Tresiba FlexTouch 100 Insulin Pens

 100u/mL – 5 pens

Tresiba FlexTouch 200 Units / mL – 3x3ml

 200 Units / mL – 3 pens

Buy Tresiba Insulin Online from Canada

Insulin is a hormone produced in our body that lowers blood sugar levels in the blood.

Patients with type 1 or type 2 diabetes either do not produce enough insulin or their bodies do not use it efficiently.

Insulin degludec is an ultra long acting basal insulin analogue that was developed by Novo Nordisk under the brand name Tresiba. This modified insulin is different than human insulin by one amino acid.

What is Tresiba?

Tresiba (insulin degludec) is a long-acting insulin that lowers blood glucose levels for adults with either type 1 or type 2 diabetes mellitus. It begins to start working several hours after injection and continues to working evenly up to 24 hours.

Tresiba is available in two forms: single multi-dose vial or single-patient-use FlexTouch pen.

The two pens come in two different strengths:


How is Tresiba used?

Follow instructions as directed by your doctor or pharmacist. Read labels, medication guides and information sheets to familiarize yourself with this medication. Any your doctor any questions or if you do not understand instructions.

A medical professional will instruct you on how to administer your insulin.

Tresiba is injected under the skin (subcutaneously) once a day.

The injection pen has a dose counter which decrements after every application.

When using insulin you should be aware of symptoms of low blood sugar (hypoglycemia). Symptoms include: irritability, hunger, confusion, dizziness, anxiety or shakiness. Treat hypoglycemia by eating a sugary snack or beverage such as jelly beans, hard candies, raisins, crackers, juice or non-diet soda.

In severe cases, diabetics can lose consciousness from hypoglycemia. Your doctor may prescribe a glucagon kit if this happens. Familiarize yourself with it and instruct friends and family on how to administer the glucagon injection if you pass out. It is hazardous to consume anything orally if this happens as it could lead to choking.

Also pay attention for signs of high blood sugar (hyperglycemia). Symptoms may include increased urination and thirst.

Factors such as stress, illness, alcohol, exercise, skipping means or surgery can impact blood sugar levels. Consult your doctor before modifying your insulin dosage and schedule.

Tresiba should be used as part of your insulin treatment program. Patients should also make dietary changes, weight management and exercise according to their doctors instructions.

Dosing Information

Tresiba for Patients with Type 1 Diabetes

  • Dose should be individualized based on a patients needs. Tresiba should be used in combination with a rapid or short-acting insulin.

Tresiba for Patients with Type 2 Diabetes

  • Initial dose: 10 units injected once per day.
  • dosage should be adjusted based on patients metabolic needs, blood glucose results and glycemic goals. Dose increments should not be made sooner than 3-4 days.
  • when adjusting your Tresiba insulin regimen, you should also adjust the dosage for anti-diabetic medications and short-acting insulin.
  • closely monitor blood glucose levels in order to minimize hypoglycemia, especially when adjusting your insulin regimen

Insulin-native patients

  • Initial dose: 1/3 to 1/2 the total daily dose injected
  • Usually the total daily dose is 0.2-0.4 units of insulin per kg of body weight

Current insulin users

  • Initiate at the same scheduled injection of long-acting or intermediate-acting insulin
  • Monitor blood glucose levels to minimize the effects of hypoglycemia
  • Your dosage may need to be adjusted based on your blood glucose levels, metabolic needs and glycemic goals
  • Dose increases should happen no sooner than 3-4 days
  • When changing insulin regimen, you may need to adjust your short-acting insulin as well

How to store Tresiba?

Do not store insulin near a cooling element or freeze. Insulin that has been previously frozen should be discarded.

Keep insulin away from direct light or heat.

Storing unused/unopened Tresiba:

-Keep refrigerated until expiration date on label
-Store at room temperature and use within 56 days (8 weeks)

Storing in use/opened Tresiba:

  • Keep refrigerated until expiration date or store at room temperature for up to 56 days (8 weeks)
  • Do not store injection pen with needle attached
  • Do not use insulin if it has changed colors or appears cloudy. Contact your doctor if you believe your medication is compromised.

Keep medication away from children or pets.

Discarding medication

  • Place used needles and syringes in a puncture-proof “sharps” container
  • Do not throw medication into household trash or down waste water (i.e. sink, toilet)


As with any insulin, side effects may occur. Tresiba may cause mild or severe side effects. The lists do not provide all of them.

For more information on possible side effects, speak to your doctor or pharmacist who can also provide information on how to deal with side effects.

Most side effects are temporary and go away within a few days or weeks. If they symptoms are severe consult your doctor immediately.

Mild Side Effects

Tresiba may cause mild side effects which may include:

  • headache
  • low blood sugar (hypoglycemia)
  • diarrhea
  • weight gain
  • flu-like symptoms (abdominal cramps, fever, chills, vomiting)
  • upper respiratory infections (i.e. common cold)

Less mild side effects include:

-injection site reactions such as swelling, itchiness, redness or pain
-lipodystrophy (pitting or thickening of skin at injection site)
-swelling in legs, feet or ankles

These side effects have occurred in less than 5% of participants in clinical studies

Serious Side Effects

Serious side effects may occur when taking Tresiba. Contact your doctor immediately if you experience serious side effects or 911 if you feel the symptoms are life-threatening and believe it’s a medical emergency.

Serious side effects include:

  • severe allergic reaction
  • severe hypoglycemia (extremely low blood glucose levels)
  • hypokalemia (low level of potassium in blood)

Side Effects in Children

Side effects are similar between children and adults. Children may have more complications dealing with hypoglycemia or low blood sugar levels.

Clinical studies have shown that children with type 1 diabetes had shown hypoglycemia to be experienced more in children than adults. During a 1 year trial, 17.8% of children reported hypoglycemia while taking Tresiba, in contrast to adults with 12.3%.

Tresiba Side Effects in Detail

Allergic Reaction

As with taking any medication, patients should be aware of their drug allergies and if they are allergic to any ingredients.

Mild allergic reactions include:

  • itchiness
  • skin rash
  • flushing (redness and warmth of skin)

Severe allergic reactions may include:

  • swelling of tongue, mouth or throat
  • difficulty speaking
  • swelling under the skin (eyelids, lips, feet or hands)
  • difficulty breathing/wheezing

Seek medical attention immediately if you feel you are experiencing a severe allergic reaction. Call 911 if you fee