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  1. trib· ade ˈtrib-əd tri-ˈbäd. : a woman who practices tribadism. tribadic. tri-ˈbad-ik. adjective.

    • What is Tresiba?
    • What are Tresiba’s side effects?
    • How is Tresiba taken?
    • What are some frequently asked questions about Tresiba?
    • What does Tresiba cost?
    • Is Tresiba used for diabetes?
    • What should be considered before taking Tresiba?
    • What should be done in case of overdose?
    • What to ask your doctor
    • Ask a pharmacist

    If you have diabetes, your doctor may prescribe Tresiba. Tresiba is a prescription drug that’s used to manage blood sugar levels. Tresiba is used in adults and some children to treat type 1 or type 2 diabetes.

    If you’d like to learn more about diabetes and how Tresiba is used to treat it, see the “Is Tresiba used for diabetes?” section below.

    Like most drugs, Tresiba may cause mild or serious side effects. The lists below describe some of the more commonly reported side effects that Tresiba may cause. These lists don’t include all possible side effects.

    Also, remember side effects of a drug can depend on:

    •your age

    •your insulin dosage

    •other health conditions you may have

    •other medications you may be taking

    Taking Tresiba

    Tresiba comes in injectable FlexTouch pens and as a multi-dose vial. You’ll inject Tresiba under the skin in your arm, thigh, or belly once daily. Be sure to rotate your injection sites. Using the same location could cause injection site problems, such as fat accumulation under your skin.

    Dosage

    The dosage of Tresiba your doctor prescribes will depend on: •whether you’ve been on insulin before or are switching from another type of insulin to Tresiba •the type of diabetes you have •your weight •other medications you’re taking •your overall health Tresiba comes in prefilled injection pens in two different strengths. It also comes in multiple-dose insulin vials used with separate insulin syringes. Check that the dose of Tresiba is correct each time you use it. Depending on whether you’ve used insulin before, your doctor may start you on a low dose. They’ll adjust your dose slowly until you reach your blood sugar goals. There is no maximum dose of insulin per day. You can find more details about Tresiba’s dosage in this article.

    Taking Tresiba with other drugs

    You may need to use Tresiba with other medications to control your blood sugar levels. If you have type 1 diabetes, your doctor may prescribe Tresiba with another type of insulin that is short-acting. This type of insulin starts to work faster than long-acting insulin. Short-acting insulin is generally taken about 30 minutes before meals to better manage increases in your blood sugar after meals. If you have type 2 diabetes, your doctor may prescribe other oral medications. You’ll take these with Tresiba to manage your blood sugar levels. If you have questions about taking other drugs with Tresiba, talk with your doctor.

    Is Tresiba similar to Lantus or Toujeo?

    Tresiba, Lantus, and Toujeo are all long-acting insulins you inject under your skin once per day, but they have different active ingredients. The active drug in Tresiba is insulin degludec, while Lantus and Toujeo each contain insulin glargine. All three of these types of insulin are used to manage both type 1 and type 2 diabetes. They have some similar side effects, but they also have some differences. Studies were done to compare insulin degludec (Tresiba) and insulin glargine (Lantus and Toujeo). All three drugs were found effective in managing type 1 or type 2 diabetes with once-a-day use. All three medications come in multi-dose vials and prefilled pens. But the age ranges of people they’re prescribed for vary: •Tresiba is used for both type 1 and type 2 diabetes in children ages 1 year and older and in adults. •Toujeo is used for both type 1 and type 2 diabetes in children ages 6 years and older and in adults. •Lantus is used for type 1 diabetes in children ages 6 years and older and in adults. •Lantus is used for type 2 diabetes in adults only. All three medications are brand-name biologic drugs. They do not come in a biosimilar form. Similar side effects have been reported with all three drugs. Common side effects include diarrhea and headache, as well as swelling in the feet, legs, and ankles. Some serious side effects include hypoglycemia, hypokalemia, and severe allergic reaction. For more information about the different forms of insulin, talk with your doctor. You can also see this detailed article that compares Tresiba and Lantus.

