over the years Tresiba Dosage Generic name: INSULIN DEGLUDEC 100U in 1mL Dosage form: injection, solution Overview Side Effects Dosage Professional Interactions More Pregnancy Warnings User Reviews Support Group Q & A Pricing & Coupons The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist. Important Administration Instructions Always check insulin labels before administration [see Warnings and Precautions ( 5.4 ) ] . Inspect visually for particulate matter and discoloration. Only use TRESIBA if the solution appears clear and colorless. Train patients on proper use and injection technique before initiating TRESIBA. Training reduces the risk of administration errors such as needle sticks and incomplete dosing. Inject TRESIBA subcutaneously into the thigh, upper arm, or abdomen. Rotate injection sites within the same region from one injection to the next to reduce the risk of lipodystrophy [see Adverse Reactions ( 6.1 )]. DO NOT administer TRESIBA intravenously, intramuscularly or in an insulin infusion pump. DO NOT dilute or mix TRESIBA with any other insulin products or solutions. DO NOT transfer TRESIBA from the TRESIBA pen into a syringe for administration [see Warnings and Precautions ( 5.4 )] . General Dosing Instructions In adults, inject TRESIBA subcutaneously once-daily at any time of day. In pediatric patients inject TRESIBA subcutaneously once-daily at the same time every day. Individualize and titrate the dose of TRESIBA based on the patient s metabolic needs, blood glucose monitoring results, and glycemic control goal. The recommended days between dose increases is 3 to 4 days. Dose adjustments may be needed with changes in physical activity, changes in meal patterns (i.e., macronutrient content or timing of food intake), changes in renal or hepatic function or during acute illness to minimize the risk of hypoglycemia or hyperglycemia [see Warnings and Precautions ( 5.3 )] . For adult patients, instruct patients who miss a dose of TRESIBA to inject their daily dose during waking hours upon discovering the missed dose. Instruct patients to ensure that at least 8 hours have elapsed between consecutive TRESIBA injections. For pediatric patients, instruct patients who miss a dose of TRESIBA to contact their healthcare provider for guidance and to monitor blood glucose levels more frequently until the next scheduled TRESIBA dose. DO NOT perform dose conversion when using the TRESIBA U-100 or U-200 FlexTouch pens. The dose window for both the TRESIBA U-100 and U-200 FlexTouch pens shows the number of insulin units to be delivered and NO conversion is needed. Starting Dose in Insulin Naïve Patients Type 1 Diabetes Mellitus: The recommended starting dose of TRESIBA in insulin naïve patients with type 1 diabetes is approximately one-third to one-half of the total daily insulin dose. The remainder of the total daily insulin dose should be administered as a short-acting insulin and divided between each daily meal. As a general rule, 0.2 to 0.4 units of insulin per kilogram of body weight can be used to calculate the initial total daily insulin dose in insulin naïve patients with type 1 diabetes. Type 2 Diabetes Mellitus: The recommended starting dose of TRESIBA in insulin naïve patients with type 2 diabetes mellitus is 10 units once daily. Starting Dose in Patients Already on Insulin Therapy Adults with Type 1 or Type 2 Diabetes Mellitus: Start TRESIBA at the same unit dose as the total daily long or intermediate-acting insulin unit dose. Pediatric Patients 1 Year of Age and Older with Type 1 or Type 2 Diabetes Mellitus: Start TRESIBA at 80% of the total daily long or intermediate-acting insulin unit dose to minimize the risk of hypoglycemia [see Warnings and Precautions ( 5.2 )]. Next Professional Print this page Add to My Med List More about Tresiba (insulin degludec) Side Effects During Pregnancy Dosage Information Drug Interactions Support Group Pricing & Coupons En Español 45 Reviews Add your own review/rating Drug class: insulin Consumer resources Tresiba Tresiba FlexTouch Tresiba (Advanced Reading) Professional resources Tresiba (AHFS Monograph) Tresiba (FDA) Related treatment guides Diabetes, Type 2 Diabetes, Type 1 Diabetes Mellitus Drug Status Rx Availability Prescription only C Pregnancy Category Risk cannot be ruled out N/A CSA Schedule Not a controlled drug Approval History Drug history at FDA Manufacturer Novo Nordisk Drug Class Insulin Related Drugs Diabetes, Type 2 metformin , insulin aspart , glipizide , glimepiride , Januvia , pioglitazone , Victoza , Actos , More... Diabetes, Type 1 insulin aspart , Lantus , Levemir , Humalog , Novolog , Toujeo , Apidra , More... Diabetes Mellitus insulin degludec , More... Tresiba Rating 45 User Reviews 5.6 /10 45 User Reviews 5.6 Rate it! end result
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