Cold-Chain Shipping Notice
This medication requires specialized cold-chain packaging to help maintain its quality and integrity during transit. Each shipment includes a temperature indicator to monitor storage conditions throughout the shipping process.
Do NOT use this medication if the attached temperature indicator shows that it was exposed to temperatures below 2°C (36°F) or above 8°C (46°F). If the temperature indicator shows that the acceptable temperature range has been exceeded, or if you have any concerns about the condition of your shipment upon arrival, do not use the medication and contact our pharmacy immediately for further instructions and assistance.
Please inspect your shipment and the temperature indicator as soon as it is delivered.
What is the Tresiba FlexTouch 100?
Tresiba Flextouch is a prefilled injection pen that contains insulin degludec, a long-acting type of insulin designed to help control blood sugar in adults and children aged one year and older with type 1 or type 2 diabetes.
Insulin degludec works by helping glucose, or sugar, move from the blood into the body’s cells, where it is used for energy, keeping blood sugar steady for up to 42 hours.
Tresiba Flextouch 100 unit pens are available for daily use and allow flexible dosing based on each person’s needs as directed by your doctor. Tresiba Flextouch 100 should never be shared between people due to the risk of infection.
This pen is not recommended for people with diabetic ketoacidosis, a condition where ketones build up in the blood or urine, or for anyone who has low blood sugar episodes at the time of use.
How It Works
Tresiba Flextouch 100 contains insulin degludec, a long-acting insulin that works like the natural insulin produced in the body.
After injection under the skin, it slowly enters the bloodstream and helps move sugar from the blood into the muscles and fat cells, where it is used for energy. It also lowers the amount of sugar released by the liver, which helps keep blood sugar steady.
Tresiba Flextouch 100 maintains stable insulin levels for up to 42 hours, giving long-lasting support for people with type 1 and type 2 diabetes.
Dosage
Tresiba Flextouch 100 is for once-daily use and can be taken at any time of the day, preferably at the same time each day.
The dose is always individualized, which means it depends on your age, weight, blood sugar levels, and overall treatment goals as guided by your medical provider.
Never share your Tresiba Flextouch pen with others to avoid the risk of infection.
What Dosage Strengths Does Tresiba Flextouch 100 Come In?
- Tresiba Flextouch 100 units per mL in a 3 mL prefilled pen
- Tresiba Flextouch 100 units per mL in a 10 mL vial used with a U-100 insulin syringe
Dosage Chart
| Patient Group | Starting Dose | Administration Frequency | Special Notes |
| Adults with type 1 diabetes | 0.2 to 0.4 units per kg body weight per day (1/3 to 1/2 as Tresiba, remainder as short-acting insulin) | Once daily | Always combined with short-acting insulin at meals |
| Adults with type 2 diabetes | 10 units once daily if insulin naïve | Once daily | Dose adjusted based on blood sugar response |
| Children 1 year and older with type 1 or type 2 diabetes | 80% of the total daily long or intermediate-acting insulin dose when switching | Once daily, same time each day | Requires close monitoring to lower hypoglycemia risk |
| Patients switching from other long or intermediate-acting insulins (adults) | Same total daily unit dose | Once daily | Monitor blood sugar closely during the switch |
| Missed dose (adults) | Inject during waking hours once remembered | Maintain at least 8 hours between doses | Resume regular schedule the next day |
| Missed dose (children) | Contact healthcare provider for instructions | Monitor blood sugar more frequently | Resume normal dosing after guidance |
Missed Dose
Taking Tresiba at the same time every day is important for stable blood sugar control. If you miss a dose of Tresiba, take it as soon as you remember during your waking hours.
Always make sure there is at least 8 hours between doses.
Do not take two doses together to make up for the missed one. If it is almost time for your next scheduled dose, skip the missed dose and continue as normal. For children who miss a dose, contact a healthcare provider for guidance.
Overdose
An overdose of Tresiba insulin can be dangerous and requires urgent medical help. Too much insulin can cause very low blood sugar, which may lead to dizziness, shakiness, rapid heartbeat, heavy sweating, confusion, or even loss of consciousness.
If you or someone you know has taken too much Tresiba and is having trouble breathing or has fainted, call 911 right away or go to the nearest emergency room.
Usage Guide
Using this pen correctly is important to keep blood sugar stable and lower the risk of complications. Your doctor will show you the proper technique the first time, but with practice, using Tresiba Flextouch 100 can become a simple part of your daily routine.
Follow the instructions given in the patient guide and never change your dose without medical advice.
How do you use Tresiba Flextouch 100?
- Check the insulin label to make sure you have Tresiba Flextouch 100 before injecting.
- Wash your hands before handling the pen and check that the solution is clear and colorless.
- Use a new needle for every injection and never share your pen or needle with others.
- Prime the pen by selecting two units and pressing until a drop of insulin appears at the needle tip.
- Select the prescribed dose on the dial and confirm the counter shows the correct number of units.
- Clean the injection site with alcohol or soap and water, then let it dry before injecting.
- Inject the insulin under the skin of the abdomen, thigh, or upper arm, but never into a vein or muscle.
