We encounter this situation in the office on a daily basis. The large influx of new types of insulin have left many patients overwhelmed. How do you know which long-acting insulin is best for you? Are they interchangeable? Lantus has become the "gold standard" for long-acting insulin and doctors will often use it as a default option . There are however newer insulins, that contain different modifications of the insulin molecule, which lead to changes in the absorption and half-life. In this video, I really wanted to introduce Tresiba as the newest "Ultra-long Acting" basal insulin and compare it to an insulin many people are more familiar with, Lantus. Please comment if you have any questions and either myself or someone from the Doctablet team of doctors would be happy to answer it for you. Thanks for watching!
In my experience Dr’s will give you what they know your insurance company covers. My Dr put me on Treciba and gave me a box (5) of pins. I used the free samples and then insurance approved Lantus . In my opinion it didn’t work as well. Now my insurance covers treciba, and it works well if you take it 1st thing in the morning. It does most of the work while you’re sleeping.
Tresiba is very ideal for hipo-hiper swinging. It is advertised and recommended as a stable cure with very little chance to cause hipo or hiper effects, but practice and usage show the opposite of it.
To counter this the longer profile of Tresiba has been a negative for me since I split my basal into 12 hour chunks to allow for gym days and non gym days so unless I'm extremely consistent and predicting perfectly it's much harder compared to Lantus.
I tried Lantus for two years from humalin N, and it was a struggle. Twice a week it almost seemed ineffective. Tresiba was really, really great for six weeks, but the last six I see increases at night from 4-5mmol to 13-15 after three hours of sleep 4 out of 7 days a week. I’m now in a bit of a holding pattern to see my endo on Wednesday to factor in possible causes, and whether it is Tresiba itself, or something else at play. 8 hours after a meal I would not expect to see sugar climbs, but they are frequently happening.
Why is Tresiba so ridiculously expensive, in a supply and demand economy? Are there fewer diabetics today then there were yesterday? Is there a cure for diabetes that is reducing the number of diabetics in need of long their lasting insulin? Tresiba offers you a two year discount on their medication, but is there any chance that someone will no longer need a long lasting insulin after that two years is up?
@@munapulido9054 So much for Profit, that they purposely make a medication that will either stop working all together or require a larger does as time goes on. Larger doses means that you will have to buy more and use it more often. $$$
Unfortunately insurance companies’ coverage of different insulins is a venerable mess: www.nytimes.com/2019/01/18/opinion/cost-insurance-diabetes-insulin.html
As a bodybuilder id love a comparison. I usually use lantus and can get tresiba but is it too long for a bodybuilder? Ps I am not diabetic. We simply use it for nutrient uptake. Also can tresiba be overlapped. Eg used every morning for convenience?
Tony, We could not recommend using insulin to those without diabetes. Generally speaking regarding the length of action for diabetes, Tresiba can be taken daily. In those without diabetes and exercising regularly, the risk of low blood sugars can be protracted for long periods of time -- this is similar to Lantus
Ever end up using the tresiba and compare to the lantus? Would really love to hear back from you on this there's nearly no information out there on using tresiba for our purposes
I was on lantus for the last 5 years and using 35 units twice a day my blood sugar was well controlled. On occasions, I will skip the night dose depending on my sugar levels in the evening and what I was having for dinner. Now I have been asked to use Tresiba and I am currently on 50 units and my sugar levels are much higher, both during the day and on mornings, than when I was on Lantus. I feel that I am not getting the best medical advise. Any comments?
Thanks for watching the video and for your comment. While we are physicians, we are unable to give medical advice in this venue. Medical advice is more appropriately provided at your doctor visit as he / she knows your history, other medications, medical problems, treatment responses, allergies etc. Generally speaking, we find Tresiba to be a far superior insulin to U-100 glargine (or lantus). It has a much longer half life and is associated with less nocturnal (overnight) hypoglycemia. Also, from the perspective of an endocrinologist, when I see patients that are taking more than 40 units (for the entire day) of basal insulin and they still have poor blood sugar control, the problem is typically with post-prandial (after eating) values; this cannot be fixed with increasing or changing the basal insulin type. Instead, it is better targeted with the addition of short acting insulins like humalog (lispro) or novolog (aspart) at meal time.
