If you make an insulin dose adjustment, change one insulin dose by a small amount and keep the dosage consistent for three days. This is the only way to see the effect on overall patterns. If you change your evening insulin by 10 units one day, skip it the next, take 15 units on the third evening, all the while changing your mealtime insulin doses by several units, you won't be able to identify a pattern or cause and effect. You'll have better luck trying to herd a group of cats.
Warning: Please work with your healthcare provider. Although the following suggestions may be common approaches to insulin dose adjustment, you want to be sure you are safe and under the guidance of a professional before changing your insulin regimen. It takes time to understand these steps and to see how your body responds.
Tip courtesy of Theresa Garnero, APRN, BC-ADM, MSN, CDE.
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