Long Acting Insulin. What you MUST KNOW! (basal insulin 2022)

As diabetes is on the rise, basal insulins also known as background insulin or long-acting insulins are becoming more popular. More people are starting on insulin now more than ever due to the increasing rise in insulin resistance likely due to obesity. The common long-acting insulins include Lantus, Basaglar, Levemir, Tresiba and Toujeo. However, it is important to note that now all of these insulins work the same. That is why not every patient has been prescribed the same insulin. It is important to know the difference between the insulins and to know how to properly take the insulins you've been prescribed. I educate you on all of these insulins and how basal insulin works in general.
Timecodes:
00:00 Basal insulins (long-acting insulins)
00:54 Basaglar, Levemir, Tresiba, Toujeo and Lantus
01:36 Basal insulins work throughout a 24 hour period
02:14 How to dose basal or long-acting insulins
#basalinsulin #diabetes #insulin #thevoiceofdiabetes
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Disclaimer: The information on this channel (The Voice of Diabetes) is provided as an information resource ONLY. It is not to be used or relied on for any diagnostic or treatment purposes. This information is not intended to be patient education, does not create any patient-physician (APRN) relationship, and should not be used as a substitute for professional diagnosis and treatment. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. Diana Bytyqi, DNP, FNP-C, shall have no liability for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained on this site.

[@meryemmia38]

Great explanation ❤thank you for the info glad to have such doctors as you

[@vlorabytyqi4568]

Great video!

[@thevoiceofdiabetes]

Thank you :)

[@wellingtonsboots4074]

Thank you. Good to know all this.

[@thevoiceofdiabetes]

Thank you Wellington!

[@edonabytyqi5294]

Great information and video thank you!

[@thevoiceofdiabetes]

Thank you Edona

[@fionanokelly]

Thank you for this information. Your videos are extremely interesting!

[@thevoiceofdiabetes]

Thank you for watching and for your comment :)

[@pm-ev8zi]

Great video and thanks for this as this is what i was looking for... Love from India😘

[@EssenceC.]

Thank You.

[@thevoiceofdiabetes]

Thanks for watching.

[@MrPokerblot]

Well that’s interesting I’ve been on Levemir for 6 years and I always thought it was 24 hour coverage. I might consider switching to treesimir now as I’m trying to curb morning highs. Thanks for the info 🙏

[@thevoiceofdiabetes]

Anytime! Yes, it's not 24 hour coverage, unfortunately. Keep us posted :)

[@met9776]

Hi Diana ,toujeo has put my life in order too.ı am very comfortable now thanks for your effort .bye

[@thevoiceofdiabetes]

So glad to hear that Met! Thanks for the comment and feedback. Keep up the great work. :)

[@VeraRapoza]

Great

[@thevoiceofdiabetes]

Thank you :)

[@HeyYall398]

Thank you so much for providing precisely the information I was looking for. I'm currently on GLP-1, and my fasting blood sugars are at 150. I'm grateful for this insight, and I'll be discussing the possibility of long-acting insulins with my doctor.

[@thevoiceofdiabetes]

Thanks for tuning in. Glad the vid helped. :)

[@HeyYall398]

@@thevoiceofdiabetes It helped me so much. I'm off insulin now and GLP-1 is keeping my A1C below 7. Wow, what an amazing chemical.

[@BlueSky-gu2bx]

I'm on Lantus at night and Januvia at breakfast. My morning glucose reading is fine, it is 2 hours after I eat I'm anywhere from 200 to 300 no matter how small the meal is. My sugar does go down but it takes 4 or 5 hours to get it to say 120. This is virtually with every meal unless all I ate was a sugar free jello. So as far as I'm concerned my meds are not working,as far as meal time control goes. I have asked to see an Endo and it falls on deaf ears. I have been a Diabetic for almost 40 years, so I'm pretty knowledgeable on taking care of myself. I don't know if its an insurance issue or a doctor issue, but the doctor seems out of it as far as treating me. I'm rushed through appts and I can tell the doctor is doing nothing by playing with her computer. . My A1c usually was around 6.8 now its 7.8, and that doctor is fine with it. I'm not fine with it. It is very difficult to change doctors as it means a waiting list for another one. What to do I don't know.

