I spoke to my endocrinologist on the phone and decrease or increase my amount of Tresiba every 5 days instead of each day. I originally took 120 Tresiba and have now cut it down to 80 Tresiba per day. I am getting glucose lows at night and being woken up by my Dexcom receiver.

It appears the Ozempic has allowed my body to use the insulin properly.

I am barely taking any fast response insulin Fiasp and still getting lows at night. Yesterday I didn’t take any Fiasp during the day as my glucose levels was acceptable, and my glucose levels became low during the night with 80 Tresiba.

I have lost 100 # since over 1.8 years using Ozempic.

I may eventually barely take any Fiasp or Tresiba!
I hope I will be able to continue taking Ozempic as it is on back order at my Pharmacy!

Thank you for your response GrahamLamb.

Yes, all insulins can be dynamically dosed - it's insulin

If our (system) worked properly "it" would (sliding scale) in response to different hormones that tell the pancreas when to produce more, for how long, when to dial back, when to shut off etc

The most advanced insulin pumps on the market now change the insulin dosage they dispense every few minutes in response to readings from their accompanying sensor - so while nobody can "slide" that much if they are calculating or estimating a dose, there is no danger unless you go overboard and overdose

I have been getting really good blood glucose readings. I use fast acting Fiasp insulin with every meal, and I often don’t take insulin as I use a sliding scale.. I use fast acting Fiasp insulin with every meal, and I often don’t take insulin as I use a sliding scale. I may do a complete day without taking Fiasp. My last HBA1C was 6.2. I am also losing weight at approximately 5 # per 2 weeks. I also take Tresiba and I am doing a sliding scale with Tresiba long acting insulin. I tried to obtain an appointment with my Endocrinologist but the receptionist wasn’t allowing me to connect with him. Is sliding scale for Tresiba acceptable?