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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