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What does basal insulin actually do
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<blockquote data-quote="ElyDave" data-source="post: 484557" data-attributes="member: 74042"><p>The role of basal insulin in an insulin dependent diabetic is to deal with the glucose released by the liver steadily in the background. It's a very slow action to match the slow release from the liver. The novorapid or similar quick acting insulin takes care of mealtime carbs, and if you are dosing correctly should see a 2hr post meal spike of around +2mmol/l vs pre meal. </p><p></p><p>Getting the basal right is crucial. You should not be seeing big overnight drops or increases. If you regularly need a bedtime snack to avoid a hypo you have too much background, if you are regularly high in the morning, too little background. Try avoiding carbs in the evening to fine tune and adjust by 5-10% either way until you have it right.</p><p></p><p>For type 2 I'm guessing there will be differences, but don't ignore the role of basal.</p></blockquote><p></p>
[QUOTE="ElyDave, post: 484557, member: 74042"] The role of basal insulin in an insulin dependent diabetic is to deal with the glucose released by the liver steadily in the background. It's a very slow action to match the slow release from the liver. The novorapid or similar quick acting insulin takes care of mealtime carbs, and if you are dosing correctly should see a 2hr post meal spike of around +2mmol/l vs pre meal. Getting the basal right is crucial. You should not be seeing big overnight drops or increases. If you regularly need a bedtime snack to avoid a hypo you have too much background, if you are regularly high in the morning, too little background. Try avoiding carbs in the evening to fine tune and adjust by 5-10% either way until you have it right. For type 2 I'm guessing there will be differences, but don't ignore the role of basal. [/QUOTE]
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