How to Fix Common Glucose Problems in Diabetics

Below is a list of common glucose problems, which commonly occur in diabetics, along with their solutions:
  • Hyperglycemia
    • Fasting  – increase basal insulin
    • Pre-lunch  – increase breakfast rapid acting insulin or increase morning NPH (intermediate acting)
    • Pre-dinner  – increase lunchtime rapid acting insulin or increase morning NPH
  • Hypoglycemia
    • Fasting or nocturnal – decrease basal insulin at bedtime
    • Pre-lunch – decrease rapid acting insulin at breakfast or decrease morning NPH
    • Pre-dinner – decrease rapid acting insulin at lunch or dinner

Reference

  • American College of Physicians (2012), Board Basics 3 (reviewed here)

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