So this may be a bit lengthy, but I’m VERY curious about these things:
For Tresiba users/lovers: I am new to Tresiba and MDI.
A. I get a blotchy red spot after I inject for a few days of Tresiba… Anyone else have this? What do you do? Can you inject H/R over/near it for follow up injections?
B. Do you use pen caps and pens? I find that there will be a bauble of insulin still coming out after I inject, hold down for 6-8 seconds, then exit the needle. Isn’t this under-dosing me? Maybe it’s the 32g needle? It is a very thick looking solution for a thin needle like that… Thinking of using syringes and vials.
C. While I injected 14 units of Tresiba, I felt it burn like a mother. The proceeding hours were higher than usual. Anyone experience this? Any input?
D. I am a nursing student right now. Seeing as I will be working as an RN in the coming years, how does Tresiba fit into the whole perfect basal while at rest but too much when overexerting yourself for hours on end? Anyone have a variable workload job on Tresiba and it interferes/benefits them using Tresiba?
E. Are there any good sites to inject Tresiba that are better than others, or is it all good?
Pumpers: I have been pumping for 13 years now. Maybe I need to switch to MDI.
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!
B. I am noticing that my sites are lacking lately. I only use directly under the ribs now, as I have not usually ever touched them… This is very depressing as it might mean my pumping time is coming to an end. How do I continue to pump with all the built up scar tissue around my legs and abdomen??? I love the pump, but not the scar tissue/lack of insulin absorption…
R/H users on for MDI:
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 R seems a bit outdated to me since I have been using H for ~15 years.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?
Pump → Tresiba changers:
A. Do you have any difficulty finding good sites from suspected/actual scar tissue that you have from pumping?
B. How much Tresiba do you take daily compared to your basal rates on your pump? 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. I stayed 220 BG all day flat and borderline DKA. Is Tresiba weaker than Humalog requiring a higher dosage of daily Tresiba?
Random Pump/MDI Question:
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?
Thank you to anyone who answers, I know this is a long post, but it is needed!