect and it is the opposite .. that I always wake up in hyper if it would be a good idea to do that ....


Comment with your endocrine, tell your concerns and propose solutions but remember that they all go through hydrates and do things well,

Greetings,

@Silviagrz said:

Forgive, because I have changed so many times in an insula in 2 years that I don't know what I see!I saw this entry into the forum and wrote for calming a little so much frustration and anxiety.

I thought "I'm not the only one."

I was putting two injections (tomorrow and night) of Insulatard a month ago (because it did not arrive).They have now put Toujeo because I had hypos ... and wanted the doctor trying to flatten everything.But I think Toujeo is not for me ... at the moment that as hydrates (and I do not say many) I have brought it.

I had to climb the toujeo a lot ... the rapid the same.All day correcting me ... on top of when I will do 24h and it is my turn to prick, on that time it starts to climb without any reason ... does not someone cover Toujeo 24h?In all places Leo that covers even more.I already feel a weird bug, added to the fact that I am in those days of "why" I punish myself and it's like water ...

@Silviagrz: Insulatard insulin implies putting 2 injections a day and you also comment that you had hypos with it.I think your doctor has recommended Toujeo because it is enough for you 1 daily injection and being much flatter you can save enough hypos.Of course, so that it is really "flat" you have to calculate the fast you wear very well.

Forget about the units you put before.An insulin change is to return to the exit box, it is like starting from scratch again.Courage and you will tell us how you evolve.

@Silviagrz Toujeo is not the panacea, it costs to adjust it.

I use 20 units and at each meal, for 10g HC I need 1.5ud insulin approx.If it happened to me, such as fat or I am cold or any hormonal process, everything goes to the fret.

For me the key is to get up in normoglycemia having bedded with the digestion made and normal values,and be in flat hours (food to food, food at dinner) in Normaglycemia.That is my basal adjustment.

The days of excesses control them with the rapid.

It is not easy, the change cost me a month and according to my state I am varying.I was in 16 units and I have taken a virus that does not want to go, it is warm in my body, and I have climbed 20 units of Toujeo.

For a few days I could not enter the forum.But today I have managed to recover the account ... less bad!

I managed to "stabilize" blood glucose, but ... I have been clicking the toujeo at 9:30 p.m.And I don't go back with little glucose as it usually happens with these flat insulins ... sometimes up to 1.5 rations I have taken .. there are times that breakfast and I have to get less fast because they continue giving me hypos ...

So now to download it oooooooooo time.So I spend my life.I have no stability in the basal.On the other hand ... there are times that going all day well, at 20-20: 30h I have to correct ...

Has anyone happened to the Toujeo does not arrive 24h?Do you put it twice?

I am exhausted from eating at night ... I don't know if I play the toujeo better at breakfast ...

Hi @Silviagrz about access to the forum, if you happen again and need a hand, you can contact me by private message, or use the contact form, so we look at it in case there was any technical problem.😊

Here link to the contact form: Link

About the toujeo, I think it is best to adjust the quantity downward, although the option to inject in the morning would not be bad either, consult with your endo, to see if with that you manage to square it!

@Silviagrz said:

For a few days I could not enter the forum.But today I have managed to recover the account ... less bad!

I managed to "stabilize" blood glucose, but ... I have been clicking the toujeo at 9:30 p.m.And I don't go back with little glucose as it usually happens with these flat insulins ... sometimes up to 1.5 rations I have taken .. there are times that breakfast and I have to get less fast because they continue giving me hypos ...

So now to download it oooooooooo time.So I spend my life.I have no stability in the basal.On the other hand ... there are times that going all day well, at 20-20: 30h I have to correct ...

Has anyone happened to the Toujeo does not arrive 24h?Do you put it twice?

I am exhausted from eating at night ... I don't know if I play the toujeo better at breakfast ...

@Silviagrz: You can do 3 things

1.ir going down the toujeo until you spend a good night and get up in acceptable figures.

2. Do you exercise enough in the afternoon?If so, go down the quick of dinner or eat more.

3. Lower breakfast rapid if you have had hypoglycemia during the night.

My last advice is that you do not look for perfect controls because they do not exist