Everyone - since I started this thread, I thought I might close it out So it has now been 5 weeks, and things are really becoming more steady, I have increased my basal by 5 units from where I started. To provide some insight that is 7 units less basal per day than I was using on the pump. I have been using my current dosage for 9 days at this point, which is plenty of time for the Tresiba to become "steady". Bottom line I had to push through it, continue to increase my dosage to where it stands today. So to recap the transition from pump to MDI (Tesiba):
1. Start with a low dose, then work your way up, being high until I found my dose was hard, but as you work through it/transition I find that it was worth it. Ensure you do not modify that dose for at least 3 days per change!!
2. Food now has a tremendous impact on my blood sugars, if I do not cover with a bolus then I can skyrocket, I know that sounds like a no brainer, but a carb hits me differently now, not a big deal, but something to keep in mind.
3. Taking a pre-meal bolus at least 15-20 minutes ahead of eating really comes into play now as well. I see a huge difference when I do, very positive.
4. Make sure you go through multiple fasting periods during the day e.g. 6AM-12PM, 12PM-6PM, 6PM-12AM etc. This will really help you to dial into the correct basal dose.
5. I mentioned I am using PredictBGL, for me this app has been a great addition to my management, I realize there are many to choose from, bottom line it takes the place of my pump indicating insulin on board. I highly recommend using this or something similar.
Appreciate everyone's support with this, MDI is looking like a very positive approach moving forward!!