Toujeo

Good afternoon, I wanted to comment on one thing to see if someone comes up with a possible solution.
Toujeo for more than six months, at first it was complicated because it cost me to the dose since I had to climb a lot from the dose I used from Lantus.A lot is almost 10 more units.I have read the post of Toujeo out there.
The point is that I have solved with this insulin the issue of nightlife, some very fat, they no longer give me, but I can't take the trick, I am three days very well and to which I do four, without any apparent reason, I return touncontrolled.I put it at night, about 11, it lasts without problem 24 hours or even more, but the problem is as if it cost it to start, when the effect of the quick of dinner ends, it usually goes up throughoutThe night and goes on climbing, I see it by the graph of the free, today for example I got up in 210 and I went to bed at 12:30. I stabilized myself in terms of the dose because at first I went up until more or moreI less got up in less than 140, but many times it still happens to me.
I do not know if it would be better to porn me another hour, in the morning or at noon.I usually exercise around 7 in the afternoon and from 5 in the afternoon or so, I usually have it well, lower, it would be necessary to take into account when changing the time to wear the toujeo.What do you think?Or maybe better try with the three -year?I do not want to change before trying other hours to see if I do better but if not, maybe it would be an option to change to the Tresiba.

I would change the time to see what happens, in my case when changing from Tresiba to Toujeo I also had to increase the dose, from 22 I passed to 30 and I also had to change the time.The Tresiba put it on me when I got around 09:30 and now I put it about five hours later.In the case of the exercise, I do it in the morning and in the afternoon and I have no problem.All the best.

@Meginer Hello Elena, the same thing happened to me with Toujeo, it was at the time that was at night the quick dinner did the effect well but then it began to shoot from three at night.I changed to threeiba and I didn't have that problem

Now because of the circumstances we lived I had to return to Toujeo three weeks ago, the administer at 11:30 p.m. and more of the same.What I am doing in the last two weeks is at 3 at night to put on a short bolus of Apidra and I can get around 100 mg/dl.In this way I can reach the time of food without the need for Apidra in the morning.Now working at home instead of in the consultation with it to cope well, taking only cafes in the morning and some protein contribution.

By the way, I have pending to explain the low carbohydrates diet.

drjesusangel said:
@meginer hello Elena, the same thing happened to me with toujeo, it was at the time that it was at night the quick of the dinner did the effect well but then began to shootFrom three at night.I changed to threeiba and I didn't have that problem

Now because of the circumstances we lived I had to return to Toujeo three weeks ago, the administer at 11:30 p.m. and more of the same.What I am doing in the last two weeks is at 3 at night to put on a short bolus of Apidra and I can get around 100 mg/dl.In this way I can reach the time of food without the need for Apidra in the morning.Now working at home instead of in the consultation with it to cope well, taking only cafes in the morning and some protein contribution.

By the way, I have pending to explain the low carbohydrates diet.

With threeiba it does not happen to you? What explanation does it have?
The low d d d d d cdo you can.

Toujeo insulin begins to act two hours after administration.
I would advise you to be injected just before or after the quick of the night.

I have already made the change to see.With Lantus or ate at 12 at night or at 3 I woke up with hypoglycemia.

Drjesusangel, how did he go with change?The truth is that lately I am not doing badly although it depends on the day, today for example I got up to 190 but I think I calculated the quick of the dinner and I had to correct, still at 6 in the morning I was high and I became highTo correct, and still, I have risen at 8 with 170. I have spoken today with the endocrine, according to him, I must adjust the toujeo, if they do not give me hypos, you have to go up until I am in acceptable basal, but what ifI have a lot of variability, days, bad days, just in case it makes me three and I see the one that is best.So I don't know what to do, if waiting to see if going up stabilized me with toujeo or try the three.What fundamental advantage do you see?Although we already know that each one is a world.
And already put to change insulin, I am also thinking of changing Humalog to Fiasp, it seems more physiological, because its hypoglycemic effect is greater in the first hour, simulating more to the performance of human insulin.And see.I also appreciate information about FIASP who is using it.Thank you.

Now, when I get the most in the afternoon, before exercising, that I am almost 200, this is not who understands it.

FIASP insulin is more physiological in the organism (subjective appreciation), lasts a little less than novorapid (15 minutes) and begins to act before (about 10 minutes before Novorapid).
I use it with bomb and without problems.
If you upload you in the afternoon, you have to monitor the fast insulin you have put at noon (and post-provenial glycemia).

@Meginer The first day I have administered Toujeo along with Apidra at dinner from 3 at night he shot and got almost 200 (I usually have a daily average of 85-90 mg/dl) and the other two twoSuccessive days 130 and 90. But today it has been a strange thing I got up with 90 and how I had to go to the consultation I did not have breakfast at home and did not get fast, since I had to travel;Before leaving home or 15 minutes later I had 114 with a slow rise trend, so I corrected with 1ui from Apidra.For the Freestyle I have seen that it continues to climb from 3 at night after a descent.