My doctor recommended Tresiba 2 days ago, my sugar was good when I was using Lantau i take 28 units it was mostly normal and I take around 4-10 novorapid for my meals yet! It’s been 2 days and my sugar went from normal to high! It’s reached 19 ! I’m taking 30 Tresiba and I have to take over 10 units of novorapid for one sausage and half bread! I’m definitely switching back to Lantau, Tresiba didn’t work for me 😞
@@itxscorpion04 That is different from person to person. Please see a doctor who has specialized in treating diabetes. She or he can give you the answer. If you have public healthcare in your country and you don’t have to pay the full price for your insulin, needles etc I would recommend you also use the CGM System from Abbott called „FreeStyle Libre“. It makes your life so much easier. I wish you all the best!
sorry you do not like Tresiba personally. This video just covers the scientific facts, but of course individual response can totally vary...Thanks for watching!
We encounter this situation in the office on a daily basis. The large influx of new types of insulin have left many patients overwhelmed. How do you know which long-acting insulin is best for you? Are they interchangeable? Lantus has become the "gold standard" for long-acting insulin and doctors will often use it as a default option . There are however newer insulins, that contain different modifications of the insulin molecule, which lead to changes in the absorption and half-life. In this video, I really wanted to introduce Tresiba as the newest "Ultra-long Acting" basal insulin and compare it to an insulin many people are more familiar with, Lantus. Please comment if you have any questions and either myself or someone from the Doctablet team of doctors would be happy to answer it for you. Thanks for watching!
In my experience Dr’s will give you what they know your insurance company covers. My Dr put me on Treciba and gave me a box (5) of pins. I used the free samples and then insurance approved Lantus . In my opinion it didn’t work as well. Now my insurance covers treciba, and it works well if you take it 1st thing in the morning. It does most of the work while you’re sleeping.
I definitely like tresiba better than Lantus. 7u tresiba vs 10u Lantus. And longer lasting, smoother, and love the spring in button also.
Thanks for your insight!
Trayseeba Reydi 😆🤣😜🤪👍
Tresiba is very ideal for hipo-hiper swinging. It is advertised and recommended as a stable cure with very little chance to cause hipo or hiper effects, but practice and usage show the opposite of it.
thanks for sharing your experiences!
Thank you for the humorous presentation.
To counter this the longer profile of Tresiba has been a negative for me since I split my basal into 12 hour chunks to allow for gym days and non gym days so unless I'm extremely consistent and predicting perfectly it's much harder compared to Lantus.
I tried Lantus for two years from humalin N, and it was a struggle. Twice a week it almost seemed ineffective. Tresiba was really, really great for six weeks, but the last six I see increases at night from 4-5mmol to 13-15 after three hours of sleep 4 out of 7 days a week. I’m now in a bit of a holding pattern to see my endo on Wednesday to factor in possible causes, and whether it is Tresiba itself, or something else at play. 8 hours after a meal I would not expect to see sugar climbs, but they are frequently happening.
Why is Tresiba so ridiculously expensive, in a supply and demand economy? Are there fewer diabetics today then there were yesterday? Is there a cure for diabetes that is reducing the number of diabetics in need of long their lasting insulin?
Tresiba offers you a two year discount on their medication, but is there any chance that someone will no longer need a long lasting insulin after that two years is up?
Tresiba is way better than Lantus though more expensive 😎🤩
America is for profit healthcare that’s why.
@@munapulido9054 So much for Profit, that they purposely make a medication that will either stop working all together or require a larger does as time goes on.
Larger doses means that you will have to buy more and use it more often. $$$
Tresiba has always been a lower cost than Lantus for me. Then again, I was being charged $120/month for Lantus in-network with insurance.
