Too much background insulin is a problem as it tends to increase the risk of hypos
and also weight gain. As a rule of thumb background insulin is usually 40
–
50% of
the total dose in people with well-controlled diabetes, although there are always
excepEons. The best way to assess background insulin is to see what happens to the
glucose trace aZer either missing a meal or having a carb-free meal. The ideal trace
is the black line
–
nice and steady. The red line shows what might happen to
someone with too much background insulin and the blue line shows what might
happen with not enough background. It is important to look at this at all the Eme
windows across the day
–
ideally on different days. These things can change over
Eme and it’s worth reassessing every few months, parEcularly if your weight or
acEvity levels change. Lantus can someEmes run out before 24 hours
–
twice daily
Levemir or once daily Tresiba may be beBer for some people.
41
Summary of Contents for Libre
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Page 42: ...These examples of carb free meals are also listed in the 10 steps guide in your Libre pack 42...
Page 44: ...Are your raEos roughly in keeping with this 44...
Page 45: ...This quick guide to ICR is at the back of the 10 steps guide 45...
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Page 59: ...If this is too much for you you can modify your approach 59...
Page 63: ...Phone us Email us We will keep working with you unEl you re happy with how things are 63...
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