- Rotate injection spots each time to reduce the chance of skin thickening or lumps.
- After pressing the dose button, keep the needle in the skin and count slowly to six before removing it.
- Remove the used needle right after the injection and dispose of it safely in a sharps container.
- Put the pen cap back on and store the pen at room temperature once in use, away from direct heat and sunlight.
- If you miss a dose, take it as soon as you remember, making sure there are at least eight hours between doses.
- Children who miss a dose should follow the advice of their healthcare provider and monitor blood sugar more often.
- Do not mix Tresiba with other insulins or use it in an insulin pump.
- Check your blood sugar regularly to see how your body responds and share results with your doctor.
Side Effects
Tresiba Flextouch 100 can cause side effects in some people. While many side effects are mild and manageable, others can be serious and may require immediate medical attention.
Common Side Effects of Tresiba
- Injection site reactions
- Skin thickening at the injection site
- Skin pits at the injection site
- Rash
- Itching
- Swelling of hands
- Swelling of the feet
- Weight gain
Serious Side Effects of Tresiba
- Low blood sugar (hypoglycemia)
- Dizziness
- Lightheadedness
- Blurred vision
- Anxiety
- Irritability
- Mood changes
- Sweating
- Slurred speech
- Hunger
- Confusion
- Shakiness
- Headache
- Fast heartbeat
- Low potassium levels (hypokalemia)
- Heart failure
- Shortness of breath
- Fatigue
- Sudden weight gain
- Severe allergic reaction
- Swelling of the face
- Swelling of the tongue
- Swelling of the throat
- Difficulty breathing
Indications and Benefits
Tresiba Flextouch 100 is a prefilled insulin pen used to help adults and children aged one year and older manage type 1 and type 2 diabetes.
This pen is designed for flexible dosing and is available for daily use under the guidance of a healthcare provider.
What Are the Benefits of Tresiba Flextouch 100?
- Tresiba Flextouch 100 helps control high blood sugar in adults and children with type 1 and type 2 diabetes.
- It provides steady insulin coverage for up to 42 hours, reducing the risk of sudden spikes or drops in blood sugar.
- The prefilled pen is easy to use and allows accurate dosing in single-unit increments from 1 to 80 units per injection.
- It supports flexible dosing schedules, allowing patients to adjust timing when needed while maintaining blood sugar control.
- Improves glucose absorption into the body’s cells, which helps lower the risk of diabetes-related complications over time.
- It can be used safely in children as young as one year old, making it suitable for both pediatric and adult patients.
- The pen design reduces the need for vials and syringes, offering a more convenient and discreet way to manage diabetes.
Warnings
When using Tresiba Flextouch 100 to manage blood sugar levels, it is important to follow safety precautions to reduce health risks and avoid complications.
Use it exactly as prescribed and stay alert for any unusual symptoms.
- Do not share or reuse Tresiba Flextouch pens, needles, or syringes with anyone to avoid spreading serious infections.
- Do not use Tresiba Flextouch 100 during episodes of low blood sugar.
- Do not drink alcohol while using Tresiba Flextouch 100 as it can raise or lower blood sugar unpredictably.
- Always check the insulin label before each injection to avoid mix-ups with other types of insulin.
- Do not remove insulin from the pen with a syringe, as this can cause dosing errors.
- Watch for signs of hypoglycemia such as dizziness, sweating, confusion, shakiness, or blurred vision.
- Report symptoms of severe allergic reactions such as rash, swelling, or breathing problems right away.
- Be cautious of hypokalemia, which can be life-threatening if untreated. Regular monitoring may be needed.
- Tell your doctor if you have kidney or liver issues, as these conditions may increase your risk of low blood sugar.
- Inform your healthcare provider if you are pregnant, planning pregnancy, or breastfeeding, since dosage adjustments may be required.
- Look out for symptoms of heart failure such as swelling of the feet or ankles, unusual tiredness, shortness of breath, or sudden weight gain.
- Be aware that Tresiba Flextouch 100 unit mL side effects can include skin changes at the injection site, such as lumps or thickening. Rotate injection sites to prevent these problems.
- Avoid driving or operating heavy machinery until you know how Tresiba affects your alertness and vision.
Boxed Warning and Precautions for Tresiba Flextouch 100
| The FDA has issued a boxed warning for Tresiba Flextouch 100 because of potential risks. Studies have shown that long-term use of insulin analogs like Tresiba may increase the chance of thyroid C-cell tumors. While it is not proven in humans, patients are advised to be aware of this risk and report symptoms such as neck swelling, persistent hoarseness, or difficulty swallowing. Your doctor will decide if Tresiba is right for you after reviewing your health history. |
Contraindications
Tresiba Flextouch 100 should not be used during episodes of low blood sugar, also called hypoglycemia. It is also not recommended for people who have an allergy or severe reaction to insulin degludec or to any of the ingredients in Tresiba.
Using this treatment in these situations may cause serious health risks, so it is important to speak with a doctor before starting treatment.
