Tresiba and early

Hello, good morning to everyone.
This morning trying to find a solution to my problem I found this forum, and I would like to share my experience to see if you can give me your opinion
After passing through the Lantus and the Toujeo, I have been with the Tresiba for a year.Before I was controlled, but lately I'm going fatal.My biggest problem is that during the day, more or less I can defend myself with my fast ratio.At 11 at night my dose of slow, and I wake up with downturn daily.I can go to bed with 300, which the next day I have 70 in the morning.Breakfast, up to five portions, without fast and I have the same, if not less at lunch.The only solution they give me is an insulin bomb, but I can't spend a year in this situation, because I am almost sleeping four hours in a row to have this under control.I have been thinking about more, change the insulin schedule, and make sure I am awake during that descent, but the truth, I have no idea what happens ... could anyone give me an opinion?Thank you so much

Hi @anzemaro.I use insulin pump and I have never tried or toujeo or threeiba but if you go to bed with 300 and get up with 70, breakfast 5 portions, do not get fast and get well to the food, what it seems is that you have plenty ofa lot of slow.The basal is supposed to keep the constant levels, and if you eat something, you cover it with the fast ... I don't know, I don't want to get much but you should comment with the endocrine.

Thanks for your answer @"erpla".I also have that impression, but the rest of the day the slow does not seem to make so much effect.It is like there is excessive performance in the early morning/tomorrow, and a deficit the rest of the day ... I read here that there were people who had overlapping the dose, and I was considering changing the dose schedule (first I will consult thetheme with the endocrine), but I wondered if it is something "normal" or if it happens to me alone ... the truth is that the issue makes me a little nervous ...

The schedule change will not solve the problem.
I also use Tresiba and the night spends it with a small upload curve, but I usually dawn with the same value with which I go to bed.I agree with what the fellow Erpla says, the dose that you put on slow is quite high (that descent so noticeable during the night and the one that you do not get fast at breakfast, they demonstrate it).
I think you should lower the dose a few units.Try for three days with a lower dose and see if it is resolved;If not, lower it a little more and check the results for another three days.So until with the correct dose for you.
Trial and error.This is so.

I suppose that if @"alb85", it will be a matter of finding the exact combination. It should go down the three and raise the ratios, to correct that decomposition ... I will try that and see if I improve.Thank you very much for your opinion!

I think like the classmates, I think you have basal.It will be that you are more sensitive to insulin in those hours.

Thank you @091975 ... what leaves me outdated is that, that there is so much sensitivity at that time, but then the rest of the day this with normal/high values ​​... I will try to lower the threeiva and climb the humalog, to be able to findA middle term ... is that the downturn in the nights seems too pronounced ...

Hello @"Anzemaro" I have or had the same problem, but mine comes long.
I had been with Tougeo (nights) for a year and a half, if I did not lay down over 300 hiccup, so the disastrous hemo, my daytime controls were good.
I changed to Tresiba in November (22) and I put the free (blessed, I immediately discovered that I was slowed to me), as I remained the same, I changed Tresiba (18) I improved a lot, but I still had many hypos.In March on the recommendation of the endo I went back to 14 (I was in 16 units with very righteous daytime controls with slight hypos and post dinner around 180 and praying so as not to enter night hypos that neither with 2 of gel lifted because my sensitivity of insulinAt night it is double that in the morning)
He had a good week, some nights with him not to enter Hipay lying in 150.
My recommendation low slowly and awaits at least 3 days, so little by little, at least until you can handle yourself in more affordable values.

Thank you very much for answering @"merchem".Tonight I will download a unit, even if it is little by little, to see if something changes.The truth is that it gives me stick, because everything happens at dawn, and it ends up affecting the dream.The truth, I've been with diabetes for 21 years, and Noe had felt so anxious about me in life ... but hey, I hope to go out little by little from the pothole.Thanks for your answer

@"Alb85,@" Merchedm "do you make dinners with few fats and light to spend the flat night and get up with good values?

Yes 091975. I usually dinner vegetables, some fish, a yogurt and/or an infusion with water, no milk.Some nights I put some bread.

Thank you @"alb85", it is to confirm that to spend the stable night with Tresiba you have to have light dinner.My endocrine tells me that you have to have dinner not depriving me in hydrates and adjust the rapid that is what it is for.But it doesn't work for me ...
Greetings

In my case it is also light, sometimes, some nights I have to drink milk and cookies and still ..., with the Free I saw that I was in 80, so a juice finger and I got up with 120 and without hiccups, another night if not flat, if in rank.