According to the latest endocrine consultation, my dose of Toujeo would be 22 units, but I never did and still fell short.I go for 29 units and I see excessive to climb more.

The time I have been in treatment on my own with threeiba did not happen to me.

I think that in the end I will return with Toujeo at 3 in the afternoon and adjust the dose according to breakfast glycemia.

Regarding Fiast I have no experience, I had an allergic reaction to Insulin aspart.

But what do you get it at three in the afternoon?

The toujeo even flat has a greater bioavailability at 5pm from the administration, to see if I can regulate the fasting blood glucose.

Well, I don't know what to do because now it seems that my nocturnal glycemia are good, and I usually lift me well wheneUpon but I go to bed with 90 I usually get up well.But now it turns out that I don't know why, I get on about seven in the afternoon, I've been like this for a week, I finished eating at half past three, at half past 137 and at seven, 260 !!!!, withoutHaving eaten anything from lunch, before it was the other way around, the afternoon had a good time and when it went up it was at dawn.So I don't know what to do, really.I do not know if what you say that you are going to do, to put it at three in the afternoon, it may or may not be a solution or directly try threeiba because this variability has me crazy.

@meginer, can you explain what you do, exactly, between 5:30 p.m. and 19:00 (exercise [clean the house, crystals, ... anything that is not sedentary lifestyle] and insulin dose).
You should also tell us what type of food you ate at lunch (if there are many fat / proteins, it would explain that climb.

No, this noon for I have eaten 150 g of roasted potatoes and a salad turkey steak and then an orange, I have put six fast units, at two hours you have a normal glycemia, it has been at three hoursCdo has begun to climb, I have corrected only two units and that I had about three grams but I was going to go for an hour, and less badly because I had 50. There were no fats in the food, that is thatTB I miss it.And those hours have been doing nothing extra, it was after lunch and I have been watching TV for a while and reading.

If I have understood well, you have taken a walk between 18:00 and 19:00.
At 17:45 you were a little high and you have corrected with 2 units.
If I'm wrong, please correct me.
Insulin corrections before the exercise are very dangerous and difficult to "get it right."You know, for the next one, better one unit, instead of the two of this time.
Or better yet, put that insulin unit together with the noon insulin;Thus you will not have to correct yourself (but the risk of post-prandial hypoglycemia is increased) and look at the free to know how you go when you go out (18:00) in case you had to do something (eat one or two pieces of fresh fruit).

Not mamsrvazq, when I was so high it went at seven in the afternoon and at eight I went to walk, it is true that with the exercise I had to get less perhaps but it is that I was in 260 and climbing.But more or less the post -legal descent is justified among it.Ex and the insulin that I put on, okay, but and that climb to seven after more than four hours of lunch?
I have a lot of variability with Toujeo, as soon as one day I am rather low at dawn around 60, as high and from three in the morning it begins to climb vsin knowing why and I get up high.With Lantus they gave me fat dances, it is true that with Toujeo does not happen to me, 55-60 the most and if as something I get a barbarity because it is very flat, but I do not understand is such great variability without apparent cause.

@Meginer is the same as it happens with Toujeo, it happened to me and when I returned to Toujeo it has happened to me again, from 3h at night it starts to climb.

If you have the opportunity, try threeiba, I was perfect with her, but because of the circumstances.

Well, I already have few explanations.
You said that the post-Prandial glycemia of lunch was 137 mg/dl (at 17:30).It is very good (it is a correct value), but perhaps a highly high (taking into account that before you were well [around 100 mg/dl]).You may need to re-evaluate your lunch insulin ratio (you may need some more fast insulin).
Or you may have an allergy (unknown) to some excipient of toujeo insulin.If you have a chance and you know a good trusted allergologist, ask yourself;And if not, then you spend three as they have already told you.

I put the toujeo at night and I did not stabilize and the endocrine passed it to me with breakfast and I have it perfectly controlled, except if I "cook" a little in some food

I have to point out that the whole diabetes theme is supervised by the endocrine and my current pattern is as follows: 32 units at the Breakfast of Toujeo (which has adjusted it in a month gradually lowering to 28) and 4 Apidra units inBreakfast and food so that the peak of these meals is soft and completely suppressing dinner because it had slight hypoglycemia for some nights.

And I put the amounts of yesterday (09-05-2020) that in normal circumstances it is similar every day:
Basal 127;two hours after breakfast 161;before food 91;two hours after food 88;before dinner 98;Two hours after dinner 114 and before bed 131. With the latter I am excessive care because with that amount I have assured the hypoglycemia so a glass of milk with a cookie I climb a little and to sleep.This morning I dawned with 128.

Greetings to all.