Unfortunately insurance companies’ coverage of different insulins is a venerable mess:
www.nytimes.com/2019/01/18/opinion/cost-insurance-diabetes-insulin.html
I‘m glad I only have to pay 10€ für 10 pens.
I loved Tresiba . Other insulin seems to not be good for A1c levels 🙄 Keeping you dependent
Thanks for watching and sharing your experiences!
As a bodybuilder id love a comparison. I usually use lantus and can get tresiba but is it too long for a bodybuilder? Ps I am not diabetic. We simply use it for nutrient uptake. Also can tresiba be overlapped. Eg used every morning for convenience?
Tony, We could not recommend using insulin to those without diabetes. Generally speaking regarding the length of action for diabetes, Tresiba can be taken daily. In those without diabetes and exercising regularly, the risk of low blood sugars can be protracted for long periods of time -- this is similar to Lantus
If you are not a diabetic, DO NOT use injected insulin! You do not need it, while others, those who actually have diabetes, do!
@@colewilliams6623 He can do what he wants with the insulin bodybuilders use it and pay for it as well...relax insulin cop
Ever end up using the tresiba and compare to the lantus? Would really love to hear back from you on this there's nearly no information out there on using tresiba for our purposes
I was on lantus for the last 5 years and using 35 units twice a day my blood sugar was well controlled. On occasions, I will skip the night dose depending on my sugar levels in the evening and what I was having for dinner. Now I have been asked to use Tresiba and I am currently on 50 units and my sugar levels are much higher, both during the day and on mornings, than when I was on Lantus. I feel that I am not getting the best medical advise. Any comments?
Thanks for watching the video and for your comment. While we are physicians, we are unable to give medical advice in this venue. Medical advice is more appropriately provided at your doctor visit as he / she knows your history, other medications, medical problems, treatment responses, allergies etc. Generally speaking, we find Tresiba to be a far superior insulin to U-100 glargine (or lantus). It has a much longer half life and is associated with less nocturnal (overnight) hypoglycemia. Also, from the perspective of an endocrinologist, when I see patients that are taking more than 40 units (for the entire day) of basal insulin and they still have poor blood sugar control, the problem is typically with post-prandial (after eating) values; this cannot be fixed with increasing or changing the basal insulin type. Instead, it is better targeted with the addition of short acting insulins like humalog (lispro) or novolog (aspart) at meal time.
My doctor recommended Tresiba 2 days ago, my sugar was good when I was using Lantau i take 28 units it was mostly normal and I take around 4-10 novorapid for my meals yet! It’s been 2 days and my sugar went from normal to high! It’s reached 19 ! I’m taking 30 Tresiba and I have to take over 10 units of novorapid for one sausage and half bread! I’m definitely switching back to Lantau, Tresiba didn’t work for me 😞
@@pearla.y3167 how you doing today?
Did you try to go on a low carb?
Do you know Dr. Richard K Bernstein?
If not,I'll recommend finding him on UA-cam.
My man health is bad with tresiba, but maybe its coinsidence
Nothing difference between these two of action tresiba costly I had tried
Thanks for sharing your personal experience
Lantus and Apidra
Thanks for watching, Connor!
Tresiba can takes once a day ? No any other short acting
Thanks for watching our video! Tresiba is an ultra-long acting insulin once per day. It does not take the place of short acting insulin
@@Doctablet thanks any idea how many units takes in a day ?
@@itxscorpion04 That is different from person to person. Please see a doctor who has specialized in treating diabetes. She or he can give you the answer. If you have public healthcare in your country and you don’t have to pay the full price for your insulin, needles etc I would recommend you also use the CGM System from Abbott called „FreeStyle Libre“. It makes your life so much easier. I wish you all the best!
@@olpizl Thanks , where are you from ?
@@itxscorpion04 I‘m from Germany
Wow
thanks for watching!
This is just bullsh!t!! Tresiba is such a blunt insulin
sorry you do not like Tresiba personally. This video just covers the scientific facts, but of course individual response can totally vary...Thanks for watching!