@"Merchedm" Thank you, it is already clear to me;What is difficult to control is when something of slow absorption is eaten.In my case I get from 2.30 and I have to be pending to correct and still costs ..
From now on to take care of the dinners
Greetings

alb85 said:
The schedule change will not solve the problem.
I also use Tresiba and the night spends it with a small upload curve, but I usually dawn with the same value with which I go to bed.I agree with what the fellow Erpla says, the dose that you put on slow is quite high (that descent so noticeable during the night and the one that you do not get fast at breakfast, they demonstrate it).
I think you should lower the dose a few units.Try for three days with a lower dose and see if it is resolved;If not, lower it a little more and check the results for another three days.So until with the correct dose for you.
Trial and error.This is so.

I think the schedule change can solve the problem.I say it why I have been in the same situation.For 6 months that I have the Freestyle I discovered those hyperglycemia at night, so I uploaded the dose of Tresiba and the only thing I got was the early morning hypoglycemia.Try to correct the hyper with bowling before bedtime but the risk of hypoglycemia was greater.I tried to modify hydrates at dinner, I tried everything and could not stabilize the night.I just needed to change the time to put on the dose overnight (I did not believe that it was to influence since the three -yearHypos at night and the rest of the very controlled day, 95% of the time within range.To prove that it does not miss

With three, the same thing happens to me.Every night beep ... In the end, what I have done has been to change the time of the slow puncture, now I put it at noon, so that that descent gives me just before dinner (and being awake, much easierto control, hehe).

In case it serves you ... thanks to opinions of this forum, I changed the teesiba at noon and the change was incredible in a week !!!
The schedule with threeiba if it is important, although there are those who say no
Some have worked quite well
Cheer up!

Hello everyone, I also use Tresiba but at breakfast and lately at 3 of the mñn I hit the rush.
During the day I am perfect, the truth is that threeiba leaves me perfect all day and with small doses of Lispro I control the hydrates of the meals, it also helps that I carry a low diet in hydrates and everything is simplified quite a lot 😅
Now I thought that the climbs from 3 of the mñn to 7 who lift me should delay the three -year to dinner, since I never usually eat at home and with the work I also do not have a fixed lunch schedule, but when reading that theDuration of insulin is greater than the lantus I am already in doubt that it helps me ... but as you say this is proof and error, so I will tell you

The same thing happens to me, it doesn't matter the three that I put that at 3 and until I wake up I am between 220-260, I solve it with a small bolus of you at that time the blood glucose depends, but at 12From the night I am 100 and at 2 I am at 180 I already foresee, skewer 6 units or 8 units and I arrived in the morning at 120-140, my endocrine commented that it could be that between 3-4 in the morning the bodyLibrara hormones and glucose rises, I hardly like hydrates or fried at night so it is not fat and at 2 h of diningFor the sensor it is usually 170-180 and I punctuate the bolus and get up at 120 or less sometimes

essebESS said:
Hello everyone, I also use threeiba but at breakfast and lately at 3 of the mñn I hits the rush.
During the day I am perfect, the truth is that threeiba leaves me perfect all day and with small doses of Lispro I control the hydrates of the meals, it also helps that I carry a low diet in hydrates and everything is simplified quite a lot 😅
Now I thought that the climbs from 3 of the mñn to 7 who lift me should delay the three -year to dinner, since I never usually eat at home and with the work I also do not have a fixed lunch schedule, but when reading that theDuration of insulin is greater than the lantus I am already in doubt that it helps me ... but as you say this is proof and error, so I will tell you

Well, I believe that all slow insulins, even if they say that they last 24 h or more (in the three of Tresiba), rare is the person who covers 24 h.They say that it is flat but now with the sensor we see that it has peaks and that lowers the effect at an hour.After a lot of error, I have seen that I need much more basal at night than day (due to hormonal effect, because you do not move, by the alba effect, by the peak of proteins, because I follow a low dietin hydrates etc).And the only way that does not give me a fat climb until morning from 4 in the morning, is dividing it into two.Currently and eating light at dinner, I have managed to be almost flat all night or that does not upload much.I wear. 10 U at night and 4 in the morning.If one day I'm going to spend more or I'm going to have dinner a little more, I have to climb the basal night (in theory of the day you don't have to touch it).That is the experience. Mia with Tresiba doing not everything to stop that night climb.
The divide in two, around 7 in the morning and the.7 in the afternoon.