{"id":51343,"date":"2022-05-25T09:14:31","date_gmt":"2022-05-25T13:14:31","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=51343"},"modified":"2026-04-03T13:02:19","modified_gmt":"2026-04-03T17:02:19","slug":"tresiba-alternatives","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/tresiba-alternatives\/","title":{"rendered":"Tresiba alternatives: What can I take instead of Tresiba?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/tresiba\/what-is\"><span style=\"font-weight: 400;\">Tresiba<\/span><\/a><span style=\"font-weight: 400;\"> is an ultra-long-acting <\/span><span style=\"font-weight: 400;\">basal insulin<\/span><span style=\"font-weight: 400;\"> that controls <\/span><span style=\"font-weight: 400;\">blood sugar levels<\/span><span style=\"font-weight: 400;\"> in adults and pediatric patients 1 year of age and older with Type 1 and <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/diabetes-treatment-and-medications\"><span style=\"font-weight: 400;\">Type 2<\/span><span style=\"font-weight: 400;\"> diabetes<\/span><\/a><span style=\"font-weight: 400;\">. Injections can be administered with a FlexTouch Pen or using a standard syringe and needle. The insulin degludec delivery system in Tresiba makes it the longest-acting insulin available today, requiring only one injection daily to provide even glycemic control for up to 42 hours. If there are problems with Tresiba, people can use other long-acting insulins.\u00a0<\/span><\/p>\n<h2 id=\"what-can-i-take-instead-of-tresiba\"><span style=\"font-weight: 400;\">What can I take instead of <\/span><span style=\"font-weight: 400;\">Tresiba<\/span><span style=\"font-weight: 400;\">?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Tresiba may not be a good fit for everyone. Long-acting insulins can have serious side effects such as hypoglycemia (low blood sugar), weight gain, or allergic reactions. On the other hand, people may require a lower-cost basal insulin even with insurance coverage.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The chart below lists some alternative basal insulins that can be used to manage elevated glucose levels.\u00a0<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th colspan=\"4\">\n<h3 id=\"compare-tresiba-alternatives\"><span style=\"font-weight: 400;\">Compare <\/span><span style=\"font-weight: 400;\">Tresiba<\/span><span style=\"font-weight: 400;\"> alternatives<\/span><\/h3>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Drug name<\/b><\/td>\n<td><b>Price without insurance<\/b><\/td>\n<td><b>SingleCare price<\/b><\/td>\n<td><b>Savings options<\/b><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/tresiba\/what-is\"><span style=\"font-weight: 400;\">Tresiba<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/insulin-degludec\/what-is\"><span style=\"font-weight: 400;\">insulin degludec<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$445 for 1, 10 mL of 100 units\/mL vial<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$94 for 1, 10 mL of 100 units\/mL vial at Kroger or Harris Teeter<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/tresiba\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/toujeo-solostar\/what-is\"><span style=\"font-weight: 400;\">Toujeo<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/insulin-glargine-solostar\/what-is\"><span style=\"font-weight: 400;\">insulin glargine SoloStar<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$177 for 1, 1.5 mL of 300 units\/mL injection pen<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$43 for 1, 1.5 mL of 300 units\/mL injection pen at Kroger or Harris Teeter<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/toujeo-solostar\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/basaglar-kwikpen\/what-is\"><span style=\"font-weight: 400;\">Basaglar<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">insulin glargine<\/span><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$94 for 1, 3 mL of 100 units\/mL injection pen<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$54 per 1, 3 mL of 100 units\/mL injection pens at Kroger or Harris Teeter<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/basaglar-kwikpen\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/lantus-solostar\/what-is\"><span style=\"font-weight: 400;\">Lantus<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">insulin glargine<\/span><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$80 for 1, 3 mL of 100 units\/mL injection pen<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$21 for 1, 3 mL of 100 units\/mL injection pens at Kroger or Harris Teeter<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/lantus-solostar\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/semglee-yfgn\/what-is\"><span style=\"font-weight: 400;\">Semglee<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/insulin-glargine-yfgn\/what-is\"><span style=\"font-weight: 400;\">insulin glargine-ygfn<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$112 for 1, 3 mL of 100 units\/mL