Insulin binds to the insulin receptors on muscle, liver, and fat cells and lowers blood glucose by facilitating the cellular uptake of glucose and simultaneously inhibiting the output of glucose from the liver.
Tresiba is considered long-acting insulin.

Reduce blood glucose levels, especially in type 1 diabetes or severe insulin deficiency. It also may be prescribed for patients with type 2 diabetes
Treatment with Insulin helps to prevent complications from your diabetes.

Check the label to make sure it is the right type of insulin.
Always use a new needle for each injection to prevent contamination.
Needles and Insulin must not be shared.
Most insulin types are only suitable for injecting under the skin. Speak to your doctor if you need to inject your insulin by another method.
Always use your insulin and adjust your dose exactly as your doctor has told you.
With each injection, change the injection site within the particular area of skin that you use. This may reduce the risk of developing lumps or skin pitting.
The best places to give yourself an injection are the front of your waist (abdomen), the upper arm, or the front of your thighs.
You should always measure your blood sugar regularly
Doses may be changed in special conditions so always follow your doctor's or pharmacist's instructions.
If you take more than you should, talk to a doctor or go to the hospital straight away.
If you forget to take a dose, take it as soon as you remember it unless it is nearly time for your next dose.
Do not take a double dose (two doses at the same time) to make up for the forgotten dose.

Although the following side effects are not common in everyone, some patients may complain from:

Hypoglycemia with the following signs: cold sweat, cool pale skin, headache, rapid heartbeat, feeling sick, feeling very hungry, temporary changes in vision, drowsiness, unusual tiredness and weakness, nervousness or tremor, feeling anxious, feeling confused, difficulty in concentrating. Severe low blood sugar can lead to unconsciousness.
Skin changes at the injection site
Signs of allergic reactions
Vision problems
Swollen joints

If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Your doctor will discuss the possible risks and benefits of using this medicine during pregnancy and breast-feeding

All carbohydrates affect blood glucose levels so it’s important to know which foods contain carbohydrates. Choose the healthier foods that contain carbs and be aware of your portion sizes.
Eat less salt. Eating lots of salt can increase your risk of high blood pressure, which in turn increases the risk of heart diseases and stroke. And when you have diabetes, you’re already more at risk of all of these conditions.
Eat more fruit and vegetables. This can help you get the vitamins, minerals, and fiber your body needs every day to help keep you healthy.
You can always try low or zero-calorie sweeteners (also known as artificial sweeteners) to help you cut down sugar for example Steviana Sweetener or Tropicana Slim Sweetener
Don’t forget to keep moving. Being more physically active goes hand in hand with eating healthier.
Remember to measure your blood glucose level continuously by using home monitor like Accu-Check, Instant, Blood Glucose Monitor
Thiozac Capsules & Neurobion Tablets will help you to reduce neuropathy induced by diabetes
If you experience symptoms of hypoglycemia such as weakness, dizziness, increased sweating, fast heart beating, vision disorders, or difficulty in concentration, it usually helps to eat or drink something containing sugar.

you have trouble with your kidneys or liver or with your adrenal, pituitary, or thyroid glands.
you exercise more than usual or if you want to change your usual diet, as this may affect your blood sugar level.
you are going abroad, traveling over time zones may affect your insulin needs and the timing of your injections.
you notice any skin changes at the injection site

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medications including over-the-counter non-prescription medicines, prescription medicines, herbal supplements, vitamins, and supplements.

Before opening: Insulin that is not being used is to be stored in the refrigerator at 2°C to 8°C, away from the cooling element. Do not freeze.
During use or when carried as a spare: You can carry your Insulin with you and keep it at a temperature below 25°C or in a refrigerator (2˚C to 8˚C) for up to 4 weeks. If refrigerated, keep away from the cooling element. Do not freeze.
Keep this medicine out of the sight and reach of children.
Store in the original package to protect from moisture.
Do not use this medicine after the expiry date which is stated on the box/blisters/label. The expiry date refers to the last day of the month.

Random blood sugar test: A blood sample will be taken at a random time. Regardless of when you last ate, a blood sugar level of 200 milligrams per deciliter (mg/dL) or higher suggests diabetes. A blood sugar level of less than 140 mg/dL is normal. A reading between 140 and 199 mg/dL indicates prediabetes
Fasting blood sugar test. A blood sample will be taken after an overnight fast. A fasting blood sugar level of less than 100 mg/dl is normal. A fasting blood sugar level from 100 to 125 mg/dL is considered prediabetes. If it's 126 mg/dL or higher on two separate tests, you may have diabetes.
Oral glucose tolerance test: For this test, you fast overnight, and the fasting blood sugar level is measured. Then you drink a sugary liquid, and blood sugar levels are tested periodically for the next two hours.

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