[@akankshagupta8831]

You can take online consultation.

[@maxa3552]

My mom is on lantus. Ill have to show her this. I think she needs the newer insulin.

[@thevoiceofdiabetes]

It's always good to know all the options and decide collaboratively with your own doctor which option is best. Best of luck :)

[@RhapsodyOfJoy]

Thank you, Diana, so so so much for your wonderful content. I learnt a lot of from you! A question, if I may: my mom injects her 9 units of Tresiba at 12 am every day, and 10 units of Novorapid for breakfast at 10 am, has a low-carb snack around 2pm (no Novorapid there), 5 units for lunch at 5pm, and 5 units for dinner at 10 pm. I have observed that her glucose levels get dangerously low around 12pm or 1pm, and again at about 7pm or 8pm, especially if she's been particularly active that day, or didn't feel like eating her typical meal portions. Any thoughts what might be happening and how to fix that? Thank you so much for your help 🙏

[@thevoiceofdiabetes]

Hello, so sorry to hear that. Her insulin has to be adjusted unfortunately. She needs to discuss that with her doctor.

[@TheCharltonite]

Due to my new diet I am no longer having any spikes and now use < 5 units of Novalog to cover a meal (sometimes). Should I stop Triseba? I don’t see the need for it anymore.

[@scrunklykittyart]

hello do you know what’s the chemical difference between long and fast acting insulin? like why exactly does long acting last for like 24 hours? does it have membranes on the insulin or something?

[@stephensurratt2909]

I know this video is a bit old but its like no matter how much humalog i take lets say for instance 1 unit every 8 carbohydrates or 1 unit every 10 carbohydrates its still running in the high 300s with 1 unit every 10 carbohydrates with 63 carbohydrates when i eat .But with 1 unit every 10 carbohydrates its running in the high 400s and im taking 20 units of Lantus everyday 24 hours recommend. This just totally happened to me recent in the last week like my body changed or something i have no idea .So that would mean they need to increase my Lantus ?And i started taking 1 unit every 40 past 140 lastnight and it still running 316 and i took humalog and ate at 1245 this morning like 5 hours ago now its 602 am just wondering if my Lantus needs increased i beleive it does decrease of lantus means to help my sugar stay up but increase will help it stay down right ?

[@abrahambaker5085]

My insurance gets to decide what I need

[@thevoiceofdiabetes]

Ugh, don't even get me started with insurance companies--- We are not friends to say the least.

[@ndidinwosu1148]

Any thoughts on semglee

[@thevoiceofdiabetes]

Yes, generic and much cheaper. I do prefer Tresiba and Toujeo however, we have to be realistic and what will be the most cost effective for the patient.

[@AshishAshish-ep7lz]

Hello mam I was talking tresiba 12 unit 10 am everyday Novo rapid 3 Times bf bfast bf lunch bf dinner I took kenakat steroid recently for shoulder pain How should i adjust dose

[@ralphmarlow6627]

I couldn't understand if it is longer lasting why still need to take every 24 hours

[@harrycraft3687]

I am suspecting that tresiba is making me very tired,hav ben unusually tired since I started takin it,ne thoughts on ths.thanx

[@thevoiceofdiabetes]

It can be that the blood sugar levels are lower than before-- your body is adjusting. How are you feeling now?

[@xxxits_zexxxreynolds2796]

Should Basacuglar? insulin (40units) and Metformin be taken togather ?? Is it safe or harmful to type2 diabetic ? Thx , great video.

[@thevoiceofdiabetes]

They can be taken together. Hope you are doing well :)

[@jeralynbutler9488]

Insulin makes fat period, all insulins raise my sugar, doctors dont know whether Im type 1 0r 2. One swears Im 1 another tested me said no Im not. All I know is I feel like crap the more I take isulin. The liver is the problem in all diebetics, insulin makes fat, not good!😮

[@thevoiceofdiabetes]

hmm, how is that possible? Its very easy to test. Are you seeing an endo? If not, that would be my suggestion.

[@sylviasolder7389]

I used to be on ABASAGLAR( start with 10 units) and it's never worked on me so I ended up going really high dose and inthe end I was put on OZEMPIC. I got fed up with the weight gain and hyperglycemia all the time so I tried to go on KETO for 3mnth and I completely off all my Diabetics medications. However, my Dr. thinks that I should go on metformin just for preventative since Diabets are in the Genes. What do yiu think of their descission Dr. Diana?