Interactions
- Antidiabetic agents
- ACE inhibitors
- Angiotensin II receptor blockers
- Disopyramide
- Fibrates
- Fluoxetine
- Monoamine oxidase inhibitors
- Pentoxifylline
- Pramlintide
- Salicylates
- Somatostatin analogs such as octreotide
- Sulfonamide antibiotics
- GLP-1 receptor agonists
- DPP 4 inhibitors
- SGLT 2 inhibitors
- Atypical antipsychotics such as olanzapine and clozapine
- Corticosteroids
- Danazol
- Diuretics
- Estrogens
- Glucagon
- Isoniazid
- Niacin
- Oral contraceptives
- Phenothiazines
- Progestogens
- Protease inhibitors
- Somatropin
- Sympathomimetic agents such as albuterol, epinephrine, and terbutaline
- Thyroid hormones
- Alcohol
- Beta blockers
- Clonidine
- Lithium salts
- Pentamidine
- Guanethidine
- Reserpine
Storage Information
Store unopened Tresiba FlexTouch in the refrigerator, but never freeze it. Do not use it if it has been frozen.
Once in use, keep the pen at room temperature in its original container, away from sunlight, heat, and moisture.
Remove the needle after each use and throw it away in a sharps container or a hard plastic container with a secure lid. Never reuse or share needles.
Keep Tresiba out of the reach of children. Throw away the pen 56 days after opening, even if there is insulin left. Do not flush unused or outdated insulin down the toilet or sink.
Alternatives
Not every patient responds the same way, and some may need other treatment options due to side effects, cost, or medical needs.
There are several trusted alternatives to Tresiba that doctors may recommend. Each option works differently, so it is important to talk to your healthcare provider before switching.
Common alternatives include:
Cost & Ordering Information
Buy Prescription Medications Through Buy Canadian Insulin
Buy Canadian Insulin helps patients access prescription medication options through participating pharmacy partners.
Pricing may vary depending on product strength, quantity selected, supplier availability, and participating pharmacy partner pricing policies.
Some patients may find pricing through participating pharmacy partners that differs from certain U.S. retail pharmacy prices.
Available services may include:
- Pricing options based on quantity selected
- Prescription processing through participating pharmacy partners
- Shipping options available across eligible U.S. delivery locations
- Ordering support through phone, email, or live chat
- Multiple quantity options depending on prescription authorization and supplier availability
Prescription medications require review and approval by a licensed healthcare professional and pharmacist before dispensing, where applicable.
Shipping timelines for Tresiba FlexTouch may vary depending on prescription review requirements, inventory availability, destination location, carrier services, and temperature-sensitive handling requirements.
Prescription Medication Discounts and Coupons
Eligible first-time customers may use coupon code FIRST10 during checkout for qualifying orders, subject to current promotional terms and conditions.
Refrigerated Shipping Information
Tresiba FlexTouch is a temperature-sensitive insulin product.
Special packaging, insulated materials, and temperature-control measures may be used during shipping to help maintain recommended storage conditions during transit.
Upon delivery, patients should inspect the package and follow the storage instructions provided by the manufacturer and dispensing pharmacy.
Do not use Tresiba FlexTouch if it appears damaged, has been frozen, or may have been stored outside recommended conditions. Contact your pharmacist or healthcare provider if you have questions about storage or handling.
Have a Prescription?
Patients may explore available prescription options through participating pharmacy partners.
Available ordering features may include:
- Pricing options based on quantity selected
- Multiple quantity options depending on prescription details
- Shipping options with tracking availability when provided by the carrier
- Customer support assistance through phone, email, or live chat
- Online and phone ordering availability
A valid prescription is required before Tresiba FlexTouch can be dispensed.
Prescriptions may be uploaded during checkout, emailed, or faxed for pharmacist review.
Pharmacist consultation may be available through participating pharmacy partners when appropriate.
Customer Support & Business Information
For questions regarding prescription processing, product availability, shipping timelines, or account support, contact Buy Canadian Insulin customer support:
Phone: 1-888-525-1815
Fax: 1-888-234-1275
Email: info@buycanadianinsulin.com
Customer Support Hours
Monday-Friday: 7am – 10pm CST
Saturday & Sunday: 9am – 5pm CST
Business Address
Buy Canadian Insulin
1026 Manitoba Avenue, Suite 1001
Selkirk, MB R1A 4M2
Canada
About Buy Canadian Insulin Services
Buy Canadian Insulin works with participating pharmacy partners to help patients access prescription medications and related healthcare products.
Product availability, pricing, and shipping timelines may vary depending on supplier inventory, participating pharmacy partner availability, destination location, and temperature-sensitive handling requirements.
Some prescription orders may be fulfilled through licensed pharmacy partners located in Canada or other international fulfillment locations depending on product availability.
Orders are packaged according to pharmacy handling and shipping procedures.
Frequently Asked Questions
Disclaimer
Buy Canadian Insulin provides educational information about medications and health conditions for informational purposes only. This content is not intended to replace professional medical advice, diagnosis, or treatment. Prescription medications require valid prescription review and processing through participating pharmacy partners. Product availability, pricing, and shipping timelines may vary. Consult your healthcare provider or pharmacist before starting, stopping, or changing any medication.
Have a prescription?
Order Tresiba FlexTouch 100 online today and enjoy a host of benefits, including:
