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Message: <blockquote data-quote="SimonP78" data-source="post: 2727754" data-attributes="member: 556474">Also remember that basal requirements are not constant, so with MDI it's usually a case of tuning for overnight (or whenever one sleeps) and potentially needing to fix how this affects other times with extra bolus/food/ratio tweaks during the day. There's also the possibility to split basal, depending on what type it is if the difference in requirements is very pronounced, though this tends to be a bit of a try-it-and-see experiment and a pump will allow much more flexibility in any case.With that said, it does sound like in this case a second bolus would potentially fix the problem (due to speed of digestion/quantity of food to be digested/changes in insulin sensitivity) - presumably you did a correction dose? Did this bring her back to the desired level?</blockquote>

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