[@thevoiceofdiabetes]

Hi Sylvia! So impressive. Keep up the great work. although I cannot give advice, metformin is a great medication that we use for prediabtes and diabetes. If your blood sugar levels are borderline, normally we can consider metformin to help keep sugar levels in the more normal range. Diet and exercise are always first-line... metformin can be used if needed if those are not enough to maintain good sugar levels. Hope this helps. Best of luck :)

[@edwhite7457]

Dang, I take 50 units of Levemir in the morning and 70 units at night and my fasting BS are still 180

[@thevoiceofdiabetes]

I am sorry to hear that-- Have you tried the newer ones?

[@hajileserpud9539]

Dude 50 units is a lot... Damn !!!

[@tonebrennan8475]

Can Tresiba sub for Basalgar in a pinch?

[@thevoiceofdiabetes]

Tresiba can replace Basaglar. Usually patient's take one or the other. Not both.

[@anitaboddington4837]

I take two shots of Lantis per day I take 13 units in the morning and I take 10 to 12 units before bedtime

[@thevoiceofdiabetes]

Thanks for sharing. i hope it's working well for you

[@michag990]

I took 15 Tresiba units and now I got Toujeo or should I also take 15 units what is the difference

[@thevoiceofdiabetes]

Hi Michel, sorry for the delay. They are usually 1 to 1-- so if you take 15 units of Tresiba-- you would take 15 of Toujeo-- they are essentially the same medication. Both very great.

[@maxmathvink7841]

So if tresiba stays in your system for more then 24 hours and you take it everyday how does that not cause you to have low blood sugars?

[@estar1277]

Same

[@thevoiceofdiabetes]

If can be-- therefore people can be flexible, especially those who may not wake up at the same time every day.... Its a must longer duration than your older ones. I hope this helps and that you are doing well :)

[@lovelybones6891]

Mines is 468 right now I just feel like giving up

[@RhapsodyOfJoy]

Please, whatever you do, don't give up! There are so many different treatment options out there. Talk to your health care provider about experimenting with newer medications and different diets. If they don't cooperate, seek another medical opinion, and another, and another! It's your right to receive proper medical advice! We've come so far in the field of medicine and especially diabetes! Never, ever give up 🙏

[@lovelybones6891]

Aww thank u

[@thevoiceofdiabetes]

Never give up!! One day at a time and please work with your provider closely. Keep me posted. I hope you are doing much better now.

[@thevoiceofdiabetes]

Best feeling to see people help each other and lift one another up. Thank you :)

[@Duckofstalker]

Not so fun time but Nice to svallow as usal xD

[@thevoiceofdiabetes]

Thanks for watching :)

[@michaelfarley2223]

All I have to say is the medical people that make all this stuff is making millions of dollars of insulin and diabetics what and where did it come Simpson everybody’s a diabetic now I’m 66 years old. I am now the stage two diabetic crazy I’m not overweight nothing but here we are.

[@thevoiceofdiabetes]

Thanks for sharing and best of luck! Hope this channel will help through this journey as we will "beat diabetes together"

[@miloslekic4766]

Toujeo is the worst cure for diabetis ever made. Ttesiba too.

[@neethadesilva5747]

Influence?what on earth is she saying?lady how did you earn a degree?

[@markburnett7451]

Useless. Nothing of interest here, just basic info that everyone should know if they are taking long acting insulin. I love the uniform she's wearing, like a Doctor about to do surgery....... Presumably to tell us she really really really is a doctor (is she?).

[@grumpyinbrooklyn6347]

Trolls gotta troll!😅

[@thevoiceofdiabetes]

Thanks for watching and your feedback. I am sorry the content was not helpful. If there is something specific you have questions on, i would love to try and help, if I am able to.

[@thevoiceofdiabetes]

possible when you are in the public eye :). Overall, positive :)

[@Duckofstalker]

Could you plezz do an type to symtoms if you allready did plezz link it best regards ❤️‍🩹🕊️

[@Duckofstalker]

What are you thaghts on loss stoles and gluten/ibs.. and diabetes?! 🫡🙏👌