injection pen<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$20 for 1, 3 mL of 100 units\/mL injection pen at Kroger or Harris Teeter<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/semglee-yfgn\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/soliqua\/what-is\"><span style=\"font-weight: 400;\">Soliqua<\/span><\/a><span style=\"font-weight: 400;\"> 100\/33 (<\/span><span style=\"font-weight: 400;\">insulin glargine<\/span><span style=\"font-weight: 400;\">\/lixisenatide)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$1,171 for 5, 3 mL of 100 units-33 mcg\/mL injection pens<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$774 for 5, 3 mL of 100 units-33 mcg\/mL injection pens at Kroger or Harris Teeter<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/soliqua\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.singlecare.com\/prescription\/xultophy\/what-is\"><span style=\"font-weight: 400;\">Xultophy<\/span><\/a><span style=\"font-weight: 400;\"> 100\/3.6 (<\/span><span style=\"font-weight: 400;\">insulin degludec<\/span><span style=\"font-weight: 400;\">\/liraglutide)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$543 for 1, 3 mL of 100 units-3.6 mg\/mL injection pen<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$238 for 1, 3 mL of 100 units-3.6 mg\/mL injection pens at Kroger or Harris Teeter<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/xultophy\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><b>\u00a0<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Humalog* insulin for pump (pump supply costs are separate)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$116 for 1, 3 mL vials of 100 units\/mL<\/span><\/td>\n<td><span style=\"font-weight: 400;\">$33 for 1, 10 mL vials of 100 units\/mL at Kroger or Harris Teeter<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/humalog\"><span style=\"font-weight: 400;\">See latest prices<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><small><i><span style=\"font-weight: 400;\">Prescription drug prices often change. These are the most accurate medication prices at the time of publishing in ZIP code 23666 as of April 3, 2026. The listed price without insurance references the price of brand-name drugs (unless otherwise specified). The listed SingleCare price references the price of generic drugs if available. Click the link under \u201cSavings options\u201d to see the latest drug prices.<\/span><\/i><small><\/small><\/small><\/p>\n<p><span style=\"font-weight: 400;\">*Fast-acting insulins (such as Humalog or Novolog) are commonly used in insulin pumps. With this system, the same insulin provides both basal insulin (continuous tiny doses) and mealtime insulin (bolus doses). See the section below for more information.\u00a0<\/span><\/p>\n<h2 id=\"top-5-tresiba-alternatives\"><span style=\"font-weight: 400;\">Top 5 <\/span><span style=\"font-weight: 400;\">Tresiba<\/span><span style=\"font-weight: 400;\"> alternatives<\/span><\/h2>\n<h3 id=\"1-toujeo\"><span style=\"font-weight: 400;\">1. Toujeo<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/blog\/tresiba-vs-toujeo\/\"><span style=\"font-weight: 400;\">Toujeo<\/span><\/a><span style=\"font-weight: 400;\"> (insulin glargine U-300) is another ultra-<\/span><span style=\"font-weight: 400;\">long-acting insulin<\/span><span style=\"font-weight: 400;\"> used for the management of Type 1 diabetes in both adults and children as young as 6 years old and Type 2 diabetes in adults. <\/span><span style=\"font-weight: 400;\">Toujeo<\/span><span style=\"font-weight: 400;\"> begins to work a few hours after administration and works evenly for up to 36 hours. Only one injection daily is needed, but patients may also need to inject mealtime insulin at appropriate times.\u00a0<\/span><\/p>\n<h3 id=\"2-basaglar\"><span style=\"font-weight: 400;\">2. Basaglar<\/span><\/h3>\n<p id=\"basaglar-insulin-glargine-is-a-long-acting-insulin-analog-with-a-duration-of-action-of-24-hours-so-most-patients-require-only-one-injection-daily-this-type-of-insulin-can-be-used-in-adults-with-type-1-or-type-2-diabetes-it-can-also-be-used-in-children-at-least-6-years-old-with-type-1-diabetes-when-using-basaglar-for-type-1-diabetes-it-is-typically-used-along-with-a-fast-acting-insulin-such-as-humalog-basaglar-is-injected-under-the-skin-like-most-insulins-but-cannot-be-used-in-an-insulin-pump\"><a href=\"https:\/\/www.singlecare.com\/prescription\/basaglar-kwikpen\/what-is\"><span style=\"font-weight: 400;\">Basaglar<\/span><\/a><span style=\"font-weight: 400;\"> (insulin glargine) is a <\/span><span style=\"font-weight: 400;\">long-acting insulin<\/span><span style=\"font-weight: 400;\"> analog with a duration of action of 24 hours, so most patients require only one injection daily. This <\/span><span style=\"font-weight: 400;\">type of insulin<\/span><span style=\"font-weight: 400;\"> can be used in adults with Type 1 or Type 2<\/span><span style=\"font-weight: 400;\"> diabetes<\/span><span style=\"font-weight: 400;\">. It can also be used in children at least 6 years old with Type 1<\/span><span style=\"font-weight: 400;\"> diabetes<\/span><span style=\"font-weight: 400;\">. When using <\/span><span style=\"font-weight: 400;\">Basaglar<\/span><span style=\"font-weight: 400;\"> for Type 1<\/span><span style=\"font-weight: 400;\"> diabetes<\/span><span style=\"font-weight: 400;\">, it is typically used along with a<\/span><span style=\"font-weight: 400;\"> fast-acting <\/span><span style=\"font-weight: 400;\">insulin such as Humalog. <\/span><span style=\"font-weight: 400;\">Basaglar<\/span><span style=\"font-weight: 400;\"> is injected under the skin like most insulins, but cannot be used in an insulin pump.