    Is Tresiba a long-acting insulin?

    Yes, Tresiba is a long-acting type of insulin. You’ll need to take only one dose per day to manage your blood sugar levels. This is unlike short-acting insulin, which needs to be taken several times per day.

    Does Tresiba cause any eye-related side effects?

    There are no reported eye-related side effects with Tresiba use. But people with diabetes can have problems with their eyes. This damage can cause problems such as blurry vision. It can also lead to conditions including glaucoma (pressure in the eye) and diabetic retinopathy (damage to the retina). If you have diabetes, be sure to get regular eye exams to make sure it isn’t affecting your eye health.

    Costs of prescription drugs can vary depending on many factors. These factors include what your insurance plan covers and which pharmacy you use.

    If you have questions about how to pay for your prescription, talk with your doctor or pharmacist. You can also visit the Tresiba manufacturer’s website to see if it offers any support options.

    Tresiba is used to manage blood sugar levels in people with type 1 or type 2 diabetes. It’s prescribed for use in children ages 1 year and older and in adults. With type 1 diabetes, your body doesn’t make insulin. With type 2 diabetes, your body doesn’t make enough insulin to control your blood sugar levels. Tresiba treats type 1 and type 2 diabetes by working like natural insulin. Once you inject Tresiba, the insulin is absorbed into your blood and works to control your sugar levels.

    Tresiba may be used with other diabetes medications. It may be combined with short-acting insulin for type 1 diabetes and with oral medication for type 2. If you have questions about your treatment plan for managing diabetes, talk with your doctor.

    Before taking Tresiba, be sure to talk with your doctor about any medical conditions you may have. Ask your doctor to explain the benefits and risks of Tresiba treatment. If you have kidney or liver problems, or are pregnant or breastfeeding, ask if it’s safe for you to take Tresiba.

    Do not use Tresiba if you’re allergic to any of the ingredients in Tresiba.

    Symptoms of overdose

    Symptoms of an overdose with Tresiba can include low blood sugar levels (hypoglycemia) and low potassium levels (hypokalemia).

    What to do in case you take too much Tresiba

    Call your doctor if you think you’ve taken too much Tresiba. You can also call 800-222-1222 to reach the American Association of Poison Control Centers, or use its online resource. But if you have severe symptoms, immediately call 911 (or your local emergency number) or go to the nearest emergency room.

    There are several medication options available for managing type 1 and type 2 diabetes, including Tresiba. Before taking Tresiba, talk with your doctor about what you can expect with treatment.

    Here are some suggested questions to start your conversation:

    •Which form of Tresiba would be best for me, the prefilled injection pen or the vial?

    •How will I be able to tell if Tresiba is working for me?

    •Will I lose weight with Tresiba?

    •How can I manage sudden changes in my blood sugar levels while taking Tresiba?

    Q:

    How long is Tresiba useable once it’s been opened? Anonymous

    A:

    You should not use vials of Tresiba 8 weeks (56 days) from the date you first opened them. In fact, both Tresiba FlexTouch pens and vials should be discarded 8 weeks after opening. At that time, a new pen or vial should be used. Tresiba is considered expired once it’s been opened for 8 weeks. This includes Tresiba vials and pens that have: •been kept at room temperature or refrigerated, or •not yet reached the expiration date on the drug’s package Expired Tresiba may not properly treat your diabetes. And using expired Tresiba also increases your risk for side effects from the drug. To keep track of the expiration date once you’ve opened Tresiba, you can add a reminder to your calendar or use an app on your phone to help you remember. The Healthline Pharmacist TeamAnswers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice. Was this helpful? Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. But this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.

  2. Tresiba® is a long-acting basal insulin indicated to improve glycemic control in patients 1 year of age and older with diabetes.1. Medicare Part D patients with Tresiba ® formulary coverage pay no more than $35 per 30-day supply. See out-of-pocket costs for patients in your area ›.

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