If your glucose values jump around like a hyperactive kid on a pogo stick, it helps to focus on the first value of the day. Basal, or background insulin has the most effect on the fasting glucose. Once the fasting value is in the target range of 90-130, the rest of the glucose values are more likely to follow suit. Adjust the long-acting insulin (Lantus, Levemir, NPH) by 2 units every 3 days until your fasting is at target. If you're awakened by a low glucose (less than 70), have nightmares or soak the bed with sweat, lower the insulin dose by 2 units and notify your doctor.
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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