<\/span><\/p>\n<h3 id=\"3-lantus\"><span style=\"font-weight: 400;\">3. Lantus<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The <\/span><span style=\"font-weight: 400;\">long-acting insulins,<\/span> <a href=\"https:\/\/www.singlecare.com\/blog\/tresiba-vs-lantus\/\"><span style=\"font-weight: 400;\">Lantus<\/span><span style=\"font-weight: 400;\"> and <\/span><span style=\"font-weight: 400;\">Lantus<\/span> <span style=\"font-weight: 400;\">SoloStar<\/span><\/a><span style=\"font-weight: 400;\"> (insulin glargine), are used for <\/span><span style=\"font-weight: 400;\">glycemic control<\/span><span style=\"font-weight: 400;\"> in adults with Type 1 and Type 2<\/span><span style=\"font-weight: 400;\"> diabetes<\/span><span style=\"font-weight: 400;\">. Lantus also treats pediatric Type 1<\/span><span style=\"font-weight: 400;\"> diabetes<\/span><span style=\"font-weight: 400;\"> for children 6 and older. <\/span><span style=\"font-weight: 400;\">Lantus<\/span><span style=\"font-weight: 400;\"> is a daily <\/span><span style=\"font-weight: 400;\">subcutaneous<\/span><span style=\"font-weight: 400;\"> injection with a 24-hour duration of action. <\/span><span style=\"font-weight: 400;\">Short-acting<\/span><span style=\"font-weight: 400;\"> insulins must be combined with <\/span><span style=\"font-weight: 400;\">Lantus<\/span><span style=\"font-weight: 400;\"> if Type 1<\/span><span style=\"font-weight: 400;\"> diabetes<\/span><span style=\"font-weight: 400;\"> is being managed. As with other long-acting insulins, Lantus is never used in an insulin pump.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/lantus-side-effects\/\"><b>Lantus<\/b><b> side effects and how to avoid them<\/b><\/a><\/p>\n<h3 id=\"4-semglee\"><span style=\"font-weight: 400;\">4. Semglee<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Semglee is a <\/span><span style=\"font-weight: 400;\">long-acting insulin<\/span><span style=\"font-weight: 400;\"> used to manage diabetes in adults and children. It begins working two to four hours after injection and works evenly for about 24 hours. It is never used in an insulin pump. As with other long-acting insulins, patients must also inject fast-acting insulins at mealtime. Semglee is available as a prefilled pen or 100-unit vials for use with a syringe and needle.<\/span><\/p>\n<h3 id=\"5-insulin-pump-with-novolog-or-humalog\"><span style=\"font-weight: 400;\">5. Insulin pump with Novolog or Humalog<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Another alternative to consider is switching to an insulin pump rather than multiple daily injections (MDI). People on MDI typically inject a basal insulin once daily, as well as a fast-acting insulin for meals and to correct high blood sugars. An insulin pump delivers only one type of insulin, a fast-acting insulin such as Novolog or Humalog, in tiny doses throughout the day, which serves as a basal insulin. The pump communicates with your continuous glucose monitor (like Dexcom) to help make treatment decisions. For example, when your blood sugar is high, it can administer extra insulin. Or, when your blood sugar is dropping too low, it can temporarily pause insulin delivery. The pump can also administer insulin before meals. Some people prefer MDIs, while others prefer a pump. It is definitely worth a conversation with your healthcare provider so you can weigh the pros and cons.<\/span><\/p>\n<h2 id=\"natural-alternatives-to-tresiba\"><span style=\"font-weight: 400;\">Natural alternatives to <\/span><span style=\"font-weight: 400;\">Tresiba<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">When a new <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/living-with-diabetes\/\"><span style=\"font-weight: 400;\">diagnosis<\/span><\/a><span style=\"font-weight: 400;\"> of diabetes occurs, some patients may consider a more <\/span><a href=\"https:\/\/www.stamfordhealth.org\/healthflash-blog\/integrative-medicine\/type-2-diabetes-natural-remedies\/\"><span style=\"font-weight: 400;\">natural approach<\/span><\/a><span style=\"font-weight: 400;\"> to lower <\/span><span style=\"font-weight: 400;\">blood sugar levels<\/span><span style=\"font-weight: 400;\">. Proper diet and <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/diabetes-and-exercise\/\"><span style=\"font-weight: 400;\">exercise<\/span><\/a><span style=\"font-weight: 400;\"> are integral parts of the treatment plan for Type 2<\/span><span style=\"font-weight: 400;\"> diabetes mellitus<\/span><span style=\"font-weight: 400;\">, but they do not replace treatment recommended by your healthcare provider.