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When to seek medical attention?
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<blockquote data-quote="miahara" data-source="post: 2433258" data-attributes="member: 256148"><p>You really need to get your basal insulin dose sorted out and not keep adjusting it day by day. I adjust mine occasionally based on any overnight lows I encounter. But when I do make any adjustments I wait for a few days to assess the results. Recently I increased my basal to 14 units as I found I was a bit on the high side overnight, but I’ve had three nights on the trot with a couple of lows (below 4.2) so today I reduced basal by one unit and will see how that impacts.</p><p>During the day your basal insulin gives a fairly steady insulin background, but you’ll need bolus doses too and these can be quite difficult to judge as there are a host of factors at play such as time of day, exercise, ambient temperature ,carb intake and GI of the food.</p><p>It takes a long time to learn good insulin management and one thing that could help is keeping a diary of carb intake and insulin doses this would enable you to identify patterns and act on them. If you are using a Libre CGM and uploading the data you can also ask your diabetes team to look at the data and advise you.</p><p>Managing diabetes with insulin is very much a game of snakes and ladders, but with a bit of experience you’ll win more often than you lose.</p></blockquote><p></p>
[QUOTE="miahara, post: 2433258, member: 256148"] You really need to get your basal insulin dose sorted out and not keep adjusting it day by day. I adjust mine occasionally based on any overnight lows I encounter. But when I do make any adjustments I wait for a few days to assess the results. Recently I increased my basal to 14 units as I found I was a bit on the high side overnight, but I’ve had three nights on the trot with a couple of lows (below 4.2) so today I reduced basal by one unit and will see how that impacts. During the day your basal insulin gives a fairly steady insulin background, but you’ll need bolus doses too and these can be quite difficult to judge as there are a host of factors at play such as time of day, exercise, ambient temperature ,carb intake and GI of the food. It takes a long time to learn good insulin management and one thing that could help is keeping a diary of carb intake and insulin doses this would enable you to identify patterns and act on them. If you are using a Libre CGM and uploading the data you can also ask your diabetes team to look at the data and advise you. Managing diabetes with insulin is very much a game of snakes and ladders, but with a bit of experience you’ll win more often than you lose. [/QUOTE]
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