What I've found is insulin resistant diabetics on m3 would just need to add and add their units to reduce there hba1c
@DCUKMod . I admire OPs diabetic team as they have recognised early that more units would reduce her hba1c but feed the insulin resistance. Making her type2 condition more difficult to manage. Like dr beinstein wrote.... smaller changes cause smaller errors. So less likelihood of a hypo.
That is why she has been advised to just adjust in small units not like some who have to adjust in larger amounts of units due to severe insulin resistance.
Her team will always evaluate the risk of her hypo for her, first and for most. The reduction of hba1c may never come for some. No matter what treatment is offered.
Insulin treatment is the best treatment for lowering hba1c. In type 2s too!
Anyone can sustain lower hba1cs on insulin treatment.
The more insulin you take, the lower the hba1c if hypos are not more frequent than ideal bgs.
Hypo treatment is essential but too many hypo treatments can interfer with your hba1c result.
The less hypos, the better, all round. Nasty side affect to too much insulin injected.