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some studies have shown that certain supplements may help manage blood sugar levels. However, the <\/span><a href=\"https:\/\/diabetes.org\/food-nutrition\/diabetes-vitamins-supplements\"><span style=\"font-weight: 400;\">American Diabetes Association<\/span><\/a><span style=\"font-weight: 400;\"> notes that supplements are not proven to be effective for lowering blood sugar or supporting diabetes management. Certain people, such as those who follow restrictive diets, older adults, and pregnant or breastfeeding women, may require a multivitamin. Always check with your healthcare provider for medical advice and remember that a multivitamin or supplement does not replace your recommended treatment.<\/span><\/p>\n<h2 id=\"how-to-switch-to-a-tresiba-alternative\"><span style=\"font-weight: 400;\">How to switch to a <\/span><span style=\"font-weight: 400;\">Tresiba<\/span><span style=\"font-weight: 400;\"> alternative<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If <\/span><span style=\"font-weight: 400;\">Tresiba<\/span><span style=\"font-weight: 400;\"> has not met your expectations, it may be time to switch to another basal insulin or, for people with Type 2 diabetes, to a non-insulin medication like <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ozempic\"><span style=\"font-weight: 400;\">Ozempic<\/span><\/a><span style=\"font-weight: 400;\"> (semaglutide). This should be done only under the guidance of your <\/span><span style=\"font-weight: 400;\">healthcare<\/span><span style=\"font-weight: 400;\"> provider. Insulin dosages are usually calculated based on your specific needs, so your provider will need to help you transition to something else.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If <\/span><span style=\"font-weight: 400;\">Tresiba<\/span><span style=\"font-weight: 400;\"> is stopped abruptly without a replacement antidiabetic medication, this may cause extremely high <\/span><span style=\"font-weight: 400;\">blood sugar levels,<\/span><span style=\"font-weight: 400;\"> which may lead to diabetic ketoacidosis or other health complications. No matter what <\/span><span style=\"font-weight: 400;\">type of insulin<\/span><span style=\"font-weight: 400;\"> you and your <\/span><span style=\"font-weight: 400;\">healthcare<\/span><span style=\"font-weight: 400;\"> provider may decide on to manage your diabetes, cost savings should always be explored with SingleCare\u2019s <\/span><a href=\"https:\/\/www.singlecare.com\/prescription-discount-card\"><span style=\"font-weight: 400;\">prescription discount coupons<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/tresiba-without-insurance\/\"><b>How much is Tresiba without insurance?<\/b><\/a><\/p>\n<h2 id=\"choosing-the-right-path-for-diabetes-treatment\"><span style=\"font-weight: 400;\">Choosing the right path for diabetes treatment<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Basal insulins are needed when fasting glucose levels are high, a condition typical of Type 1 diabetes, and in certain people with Type 2 diabetes. Choosing the right type of basal insulin depends on many factors, including lifestyle and insulin compliance. However, the most important factor is fasting blood glucose levels. Tresiba may be the most successful long-acting insulin at controlling fasting glucose levels in some people, but other long-acting or intermediate insulins like Lantus, Toujeo, Semglee, or an insulin pump may provide better glycemic control in other people. Always review your blood glucose levels, diabetes symptoms, and lifestyle needs with your healthcare provider to determine the best type of insulin for you.<\/span><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/es\/recursos\/alternativas-a-tresiba\"><span style=\"font-weight: 400;\">Lea este art\u00edculo en espa\u00f1ol aqu\u00ed.<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tresiba is an ultra-long-acting basal insulin that controls blood sugar levels in adults and pediatric patients 1 year of age and older with Type 1 and Type 2 diabetes. Injections can be administered with a FlexTouch Pen or using a standard syringe and needle. The insulin degludec delivery system in Tresiba makes it the longest-acting [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":51358,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[10298,4350],"coauthors":[8861],"class_list":["post-51343","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-diabetes","tag-prescription-savings","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Tresiba alternatives: What can I take instead of Tresiba?<\/title>\n<meta name=\"description\" content=\"Basaglar, Lantus, Novolin, and Toujeo are some Tresiba alternatives. 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